AzTrials
AzTrials

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.

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 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

Other trials in United States

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

Other trials in France

Hungary3 sites
  • National Institut for Medical Rehabilitation

    Budapest

  • Petz Aladar County Hospital

    Győr

  • University of Szeged

    Szeged

Other trials in Hungary

Poland3 sites
  • Malopolskie Centrum Medyczne

    Krakow

  • Krakowska Akademia Neurologii

    Warsaw

  • Samodzielny Publiczny Centralny Szpital Kliniczny

    Warsaw

Other trials in Poland

Russia3 sites
  • Medical Rehabilitation Center

    Moscow

  • Scientific Center of Neurology of RAMS

    Moscow

  • State 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

    Olomouc

  • Charles University in Prague

    Prague

Other trials in Czechia

Italy2 sites
  • Azienda Hospedaliero

    Catania

  • Policlinico Universitario Agostino Gemelli

    Roma

Other trials in Italy

Slovakia2 sites
  • Derer's Hospital

    Bratislava

  • Univerzitna nemocnica Bratislava

    Bratislava

Other trials in Slovakia

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.

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 groups in NCT01313299
Study groupRoleWhat they receive
Dysport 500 UExperimentalNot described
Receives: Biological: Botulinum toxin type A
Dysport 1000 UExperimentalNot described
Receives: Biological: Botulinum toxin type A
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. 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)
  1. 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

  2. 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.

  1. First posted11 Mar 2011 (estimated)
  2. Study startAug 2011
  3. Primary completionSep 2013
  4. Study completionSep 2013

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
243 participants (actual)
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
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 29781237
  • O'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 28634000
  • Marciniak 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 28625615
  • Gracies 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

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.

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