Home » Trials » SLCTR/2014/002


Prospective, double-blind, placebo-controlled, randomized, parallel-group, multi-center study with an open-label extension period to investigate efficacy and safety of two different doses of NT201 in botulinum toxin treatment-naïve subjects with blepharospasm

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SLCTR Registration Number

SLCTR/2014/002


Date of Registration

14 Jan 2014

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Prospective, double-blind, placebo-controlled, randomized, parallel-group, multi-center study with an open-label extension period to investigate efficacy and safety of two different doses of NT201 in botulinum toxin treatment-naïve subjects with blepharospasm


Public Title of Trial

Efficacy and safety study of botulinum toxin type A against placebo to treat abnormal contraction or twitch of the eyelid


Disease or Health Condition(s) Studied

Bilateral Blepharospasm (BEB)


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

MRZ60201_3074_1, EudraCT Number – 2012-004821-26, NCT-01896895, IND Number- 100163


Trial Details


What is the research question being addressed?

What is the efficacy and safety of two different doses of NT 201 (a botulinum neurotoxin type A free from complexing proteins) compared to a placebo in the treatment of patients with bilateral Bleparospasm (BEB) who have not been previously treated with Botulinum toxin? .


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Double blinded


Control

Placebo


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 3


Intervention(s) planned

Main Period (MP): One injection session. Three arms: i. IncobotulinumtoxinA (NT201, Xeomin) – 12.5 U per eye; ii. IncobotulinumtoxinA (NT201, Xeomin) – 25 U per eye; iii. Placebo (comparator).

Open Label Extension Period (OLEX): One injection session, IncobotulinumtoxinA (NT 201, Xeomin) – up to 35 U per eye.

Intervention: IncobotulinumtoxinA (NT201, Xeomin), active ingredient: Clostridium Botulinum neurotoxin type A (150 kiloDalton) free from complexing proteins. Powder for solution for injection, prepared by reconstitution with 0.9% Sodium Chloride (NaCl).

Placebo to IncobotulinumtoxinA (NT 201, Xeomin), powder for solution for injection, prepared by reconstitution with 0.9% Sodium Chloride (NaCl).

Mode of administration: intramuscular injection. Duration: The duration of study participation for the individual subject is up to 41 weeks.


Inclusion criteria

Main Inclusion Criteria: • Male or female outpatients > 18 and < 80 years • Clinical diagnosis of bilateral BEB characterized by spontaneous, spasmodic, intermittent or persistent involuntary contractions of orbicular oculi muscles. • Need for injection of BTX defined as a JRS severity subscore 2. • Treatment-naïve subject defined as at least 12 months without BTX of any serotype for the treatment of BEB before administration of IP.


Exclusion criteria

Main Exclusion Criteria: • Subject with any previous unsuccessful treatment with BTX of any serotype for the treatment of BEB. • Atypical variant of BEB (e.g., apraxia of the eyelid opening) caused by inhibition of levatorpalpebrae muscle. • Neuroleptic-induced blepharospasm. • Myotomy or denervation surgery in the affected muscles (e.g., peripheral denervation, spinal cord stimulation) and surgery in the upper face. • Generalized disorders of muscles activity (e.g., myasthenia gravis in particular ocularis, Lambert-Eaton-Syndrome,amyotrophic lateral sclerosis) or any other significant neuromuscular dysfunction which might interfere with the study.



Primary outcome(s)

1.

Change from baseline in Jankovic Rating Scale [JRS] severity sub-score at visit 4 (Week 6).

The Jankovic Rating Scale (JRS) is used for classification of the patient's individual symptoms of blepharospasm and for determination of the therapeutic efficacy of study medication. The JRS-Severity sub-score is used, which ranges from 0 (=absence of severity) to 4 (=maximum severity).

[

Baseline to week 6

]

Secondary outcome(s)

1.
  1. Change from baseline in Blepharospasm Disability Index [BSDI] at V4 (Week 6). The Blepharospasm Disability Index is a disease specific scale for subject functional self assessment of impairment of specific activities of daily living caused by blepharospasm. The BSDI consists of six items (driving a vehicle; reading; watching TV; shopping; getting about on foot (walking); doing everyday activities), each ranges from 0 (=no impairment) to 4 (=no longer possible due to illness). The BSDI will be assessed before rating the JRS for unbiased information by subject.

  2. Patient Evaluation of Global Response [PEGR] at final visit of Main Period (V5). The PEGR is a descriptive subjective 9-point response scale ranging from "complete abolishment of signs and symptoms" (value=+4) down to "very marked worsening" (value=-4).

[
  1. Baseline to week 6
  2. Up to week 20
]

Target number/sample size

60


Countries of recruitment

Greece, India, Malaysia, Sri Lanka


Anticipated start date

2014-01-14


Anticipated end date

2016-03-31


Date of first enrollment

2013-02-12


Date of study completion


Recruitment status

Pending


Funding source

Merz Pharmaceuticals GmbH, Germany


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2013-04-10


Approval number

Not available


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Kelaniya
Institutional Address:PO Box 6, Thalagolla Road, Ragama Sri Lanka
Telephone:+94-11-2961267
Email: erckelaniya@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Bimsara Senanayake
Consultant Neurologist and Lead Principal Investigator,
Colombo South Teaching Hospital Kalubowila Sri Lanka

94 773046096
94-721846595.
bimsaras@sltnet.lk

Contact Person for Public Queries

Dr. Bimsara Senanayake
Consultant Neurologist and Lead Principal Investigator,
Colombo South Teaching Hospital Kalubowila Sri Lanka

94 773046096
94-721846595.
bimsaras@sltnet.lk


Primary study sponsor/organization

Merz Pharmaceuticals GmbH

Eckenheimer Landstr. 100 60318 Frankfurt am Main, Germany
+49 69 1503 0
+49 69 1503 200
Clinicaltrials@merz.de
www.merz.de

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results