ClinicalTrials.gg
CompletedNCT00491894Updated Jul 9, 2012Results posted

Safety and Efficacy Study of Oral Glycopyrrolate Liquid for the Treatment of Pathologic (Chronic Moderate to Severe) Drooling in Pediatric Patients 3 to 18 Years of Age With Cerebral Palsy or Other Neurologic Conditions

A Phase 3 interventional study of Oral Glycopyrrolate Liquid in Cerebral Palsy, Neurological Conditions and Mental Retardation, sponsored by Shionogi. Completed at 7 sites in United States. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2012-07-09.

Sponsored by Shionogi · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
137
Allocation
Non-randomized
Ages
3 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 372 studies in Cerebral Palsy with a site in United States — 76 open to participants now, 105 under way, none of them phase 3. Cerebral Palsy · United States.

Enrollment
19th of 296
137 · median 25
Started
2007
with 11 others
Phase 3
17 of 372
none open now
Registered
35th of 372
by date

Among the 372 studies in Cerebral Palsy with a site in United States, this one is the 19th largest by enrollment of the 296 interventional ones that give a count, is one of 12 that started in 2007, is one of 17 in phase 3, and was the 35th registered.

Cerebral Palsy

1,936 studies on the registry are indexed under Cerebral Palsy; 458 are open to participants now.

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Open to participants now

76 of the 372 studies in Cerebral Palsy with a site in United States are open now. Recruiting first, the newest first:

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Who these studies take

Of the 270 Cerebral Palsy studies recruiting now, 27 (10%) set no upper age limit and 235 (87%) stop at 75 or younger; 255 take children under 18; 51 take healthy volunteers.

This study: 3 Years to 18 Years · all sexes · no healthy volunteers.

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02

Study summary

This is an open-label clinical research study of an oral glycopyrrolate liquid for the treatment of chronic moderate to severe drooling in patients with cerebral palsy or other neurological conditions. Patients participating in the study will receive oral glycopyrrolate liquid (1 mg/5 ml) three times a day (TID) for study duration of 24 weeks. After a washout, screening, and 2-day baseline period, patients will be enrolled in a 4-week dose titration period. Glycopyrrolate liquid doses will be titrated using dose levels in the Dose Titration Schedule. Titration will begin at 0.02 mg/kg per dose TID and sequentially increased in 0.02 mg/kg per dose increments TID every 5-7 days during the first four weeks until optimal individualized response is obtained for each patient or a maximum dose of 0.1 mg/kg TID is reached, not exceeding 3 mg TID or Dose-level 5 in the Dose Titration Schedule, whichever is lesser. Optimal dose for each patient is the dose at which he/she is receiving the maximum benefit from the study drug (greatest improvement in drooling) while experiencing minimum side effects. All patients will receive close attention by study staff throughout the study.

03

Conditions studied

  • Cerebral Palsy
  • Neurological Conditions
  • Mental Retardation
  • Sialorrhea

Keywords

  • Mental Retardation
  • Neurological Impairment
  • Cerebral Palsy
  • Drooling
  • Neurological Conditions
04

Who can participate

Ages eligible
3 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

To be included in this study, patients must meet the following criteria:

  • Male or female, weighing at least 13 kilograms (27 pounds), aged 3 through 18 years
  • Diagnosis of cerebral palsy and/or mental retardation or any other neurologic impairment or condition (cognitively capable and cognitively impaired patients may be enrolled)
  • Chronic drooling in the absence of treatment to the extent that the chin or clothing becomes wet on most days by confirming the Modified Teacher's Drooling Scale score ≥ 5
  • Must be living in a situation where reliable parents/caregivers are willing and capable of administering medications, as determined by the investigator
  • Written signed by the parent or legally acceptable representative
  • Written assent signed by the age-appropriate patient if mentally capable, as determined by the investigator, and required by the site's Institutional Review Board
  • If female of , the patient must have a negative pregnancy test at screening and Visit 2
  • If female of childbearing potential and sexually active, she must use a medically acceptable form of

Exclusion criteria

Exclusion Criteria:

Patients are excluded from this study if they meet any of the following criteria:

