Nervous System DisordersPhase 3NCT01313299
Dysport® Adult Upper Limb Spasticity
A Phase 3 study testing Botulinum toxin type A in people with Nervous System Disorders, run by Ipsen at 40 sites in 9 countries.
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 upper 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
- Nervous System Disorders
- 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
- 243 participants
- Where
- 40 sitesin 9 countries
- Study dates
- Aug 2011to Sep 2013
- 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
- Adult patients - post stroke or brain injury
- Modified Ashworth Scale ≥ 2
- Ambulatory patients
Who cannot join
- Previous treatment with botulinum toxin of any type within 4 months prior to study entry for any condition
- Physiotherapy initiated less than 4 weeks before inclusion
- Previous surgery, alcohol, phenol in upper limb
- Neurological/neuromuscular disorders which may interfere with protocol evaluations
Trial locations and contacts
40 sites in 9 countries.
40 sites in 9 countries
United States15 sites
Parkinson's Disease & Movement Disorders Center of Boca Raton
Boca Raton, Florida, 33488
Univ of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599
The Rehabilitation Institute of Chicago
Chicago, Illinois, 60611
University of Texas
Dallas, Texas, 75080
Southwestern Medical Center at Dallas
Dallas, Texas, 75390
Rancho Los Amigos National Rehabilitation Center
Downey, California, 90242
Associated Neurologist of Southern CT, PT
Fairfield, Connecticut, 06824
University of North Texas HSC
Fort Worth, Texas, 76104
University of Texas
Houston, Texas, 77030
Vanderbilt University
Nashville, Tennessee, 37232
Mount Sinai School of Medicine
New York, New York, 10029-6574
Weill Cornell Medical College
New York, New York, 10065
University of Utah School of Medicine
Salt Lake City, Utah, 84132
Design Neuroscience Miami
South Miami, Florida, 33169
Wake Forest Medical Center
Winston-Salem, North Carolina, 27157
France8 sites
CHU Jean MINJOZ
Besançon
CHU Brest
Brest
Centre de Réadaptation de Coubert
Coubert
Centre Hospitalier Albert Chenevier-Hopital Henri Mondor
Créteil
Hopital Raymond Poincarré
Garches
Hôpital Sébastopol
Reims
CHU Strasbourg
Strasbourg
Hopital Rangueil
Toulouse
Hungary3 sites
National Institut for Medical Rehabilitation
Budapest
Petz Aladar County Hospital
Győr
University of Szeged
Szeged
Poland3 sites
Malopolskie Centrum Medyczne
Krakow
Krakowska Akademia Neurologii
Warsaw
Samodzielny Publiczny Centralny Szpital Kliniczny
Warsaw
Russia3 sites
Medical Rehabilitation Center
Moscow
Scientific Center of Neurology of RAMS
Moscow
State University
Saint Petersburg
Belgium2 sites
Université catholique de Louvain av Hippocrate 10
Brussels
Clinique Universitaire
Yvoir
Czechia2 sites
Neurologicka klinika, Olomouc
Olomouc
Charles University in Prague
Prague
Italy2 sites
Azienda Hospedaliero
Catania
Policlinico Universitario Agostino Gemelli
Roma
Slovakia2 sites
Derer's Hospital
Bratislava
Univerzitna nemocnica Bratislava
Bratislava
About this study
Official title: A Phase III, Multicentre, Prospective, Double Blind, Randomised, Placebo Controlled Study, Assessing the Efficacy and Safety of Dysport® Intramuscular Injections Used for the Treatment of Upper Limb Spasticity in Adult Subjects With Spastic 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 upper limb spasticity due to stroke or traumatic brain injury.
- Conditions
- Nervous System Disorders
- Being tested
- Botulinum toxin type A, Placebo
- Medical subject headings
- Nervous System Diseases
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®)
500 U, I.M. (in the muscle) injection on day 1 of a single treatment cycle.
Botulinum toxin type ABiological
Also called AbobotulinumtoxinA (Dysport®)
1000 U, I.M. (in the muscle) injection on day 1 of a single treatment cycle.
PlaceboDrug
I.M. (in the muscle) injection on day 1 of a single treatment cycle.
| Study group | Role | What they receive |
|---|---|---|
| Dysport 500 U | Experimental | Not described Receives: Biological: Botulinum toxin type A |
| Dysport 1000 U | Experimental | Not described Receives: Biological: Botulinum toxin type A |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in MAS Score in the Primary Targeted Muscle Group (PTMG)
MAS scale is used to assess muscle tone using a 6-point scale where: 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) when the part is flexed or extended, 1±Slight increase in muscle tone manifested by a catch followed by minimal resistance throughout the remainder of the ROM, 2=Marked increase in muscle tone through most of the ROM but affected part easily moved, 3=Considerable increase in muscle tone passive movement difficult or 4=Affected part(s) rigid in flexion or extension. The MAS has been derived for analyses as follows: 0=0 ; 1=1; 1+=2; 2=3; 3=4 and 4=5.
