Muscle Spasticity, Stroke
Conditions
Brief summary
This is a long-term safety and efficacy study of onabotulinumtoxinA in poststroke patients with upper limb spasticity.
Interventions
Up to 4 treatments of onabotulinumtoxinA injected into muscles of the study limb on fulfillment of the retreatment criteria.
Sponsors
Study design
Eligibility
Inclusion criteria
* For patients entering from the 191622-127 study, successful completion of study 191622-127 * For patients entering directly into study 191622-129, upper limb spasticity in the elbow and shoulder due to stroke, with the most recent stroke at least 3 months ago
Exclusion criteria
* Spasticity in the non-study upper limb that requires treatment * Presence of fixed contractures in of the study muscles in elbow or shoulder * Profound atrophy of muscles to be injected * Previous surgical intervention, nerve block, or muscle block for the treatment of spasticity in the study limb in the last 12 months * Injection of corticosteroids or anesthetics, use of casting or dynamic splinting or constraint-induced movement therapy (CIMT) for the study limb within 3 months * Ultrasound therapy, electrical stimulation, or acupuncture in the study limb within 1 month * Condition other than stroke contributing to upper limb spasticity * Diagnosis of myasthenia gravis, Eaton-Lambert syndrome, and/or amyotrophic lateral sclerosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Baseline in the Modified Ashworth Scale-Bohannon (MAS-B) Score of Treated Muscle Groups Using a 6-Point Scale | Baseline, Up to 60 Weeks |
Secondary
| Measure | Time frame |
|---|---|
| Clinical Global Impression (CGI) of Overall Change by Physician Compared to Baseline Using a 9-Point Scale | Baseline, Up to 60 Weeks |
| Change from Baseline in Pain on an 11-Point Scale | Baseline, Up to 60 Weeks |
| Change from Baseline in the 19-Item Spasticity Impact Assessment-Upper Limb (SIA-UL) Score | Baseline, Up to 60 Weeks |