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Cervical DystoniaPhase 2CATALPANCT06937931

A Study of IPN10200 for the Treatment of Cervical Dystonia in Adults

A Phase 2 study testing Corabotase in people with Cervical Dystonia, run by Ipsen at 45 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of the study drug, Corabotase (also known as IPN10200), and to assess how well it works when compared with placebo in treating Cervical Dystonia (CD) in adults. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Cervical Dystonia
What is being tested?
Corabotase
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
132 participants
Where
45 sitesin 8 countries
Study dates
30 Jun 2025to 5 Nov 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • A clinical diagnosis of isolated Cervical Dystonia (CD) (idiopathic) characterized by dystonic symptoms localised to the head, neck, and shoulder areas with at least moderate severity at Screening and Baseline (Day 1) defined as:
  • (a) Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)-Total score ≥20
  • (b) TWSTRS-Severity subscale score ≥15
  • (c) TWSTRS-Disability subscale score ≥3
  • (d) TWSTRS-Pain subscale score ≥ 1
  • Treatment naïve or non-naïve to BoNT therapy for CD

Who cannot join

  • Participants presenting with a swallowing disorder of any origin which might be exacerbated by BoNT treatment, such as:
  • (a) Grade 3 or 4 on the Dysphagia Severity Scale (severe dysphagia) with swallowing difficulties and requiring a change in diet.
  • Predominant anterocollis.
  • Predominant retrocollis.
  • Traumatic torticollis or tardive torticollis.
  • Marked limitation on passive range of motion that suggests cervical contractures or structural abnormality.

Trial locations and contacts

45 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Ipsen Clinical Study Enquiries contact

See e mail

clinical.trials@ipsen.com

45 sites in 8 countries

United States10 sites, 8 recruiting
  • Emory Brain Health Center

    Atlanta, Georgia, 30329

    Recruiting
  • Parkinson's Ds & Mvt Disorders Cntr

    Boca Raton, Florida, 33486

    Recruiting
  • Rush Medical Center

    Chicago, Illinois, 60612

    Recruiting
  • Quest Research Institute

    Farmington Hills, Michigan, 48334

    Recruiting
  • Parkinson's & Mvmt Disorders Inst

    Fountain Valley, California, 92708

    Recruiting
  • Loma Linda University School of Medicine - Neurology

    Loma Linda, California, 92354

    Withdrawn
  • Ichan Sch of Medicine @ Mt. Sinai

    New York, New York, 10029

    Recruiting
  • Kingfisher Cooperative

    Spokane, Washington, 99201

    Recruiting
  • USF Health Byrd Alzheimer's Institute

    Tampa, Florida, 33613

    Not yet recruiting
  • University of Arizona Health Sciences - Neurology

    Tucson, Arizona, 85724

    Active, not recruiting

Other trials in United States

Poland7 sites, 5 recruiting
  • Specjalistyczna Praktyka Lekarska Dr Stanislaw Ochudlo

    Katowice

    Withdrawn
  • Futuremeds Krakow

    Krakow

    Recruiting
  • SP ZOZ Szpital Uniwersytecki w Krakowie

    Krakow

    Recruiting
  • Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.

    Oświęcim

    Recruiting
  • Eskulap Pabianice Sp z o.o.

    Pabianice

    Recruiting
  • ETG Neuroscience Sp. z o.o.

    Warsaw

    Recruiting
  • Wojewodzki Szpital Specjalistyczny im. J. Gromkowskiego

    Wroclaw

    Withdrawn

Other trials in Poland

Czechia5 sites, 3 recruiting
  • Fakultni nemocnice u sv. Anny v Brne - I. Neurologicka klinika

    Brno

    Recruiting
  • MINKSneuro s.r.o.

    Brno

    Active, not recruiting
  • NEUROHK s.r.o.

