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Leg SpasticityPhase 3NCT01249404

Dysport® Adult Lower Limb Spasticity Study

A Phase 3 study testing Botulinum toxin type A in people with Leg Spasticity, run by Ipsen at 62 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this research study is to assess the efficacy of Dysport® compared to placebo in improving muscle tone in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Leg Spasticity
What is being tested?
Botulinum toxin type A
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
388 participants
Where
62 sitesin 11 countries
Study dates
Mar 2011to May 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects aged 18 to 80 years of age
  • Post stroke or brain injury
  • Intensity of muscle tone greater than or equal to 2, as measured on the Modified Ashworth Scale
  • Ambulatory patients

Who cannot join

  • Fixed contractures
  • Physiotherapy initiated less than 4 weeks before entry
  • Previous surgery or previous treatment with phenol and/or alcohol in lower limb
  • Neurological/neuromuscular disorders which may interfere with protocol evaluations

Trial locations and contacts

62 sites in 11 countries.

62 sites in 11 countries

United States17 sites
  • Parkinson's Disease & Movement Disorders Center of Boca Raton

    Boca Raton, Florida, 33486

  • University of North Carolina - Chapel Hill

    Chapel Hill, North Carolina, 27599-7200

  • The University of Texas Southwestern Medical Center at Dallas

    Dallas, Texas, 75390-9016

  • Rancho Los Amigos

    Downey, California, 90242

  • MossRehab & Albert Einstein

    Elkins Park, Pennsylvania, 19027

  • Associated Neurologists of Southern CT, PC

    Fairfield, Connecticut, 06824

  • University of North Texas HSC at Ben Hogan Center

    Fort Worth, Texas, 76104

  • Neurorehabilitation Specialist

    Houston, Texas, 66211

  • University of Texas - Houston

    Houston, Texas, 77030

  • Design Neuroscience

    Miami Gardens, Florida, 33169

  • Vanderbilt University

    Nashville, Tennessee, 37232

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Weill Cornell Medical College

    New York, New York, 10065

  • Pacific Neuroscience Medical Group

    Oxnard, California, 93030

  • University of Utah School of Medicine

    Salt Lake City, Utah, 84132

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

  • Wake Forest University Baptist Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

France10 sites
  • CHU Jean MINJOZ

    Besançon

  • Service de Réeducation Fonctionnelle, CHU de Brest, Hôpital Morvan

    Brest, 29609

  • Centre de Réadaptation de Coubert

    Coubert

  • Centre Hospitalier Albert Chenevier

    Créteil

  • Hopital Raymond Poincarré

    Garches

  • Hôpital de L'Archet

    Nice

  • Hôpital Sébastopol, Médecine Physique et Réadaptation, CHU Reims

    Reims, 51092

  • Hôpital Sébastopol

    Reims

  • Nouvel Civil Hospital

    Strasbourg

  • Hopital Rangueil

    Toulouse

Other trials in France

Australia8 sites
  • Caulfield Hospital

    Caulfield, 3162

  • Saint Vincent's Hospital

    Darlinghurst

  • Saint Vincent's Hospital

    Fitzroy

  • St George Hospital

    Kogarah

  • Royal Melbourne Hospital

    Parkville

  • Epworth HealthCare

    Richmond, Victoria, 3121

  • Epworth Healthcare

    Richmond

  • Westmead Hospital

    Westmead

Other trials in Australia

Poland6 sites
  • Specjalistyczna Praktyka Lekarska

    Katowice

  • Centrum Medyczne Plejady

    Krakow

  • Krakowska Akademia Neurologii

    Krakow

  • Malopolskie Centrum Medyczne

    Krakow

  • Nzoz Neuro - Card

    Poznan

  • Samodzielny Publiczny Centralny Szpital

    Warsaw

Other trials in Poland

Hungary5 sites
  • National Institute for Medical Rehabilitation

    Budapest

  • Szent János Hospital

    Budapest

  • Uno Medical Trials

    Budapest

  • Petz Aladar Country Hospital

    Győr

  • Batthyány Kázmér Hospital

    Kisbér

Other trials in Hungary

Italy4 sites
  • Azienda Ospedaliero

    Catania

  • SSD Neurofisiologia Riabilitativa

    Fossano

  • Servizio di Neurofisiologia Clinica-Ospedale San Raffaele

    Milan

  • Polo IRCCS Eugenio Medea La Nostra Famiglia

    Treviso

Other trials in Italy

Portugal3 sites
  • Servicio de Rehabilitation de Adultos

    Alcabideche

  • Centro Hospitalar Lisboa Norte

    Lisbon

  • Centro Hospitalar São João

    Porto

Other trials in Portugal

Russia3 sites
  • Treatments and Rehabilitation Center

    Moscow

  • State Institution "Scientific Centre of Neurology of Russian Academy of Medical Sciences"

    Saint Petersburg, 125367

  • St-Petersberg State Medical University

    Saint Petersburg

Other trials in Russia

Belgium2 sites
  • Université catholique de Louvain av Hippocrate 10

    Brussels

  • Clinique Universitaire

    Yvoir

Other trials in Belgium

Czechia2 sites
  • Neurologicka Klinika

    Olomouc, 775 20

  • Neurologicka Klinika, VFN

    Prague, 12000

Other trials in Czechia

Slovakia2 sites
  • Neurologicka klinika, Univerzitna nemocnica Bratislava

    Bratislava, 82606

  • Univerzitna Nemocnica Bratislava

    Bratislava

Other trials in Slovakia

About this study

Official title: A Phase III, Multicentre, Double-blind, Prospective, Randomized, Placebo-controlled Study, Assessing the Efficacy and Safety of Dysport® Used for the Treatment of Lower-limb Spasticity in Adult Subjects With Hemiparesis Due to Stroke or Traumatic Brain Injury

The purpose of this research study is to assess the efficacy of Dysport® compared to placebo in improving muscle tone in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury.

