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Phase 3 N=384 Randomized Quadruple-blind Treatment

BOTOX® Treatment in Pediatric Lower Limb Spasticity

Pediatrics · Muscle Spasticity · Cerebral Palsy

Enrolled (actual)
384
Serious AEs
1.8%
Results posted
Aug 2018
Primary outcome: Primary: Average Change From Baseline in Modified Ashworth Scale-Bohannon (MAS-B) Ankle Score With Knee Extended at Weeks 4 and 6 — -1.06; -1.01; -0.80 score on a scale — p=0.010

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
botulinum toxin Type A (Biological); Normal Saline (Placebo) (Drug)
Age
Pediatric · 2+ yrs
Sex
All
Sponsor
Allergan
Primary completion
Jun 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Average Change From Baseline in Modified Ashworth Scale-Bohannon (MAS-B) Ankle Score With Knee Extended at Weeks 4 and 6
-1.06; -1.01; -0.80 0.010 sig
PRIMARY
Average Clinical Global Impression (CGI) of Overall Change by Physician at Weeks 4 and 6
1.65; 1.49; 1.36 0.023 sig
SECONDARY
Goal Attainment Score (GAS) as Assessed by Physician Using a 6-Point Scale
0.10; -0.03; -0.31; 0.19; 0.18; -0.26 0.005 sig
SECONDARY
Change From Baseline in Severity of Spasticity of the Ankle With Knee Extended and Knee Flexed (R2-R1) Calculated Using the Modified Tardieu Scale (MTS)
-4.44; -5.69; -2.44; -6.11; -6.80; -4.69 0.158

Summary

This study will evaluate the safety and efficacy of BOTOX® (botulinum toxin Type A) in pediatric patients with lower limb spasticity.

Eligibility Criteria

Inclusion Criteria

  • Minimum weight of 10 kg/22 lb
  • Cerebral palsy with dynamic muscle contracture /spasticity of the ankle

Exclusion Criteria

  • Muscular dystrophy, myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or mitochondrial disease
  • Uncontrolled epilepsy
  • Botulinum Toxin therapy of any serotype for any condition within the last 6 months
  • History of surgical intervention of the lower study leg or planned surgery of any limb during the study
  • Previous casting of the study limb for spasticity within 6 months or with a dynamic splint within 3 months, or planned casting or dynamic splinting for spasticity of the study limb or affected upper limb during the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01603628). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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