Evidence map›Paper›PMID 32108436›Full record

Trial reportPM & R : the journal of injury, function, and rehabilitation2020

Efficacy and Safety of AbobotulinumtoxinA for the Treatment of Hemiparesis in Adults with Lower Limb Spasticity Previously Treated With Other Botulinum Toxins: A Secondary Analysis of a Randomized Controlled Trial.

Alberto Esquenazi, Gaëtan Stoquart, Peter Hedera, Luis Jorge Jacinto, Ugo Dimanico, Francois Constant-Boyer, Allison Brashear, Anne-Sophie Grandoulier, Claire Vilain, Philippe Picaut and 1 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in PM & R : the journal of injury, function, and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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

11 authors at 10 institutions in 6 countries.

Alberto EsquenaziDepartment of Physical Medicine and Rehabilitation, MossRehab Gait and Motion Analysis Laboratory, Elkins Park, PA, USA.ORCID 0000-0003-0698-6424
Gaëtan StoquartPhysical and Rehabilitation Medicine Department, Cliniques universitaires Saint-Luc, Catholic University of Louvain, Brussels, Belgium.
Peter HederaDepartment of Neurology, Division of Movement Disorders, Vanderbilt University, Nashville, TN, USA.
Luis Jorge JacintoCentro de Medicina de Reabilitação de Alcoitão, Estoril, Estoril, Portugal.
Ugo DimanicoDivision of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy.
Francois Constant-BoyerUnités de Médecine Physique et de Réadaptation, Hôpital Sébastopol, Université de Reims Champagne-Ardenne, Reims, France.
Allison BrashearSchool of Medicine, University of California, Davis, Sacramento, CA.
Anne-Sophie GrandoulierBiostatistics, Ipsen Pharma, Les Ulis, France.
Claire VilainMedical Affairs, Les Ulis, France.
Philippe PicautMedical Affairs, Les Ulis, France.
Jean-Michel GraciesService de Rééducation Neurolocomotrice, EA 7377 BIOTN, Université Paris-Est, Hospital Albert Chenevier-Henri Mondor, Créteil, France.
LFB (France) · FRCentro de Medicina de Reabilitacao do Alcoitão · PTCliniques Universitaires Saint-Luc · BEDepartment of Medical Sciences · BYHôpital Albert-Chenevier · FRIpsen (France) · FRMoss Rehabilitation Hospital · USUniversité de Reims Champagne-Ardenne · FRVanderbilt University · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the safety and efficacy of abobotulinumtoxinA in patients previously treated with botulinum toxin type A (BoNT-A) products other than abobotulinumtoxinA.

designSecondary analysis from a phase 3, double-blind, single-cycle, randomized, placebo-controlled study.

settingFifty-two centers (11 countries). PATIENTS: Adults with spastic hemiparesis were randomized (1:1:1) to receive abobotulinumtoxinA 1000 U, 1500 U, or placebo in their affected lower limb. MAIN OUTCOME MEASUREMENTS: Muscle tone (6-point Modified Ashworth Scale [MAS], 0-5) for the gastrocnemius-soleus complex (GSC); proportion of MAS responders (≥1-point improvement); angle of catch (X

resultsOf 388 patients, 84 received previous BoNT-A treatment (abobotulinumtoxinA 1000 U: N = 30; abobotulinumtoxinA 1500 U: N = 28; placebo: N = 26). At week 4, mean (SD) changes in MAS score in the GSC were - 0.8 (1.1), -0.9 (1.0), and - 0.4 (0.7) for abobotulinumtoxinA 1000 U, 1500 U, and placebo, respectively. Greater MAS responder rates were observed for abobotulinumtoxinA versus placebo at all time points. Mean (SD) changes (week 4) for abobotulinumtoxinA 1000 U, 1500 U, and placebo for X

conclusionsPatients previously treated with other BoNT-As showed improved muscle tone and spasticity at week 4 following abobotulinumtoxinA injection versus placebo. These findings suggest that abobotulinumtoxinA, at the recommended doses, has a good safety and efficacy profile in adults with lower limb spasticity who were previously treated with other BoNT-A products.

Indexed as

Botulinum Toxins, Type ANeuromuscular AgentsAdultAgedDouble-Blind MethodFemaleHumansLower ExtremityMaleMiddle AgedMuscle SpasticityParesisTreatment OutcomeYoung AdultabobotulinumtoxinABotulinum Toxins, Type ANeuromuscular Agents

Identifiers

PMID32108436
PMCPMC7540573
OpenAlexW3007529219

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.