  • Patients who used glycopyrrolate within approximately 24 hours prior to the start of the baseline period, which began on Day -2
  • Patients who used prohibited medications within 5 plasma half-lives of the medication prior to the start of the baseline period
  • Patients injected with intrasalivary gland botulinum toxin within 10 months prior to the start of the baseline period
  • Patients using intraoral devices or prosthetics for the treatment of drooling within 1 week prior to the start of the baseline period
  • Patients receiving acupuncture for the treatment of drooling or who have received acupuncture for the treatment of drooling within 3 months prior to the start of the baseline period
  • Patients who have medical conditions contraindicating anticholinergic therapy including gastrointestinal reflux, narrow-angle glaucoma, obstructive uropathy, obstructive disease of the gastrointestinal tract (i.e., delayed gastric emptying, pyloroduodenal stenosis, etc.), paralytic ileus, intestinal atony, vesicoureteral reflux, reactive airway disease, myasthenia gravis, hyperthyroidism, cardiac arrhythmias and/or tachycardia, and/or abnormalities, as determined by the investigator
  • Patients who have a known to the study medication, including allergy to the study medication or any of its components
  • Patients who have poorly controlled seizures defined as daily seizures
  • Patients who have a history of obstructive disease of the gastrointestinal tract (i.e., intestinal obstruction)
  • Patients who have clinically significant hepatic or renal impairment, at the discretion of the investigator
  • Patients who are pregnant or breastfeeding
  • Patients who have received any drugs within 30 days of study entry
  • Patient, families, or parents/caregivers who are expected to be non-compliant with the study procedures, as judged by the investigator
  • Patients who are unable to meet the requirements of the study for any reason, as determined by the investigator
  • Patients who have unstable mental disease, as determined by the investigator
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
137 participants (actual)

Study arms

  • Other
    Patients with Chronic Drooling

    Arm receiving study drug

    Drug: Oral Glycopyrrolate Liquid

Interventions

  • DrugOral Glycopyrrolate Liquid

    Study medication is administered three times a day at 7-8 AM, 1-2 PM, and 7-8 PM by the parent/caregiver

06

What researchers measure

Primary outcomes

  1. Proportion of Responders According to the Modified Teacher's Drooling Scale (mTDS)

    The primary efficacy variable was patient's response status using the change from baseline to Week 24 evaluations of the mTDS assessment. Each patient was classified as a responder or non-responder according to the change in their mean mTDS rating from baseline to Week 24. Responders were patients who had at least a 3-point decrease in mTDS rating from baseline

    Time frame: 6 months

Secondary outcomes

  1. Parent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS)

    Parents/caregivers were to complete a 10 cm "Parent/Caregiver's Assessment of Extent of Drooling for the Day" VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day.

    Time frame: Baseline

  2. Parent/Caregiver's Assessment of the Extent of Drooling Using VAS

    Parents/caregivers were to complete a 10 cm "Parent/Caregiver's Assessment of Extent of Drooling for the Day" VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day.

    Time frame: Week 24

  3. Parent/Caregiver's Global Assessment of Treatment

    The parent/caregiver performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The parent/caregiver selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder'(neutral, disagree, and strongly disagree responses aggregated)

    Time frame: Week 24

  4. Investigator's Global Assessment of Treatment

    The investigator performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The investigator selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder' (neutral, disagree, and strongly disagree responses aggregated)

    Time frame: Week 24

07

Results

Posted Jul 9, 2012
Limitations and caveats
There were no limitations of the trial

Participant flow

First patient was enrolled on April 03, 2007 and last patient completed on May 30, 2008

Participant flow — Overall Study
MilestonePatients With Chronic Drooling
Started137
Completed103
Not completed34
Withdrew: Adverse event14
Withdrew: Withdrawal by subject5
Withdrew: Death3
Withdrew: Lost to follow-up3
Withdrew: Lack of efficacy2
Withdrew: Other-failed to meet any criteria2
Withdrew: Physician decision2
Withdrew: Protocol violation2
Withdrew: Other-intake of prohibited medication1

Outcome measures

PrimaryProportion of Responders According to the Modified Teacher's Drooling Scale (mTDS)

The primary efficacy variable was patient's response status using the change from baseline to Week 24 evaluations of the mTDS assessment. Each patient was classified as a responder or non-responder according to the change in their mean mTDS rating from baseline to Week 24. Responders were patients who had at least a 3-point decrease in mTDS rating from baseline

Time frame:
6 months
Reported as:
Number · Participants
Proportion of Responders According to the Modified Teacher's Drooling Scale (mTDS)
ParticipantsPatients With Chronic Drooling
Responders68
Non-Responders62
Missing7
SecondaryParent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS)

Parents/caregivers were to complete a 10 cm "Parent/Caregiver's Assessment of Extent of Drooling for the Day" VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day.

Time frame:
Baseline
Reported as:
Mean · VAS score
Parent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS)
VAS scorePatients With Chronic Drooling
Parent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS)6.56 ± 2.34
SecondaryParent/Caregiver's Assessment of the Extent of Drooling Using VAS

Parents/caregivers were to complete a 10 cm "Parent/Caregiver's Assessment of Extent of Drooling for the Day" VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day.