    Choceň

    Recruiting
  • Fakultni nemocnice Olomouc - Neurologicka klinika

    Olomouc

    Not yet recruiting
  • Vseobecna fakultni nemocnice v Praze - Neurologicka klinika

    Prague

    Withdrawn

Other trials in Czechia

France5 sites, 3 recruiting
  • CHU Grenoble Alpes - Site Nord - Neurology

    Grenoble

    Recruiting
  • Timone University Hospital

    Marseille

    Active, not recruiting
  • CHU Nimes - Hôpital Caremeau

    Nîmes

    Recruiting
  • Hopitaux Universitaire de Strasbourg - Hopital de Hautepierre - Neurologie

    Strasbourg

    Active, not recruiting
  • Centre Hospitalier Universitaire (CHU) Purpan - Institut Des Sciences du Cerveau De Toulouse (Institute for Brain Sciences)

    Toulouse

    Recruiting

Other trials in France

Italy5 sites, 4 recruiting
  • Ospedale Bellaria, IRCCS Istituto delle Scienze Neurologiche, AUSL Bologna

    Bologna

    Recruiting
  • Istituto Auxologico Italiano - Auxologico San Luca

    Milan

    Recruiting
  • Istituto Neurologico C. Besta

    Milan

    Active, not recruiting
  • IRCCS C.Mondino, Istituto Neurologico Nazionale, Fondazione

    Pavia

    Recruiting
  • Azienda USL-IRCCS di Reggio Emilia - Presidio ospedaliero provinciale sede di Reggio Emilia

    Reggio Emilia

    Not yet recruiting

Other trials in Italy

Spain5 sites, 3 recruiting
  • Hospital de la Santa Creu i Sant Pau - Neurología

    Barcelona

    Active, not recruiting
  • H.U. Puerta del Mar - Neurocirugía

    Cadiz

    Recruiting
  • Hospital Universitario De La Princesa

    Madrid

    Recruiting
  • Hospital Universitario Ramon y Cajal - Neurologia

    Madrid

    Withdrawn
  • Hospital Universitario Virgen del Rocio - Neurofisiología Clínica

    Seville

    Recruiting

Other trials in Spain

Germany4 sites, 3 recruiting
  • Curiositas ad sanum Studien- und Beratungs GmbH Haag i.OB - Neurologie

    Haag in Oberbayern

    Recruiting
  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg

    Not yet recruiting
  • GFO Kliniken Troisdorf

    Troisdorf

    Recruiting
  • University Hospital Tuebingen - Neurologie

    Tübingen

    Active, not recruiting

Other trials in Germany

United Kingdom4 sites, 3 recruiting
  • Royal Devon And Exeter Hospital - Neurology

    Exeter

    Not yet recruiting
  • The Walton Centre

    Fazakerley

    Recruiting
  • University College London Hospitals NHS Foundation Trust - National Hospital for Neurology and Neurosurgery

    London

    Recruiting
  • Luton And Dunstable Hospital - Neurology

    Luton

    Active, not recruiting

Other trials in United Kingdom

About this study

Official title: A Phase II, Multicentre, Randomised, Double-blind, Parallel-Group, Placebo Controlled Study to Evaluate the Efficacy and Safety of IPN10200 as a Treatment for Cervical Dystonia in Adult Participants

The purpose of this study is to evaluate the efficacy and safety of the study drug, Corabotase (also known as IPN10200), and to assess how well it works when compared with placebo in treating Cervical Dystonia (CD) in adults.

CD can cause a series of abnormalities and symptoms in the head and neck that can lead to neck pain and stiffness, and headaches. CD is believed to involve deep parts within the brain that control movement, but genetic factors, environmental factors, and abnormalities in the brain may also play a role.

Read more

The usual treatment for CD includes injecting BoNT into the affected muscles, but the treatment only lasts about 3 months. Corabotase is designed to last for a longer period.

The study will consist of two periods:

  1. A Screening Period of up to 4 weeks (28 days) to assess whether a participant can take part in the study and requires at least one visit.
  2. A Treatment Period of 36 weeks.

On Day 1 of the treatment period, participants will receive either Corabotase Dose A or Dose B (additional participants may receive Corabotase Dose C) of the study drug, or placebo distributed into different muscles in the head, neck and shoulders. Participants may continue some other medications, but details need to be recorded.

