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Trial · NCT00407030

IncobotulinumtoxinA (Xeomin) Versus Placebo in the Treatment of Cervical Dystonia

NCT00407030, Phase 3, Completed, Merz Pharmaceuticals GmbH; results first posted 2010-12-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. IncobotulinumtoxinA (Xeomin) Versus Placebo in the Treatment of Cervical Dystonia. Trials, record NCT00407030. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00407030

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
IncobotulinumtoxinA (Xeomin) Versus Placebo in the Treatment of Cervical Dystonia
NCT number
NCT00407030
Status
Completed
Phases
Phase 3
Enrollment
233 participants, actual
Lead sponsor
Merz Pharmaceuticals GmbH
Conditions
Cervical Dystonia
Interventions
incobotulinumtoxinA (Xeomin) (240 Units), incobotulinumtoxinA (Xeomin) (120 Units), Placebo
First posted
2006-12-04
Last updated
2013-07-19
Results first posted
2010-12-31

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus PlaceboBaseline, week 4
The TWSTRS-Total score is the sum of scores of the three components of the scale: * TWSTRS-Severity score which ranges from 0 (=absence of severity) to 35 points (=maximum severity) * TWSTRS-Pain score which ranges from 0 (=no pain) to 20 (=maximum pain) * TWSTRS-Disability score which ranges from 0 (=no disability) to 30 (=maximum disability). The TWSTRS total score ranges from 0 (=best value) to 85 (=worst value). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
PrimaryChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (120 Units) Versus PlaceboBaseline, week 4
The TWSTRS-Total score is the sum of scores of the three components of the scale: * TWSTRS-Severity score which ranges from 0 (=absence of severity) to 35 points (=maximum severity) * TWSTRS-Pain score which ranges from 0 (=no pain) to 20 (=maximum pain) * TWSTRS-Disability score which ranges from 0 (=no disability) to 30 (=maximum disability). The TWSTRS total score ranges from 0 (=best value) to 85 (=worst value). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
PrimaryChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus Xeomin (120 Units)Baseline, week 4
The TWSTRS-Total score is the sum of scores of the three components of the scale: * TWSTRS-Severity score which ranges from 0 (=absence of severity) to 35 points (=maximum severity) * TWSTRS-Pain score which ranges from 0 (=no pain) to 20 (=maximum pain) * TWSTRS-Disability score which ranges from 0 (=no disability) to 30 (=maximum disability). The TWSTRS total score ranges from 0 (=best value) to 85 (=worst value). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
SecondaryChange From Baseline in the TWSTRS-Total ScoreBaseline, week 8, final visit (up to 20 weeks after injection of the Main Period)
The TWSTRS-Total score is the sum of scores of the three components of the scale: * TWSTRS-Severity score which ranges from 0 (=absence of severity) to 35 points (=maximum severity) * TWSTRS-Pain score which ranges from 0 (=no pain) to 20 (=maximum pain) * TWSTRS-Disability score which ranges from 0 (=no disability) to 30 (=maximum disability). The TWSTRS total score ranges from 0 (=best value) to 85 (=worst value). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
SecondaryChange From Baseline in the TWSTRS Disability SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)TWSTRS-Disability score which ranges from 0 (=no disability)to 30 (=maximum disability). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
SecondaryChange From Baseline in the TWSTRS Severity SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)
TWSTRS-Severity score which ranges from 0 (=absence of severity) to 35 points (=maximum severity). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
SecondaryChange From Baseline in the TWSTRS Pain SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)TWSTRS-Pain score which ranges from 0 (=no pain) to 20 (=maximum pain). The change from baseline was calculated as the score at the corresponding visit minus the baseline score.
SecondaryPatient Evaluation of Global Response (PEGR) at Final VisitFinal visit (up to 20 weeks after injection of the Main Period)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).

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus PlaceboBaseline, week 4Intention to treat population: all participants randomized were included in the primary efficacy analysis; missing values were imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the TWSTRS-Total ScoreBaseline, week 8, final visit (up to 20 weeks after injection of the Main Period)Intention to treat population with missing values imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleMEAN
SECONDARYChange From Baseline in the TWSTRS Disability SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)Intention to treat population with missing values imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleMEAN
SECONDARYChange From Baseline in the TWSTRS Severity SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)Intention to treat population with missing values imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleMEAN
SECONDARYChange From Baseline in the TWSTRS Pain SubscoreBaseline, week 4, week 8, final visit (up to 20 weeks after injection of the Main Period)Intention to treat population with missing values imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleMEAN
SECONDARYPatient Evaluation of Global Response (PEGR) at Final VisitFinal visit (up to 20 weeks after injection of the Main Period)Intention to treat population with missing values imputed by no effectpoints on a scaleMEAN
PRIMARYChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (120 Units) Versus PlaceboBaseline, week 4Intention to treat population: all participants randomized were included in the primary efficacy analysis; missing values were imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleLEAST_SQUARES_MEAN
PRIMARYChange From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus Xeomin (120 Units)Baseline, week 4Intention to treat population: all participants randomized were included in the primary efficacy analysis; missing values were imputed using the worst case strategy, i.e. imputation by baseline valuepoints on a scaleLEAST_SQUARES_MEAN

