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Daily Dystonia Practice - A Trial to Investigate NT 201, the Duration of Treatment Effect After One Injection Session and in Long-term Treatment in Cervical Dystonia

Phase 4
Completed
Conditions
Cervical Dystonia
Interventions
Registration Number
NCT00541905
Lead Sponsor
Merz Pharmaceuticals GmbH
Brief Summary

The aim of this study is to confirm efficacy and safety of NT 201 (Xeomin®, also known as IncobotulinumtoxinA) after one injection session and to determine the efficacy and safety profile and the duration of treatment effect of NT 201 in long-term treatment with repeated injection sessions.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
82
Inclusion Criteria
  • Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) - total score at baseline > / = 25 with TWSTRS - severity score > / = 10 and TWSTRS - disability score > / = 3
  • Patients must be on a stable dose of other medications
  • For pre-treated patients only: Source documentation of the last two consecutive injection sessions with botulinum neurotoxin type A and stable treatment response directly prior to trial entry
  • For pre-treated patients only: At least 10 weeks must have passed between the last injection session of botulinum neurotoxin type A for cervical dystonia and the time of the baseline visit.
  • For pre-treated patients only: The most recent injection session with botulinum neurotoxin for cervical dystonia must have been at a dose of ≤ 300 units of Botox® or Xeomin®, or ≤ 1,200 units Dysport®.
  • Age > / = 18 and < 76 years
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
NT 201 (50-300 Units)NT 201NT 201 (Xeomin®, also know as IncobotulinumtoxinA or "Botulinum toxin type A (150 kiloDalton), free from complexing proteins") (active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins) powder for solution for injection.
Primary Outcome Measures
NameTimeMethod
Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), total score: Change from study baseline (initial injection session) to week 4From baseline to week 4
Secondary Outcome Measures
NameTimeMethod
Duration of treatment effectUp to 24 weeks from last injection session

Defined as time period within an injection cycle from the day of the injection session until the day where the need for reinjection was indicated by the subject (if subject experienced an onset of treatment effect).

Dystonia Discomfort Scale (DDS) score (subject diary), change from baselineFrom study baseline up to week 100
TWSTRS, overall interventional effectFrom study baseline to week 14-28, 24-52, 34-76, and 44-100

Measured by the change in the TWSTRS total, severity and disability scores, from study baseline to each examination 4 weeks after the injection sessions

Subject Evaluation of Global Response (PEGR)Week 10-24, 20-48, 30-72, and 40-96

At the end of each injection cycle.

TWSTRS, Single interventional effectFrom week 10-24 to week 14-28, from week 20-48 to week 24-52, from week 30-72 to week 34-76, and from week 40-96 to week 44-100

Single interventional effect of one injection session by the change of the TWSTRS total, severity and disability scores from each cycle baseline to 4 weeks thereafter.

Global Assessment of Efficacy by Investigator (GAEI)Week 10-24, 20-48, 30-72, and 40-96

At the end of each injection cycle

Time from last injection session to onset of treatment effect as given by subjective subject assessmentUp to 4 weeks from last injection session

Measured in days.

Time from last injection session to waning of treatment effect as rated by subjective subject assessmentUp to 24 weeks from last injection session

Measured in weeks.

Trial Locations

Locations (1)

Medizinische Hochschule Hannover (LKP)

🇩🇪

Hannover, Germany

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