There will be 10 visits to the clinic in person and one remote visits (phone call) (12 visits to the clinic for participants who receive Dose C). Participants will undergo blood samplings, urine collections, physical/neurological examinations, and clinical evaluations. Participants will also need to complete questionnaires throughout the study.

The total study duration for a participant will be up to 40 weeks (approximately 9 months).

Being tested
Corabotase, Placebo
Medical subject headings
Torticollis

What participants receive

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

  • CorabotaseBiological

    Also called IPN10200

    Study intervention will be administered in a single treatment cycle after randomisation (Day 1). The administration cycle consists of intramuscular injection.

  • PlaceboOther

    Excipients without active substance will be administered in a single treatment cycle after randomisation (Day 1). The administration cycle consists of intramuscular injection.

Study groups in NCT06937931
Study groupRoleWhat they receive
Group 1: Treatment Arm AExperimentalCorabotase - Dose A
Receives: Biological: Corabotase
Group 1: Treatment Arm BExperimentalCorabotase - Dose B
Receives: Biological: Corabotase
Group 1: Placebo ComparatorPlacebo comparatorPlacebo- Group1
Receives: Other: Placebo
Group 2: Treatment Arm CExperimentalCorabotase - Dose C
Receives: Biological: Corabotase
Group 2: Placebo ComparatorPlacebo comparatorPlacebo- Group 2
Receives: Other: Placebo

What is being measured

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

  1. Change from Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) total score

    The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) is a rating scale for Cervical Dystonia (CD) consisting of three subscales: severity, disability and pain scales. The total score is the sum of each of the subscales, with a range of 0 to 85, where higher scores are indicative of greater impairment.

    Measured: At Week 4

Secondary outcomes (20)
  1. Change from Baseline in the TWSTRS total score at all other scheduled timepoints post injection until Week 36

    The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) is a rating scale for Cervical Dystonia (CD) consisting of three subscales: severity, disability and pain scales. The total score is the sum of each of the subscales, with a range of 0 to 85, where higher scores are indicative of greater impairment.

    Measured: At all timepoints post injection until Week 36.

  2. Change from Baseline in the TWSTRS-Pain Subscale

    The TWSTRS pain subscale consists of three patient-rated items that assess the participants usual, worst and best pain from the preceding week, and the subscore has a maximum of 20.

    Measured: At all timepoints post injection until Week 36.

  3. Change from baseline in the daily Numerical Rating Scale (NRS) score

    The Numeric Rating Scale (NRS) is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analogue scale in which a respondent selects a whole number (0 to 10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

    Measured: Averaged over every 7-day period until the Week 4 visit

  4. Time to onset of pain reduction

    Defined as the duration from the administration of the study injection to the first recorded instance of a minimum 2-point decrease in the Numeric Rating Scale (NRS) score.

    Measured: From study injection to first timepoint at which at least 2-point reduction is observed in NRS score

  5. Time to return of symptoms in responders (time from treatment to loss of 80% of peak treatment effect)

    As assessed by TWSTRS total score. TWSTRS scale consisting of three subscales: severity, disability and pain scales. The total score is the sum of each of the subscales, with a range of 0 to 85, where higher scores are indicative of greater impairment.

    Measured: From randomization until Week 36

  6. Change from Baseline in the TWSTRS-Disability Subscale

    The TWSTRS disability subscale assesses the effect that Cervical Dystonia (CD) has on the participant's daily activities and the subscore has a maximum of 30 and consists of six items.

    Measured: At all timepoints post injection until Week 36.

  7. Change from Baseline in the TWSTRS-Severity Subscale

    The TWSTRS severity subscale rates the maximal excursion of the torticollis (degree of tilt or rotation), elevation, range of motion, etc. This severity subscore has a maximum subtotal of 35 and consists of 11 items.

    Measured: At all scheduled timepoints post injection until Week 36

  8. Change from baseline in Clinical Global Impression of Severity score

    The Clinical Global Impression of Severity (CGI-S) is a clinician rated scale that measures the severity of an illness in a participant. It is rated on a 7-point scale ranging from 1 (normal) to 7 (severely ill) in answer to a question on the mental state of the participant at the time of the assessment.

