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Trial · NCT02736890

Injecting Botulinum Toxin A Underneath the Skin to Treat Spinal Cord Pain in Patients With Spinal Cord Injury

NCT02736890, Phase 2, Terminated, Icahn School of Medicine at Mount Sinai; results first posted 2019-04-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Injecting Botulinum Toxin A Underneath the Skin to Treat Spinal Cord Pain in Patients With Spinal Cord Injury. Trials, record NCT02736890. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02736890

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Trial

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

Title
Injecting Botulinum Toxin A Underneath the Skin to Treat Spinal Cord Pain in Patients With Spinal Cord Injury
NCT number
NCT02736890
Status
Terminated
Phases
Phase 2
Enrollment
8 participants, actual
Lead sponsor
Icahn School of Medicine at Mount Sinai
Conditions
Neuropathic Back Pain, Spinal Cord Injury
Interventions
Botulinum Toxin A, Placebo
First posted
2016-04-13
Last updated
2019-04-09
Results first posted
2019-04-09
Limitations and caveats
Target number of participants needed to achieve target power and statistically reliable results not reached. Unsuccessful questionnaires post injection

Source ClinicalTrials.gov

Registered outcomes8

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

ListOutcomeTime frameDescription
PrimaryNumeric Pain Rating Scale (NPRS)up to 12 weeks post-injection, for a total of 24 weeks from baselineParticipant rated pain intensity from 0-10, with higher score indicating more pain
Secondary7-Point Guy/Farrar Patient Global Impression of Change (PGIC)up to 12 weeks post-injection, for a total of 24 weeks from baseline
Mean change from baseline. Participants are asked "Taking into account your pain level and how it affects your life, are you feeling better, the same or worse than when you started treatment?" and then to quantify the magnitude of the change. with the 7-Point guy Farrar which measures the global treatment effect from with scale from 0 to 6, higher score indicates worse outcomes.
SecondaryInternational Basic Pain Dataset - Pain Affecting Day-to-day Activitiesup to 12 weeks post-injection, for a total of 24 weeks from baseline
The International Basic Pain Dataset is an assessment tool which includes several components including: location of pain, temporal qualities of the pain, type of pain, pain interference measures of activity, sleep, and mood. It has been shown to be valid in an interview/self -report format. The pain affecting day-to-day activities subset of the dataset is scored is from 0 to 10, with higher score indicating less favorable outcomes.
SecondaryInternational Basic Pain Dataset - Pain Affecting Moodup to 12 weeks post-injection, for a total of 24 weeks from baseline
The International Basic Pain Dataset is an assessment tool which includes several components including: location of pain, temporal qualities of the pain, type of pain, pain interference measures of activity, sleep, and mood. It has been shown to be valid in an interview/self -report format. The pain affecting mood subset of the dataset is scored is from 0 to 10, with higher score indicating less favorable outcomes.
SecondaryInternational Basic Pain Dataset - Pain Affecting Sleepup to 12 weeks post-injection, for a total of 24 weeks from baseline
The International Basic Pain Dataset is an assessment tool which includes several components including: location of pain, temporal qualities of the pain, type of pain, pain interference measures of activity, sleep, and mood. It has been shown to be valid in an interview/self -report format. The pain affecting sleep subset of the dataset is scored is from 0 to 10, with higher score indicating less favorable outcomes.
SecondaryStatic Mechanical Allodynia Testingup to 12 weeks post-injection, for a total of 24 weeks from baseline
Mechanical allodynia is a characteristic of evoked pain in subjects with neuropathic pain. Static allodynia to mechanical stimuli will be defined as a sensation of pain evoked by the pressure of the end of a wooden stick. The end of a wooden stick will touch the affected region with enough pressure to indent the skin, for 10 seconds. Afterwards, the subject will be asked to rate the perceived pain on an 11-point NRS.
SecondaryDynamic Mechanical Allodynia Testingup to 12 weeks post-injection, for a total of 24 weeks from baseline
Dynamic allodynia will be tested by stroking the affected region gently with a cotton swab, 4 times at a rate of 3-5cm per second over an area of 5cm. If there is an evoked clear sensation of pain, the subject is asked to rate the intensity of dynamic allodynia using the 11-point NRS. The region of static and dynamic allodynia, if present, will be marked and recorded
SecondaryPatient-generated Index (PGI)up to 12 weeks post-injection, for a total of 24 weeks from baselinePGI measures activity affected by pain. Full score is 0 to 10000, with higher score indicating better function

