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Trial ยท NCT01392300

Efficacy and Safety Study of Botulinum Toxin Type A Against Placebo to Treat Spasticity in the Arm After a Stroke

NCT01392300, Phase 3, Completed, Merz Pharmaceuticals GmbH; results first posted 2016-02-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety Study of Botulinum Toxin Type A Against Placebo to Treat Spasticity in the Arm After a Stroke. Trials, record NCT01392300. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01392300

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Trial

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

Title
Efficacy and Safety Study of Botulinum Toxin Type A Against Placebo to Treat Spasticity in the Arm After a Stroke
NCT number
NCT01392300
Status
Completed
Phases
Phase 3
Enrollment
317 participants, actual
Lead sponsor
Merz Pharmaceuticals GmbH
Conditions
Post-stroke Spasticity of the Upper Limb
Interventions
IncobotulinumtoxinA (400 Units), Placebo Comparator
First posted
2011-07-12
Last updated
2017-01-16
Other registries' IDs
eudract:2010-023043-15
Results first posted
2016-02-11

Source ClinicalTrials.gov

Registered outcomes50

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Ashworth Scale (AS) Score of Primary Target Clinical PatternWeek 4
Primary target clinical pattern was defined by investigator for each subject at baseline visit and was either flexed wrist or clenched fist or flexed elbow. The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension).
PrimaryInvestigator's Global Impression of ChangeWeek 4
This is the co-primary outcome measure. The Global Impression of Change Scale \[GICS\] is used to measure the investigator's impression of change due to treatment. The response option is a common 7-point Likert scale that ranges from -3 = very much worse to +3 = very much improved.
SecondaryResponse Rates on the Ashworth Scale at Week 4 Calculated for the Primary Target Clinical PatternWeek 4
Primary target clinical pattern was defined by investigator for each subject at baseline visit and was either flexed wrist or clenched fist or flexed elbow. Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 8 Calculated for the Primary Target Clinical PatternWeek 8
Primary target clinical pattern was defined by investigator for each subject at baseline visit and was either flexed wrist or clenched fist or flexed elbow. Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 12 Calculated for the Primary Target Clinical PatternWeek 12
Primary target clinical pattern was defined by investigator for each subject at baseline visit and was either flexed wrist or clenched fist or flexed elbow. Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Flexed WristWeek 4
The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed WristWeek 8
The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 12 Calculated for the Muscle Group Flexed WristWeek 12
The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Flexed ElbowWeek 4
The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.
SecondaryResponse Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed ElbowWeek 8
The Ashworth Scale is well known and commonly used in clinical trials with spasticity. It was used to categorize severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). Subjects with a reduction of one point were defined as responder for the aim of the efficacy analysis.

Outcomes50

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Ashworth Scale (AS) Score of Primary Target Clinical PatternWeek 4
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by the last observation carried forward (LOCF) approach.
units on a scaleLEAST_SQUARES_MEAN
PRIMARYInvestigator's Global Impression of ChangeWeek 4
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by zero change (worst case).
units on a scaleLEAST_SQUARES_MEAN
SECONDARYResponse Rates on the Ashworth Scale at Week 4 Calculated for the Primary Target Clinical PatternWeek 4
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 8 Calculated for the Primary Target Clinical PatternWeek 8
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 12 Calculated for the Primary Target Clinical PatternWeek 12
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Flexed WristWeek 4
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed WristWeek 8
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 12 Calculated for the Muscle Group Flexed WristWeek 12
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Flexed ElbowWeek 4
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER
SECONDARYResponse Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed ElbowWeek 8
Full Analysis set (all subjects who were randomized after the Amended Protocol Version 3.0, dated 11-MAY-2012 became effective, who were treated, and for whom at least an AS baseline value for the primary target clinical pattern is given). Missing values were imputed by worst case (=non-responder).
participantsNUMBER

