IncobotulinumtoxinA (Xeomin) to Treat Focal Hand Dystonia
IncobotulinumtoxinA (Xeomin) to Treat Focal Hand Dystonia: a Double-blind Placebo-controlled Randomized Multicenter Study: The "SwissHandSpasm" Study
Alain Kaelin
48 participants
Feb 21, 2018
INTERVENTIONAL
Summary
This study is a multicenter, double-blind, randomized placebo controlled, parallel group, superiority trial in order to test the superiority of intramuscular injections of IncobotulinumtoxinA against placebo using a 1:1 allocation ratio.
Eligibility
Inclusion Criteria7
- Informed Consent as documented by signature
- Age ≥ 18 years
- Focal hand dystonia (FHD). Diagnosis must be made by a neurologist specialized in movement disorder (at least 2 years specific training, all partners listed have at least 2 years training)
- Both idiopathic and secondary FHD are allowed
- Both drug naive subjects and subjects previously treated with other BoNT-A will be included
- Patients must be willing and able to comply with the study procedures
- Female patients of childbearing potential must agree to use an effective method of contraception during the treatment period
Exclusion Criteria12
- Presence of spasticity, or other central sensorimotor lesion of motor system other than dystonia in the affected limb
- Peripheral nerve lesion (diagnosis either clinical or electrophysiological) in the affected limb, for example with a muscle weakness at baseline
- Contraindications to the class of drugs under study, e.g. known hypersensitivity or allergy to BoNT-A toxins including IncobotulinumtoxinA
- Doses and schedules of any ongoing treatment with potential confounding drugs such as muscle relaxants (for example Tolperison, Tizinadid, Baclofen, Mestinon, Dantrolen), benzodiazepine, neuroleptics or antidepressants have to be kept unchanged throughout the study and no changes should be made between the first trial injection and the end of study visit at week 12.
- Previous treatment with other BoNT-A less than 3 months before the inclusion in this study
- Women who are pregnant or breast feeding,
- Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
- Participation in another study with investigational drug within the 30 days preceding and during the present study
- Previous enrolment into the current study
- Enrolment of the investigator, his/her family members, employees and other dependent persons
- Severe depression (>29 as measured with the Beck Depression Inventory, see Appendix 8) or other relevant psychiatric disorder
- INR > 2 on the day of injection if the patient is anticoagulated. If INR > 2, the study injection will be delayed until the return to a safer INR.
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Interventions
One injection of 2.5 to 40 U in each muscle. Injection repeated after 6 weeks if considered necessary
One injection in each muscle.
Locations(5)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT03977493