Conditions
Leg Spasticity
Being tested
Botulinum toxin type A, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Botulinum toxin type ABiological

    Also called AbobotulinumtoxinA (Dysport®)

    I.M. injection on day 1 (single treatment cycle)

  • PlaceboDrug

    I.M. injection on day 1 (single treatment cycle)

Study groups in NCT01249404
Study groupRoleWhat they receive
Dysport® 1000 U, IMExperimental1000 U, I.M. (in the muscle), on day 1 (single treatment cycle)
Receives: Biological: Botulinum toxin type A
Dysport® 1500 U, IMExperimental1500 U, I.M., on day 1 (single treatment cycle)
Receives: Biological: Botulinum toxin type A
PlaceboPlacebo comparatorI.M., on day 1 (single treatment cycle)
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Least Squares Mean Change From Baseline to Week 4 in the MAS Score in the Gastrocnemius-soleus Complex (GSC) (Knee Extended)

    Muscle tone in the treated limb was assessed by MAS in the GSC (with the knee extended) at baseline, at Weeks 1, 4 and 12, at discretionary visits at Weeks 16, 20 and 24, and at end of study. The MAS consists of 6 grades: 0 (no increase in muscle tone), 1 (slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM)), 1+ (slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM), 2 (more marked increase in muscle tone), 3 (considerable increase in muscle tone) or 4 (affected part(s) rigid in flexion or extension), and can be applied to muscles of both the upper and lower limbs. The least squares mean change from baseline at Week 4 is reported.

    Measured: Baseline and Week 4

Secondary outcomes (2)
  1. Physician's Global Assesment (PGA) of Treatment Response at Week 4

    An assessment of overall treatment response was conducted at Weeks 4 and 12, and discretionary visits at Weeks 16, 20 and 24 and at end of study by an investigator who had not assessed the MAS. The investigator rated the response to treatment in the subject's lower limb after injection of Dysport® relative to the status at the baseline. Answers were made on a 9 point rating scale: -4=markedly worse, -3=much worse, -2=worse, -1=slightly worse, 0=no change, +1=slightly improved, +2=improved, +3=much improved, +4=markedly improved. The mean PGA score at Week 4 is reported.

    Measured: At Week 4

  2. Least Squares Mean Change From Baseline to Week 4 in Comfortable Barefoot Walking Speed

    Comfortable walking speed was assessed as a measure of functional ability and gait over 10 metres. Evaluations were made barefoot, without walking aids, at baseline and Weeks 1, 4 and 12 and discretionary visits at Weeks 16, 20 and 24 and at end of study. The least squares mean change from baseline at Week 4 is reported.

    Measured: Baseline and Week 4

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2010 (estimated)
  2. Study startMar 2011
  3. Primary completionDec 2013
  4. Study completionMay 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
388 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01249404
Sponsor's protocol ID
Y-55-52120-140
Other IDs
2009-015868-34, 2009
Status last verified
Sep 2022
First submitted
25 Nov 2010
Last updated
28 Sep 2022
Data monitoring committee
Yes
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.

Publications

  • Esquenazi A, Brashear A, Deltombe T, Rudzinska-Bar M, Krawczyk M, Skoromets A, O'Dell MW, Grandoulier AS, Vilain C, Picaut P, Gracies JM. The Effect of Repeated abobotulinumtoxinA (Dysport(R)) Injections on Walking Velocity in Persons with Spastic Hemiparesis Caused by Stroke or Traumatic Brain Injury. PM R. 2021 May;13(5):488-495. doi: 10.1002/pmrj.12459. Epub 2020 Sep 11.

    PubMed 32741133
  • Esquenazi A, Stoquart G, Hedera P, Jacinto LJ, Dimanico U, Constant-Boyer F, Brashear A, Grandoulier AS, Vilain C, Picaut P, Gracies JM. Efficacy and Safety of AbobotulinumtoxinA for the Treatment of Hemiparesis in Adults with Lower Limb Spasticity Previously Treated With Other Botulinum Toxins: A Secondary Analysis of a Randomized Controlled Trial. PM R. 2020 Sep;12(9):853-860. doi: 10.1002/pmrj.12348. Epub 2020 Mar 27.

    PubMed 32108436
  • Gracies JM, Esquenazi A, Brashear A, Banach M, Kocer S, Jech R, Khatkova S, Benetin J, Vecchio M, McAllister P, Ilkowski J, Ochudlo S, Catus F, Grandoulier AS, Vilain C, Picaut P; International AbobotulinumtoxinA Adult Lower Limb Spasticity Study Group. Efficacy and safety of abobotulinumtoxinA in spastic lower limb: Randomized trial and extension. Neurology. 2017 Nov 28;89(22):2245-2253. doi: 10.1212/WNL.0000000000004687. Epub 2017 Nov 1.

    PubMed 29093068

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Botulinum toxin type A in people with Leg Spasticity, run by Ipsen at 62 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in United States, France, Australia, Poland, Hungary and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Oct 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Least Squares Mean Change From Baseline to Week 4 in the MAS Score in the Gastrocnemius-soleus Complex (GSC) (Knee Extended) (time frame: Baseline and Week 4). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01249404, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2022.

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