Results by group100

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Ashworth Scale (AS) Score of Primary Target Clinical PatternDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)-0.9Standard Error 0.06units on a scale
Change From Baseline in Ashworth Scale (AS) Score of Primary Target Clinical PatternDouble-blind Placebo Comparator-0.5Standard Error 0.08units on a scale
Investigator's Global Impression of ChangeDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)1.2Standard Error 0.07units on a scale
Investigator's Global Impression of ChangeDouble-blind Placebo Comparator0.9Standard Error 0.09units on a scale
Response Rates on the Ashworth Scale at Week 4 Calculated for the Primary Target Clinical PatternDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)119participants
Response Rates on the Ashworth Scale at Week 4 Calculated for the Primary Target Clinical PatternDouble-blind Placebo Comparator33participants
Response Rates on the Ashworth Scale at Week 8 Calculated for the Primary Target Clinical PatternDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)104participants
Response Rates on the Ashworth Scale at Week 8 Calculated for the Primary Target Clinical PatternDouble-blind Placebo Comparator34participants
Response Rates on the Ashworth Scale at Week 12 Calculated for the Primary Target Clinical PatternDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)68participants
Response Rates on the Ashworth Scale at Week 12 Calculated for the Primary Target Clinical PatternDouble-blind Placebo Comparator22participants

Participant flow18

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

PeriodMilestoneGroupParticipantsUnits counted
Main Period (MP)STARTEDDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)210
Main Period (MP)STARTEDDouble-blind Placebo Comparator107
Main Period (MP)STARTEDOLEX IncobotulinumtoxinA (Xeomin) (400 Units, 3 Injections)0
Main Period (MP)COMPLETEDDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)199
Main Period (MP)COMPLETEDDouble-blind Placebo Comparator100
Main Period (MP)COMPLETEDOLEX IncobotulinumtoxinA (Xeomin) (400 Units, 3 Injections)0
Main Period (MP)NOT COMPLETEDDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)11
Main Period (MP)NOT COMPLETEDDouble-blind Placebo Comparator7
Main Period (MP)NOT COMPLETEDOLEX IncobotulinumtoxinA (Xeomin) (400 Units, 3 Injections)0
Open Label Extension (OLEX) PeriodSTARTEDDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)0

Adverse events129

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)12101
otherHeadacheNervous system disordersDouble-blind Placebo Comparator31076
otherHeadacheNervous system disordersOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)32966
otherBlood glucose increasedInvestigationsDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)12101
otherBlood glucose increasedInvestigationsDouble-blind Placebo Comparator01070
otherBlood glucose increasedInvestigationsOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)82969
otherInternational normalised ratio increasedInvestigationsDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)12101
otherInternational normalised ratio increasedInvestigationsDouble-blind Placebo Comparator01070
otherInternational normalised ratio increasedInvestigationsOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)829610
otherGamma-glutamyltransferase increasedInvestigationsDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)02100

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)
Total, all-cause mortalityDouble-blind Placebo Comparator
Total, all-cause mortalityOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)
Total, other adverse eventsDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)6210
Total, other adverse eventsDouble-blind Placebo Comparator4107
Total, other adverse eventsOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)32296
Total, serious adverse eventsDouble-blind IncobotulinumtoxinA (Xeomin) (400 Units)7210
Total, serious adverse eventsDouble-blind Placebo Comparator2107
Total, serious adverse eventsOLEX IncoboutulinumtoxinA (Xeomin) (400 Units, 3 Injections)22296

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26201835RESULTPubMed
30484117DERIVEDPubMed
31647185DERIVEDPubMed

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 comparisons18

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

ComparisonSource
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Flexed WristTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed ElbowTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Primary Target Clinical PatternTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Thumb-in-palmTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Flexed WristTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 12 Calculated for the Muscle Group Clenched FistTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 4 Calculated for the Muscle Group Thumb-in-palmTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 12 Calculated for the Muscle Group Flexed ElbowTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Clenched FistTrial comparisons
Double-blind IncobotulinumtoxinA (Xeomin) (400 Units) vs Double-blind Placebo Comparator: Response Rates on the Ashworth Scale at Week 8 Calculated for the Muscle Group Pronated ForearmTrial comparisons

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/NCT01392300

GET https://conductscience.org/api/trials/v1/NCT01392300/registered?page=2