ClinicalTrials.gg
CompletedNCT02188277XEBECUpdated Jan 26, 2017

Treatment With Xeomin Versus Botox in Children With Spastic Equine and Equinovarus Foot Deformation in Pediatric Cerebral Palsy

A Phase 2 interventional study of Xeomin and Botox® in Cerebral Palsy, Spastic Paraplegia and Hemiparesis and Equine and Equinovarus Foot Deformation, sponsored by Merz Pharmaceuticals GmbH. Completed at 3 sites in Russian Federation. Open to participants aged 2 Years to 12 Years. Per ClinicalTrials.gov, last updated 2017-01-26.

Sponsored by Merz Pharmaceuticals GmbH (part of Merz Pharma) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
2 Years to 12 Years
Sex
All
01

Where this study stands

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

Among 32 studies testing botulinum toxin type A in Cerebral Palsy — 1 open to participants now, 1 under way, none of them phase 3. botulinum toxin type A · Cerebral Palsy.

Enrollment
16th of 32
64 · median 63
Started
2014
with 2 others
Phase 2
5 of 32
1 open now
Registered
20th of 32
by date
Lead sponsor
5 of 32
Merz Pharmaceuticals GmbH

Among the 32 studies testing botulinum toxin type A in Cerebral Palsy, this one is the 16th largest by enrollment, is one of 3 that started in 2014, is one of 5 in phase 2, and was the 20th registered.

Cerebral Palsy

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

This study's enrollment of 64 is above the median of 34 across 1,431 interventional studies indexed under Cerebral Palsy.

Browse Cerebral Palsy studies →

Open to participants now

1 of the 32 studies testing botulinum toxin type A in Cerebral Palsy is open now.

About botulinum toxin type A

botulinum toxin type A: first FDA approval 1991 (BOTOX COSMETIC), first EMA approval 2019. What it is approved for, and how studies give it, is on its page →

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: 2 Years to 12 Years · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

  1. To assess the clinical and neurophysiological efficacy of Xeomin® vs. Botox® in children with spastic equine and equinovarus foot deformation in pediatric cerebral palsy
  2. To assess the safety of Xeomin® use as compared to Botox® in this patient population
03

Conditions studied

  • Cerebral Palsy
  • Spastic Paraplegia and Hemiparesis
  • Equine and Equinovarus Foot Deformation
04

Who can participate

Ages eligible
2 Years to 12 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

  • Children from 2 through 12 years of age, of both sexes, suffering from spastic paraplegia or hemiparesis in pediatric cerebral palsy.
  • Equine and equinovarus foot posture.
  • Gastrocnemius spasticity of 2 points and greater, by modified Ashworth scale.
  • Patient can walk unassisted or with a support.
  • Mental development of patients is normal or mildly retarded.
  • Previous course of spasticity treatment with BTA products was completed earlier than at 6 months before this trial or never administered before.
  • Patient's parents have signed an , are able and wishing to adhere to procedures described in the trial protocol and to the schedule of visits throughout the entire period of treatment.

Exclusion criteria

Exclusion Criteria:

  • Fixed ankle joint contracture.
  • Previous denervation of spastic muscles by surgery, phenol or alcohol;
  • Athetosis and dystonia in the area of injected muscles.
  • Inflammation at the planned injection site.
  • Elevated body temperature and acute (infectious and non-infectious) diseases at the time of injection.
  • Neuromuscular transmission disorders (myasthenia gravis, Lambert-Eaton syndrome, etc.).
  • Decompensated physical diseases potentially affecting the trial findings.
  • Acute fever, infection or surgery within 1 month before the trial.
  • Use of aminoglycosides or spectinomycin within 1 month before starting the trial.
  • to any of product ingredients.
  • Positive history for allergies (especially with regard to protein-containing products).
  • Patient's parents are unable or unwilling to adhere to the trial protocol requirements including signing the and conforming to the schedule of visits.
  • Participation in other clinical trials in the last 4 weeks before inclusion.
Terms in these criteria, in plain language(2)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Xeomin®

    4-8 Units per kg body weight. Single injection cycle.

    Drug: Xeomin

  • Active comparator
    Botox®

    4-6(8) Units per kg body weight. Single injection cycle.

    Drug: Botox®

Interventions

  • DrugXeomin

    Active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% Sodium Chloride (NaCl). Administration route is intramuscular injection into medial (two points) and lateral heads (two points) of gastrocnemius.

    Also known as: IncobotulinumtoxinA, NT 201, Botulinum toxin type A (150 kiloDalton), free from complexing proteins

  • Administration route is intramuscular injection into medial (two points) and lateral heads (two points) of gastrocnemius.

    Also known as: OnabotulinumtoxinA

06

What researchers measure

Primary outcomes

  1. Changes from baseline in the degree of spasticity in gastrocnemius according to modified Ashworth scale (AS)

    The AS is a well known and commonly used scale in clinical trials with spasticity. In spastic muscles the resistance to passive movement is assessed. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension).

    Time frame: From baseline to day 30

Secondary outcomes

  1. Changes from baseline in patient percentage in groups by the degree of gastrocnemius spasticity according to modified Ashworth scale

    Time frame: From baseline up to day 90

  2. Percentage of decrease in M-response magnitude and area recorded from the lateral and medial gastrocnemius heads, from baseline values

    Electromyography: The amplitude of a compound muscle action potential (M-wave) is recorded. An electrical stimulation is considered supramaximal when the M-wave amplitude no longer increases while increasing the stimulus. The measurements include the M-wave amplitude and the negative peak area of the M-wave.

    Time frame: From baseline up to day 90

  3. Changes from baseline in the ratio of M-response recorded from the lateral and medial gastrocnemius heads and from tibialis anterior

    Time frame: From baseline up to day 90

  4. Changes from baseline in angles and angle ratio of ankle joints at passive and voluntary extension

    Time frame: From baseline up to day 90

  5. Changes from baseline in motor activity according to Gross Motor Function Classification Systems (GMFCS) criteria

    GMFCS is a 5-level classification system that is a standardized observational instrument for children with CP developed to measure change in gross motor function over time.

    Time frame: From baseline up to day 90

  6. Changes from baseline in the degree of spasticity in gastrocnemius according to modified Ashworth scale

    Time frame: Baseline up to day 90

07

Study locations

3 sites
  • State Budget Institution of Health in Moscow "Scientific and Practical Center of Pediatric psychoneurology Moscow Health Department"
    Moscow, 119602, Russian Federation
  • Federal State Autonomous Institution "Scientific Center of Children's Health" of the Ministry of Health of the Russian Federation
    Moscow, 119991, Russian Federation
  • Federal State Budget Educational Institution of Higher Professional Learning "Stavropol State Medical University" of the Ministry of Health of the Russian Federation
    Stavropol, 355017, Russian Federation
08

Timeline

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

The record gives a start of Jul 2014, a primary completion of Dec 2016 and a completion of Dec 2016. It does not say whether these dates are actual or estimated.

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

Registered
Jul 10, 2014
First posted
Jul 11, 2014
Start
Jul 2014
Primary completionActual
Dec 2016
CompletionActual
Dec 2016
Last update
Jan 26, 2017
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 Jan 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02188277
Collaborators
LLC Merz Pharma, Russia
Responsible party
Sponsor
First posted
Jul 11, 2014
Start date
Jul 2014
Primary completion
Dec 2016
Completion
Dec 2016
Last update
Jan 26, 2017

Study contacts

Merz Medical Expert
study director · LLC Merz Pharma, Russia

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2017. 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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