Measured: From Baseline (Day 1) to Week 4
Secondary outcomes (2)
Physician's Global Assessment (PGA) of Treatment Response
PGA is a 9-point scale used to assess global overall treatment response by the investigator (-4: markedly worse, -3: much worse, -2: worse, -1: slightly worse, 0: no change, +1: slightly improved, +2: improved, +3: much improved and +4: markedly improved).
Measured: At Week 4
Change From Baseline in DAS Score for the Principal Target of Treatment (PTT)
DAS is a 4-point scale used to determine the extent of functional impairment in 4 functional domains (dressing, hygiene, limb position and pain). DAS scale rating: 0=No disability, 1=Mild disability (noticeable but does not interfere significantly with normal activities), 2=Moderate disability (normal activities require increased effort and/or assistance) and 3=Severe disability (normal activities limited).
If subject chose 'Hygiene' as PTT the score collected will be between 0 and 3.
Measured: From Baseline (Day 1) to Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Mar 2011 (estimated)
- Study startAug 2011
- Primary completionSep 2013
- Study completionSep 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Nervous System DisordersStudies of the same condition, open and under way.
- More trials run by IpsenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 243 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ipsen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ipsen Study Director, Study director, Ipsen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01313299
- Sponsor's protocol ID
- Y-52-52120-145
- Other IDs
- 2010-019069-28
- Status last verified
- Sep 2022
- First submitted
- 10 Mar 2011
- Last updated
- 28 Sep 2022
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Delafont B, Carroll K, Vilain C, Pham E. Investigation of mixed model repeated measures analyses and non-linear random coefficient models in the context of long-term efficacy data. Pharm Stat. 2018 Sep;17(5):515-526. doi: 10.1002/pst.1868. Epub 2018 May 20.
PubMed 29781237O'Dell MW, Brashear A, Jech R, Lejeune T, Marque P, Bensmail D, Ayyoub Z, Simpson DM, Volteau M, Vilain C, Picaut P, Gracies JM. Dose-Dependent Effects of AbobotulinumtoxinA (Dysport) on Spasticity and Active Movements in Adults With Upper Limb Spasticity: Secondary Analysis of a Phase 3 Study. PM R. 2018 Jan;10(1):1-10. doi: 10.1016/j.pmrj.2017.06.008. Epub 2017 Jun 19.
PubMed 28634000Marciniak C, McAllister P, Walker H, Brashear A, Edgley S, Deltombe T, Khatkova S, Banach M, Gul F, Vilain C, Picaut P, Grandoulier AS, Gracies JM; International AbobotulinumtoxinA Adult Upper Limb Spasticity Study Group. Efficacy and Safety of AbobotulinumtoxinA (Dysport) for the Treatment of Hemiparesis in Adults With Upper Limb Spasticity Previously Treated With Botulinum Toxin: Subanalysis From a Phase 3 Randomized Controlled Trial. PM R. 2017 Dec;9(12):1181-1190. doi: 10.1016/j.pmrj.2017.06.007. Epub 2017 Jun 16.
PubMed 28625615Gracies JM, Brashear A, Jech R, McAllister P, Banach M, Valkovic P, Walker H, Marciniak C, Deltombe T, Skoromets A, Khatkova S, Edgley S, Gul F, Catus F, De Fer BB, Vilain C, Picaut P; International AbobotulinumtoxinA Adult Upper Limb Spasticity Study Group. Safety and efficacy of abobotulinumtoxinA for hemiparesis in adults with upper limb spasticity after stroke or traumatic brain injury: a double-blind randomised controlled trial. Lancet Neurol. 2015 Oct;14(10):992-1001. doi: 10.1016/S1474-4422(15)00216-1. Epub 2015 Aug 26.
