Evidence map›Paper›PMID 25120942›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2014

Observational Study of IncobotulinumtoxinA for Cervical Dystonia or Blepharospasm (XCiDaBLE): Interim Results for the First 170 Subjects with Blepharospasm.

Hubert H Fernandez, Joseph Jankovic, John B Holds, Daniel Lin, John Burns, Amit Verma, Kapil Sethi, Eric J Pappert

Open access · greenAbstract read
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Observational
  3. Treatment of Blepharospasm/Hemifacial Spasm.Current treatment options in neurology · 2017
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Hubert H FernandezCleveland Clinic, Cleveland, OH, USA.
Joseph JankovicBaylor College of Medicine, Houston, TX, USA.
John B HoldsOphthalmic Plastic and Cosmetic Surgery, Inc., Des Peres, MO, USA.
Daniel LinMichigan Neuro-ophthalmology & Oculoplastics, PLC, Warren, MI, USA.
John BurnsOphthalmic Surgeons and Consultants of Ohio, Columbus, OH, USA.
Amit VermaMerz North America, Inc., Greensboro, NC, USA.
Kapil SethiMerz North America, Inc., Greensboro, NC, USA ; Georgia Health Sciences University, Atlanta, GA, USA.
Eric J PappertMerz Pharmaceuticals, LLC, Greensboro, NC, USA.
Baylor College of Medicine · USCleveland Clinic · USSociety of Thoracic Surgeons · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundXCiDaBLE is a large, prospective, observational "naturalistic" study evaluating Xeomin® for Cervical Dystonia or BLEpharospasm in the United States. We report the interim results from the blepharospasm cohort of XCiDaBLE.

methodsSubjects (≧18 years old) with blepharospasm were followed for two treatment cycles of incobotulinumtoxinA and monitored for 4 weeks after injection via interactive voice/web response system (IVRS/IWRS). The investigator-reported scale includes the Clinical Global Impression Scale-Severity subscale (CGI-S). Patient-reported outcome measures include the Patient Global Impression Scale-Severity (PGI-S) and -Improvement (PGI-I) subscales, Jankovic Rating Scale (JRS), SF-12v2® health survey, and Work Productivity and Activity Impairment questionnaire. Subjects are seen by the investigator at baseline (including the first injection), during the second injection, and at a final study visit (12 weeks after the second injection).

resultsOne hundred seventy subjects were included in this interim analysis. The majority of subjects were female (77.1%) and white (91.8%), and had previously been treated with botulinum toxins (96.5%). The mean total dose (both eyes) was 71.5 U of incobotulinumtoxinA for the first injection. PGI-S, PGI-I, and JRS scores were significantly improved 4 weeks after treatment (all p<0.0001). No differences were noted in either quality of life (QoL) or work productivity in this short assessment period. No unexpected adverse events occurred. DISCUSSION: This is an interim study and assessment method based on an IVRS/IWRS. In this predominantly toxin-experienced cohort, significant benefits in specific and global measures of disease severity were seen in the immediate post-incobotulinumtoxinA injection period. It will be interesting to see if there are improvements in QoL with consistent individualized injections over a longer period.

Indexed as

blepharospasmincobotulinumtoxinAJankovic Rating ScaleOpen labelprospectiveXeomin

Identifiers

PMID25120942
PMCPMC4107228
OpenAlexW2107191890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.