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CompletedNCT05027997Updated Oct 3, 2025

Exploratory Study of Dipraglurant (ADX48621) for the Treatment of Patients With Blepharospasm

A Phase 2 interventional study of Dipraglurant and Placebo in Blepharospasm and Dystonia, sponsored by Addex Pharma S.A.. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-10-03.

Sponsored by Addex Pharma S.A. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2022, 4 years ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study is designed to assess the safety and tolerability of dipraglurant in patients with blepharospasm (BSP) (randomized 1:1:1 to receive dipraglurant 50 mg, 100 mg or placebo) and explore the efficacy of 50 mg and 100 mg immediate release tablets (versus placebo) on the severity and frequency of BSP signs and symptoms using objective measures, clinical ratings and patient reported outcomes.

02

Conditions studied

  • Blepharospasm
  • Dystonia

Keywords

  • Blepharospasm
  • Dystonia
03

In context

Blepharospasm

42 studies on the registry are indexed under Blepharospasm; 1 is open to participants now.

This study's enrollment of 15 is below the median of 40 across 28 interventional studies indexed under Blepharospasm.

Browse Blepharospasm studies →

Lead sponsor

Addex Pharma S.A. is the lead sponsor of 7 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 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

  • Patients with an established diagnosis of idiopathic benign essential blepharospasm
  • Must have had prior response to to botulinum toxin (BoNT) reported on last 2 consecutive injection cycles
  • Last injection of BoNT at least 8 weeks prior to Screening assessments
  • Patient is experiencing features of Blepharospasm (BSP) of moderate severity/frequency at study entry.

Exclusion criteria

Exclusion Criteria:

  • BSP that is known or suspected to be associated with a known cause such as neuroleptic exposure, brain injury or lesion, stroke, Parkinson's disease, or related Parkinsonisms
  • History of surgical intervention (e.g., deep brain stimulation) or orbital myectomy for dystonia
  • Disabling eyelid opening apraxia
  • Other neurological disease (including psychiatric disease and/or cognitive impairment) that, in the opinion of the investigator, would affect the patient's ability to complete study assessments.
  • Other significant medical condition that may affect the safety of the patient or preclude adequate participation in the study.

Other protocol-defined inclusion and exclusion criteria may apply

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Dipraglurant 50 mg

    Drug: Dipraglurant

  • Experimental
    Dipraglurant 100 mg

    Drug: Dipraglurant

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Oral tablet

    Also known as: ADX48621

  • DrugPlacebo

    Oral matching placebo tablet

06

What researchers measure

Primary outcomes

  1. Safety and tolerability of dipraglurant as measured by incidence of adverse events

    The primary outcome will be testing the safety and tolerability of dipraglurant in patients with blepharospasm based on the incidence of adverse events reported by patients and/or as identified by the Investigator based on clinical assessments conducted during the study.

    Time frame: Baseline to Day 2

  2. Computerized Motor Objective Rater (CMOR) analysis of blinking activity

    Video analysis, by an independent rater, of the mean proportion of eye closure time, severity of periocular spasms, and blink rate. Decreased eye closure time, severity of periocular spasms and blink rate indicates improvement of blepharospasm symptoms.

    Time frame: Baseline to Day 2

  3. Skintronics wearable analysis of blinking activity

    Analysis of blinking activity as recorded on the Skintronics wearable device. Decreased blink activity indicates improvement of blepharospasm symptoms.

    Time frame: Baseline to Day 2

Secondary outcomes

  1. Jankovic Rating Scale (JRS) severity score

    The JRS is a clinician rated scale for blepharospasm. The intensity of eyelid spasms is measured based on a 5 point grading system where 0 indicates no symptoms and 4 indicates the most severe symptoms.

    Time frame: Baseline to Day 2

  2. Jankovic Rating Scale (JRS) frequency score

    The JRS is a clinician rated scale for blepharospasm. The frequency of eyelid spasms is measured based on a 5 point grading system where 0 indicates no symptoms and 4 indicates highest frequency symptoms.

    Time frame: Baseline to Day 2

  3. Global Dystonia Severity Rating Scale (GDS)

    The GDS is a clinician rated scale for the assessment of dystonia severity across multiple body regions. Each body region is rated on a scale from 0-10 where 0 represents no dystonia and 10 represents severe dystonia.

    Time frame: Baseline to Day 2

  4. Blepharospasm Phenotyping Tool (BPT)

    The BPT is a clinician rated scale assessing 4 major phenotypic elements of blepharospasm using a 4 point scale for severity and frequency, where 0 indicates no symptoms and 4 indicates the highest frequency and/or most severe symptoms.

    Time frame: Baseline to Day 2

  5. Blepharospasm Severity Rating Scale (BSRS)

    The BSRS is a clinician rated scale for rating severity of blepharospasm based on 6 clinical features of the condition. A total score is generated based on the combined score for severity and frequency and where a higher value indicates more severe symptoms.

    Time frame: Baseline to Day 2

  6. Clinician's Global Impression of Severity (CGI-S) score

    The CGI-S score is used by the Investigator to determine, in a global sense, how severe the patients blepharospasm is in the context of other blepharospasm patients. Increased scores indicate more severe symptoms.

    Time frame: Baseline to Day 2

  7. Blepharospasm Disability Index (BSDI)

    The BSDI is a 6 item patient rated disability scale that measures how blepharospasm effects activities of daily living. Each item is scored on a 5 point scale to produce a total score of up to 30, where a higher individual item score and a higher total score indicate greater disability to the patient.

    Time frame: Baseline to Day 2

  8. Patient Global Impression of Change (PGI-C) score

    The PGI-C score is a patient reported outcome that assesses how much the blepharospasm symptoms have improved or worsened. A score of 0 indicates no change, negative scores down to -3 indicate worsening, and positive scores of up to 3 indicate improvement.

    Time frame: Baseline to Day 2

07

Study locations

1 site
  • Emory University
    Atlanta, Georgia 30329, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05027997
Lead sponsor
Addex Pharma S.A.
Responsible party
Sponsor
First posted
Aug 31, 2021
Start date
Oct 6, 2021
Primary completion
Oct 27, 2022
Completion
Nov 27, 2022
Last update
Oct 3, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dipraglurant

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