Outcomes8

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumeric Pain Rating Scale (NPRS)up to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedscore on a scaleMEAN
SECONDARY7-Point Guy/Farrar Patient Global Impression of Change (PGIC)up to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedscore on a scaleMEAN
SECONDARYInternational Basic Pain Dataset - Pain Affecting Day-to-day Activitiesup to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedunits on a scaleMEAN
SECONDARYInternational Basic Pain Dataset - Pain Affecting Moodup to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedunits on a scaleMEAN
SECONDARYInternational Basic Pain Dataset - Pain Affecting Sleepup to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedunits on a scaleMEAN
SECONDARYStatic Mechanical Allodynia Testingup to 12 weeks post-injection, for a total of 24 weeks from baselineData initially collected incorrectly, then data not collected.
SECONDARYDynamic Mechanical Allodynia Testingup to 12 weeks post-injection, for a total of 24 weeks from baselineData initially collected incorrectly, then data not collected.
SECONDARYPatient-generated Index (PGI)up to 12 weeks post-injection, for a total of 24 weeks from baselineonly those who completed crossover were includedscore on a scaleMEAN

Results by group106

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

OutcomeGroupCategoryValueSpreadUnits
Numeric Pain Rating Scale (NPRS)Botulinum Toxin A Then Placebobaseline7.6Standard Deviation 1.5score on a scale
Numeric Pain Rating Scale (NPRS)Placebo Then Botulinum Toxin Abaseline8Standard Deviation 0score on a scale
Numeric Pain Rating Scale (NPRS)Botulinum Toxin A Then Placebo2 week post injection6.4Standard Deviation 0.9score on a scale
Numeric Pain Rating Scale (NPRS)Placebo Then Botulinum Toxin A2 week post injection8Standard Deviation 0score on a scale
Numeric Pain Rating Scale (NPRS)Botulinum Toxin A Then Placebo4 week post injection5.6Standard Deviation 1.7score on a scale
Numeric Pain Rating Scale (NPRS)Placebo Then Botulinum Toxin A4 week post injection8Standard Deviation 0score on a scale
Numeric Pain Rating Scale (NPRS)Botulinum Toxin A Then Placebo8 week post injection5.6Standard Deviation 2.6score on a scale
Numeric Pain Rating Scale (NPRS)Placebo Then Botulinum Toxin A8 week post injection8Standard Deviation 0score on a scale
Numeric Pain Rating Scale (NPRS)Botulinum Toxin A Then Placebo12 week post injection5.6Standard Deviation 3.3score on a scale
Numeric Pain Rating Scale (NPRS)Placebo Then Botulinum Toxin A12 week post injection8Standard Deviation 0score on a scale

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
First 12 WeeksSTARTEDBotulinum Toxin A Then Placebo5
First 12 WeeksSTARTEDPlacebo Then Botulinum Toxin A3
First 12 WeeksCOMPLETEDBotulinum Toxin A Then Placebo5
First 12 WeeksCOMPLETEDPlacebo Then Botulinum Toxin A3
First 12 WeeksNOT COMPLETEDBotulinum Toxin A Then Placebo0
First 12 WeeksNOT COMPLETEDPlacebo Then Botulinum Toxin A0
Crossover Next 12 WeeksSTARTEDBotulinum Toxin A Then Placebo5
Crossover Next 12 WeeksSTARTEDPlacebo Then Botulinum Toxin A3
Crossover Next 12 WeeksCOMPLETEDBotulinum Toxin A Then Placebo3
Crossover Next 12 WeeksCOMPLETEDPlacebo Then Botulinum Toxin A1

Adverse events4

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherfeverInfections and infestationsBotulinum Toxin A18
otherfeverInfections and infestationsPlacebo08
seriousthrombosed IVCFVascular disordersBotulinum Toxin A18
seriousthrombosed IVCFVascular disordersPlacebo08

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBotulinum Toxin A08
Total, all-cause mortalityPlacebo08
Total, other adverse eventsBotulinum Toxin A18
Total, other adverse eventsPlacebo08
Total, serious adverse eventsBotulinum Toxin A18
Total, serious adverse eventsPlacebo08

Papers81

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
1356988BACKGROUNDPubMed
3305931BACKGROUNDPubMed
3406840BACKGROUNDPubMed
3665258BACKGROUNDPubMed
3722226BACKGROUNDPubMed
6514167BACKGROUNDPubMed
7967852BACKGROUNDPubMed
8446450BACKGROUNDPubMed
9106313BACKGROUNDPubMed
9234873BACKGROUNDPubMed

1 to 10 of 81

See all 81 papers

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 comparisons2

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

ComparisonSource
Botulinum Toxin A vs Placebo: deaths from any causeTrial comparisons
Botulinum Toxin A vs Placebo: serious adverse eventsTrial 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/NCT02736890

GET https://conductscience.org/api/trials/v1/NCT02736890/results?page=2