ClinicalTrials.gg
CompletedNCT05769478Updated Feb 3, 2025

Effect of Amifampridine on Neuromuscular Transmission in Patients Treated With OnabotulinumtoxinA

A Phase 1 interventional study of Amifampridine in Botulism and Iatrogenic Botulism, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-02-03.

Sponsored by Wake Forest University Health Sciences · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2024, 2 years ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

if amifampridine can improve neuromuscular transmission in muscles previously injected with OnabotulinumtoxinA (BTX-A)

Read the detailed description

Amifampridine may also be effective in treating the sequelae of botulinum toxin injections and this study will determine if neuromuscular transmission as measured by single fiber electromyography is improved in patients treated with BTX-A following administration of amifampridine

02

Conditions studied

  • Botulism
  • Iatrogenic Botulism

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Keywords

  • botulinum toxin injections
  • Systemic botulism
  • neuromuscular transmission
  • single fiber electromyography
  • amifampridine
03

In context

Botulism

20 studies on the registry are indexed under Botulism; 3 are open to participants now.

This study's enrollment of 21 is below the median of 29 across 14 interventional studies indexed under Botulism.

Browse Botulism studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,351 studies on the registry; 201 are open to participants now.

Of its 332 completed or terminated interventional studies of FDA-regulated products, 251 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 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

  • Age: 18-80 years of either gender and of any racial background
  • Underwent BTX-A injection of facial muscles including frontalis with a total dose between 100-200 units between 80 and 150 days prior to study
  • Have decision-making capacity to provide to study drug dosing and Single Fiber Electromyography (SFEMG)

Exclusion criteria

Exclusion Criteria:

  • History of cardiac arrhythmia
  • History of seizures or uncontrolled asthma
  • History of renal or hepatic disease
  • History of any generalized neuromuscular disease
  • History of Bell's Palsy or facial nerve trauma
  • History of treatment with or sensitivity to amifampridine, 3,4 diaminopyridine (DAP) or 4-aminopyridine (Ampyra®)
  • Currently experiencing sequelae of previous BTX-A treatment
  • Current use of pyridostigmine (known to alter neuromuscular transmission)
  • Use of any drug or device within 30 days of enrollment
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.

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Amifampridine will be orally administered to study participants

    Amifampridine will be orally administered to study participants following completion of the baseline SFEMG. Post-dose SFEMG will commence at 30 minutes following dosing and will be completed within 30 minutes. The participant will remain under observation in the Diagnostic Neurology suite for 2 hours after dosing so it is estimated that the entire protocol including monitoring will be completed within 2-3 hours.

    Drug: Amifampridine

Interventions

  • a single dose of amifampridine (20mg) will be orally administered

    Also known as: Firdapse

06

What researchers measure

Primary outcomes

  1. Percentage of abnormal pairs

    Wilcoxon's test for paired data will be used to analyze baseline and post-treatment percent abnormal pairs

    Time frame: Hour 3

  2. Percentage of Jitter

    Wilcoxon's test for paired data will be used to analyze baseline and post-treatment mean jitter

    Time frame: Hour 3

  3. Percentage of pairs that show blocking

    Wilcoxon's test for paired data will be used to analyze baseline and post-treatment percent blocking

    Time frame: Hour 3

07

Study locations

1 site
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2023 to primary completion in Oct 2024, 13 months.

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

Registered
Mar 3, 2023
First posted
Mar 15, 2023
StartActual
Sep 15, 2023
Primary completionActual
Oct 29, 2024
CompletionActual
Oct 29, 2024
Last update
Feb 3, 2025
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 Feb 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
NCT05769478
Responsible party
Sponsor
First posted
Mar 15, 2023
Start date
Sep 15, 2023
Primary completion
Oct 29, 2024
Completion
Oct 29, 2024
Last update
Feb 3, 2025

Study contacts

James B Caress, MD
principal investigator · Wake Forest University Health Sciences

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Amifampridine

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