Clinical trial to see the effect and safety of botulinum toxin type A with doses adapted to patients with severe spasticity

2024-517668-51-01 Protocol ESPSEVMOLIN2022 Therapeutic use (Phase IV) Ongoing, recruiting

Start 3 May 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol ESPSEVMOLIN2022

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 30
Countries 1
Sites 1

brain damage oriented spasticity

To determine the efficacy and safety of the administration of IncobotulinumtoxinA at individualized doses, selected based on the individual needs of patients (spasticity patterns) with severe spasticity and involvement of the upper and lower limbs.

Key facts

Sponsor
Dra. Nuria Gutierrez Dubón
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
3 May 2023 → ongoing
Decision date (initial)
2024-10-02
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517668-51-01
EudraCT number
2022-004127-40

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To determine the efficacy and safety of the administration of IncobotulinumtoxinA at individualized doses, selected based on the individual needs of patients (spasticity
patterns) with severe spasticity and involvement of the upper and lower limbs.

Secondary objectives 1

  1. Not described

Conditions and MedDRA coding

brain damage oriented spasticity

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-517668-51-00 Clinical trial on the effectiveness and safety of botulinum toxin type A (incobotulinumtoxin) in doses adapted to the individual needs of patients with severe spasticity Dra. Nuria Gutierrez Dubón

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patients older than 18 years
  2. with a diagnosis of severe multifocal spasticity of the upper and lower limbs due to acquired brain damage
  3. Who need treatment with IncobotulinumtoxinA at a dose equal to or greater than 800U
  4. That they agree to participate in the study and sign the informed consent
  5. With pain assessment data (VAS scale), muscle tone (Asworth scale), and Barthel scale during the follow-up evaluation.
  6. No contraindications for treatment with botulinum toxin

Exclusion criteria 2

  1. Patients with severe systemic diseases and active infection
  2. Pregnant patients or under lactating period.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Asworth scale at 6 weeks of treatment

Secondary endpoints 5

  1. Pain: Variation on the VAS scale (0-10) at 6 and 12 weeks of treatment
  2. Effect on the Asworth scale at 12 weeks from drug infiltration
  3. Barthel scale at 6 and 12 weeks after injection
  4. Satisfaction with treatment
  5. Assess the safety and tolerability of the treatment

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

XEOMIN 50 unidades polvo para solución inyectable

PRD10941714 · Product

Active substance
Clostridium Botulinum Neurotoxin Type a (150KD), Free of Complexing Proteins
Substance synonyms
IncobotulinumtoxinA, NT 201, Botulinum toxin type A (150 kD), free from complexing proteins
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
800 IU international unit(s)
Max total dose
800 IU international unit(s)
Max treatment duration
800 Day(s)
Authorisation status
Authorised
ATC code
M03AX01 — BOTULINUM TOXIN
Marketing authorisation
74067
MA holder
MERZ PHARMACEUTICALS GMBH
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Botulinum Toxin Type A

SUB13117MIG · Substance

Active substance
Botulinum Toxin Type A
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
800 IU international unit(s)
Max total dose
800 IU international unit(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Dra. Nuria Gutierrez Dubón

Sponsor organisation
Dra. Nuria Gutierrez Dubón
Address
Plaça Poligono 38, 1
City
Serra (Valencia9
Postcode
46118
Country
Spain

Scientific contact point

Organisation
Dra. Nuria Gutierrez Dubón
Contact name
Nuria Gutiérrez

Public contact point

Organisation
Dra. Nuria Gutierrez Dubón
Contact name
Nuria Gutiérrez

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 30 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruiting
Hospital Doctor Moliner
Rehabilitación, Calle Porta Coeli S/n, 46118, Serra

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-05-03 2023-07-20

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocolo Ensayo Clinico H Dr Moliner v4 FINAL 4.0
Recruitment arrangements (for publication) K_recruitments arrangements in cover letter 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC XEOMIN 2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-20 Spain Acceptable
2024-10-02
2024-10-02