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus PlaceboincobotulinumtoxinA (Xeomin) (240 Units)-7.3Standard Error 2.18points on a scale
Change From Baseline in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) -Total Score at Week 4 After Injection of the Main Period - Xeomin (240 Units) Versus PlaceboPlacebo1.6Standard Error 2.28points on a scale
Change From Baseline in the TWSTRS-Total ScoreincobotulinumtoxinA (Xeomin) (240 Units)Baseline - Week 8-8.2Standard Deviation 10.54points on a scale
Change From Baseline in the TWSTRS-Total ScoreincobotulinumtoxinA (Xeomin) (120 Units)Baseline - Week 8-6.9Standard Deviation 11.15points on a scale
Change From Baseline in the TWSTRS-Total ScorePlaceboBaseline - Week 80.4Standard Deviation 7.17points on a scale
Change From Baseline in the TWSTRS-Total ScoreincobotulinumtoxinA (Xeomin) (240 Units)Baseline - Final Visit-4.6Standard Deviation 7.52points on a scale
Change From Baseline in the TWSTRS-Total ScoreincobotulinumtoxinA (Xeomin) (120 Units)Baseline - Final Visit-3.6Standard Deviation 8.07points on a scale
Change From Baseline in the TWSTRS-Total ScorePlaceboBaseline - Final Visit1.7Standard Deviation 6.15points on a scale
Change From Baseline in the TWSTRS Disability SubscoreincobotulinumtoxinA (Xeomin) (240 Units)Baseline - Week 4-3.0Standard Deviation 4.35points on a scale
Change From Baseline in the TWSTRS Disability SubscoreincobotulinumtoxinA (Xeomin) (120 Units)Baseline - Week 4-3.3Standard Deviation 4.72points on a scale

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Main Period - 8 to 20 WeeksSTARTEDincobotulinumtoxinA (Xeomin) (240 Units)81
Main Period - 8 to 20 WeeksSTARTEDincobotulinumtoxinA (Xeomin) (120 Units)78
Main Period - 8 to 20 WeeksSTARTEDPlacebo74
Main Period - 8 to 20 WeeksCOMPLETEDincobotulinumtoxinA (Xeomin) (240 Units)76
Main Period - 8 to 20 WeeksCOMPLETEDincobotulinumtoxinA (Xeomin) (120 Units)75
Main Period - 8 to 20 WeeksCOMPLETEDPlacebo68
Main Period - 8 to 20 WeeksNOT COMPLETEDincobotulinumtoxinA (Xeomin) (240 Units)5
Main Period - 8 to 20 WeeksNOT COMPLETEDincobotulinumtoxinA (Xeomin) (120 Units)3
Main Period - 8 to 20 WeeksNOT COMPLETEDPlacebo6
Extension Period - up to 68 WeeksSTARTEDincobotulinumtoxinA (Xeomin) (240 Units)111

Adverse events30

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDysphagiaGastrointestinal disordersincobotulinumtoxinA (Xeomin) (240 Units)158117
otherDysphagiaGastrointestinal disordersincobotulinumtoxinA (Xeomin) (120 Units)97810
otherDysphagiaGastrointestinal disordersPlacebo2742
otherInjection site painGeneral disordersincobotulinumtoxinA (Xeomin) (240 Units)3813
otherInjection site painGeneral disordersincobotulinumtoxinA (Xeomin) (120 Units)7787
otherInjection site painGeneral disordersPlacebo4745
otherMuscular weaknessMusculoskeletal and connective tissue disordersincobotulinumtoxinA (Xeomin) (240 Units)98112
otherMuscular weaknessMusculoskeletal and connective tissue disordersincobotulinumtoxinA (Xeomin) (120 Units)5785
otherMuscular weaknessMusculoskeletal and connective tissue disordersPlacebo1741
otherMusculosceletal painMusculoskeletal and connective tissue disordersincobotulinumtoxinA (Xeomin) (240 Units)3814

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityincobotulinumtoxinA (Xeomin) (240 Units)
Total, all-cause mortalityincobotulinumtoxinA (Xeomin) (120 Units)
Total, all-cause mortalityPlacebo
Total, other adverse eventsincobotulinumtoxinA (Xeomin) (240 Units)2781
Total, other adverse eventsincobotulinumtoxinA (Xeomin) (120 Units)2678
Total, other adverse eventsPlacebo1474
Total, serious adverse eventsincobotulinumtoxinA (Xeomin) (240 Units)481
Total, serious adverse eventsincobotulinumtoxinA (Xeomin) (120 Units)078
Total, serious adverse eventsPlacebo074

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
21764407RESULTPubMed
23779062RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00407030

GET https://conductscience.org/api/trials/v1/NCT00407030/results?page=2