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Trial · NCT01896895

Efficacy and Safety Study of Botulinum Toxin Type A Against Placebo to Treat Abnormal Contraction or Twitch of the Eyelid

NCT01896895, Phase 3, Completed, Merz Pharmaceuticals GmbH; results first posted 2018-03-01

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 Abnormal Contraction or Twitch of the Eyelid. Trials, record NCT01896895. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01896895

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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 Abnormal Contraction or Twitch of the Eyelid
NCT number
NCT01896895
Status
Completed
Phases
Phase 3
Enrollment
61 participants, actual
Lead sponsor
Merz Pharmaceuticals GmbH
Conditions
Bilateral Blepharospasm (BEB)
Interventions
IncobulinumtoxinA (Xeomin), 25 Units, IncobotulinumtoxinA (Xeomin), 12.5 Units, Placebo, IncobotulinumtoxinA (Xeomin), 35 Units
First posted
2013-07-11
Last updated
2018-03-01
Other registries' IDs
eudract:2012-004821-26
Results first posted
2018-03-01

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryDouble-blind MP: Change From Baseline in JRS Severity Subscore at Day 43 (Visit 4)Baseline, Day 43 (Visit 4)
JRS severity subscore was used to classify individual symptoms of blepharospasm and to determine therapeutic efficacy. JRS severity subscore ranges from 0 to 4, where 0: None; 1: increased blinking present with external stimuli; 2: Mild but spontaneous eyelid fluttering, definitely noticeable, possibly embarrassing, but not functionally disabling, 3: Moderate, very noticeable spasm of eyelids only, mildly incapacitating, 4: Severe, incapacitating spasm of eyelids and possibly other facial muscles. Values represent least square (LS) mean differences between baseline and visit 4 resulting from analysis of covariance (ANCOVA) with treatment group, pooled site, and gender as fixed factors and baseline JRS severity subscore and age as covariates and missings replaced using the last observation carried forward (LOCF) method. Negative values denote improvement, while positive values denote deterioration vs. baseline.
SecondaryDouble-blind MP: Change From Baseline in Blepharospasm Disability Index (BSDI) at Day 43 (Visit 4)Baseline, Day 43 (Visit 4)
BSDI is a scale for assessment of impairment of specific activities of daily living caused by blepharospasm. BSDI consists of six items (driving a vehicle; reading; watching TV; shopping; getting about on foot (walking); doing everyday activities), each ranging from 0 (=no impairment) to 4 (=no longer possible due to illness). The BSDI total score is a mean score for non-missing items ranging from 0 to 4. It is calculated by adding scores of all applicable and answered items, and dividing the resulting sum by the number of items answered. Outcome values represent LS mean differences between baseline and visit 4 (visit 4 value minus baseline value) resulting from ANCOVA with treatment group, pooled site, gender as fixed factors and baseline BSDI total score, age as covariates. Missings were replaced by the LOCF method. Negative values denote an improvement, while positive values denote deterioration vs. baseline.
SecondaryDouble-blind MP: Patient Evaluation of Global Response (PEGR) at Final Visit (Day 43-Day 141)Baseline, Final Visit (Day 43-Day 141)
PEGR scale is a descriptive subjective 9-point response self-rating scale ranging from "complete abolishment of signs and symptoms" (value=+4) down to "very marked worsening" (value=-4). Outcome values represent least square means at visit 4 resulting from an ANCOVA with treatment group, pooled site, gender as fixed factors and age as covariates. Missing were set to a zero effect (value=0). Positive values denote an improvement, while negative values denote deterioration.

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDouble-blind MP: Change From Baseline in JRS Severity Subscore at Day 43 (Visit 4)Baseline, Day 43 (Visit 4)FAS was subset of participants in the SES of the double-blind MP for whom at least a baseline value of the JRS severity subscore was available.score on a scaleLEAST_SQUARES_MEAN
SECONDARYDouble-blind MP: Change From Baseline in Blepharospasm Disability Index (BSDI) at Day 43 (Visit 4)Baseline, Day 43 (Visit 4)FAS was subset of participants in the SES of the double-blind MP for whom at least a baseline value of the JRS severity subscore was available.score on a scaleLEAST_SQUARES_MEAN
SECONDARYDouble-blind MP: Patient Evaluation of Global Response (PEGR) at Final Visit (Day 43-Day 141)Baseline, Final Visit (Day 43-Day 141)FAS was subset of participants in the SES of the double-blind MP for whom at least a baseline value of the JRS severity subscore was available.score on a scaleLEAST_SQUARES_MEAN

