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Status unknownNCT00936533Updated Mar 9, 2011

Botulinumtoxin A Treatment in Epidermolysis Bullosa Simplex and Pachyonychia Congenita

A Phase 2 interventional study of Dysport® (Botulinumtoxin A (Btx A)) and Placebo in Epidermolysis Bullosa Simplex, sponsored by Uppsala University. Status unknown at 1 site in Sweden. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2011-03-09.

Sponsored by Uppsala University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2011), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

This study evaluates the clinical effect of foot injection of the bacteria protein Botulinum toxin A on plantar pain in patients with EBS (epidermolysis bullosa simplex) or PC (pachyonychia congenita).

Read the detailed description

Epidermolysis bullosa simplex (EBS) is the most common subtype of epidermolysis bullosa and mutations in keratin genes (KRT 5/14) are responsible for this condition. Painful blisters and keratoderma of the feet are common and the blisters in EBS typically get worse in the summer due to sweating and increased environmental heat. Since 2010, also the related condition pachyonychia congenita (PC) is included in the study. The primary objective of the study is to evaluate the clinical effect of Botulinum toxin A (Dysport®), injected in the foot, on plantar pain in patients with EBS or PC. Quality of life, pain in feet, effect duration, plantar sweating and safety of the treatment will also be studied.

02

Conditions studied

  • Epidermolysis Bullosa Simplex
03

In context

Epidermolysis Bullosa Simplex

22 studies on the registry are indexed under Epidermolysis Bullosa Simplex; 5 are open to participants now.

This study's planned enrollment of 40 is above the median of 18 across 19 interventional studies indexed under Epidermolysis Bullosa Simplex.

Browse Epidermolysis Bullosa Simplex studies →

Lead sponsor

Uppsala University is the lead sponsor of 390 studies on the registry; 86 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
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

  • Informed consent received from patient
  • Informed consent received from patient´s parents (when patient \< 18 years)
  • A solid EBS-diagnosis based on genetic analysis and/or phenotype. The EBS-diagnosis will be performed by Professor Anders Vahlquist, Swedish Centre of Genetic skin disorders, Uppsala.
  • Age > 16 years
  • Patients must be previously untreated with Btx A
  • If female, patient is post-menopausal, surgically sterilized, or willing to use an acceptable method of birth control

Exclusion criteria

Exclusion Criteria:

  • Contraindication to Btx A
  • Contraindication to general anaesthesia
  • Use of aminoglycosides, tetracyclines , spectinomycin, lincomycin, polymyxin or muscle relaxants
  • Pregnancy or lactation
  • Patients unwilling to meet the requirements of the protocol
  • Other medical or social reasons for exclusion at the discretion of the Investigator
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Interventions

  • Single injection in patients´ soles with Btx A in one foot and sodium chloride in the other, with the possibility of a second injection after 12 weeks. The drug will be given in general anaesthesia after curettage of the focal hyperkeratoses. Only the areas with focal hyperkeratoses will be injected with 50 ul per injection.The active drug Btx A (Dysport®, solution for injection) has a concentration of 100 U/ml, and the maximum dose is 300 U per foot.

    Also known as: Dysport®

  • DrugPlacebo

    Placebo preparation without active compound, administered as the active drug.

    Also known as: Dysport Placebo

06

What researchers measure

Primary outcomes

  1. Determination of the difference between treated and untreated foot in change of pressure (measured by manometry) to reach unbearable pain, VAS=8, from baseline to 5 week after injection.

    Time frame: 5 weeks

Secondary outcomes

  1. Quality of life using a questionnaire (DLQI)

    Time frame: 12 or 17 weeks

  2. Pain in feet using a questionnaire (VAS)

    Time frame: 5, 12 (and 17) weeks

  3. Effect duration measured with manometry (same as primary end-point but measured at week 12)

    Time frame: 12 weeks

  4. Safety by recording of reported adverse events (AE) by the patient at the clinic visits

    Time frame: 5, 12 (and 17) weeks

  5. Foot-sweating using iodine-starch imprints before and after injections

    Time frame: 0 weeks

07

Study locations

1 of 1 sites recruiting
  • Svettmottagningen, Sofiahemmet
    Stockholm, SE - 114 86, Sweden
    • Carl Swartling · Contact · +46 8 406 24 31
    • Carl Swartling · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 9, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00936533
Lead sponsor
Uppsala University
First posted
Jul 10, 2009
Start date
May 2009
Primary completion
Dec 2012 (estimated)
Completion
Dec 2012 (estimated)
Last update
Mar 9, 2011

Study contacts

Carl Swartling
Contact
+46 18 611 50 97
Carl Swartling
principal investigator · Uppsala University

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2011. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Botulinum toxin type A

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