PubMed 26318836
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicentre, Prospective, Double Blind, Randomised, Placebo Controlled Study, Assessing the Efficacy and Safety of Dysport® Intramuscular Injections Used for the Treatment of Upper Limb Spasticity in Adult Subjects With Spastic Hemiparesis Due to Stroke or Traumatic Brain Injury
- ClinicalTrials.gov ID
- NCT01313299
- Acronym / sponsor ID
- Y-52-52120-145
- Conditions
- Nervous System Disorders
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 243 participants (actual)
- Lead sponsor
- IpsenIndustry (pharma, biotech, devices)
- Study start
- Aug 2011
- Primary completion
- Sep 2013 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 11 Mar 2011 (estimated)
- Results
- Posted 23 Oct 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research study is to assess the efficacy of Dysport compared to placebo in improving muscle tone in hemiparetic subjects with upper limb spasticity due to stroke or traumatic brain injury.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dysport 500 U | Experimental | Biological: Botulinum toxin type A |
| Dysport 1000 U | Experimental | Biological: Botulinum toxin type A |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Adult patients - post stroke or brain injury
- Modified Ashworth Scale ≥ 2
- Ambulatory patients
Key exclusion criteria (4 listed)
- Previous treatment with botulinum toxin of any type within 4 months prior to study entry for any condition
- Physiotherapy initiated less than 4 weeks before inclusion
- Previous surgery, alcohol, phenol in upper limb
- Neurological/neuromuscular disorders which may interfere with protocol evaluations
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Botulinum toxin type AAlso: AbobotulinumtoxinA (Dysport®)500 U, I.M. (in the muscle) injection on day 1 of a single treatment cycle. | Biological | Dysport 500 U |
| Botulinum toxin type AAlso: AbobotulinumtoxinA (Dysport®)1000 U, I.M. (in the muscle) injection on day 1 of a single treatment cycle. | Biological | Dysport 1000 U |
| PlaceboI.M. (in the muscle) injection on day 1 of a single treatment cycle. | Drug | Placebo |
Primary outcome
Change From Baseline in MAS Score in the Primary Targeted Muscle Group (PTMG)
Time frame: From Baseline (Day 1) to Week 4
MAS scale is used to assess muscle tone using a 6-point scale where: 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) when the part is flexed or extended, 1±Slight increase in muscle tone manifested by a catch followed by minimal resistance throughout the remainder of the ROM, 2=Marked increase in muscle tone through most of the ROM but affected part easily moved, 3=Considerable increase in muscle tone passive movement difficult or 4=Affected part(s) rigid in flexion or extension. The MAS has been derived for analyses as follows: 0=0 ; 1=1; 1+=2; 2=3; 3=4 and 4=5.
2 secondary outcomes
Physician's Global Assessment (PGA) of Treatment Response
Time frame: At Week 4
Change From Baseline in DAS Score for the Principal Target of Treatment (PTT)
Time frame: From Baseline (Day 1) to Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29781237Delafont B, Carroll K, Vilain C, Pham E. Investigation of mixed model repeated measures analyses and non-linear random coefficient models in the context of long-term efficacy data. Pharm Stat. 2018 Sep;17(5):515-526. doi: 10.1002/pst.1868. Epub 2018 May 20.
- Derived from this study: PubMed 28634000O'Dell MW, Brashear A, Jech R, Lejeune T, Marque P, Bensmail D, Ayyoub Z, Simpson DM, Volteau M, Vilain C, Picaut P, Gracies JM. Dose-Dependent Effects of AbobotulinumtoxinA (Dysport) on Spasticity and Active Movements in Adults With Upper Limb Spasticity: Secondary Analysis of a Phase 3 Study. PM R. 2018 Jan;10(1):1-10. doi: 10.1016/j.pmrj.2017.06.008. Epub 2017 Jun 19.
- Derived from this study: PubMed 28625615Marciniak C, McAllister P, Walker H, Brashear A, Edgley S, Deltombe T, Khatkova S, Banach M, Gul F, Vilain C, Picaut P, Grandoulier AS, Gracies JM; International AbobotulinumtoxinA Adult Upper Limb Spasticity Study Group. Efficacy and Safety of AbobotulinumtoxinA (Dysport) for the Treatment of Hemiparesis in Adults With Upper Limb Spasticity Previously Treated With Botulinum Toxin: Subanalysis From a Phase 3 Randomized Controlled Trial. PM R. 2017 Dec;9(12):1181-1190. doi: 10.1016/j.pmrj.2017.06.007. Epub 2017 Jun 16.
- Derived from this study: PubMed 26318836Gracies JM, Brashear A, Jech R, McAllister P, Banach M, Valkovic P, Walker H, Marciniak C, Deltombe T, Skoromets A, Khatkova S, Edgley S, Gul F, Catus F, De Fer BB, Vilain C, Picaut P; International AbobotulinumtoxinA Adult Upper Limb Spasticity Study Group. Safety and efficacy of abobotulinumtoxinA for hemiparesis in adults with upper limb spasticity after stroke or traumatic brain injury: a double-blind randomised controlled trial. Lancet Neurol. 2015 Oct;14(10):992-1001. doi: 10.1016/S1474-4422(15)00216-1. Epub 2015 Aug 26.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ipsen Study Director study director
Ipsen
40 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Botulinum toxin type A in people with Nervous System Disorders, run by Ipsen at 40 sites in 9 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 3 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 40 sites in United States, France, Hungary, Poland, Russia and 4 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 23 Oct 2015). 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?
Change From Baseline in MAS Score in the Primary Targeted Muscle Group (PTMG) (time frame: From Baseline (Day 1) to 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 NCT01313299, which also lists 4 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.