Results by group9

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

OutcomeGroupCategoryValueSpreadUnits
Double-blind MP: Change From Baseline in JRS Severity Subscore at Day 43 (Visit 4)Double-blind MP: Placebo-0.695% Confidence Interval -1.0 to -0.1score on a scale
Double-blind MP: Change From Baseline in JRS Severity Subscore at Day 43 (Visit 4)Double-blind MP: IncobotulinumtoxinA 25 Units-1.095% Confidence Interval -1.5 to -0.6score on a scale
Double-blind MP: Change From Baseline in JRS Severity Subscore at Day 43 (Visit 4)Double-blind MP: IncobotulinumtoxinA 50 Units-1.895% Confidence Interval -2.3 to -1.3score on a scale
Double-blind MP: Change From Baseline in Blepharospasm Disability Index (BSDI) at Day 43 (Visit 4)Double-blind MP: Placebo-0.495% Confidence Interval -0.8 to 0.0score on a scale
Double-blind MP: Change From Baseline in Blepharospasm Disability Index (BSDI) at Day 43 (Visit 4)Double-blind MP: IncobotulinumtoxinA 25 Units-0.595% Confidence Interval -0.9 to -0.2score on a scale
Double-blind MP: Change From Baseline in Blepharospasm Disability Index (BSDI) at Day 43 (Visit 4)Double-blind MP: IncobotulinumtoxinA 50 Units-0.795% Confidence Interval -1.1 to -0.3score on a scale
Double-blind MP: Patient Evaluation of Global Response (PEGR) at Final Visit (Day 43-Day 141)Double-blind MP: Placebo1.395% Confidence Interval 0.7 to 1.9score on a scale
Double-blind MP: Patient Evaluation of Global Response (PEGR) at Final Visit (Day 43-Day 141)Double-blind MP: IncobotulinumtoxinA 25 Units1.895% Confidence Interval 1.2 to 2.4score on a scale
Double-blind MP: Patient Evaluation of Global Response (PEGR) at Final Visit (Day 43-Day 141)Double-blind MP: IncobotulinumtoxinA 50 Units2.295% Confidence Interval 1.5 to 2.8score on a scale

Participant flow24

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

PeriodMilestoneGroupParticipantsUnits counted
Double-blind MPSTARTEDDouble-blind MP: Placebo20
Double-blind MPSTARTEDDouble-blind MP: IncobotulinumtoxinA 25 Units22
Double-blind MPSTARTEDDouble-blind MP: IncobotulinumtoxinA 50 Units19
Double-blind MPSTARTEDOLEX: IncobotulinumtoxinA 70 Units0
Double-blind MPCOMPLETEDDouble-blind MP: Placebo19
Double-blind MPCOMPLETEDDouble-blind MP: IncobotulinumtoxinA 25 Units20
Double-blind MPCOMPLETEDDouble-blind MP: IncobotulinumtoxinA 50 Units16
Double-blind MPCOMPLETEDOLEX: IncobotulinumtoxinA 70 Units0
Double-blind MPNOT COMPLETEDDouble-blind MP: Placebo1
Double-blind MPNOT COMPLETEDDouble-blind MP: IncobotulinumtoxinA 25 Units2

Adverse events144

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood creatine increasedInvestigationsDouble-blind MP: Placebo0200
otherBlood creatine increasedInvestigationsDouble-blind MP: IncobotulinumtoxinA 25 Units1221
otherBlood creatine increasedInvestigationsDouble-blind MP: IncobotulinumtoxinA 50 Units0190
otherBlood creatine increasedInvestigationsOLEX: IncobotulinumtoxinA 70 Units0390
otherDyspnoeaRespiratory, thoracic and mediastinal disordersDouble-blind MP: Placebo0200
otherDyspnoeaRespiratory, thoracic and mediastinal disordersDouble-blind MP: IncobotulinumtoxinA 25 Units0220
otherDyspnoeaRespiratory, thoracic and mediastinal disordersDouble-blind MP: IncobotulinumtoxinA 50 Units1191
otherDyspnoeaRespiratory, thoracic and mediastinal disordersOLEX: IncobotulinumtoxinA 70 Units0390
otherHypoaesthesiaNervous system disordersDouble-blind MP: Placebo0200
otherHypoaesthesiaNervous system disordersDouble-blind MP: IncobotulinumtoxinA 25 Units0220

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDouble-blind MP: Placebo020
Total, all-cause mortalityDouble-blind MP: IncobotulinumtoxinA 25 Units022
Total, all-cause mortalityDouble-blind MP: IncobotulinumtoxinA 50 Units019
Total, all-cause mortalityOLEX: IncobotulinumtoxinA 70 Units039
Total, other adverse eventsDouble-blind MP: Placebo620
Total, other adverse eventsDouble-blind MP: IncobotulinumtoxinA 25 Units722
Total, other adverse eventsDouble-blind MP: IncobotulinumtoxinA 50 Units719
Total, other adverse eventsOLEX: IncobotulinumtoxinA 70 Units439
Total, serious adverse eventsDouble-blind MP: Placebo020
Total, serious adverse eventsDouble-blind MP: IncobotulinumtoxinA 25 Units222

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32779096DERIVEDPubMed
33211907DERIVEDPubMed
34384301DERIVEDPubMed

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/NCT01896895

GET https://conductscience.org/api/trials/v1/NCT01896895/flow?page=2