    Measured: At all timepoints post injection until Week 36.

  9. Clinical Global Impression of Change score

    The Clinical Global Impression of Change (CGI-C) is a clinician rated scale that measures the clinical change in a participant. It is rated on a 7 point scale ranging from 1 (very much improved) to 7 (very much worse) in answer to a question on the mental state of the participant at the time of the assessment.

    Measured: At all timepoints post injection until Week 36.

  10. Change from baseline in Patients' Global Impression of Severity score

    The Patient Global Impression of Severity (PGI-S) is a global index that may be used to rate the severity of a specific condition (a single-state scale). The PGI-S is a single question asking the participant to rate how their condition is now on a scale of 1 (Normal) to 4 (Severe).

    Measured: At all timepoints post injection until Week 36

  11. Patients' Global Impression of Change score

    The Patient Global Impression of Change (PGI-C) is a single-item questionnaire used to measure the participant's impression of overall change in CD, in terms of activity, limitations, symptoms, emotions, and overall quality of life, since the first dose of study intervention. The measure uses a 7-point rating scale with responses ranging from "very much improved" (3) to "very much worse" (-3). Improvement is considered as very much improved, much improved, or minimally improved.

    Measured: At all timepoints post injection until Week 36

  12. Change from Baseline in the CDIP-58 total score

    The Cervical Dystonia Impact Profile (CDIP-58) is a patient-based rating scale measuring the health impact of CD and contains eight subscales measuring head and neck symptoms (6 items), pain and discomfort (5 items), sleep (4 items), upper limb activities (9 items), walking (9 items), annoyance (8 items), mood (7 items), and psychosocial functioning (10 items). The total score and each subscale score have a common range of 0 (no impact) to 100 (most impact).

    Measured: At all timepoints post injection until Week 36

  13. Percentage of participants experiencing any Adverse Event (AEs) including treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse event of special interest (AESI) and AE leading to treatment discontinuation

    An Adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE is an AE for which the start date is on or after the date that the intervention began.

    Measured: From baseline to Week 36.

  14. Percentage of participants with clinically significant changes from baseline in Laboratory Parameters

    Clinically significant change in laboratory parameters will be reported. The clinical significance will graded by the investigator.

    Measured: At all timepoints post injection until Week 36

  15. Percentage of Participants With Clinically Significant Changes from baseline in Vital Signs

    Clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator.

    Measured: At all timepoints post injection until Week 36

  16. Percentage of participants with clinically significant change from baseline in focused neurological/physical examinations.

    Measured: At all timepoints post injection until Week 36

  17. Percentage of participants with clinically significant change from baseline in 12-lead Electrocardiogram (ECG) readings.

    Measured: At all timepoints post injection until Week 36

  18. Treatment-emergence of suicidal ideation/suicidal behaviour

    The Columbia Suicide Severity Rating Scale (C-SSRS) will be used in this study for the evaluation of suicidal ideation and behaviour.

    Measured: From baseline to Week 36.

  19. Percentage of participants with Binding antibodies to IPN10200

    Measured: At all timepoints post injection until Week 36

  20. Percentage of participants with neutralising antibodies to IPN10200

    Measured: At all timepoints post injection until Week 36

Timeline

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

  1. First posted22 Apr 2025
  2. Study start30 Jun 2025
  3. Primary completion26 Mar 2027 (estimated)
  4. Study completion5 Nov 2027 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
132 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06937931
Sponsor's protocol ID
CLIN-10200-457
Other IDs
2024-519248-34-00
Acronym
CATALPA
Status last verified
Sep 2026
First submitted
14 Apr 2025
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Corabotase in people with Cervical Dystonia, run by Ipsen at 45 sites in 8 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 6 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States, Poland, Czechia, France, Italy and 3 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Ipsen Clinical Study Enquiries (See e mail, clinical.trials@ipsen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) total score (time frame: At Week 4). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Sep 2026.

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