Time frame:
Week 24
Reported as:
Mean · VAS score
Parent/Caregiver's Assessment of the Extent of Drooling Using VAS
VAS scorePatients With Chronic Drooling
Parent/Caregiver's Assessment of the Extent of Drooling Using VAS3.21 ± 2.20
SecondaryParent/Caregiver's Global Assessment of Treatment

The parent/caregiver performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The parent/caregiver selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder'(neutral, disagree, and strongly disagree responses aggregated)

Time frame:
Week 24
Reported as:
Number · Participants
Parent/Caregiver's Global Assessment of Treatment
ParticipantsPatients With Chronic Drooling
Responders101
Non-Responders20
Missing16
SecondaryInvestigator's Global Assessment of Treatment

The investigator performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The investigator selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder' (neutral, disagree, and strongly disagree responses aggregated)

Time frame:
Week 24
Reported as:
Number · Participants
Investigator's Global Assessment of Treatment
ParticipantsPatients With Chronic Drooling
Responders109
Non-Responders18
Missing10

Adverse events

Collected over 6 months. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Patients With Chronic Drooling—14/137 (10.2%)122/137 (89.1%)
Most frequent serious events
Showing 10 of 17
Most frequent serious events
EventPatients With Chronic Drooling
PneumoniaInfections and infestations3/137
NystagmusNervous system disorders1/137
ConvulsionNervous system disorders1/137
HydrocephalusNervous system disorders1/137
Anoxic encephalopathyNervous system disorders1/137
Urinary tract infectionInfections and infestations1/137
Otitis mediaInfections and infestations1/137
Esophageal candidiasisInfections and infestations1/137
CellulitisInfections and infestations1/137
Tonsillar hypertrophyRespiratory, thoracic and mediastinal disorders1/137
Most frequent other events
Showing 10 of 29
Most frequent other events
EventPatients With Chronic Drooling
ConstipationGastrointestinal disorders28/137
DiarrheaGastrointestinal disorders24/137
VomitingGastrointestinal disorders24/137
PyrexiaGeneral disorders20/137
Dry mouthGastrointestinal disorders15/137
Nasal congestionRespiratory, thoracic and mediastinal disorders15/137
FlushingVascular disorders15/137
Otitis mediaInfections and infestations11/137
Upper respiratory tract infectionInfections and infestations11/137
RashSkin and subcutaneous tissue disorders11/137

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Patients With Chronic Drooling
<=18 years137
Between 18 and 65 years0
>=65 years0
Age Continuous
Age Continuous(years)Patients With Chronic Drooling
Mean11.0 ± 4.35
Sex: Female, Male
Sex: Female, Male(Participants)Patients With Chronic Drooling
Female60
Male77
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Patients With Chronic Drooling
Hispanic or Latino15
Not Hispanic or Latino121
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Patients With Chronic Drooling
American Indian or Alaska Native1
Asian4
Native Hawaiian or Other Pacific Islander0
Black or African American29
White98
More than one race0
Unknown or Not Reported5
08

Study locations

7 sites
  • Rocky Mountain Pediatrics
    Lakewood, Colorado 80214, United States
  • Child Neurology Associates, PC
    Atlanta, Georgia 30342, United States
  • St. Mary's for Children
    Bayside, New York 11360, United States
  • Akron's Childrens
    Akron, Ohio 44308, United States
  • Hattie Larltham Center for Children with Disabilities
    Mantua, Ohio 44255, United States
  • The Children's Center
    Bethany, Oklahoma 73008, United States
  • Alamo City Clinical Research
    San Antonio, Texas 78258, United States
09

References and documents

Publications

  • Zeller RS, Lee HM, Cavanaugh PF, Davidson J. Randomized Phase III evaluation of the efficacy and safety of a novel glycopyrrolate oral solution for the management of chronic severe drooling in children with cerebral palsy or other neurologic conditions. Ther Clin Risk Manag. 2012;8:15-23. doi: 10.2147/TCRM.S26893. Epub 2012 Jan 25. PubMed 22298950 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2007, a primary completion of May 2008 and a completion of Jun 2008. It does not say whether these dates are actual or estimated.

Results were first posted in Jul 2012, 4 years 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 22, 2007
First posted
Jun 26, 2007
Start
Mar 2007
Primary completionActual
May 2008
CompletionActual
Jun 2008
Results first posted
Jul 9, 2012
Last update
Jul 9, 2012
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 9, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00491894
Lead sponsor
Shionogi
First posted
Jun 26, 2007
Start date
Mar 2007
Primary completion
May 2008
Completion
Jun 2008
Results posted
Jul 9, 2012
Last update
Jul 9, 2012

Study contacts

Shionogi Clinical Trials Administrator Clinical Support Help Line
study director · Shionogi

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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