Evidence map›Paper›PMID 36136523›Full record

ArticleToxins2022

Safety Profile and Lack of Immunogenicity of IncobotulinumtoxinA in Pediatric Spasticity and Sialorrhea: A Pooled Analysis.

Steffen Berweck, Marta Banach, Deborah Gaebler-Spira, Henry G Chambers, A S Schroeder, Thorin L Geister, Michael Althaus, Angelika Hanschmann, Matteo Vacchelli, Michaela V Bonfert and 2 more

Open access · goldAbstract read
In one paragraph

Article in Toxins, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Steffen BerweckSchön Klinik Vogtareuth, Krankenhausstraße 20, 83569 Vogtareuth, Germany.
Marta BanachJagiellonian University Medical College, Świętej Anny 12, 31-008 Krakow, Poland.
Deborah Gaebler-SpiraShirley Ryan AbilityLab, Northwestern Feinberg School of Medicine, 355 E. Erie St, Chicago, IL 60611, USA.ORCID 0000-0001-6827-4241
Henry G ChambersRady Children's Hospital, 3030 Children's Way MC 5062, San Diego, CA 92123, USA.ORCID 0000-0003-4372-0780
A S SchroederDivision of Paediatric Neurology and Developmental Medicine, LMU Center for Children with Medical Complexity, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany.
Thorin L GeisterMerz Therapeutics GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt am Main, Germany.
Michael AlthausMerz Therapeutics GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt am Main, Germany.
Angelika HanschmannMerz Therapeutics GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt am Main, Germany.
Matteo VacchelliMerz Therapeutics GmbH, Eckenheimer Landstraße 100, 60318 Frankfurt am Main, Germany.
Michaela V BonfertDivision of Paediatric Neurology and Developmental Medicine, LMU Center for Children with Medical Complexity, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany.
Florian HeinenDivision of Paediatric Neurology and Developmental Medicine, LMU Center for Children with Medical Complexity, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany.ORCID 0000-0002-3872-6136
Edward DabrowskiBeaumont Pediatric Physical Medicine & Rehabilitation-Royal Oak, 3535 W 13 Mile Rd #307, Royal Oak, MI 48073, USA.
Ludwig-Maximilians-Universität München · DEJagiellonian University · PLRady Children's Hospital-San Diego · USRoyal Oak Community Coalition · USSchön Klinik Vogtareuth · DEShirley Ryan AbilityLab · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IncobotulinumtoxinA, a pure botulinumtoxinA formulation, is free of accessory proteins. This analysis provides pooled safety data from phase 3 trials of children/adolescents (2-17 years), investigating incobotulinumtoxinA for the treatment of spasticity associated with cerebral palsy (at doses ≤20 U/kg (max. 500 U) per injection cycle (IC) for ≤6 ICs; three trials) or sialorrhea associated with neurologic disorders (at total doses of 20-75 U per IC for ≤4 ICs; one trial) for ≤96 weeks. Safety endpoints included the incidences of different types of treatment-emergent adverse events (TEAEs) and immunogenicity. IncobotulinumtoxinA dose groups were combined. Of 1159 patients (mean age 7.3 years, 60.4% males) treated with incobotulinumtoxinA, 3.9% experienced treatment-related TEAEs, with the most common being injection site reactions (1.3%) (both indications), muscular weakness (0.7%) (spasticity), and dysphagia (0.2%) (sialorrhea). Two patients (0.2%) experienced a treatment-related treatment-emergent serious adverse event, and 0.3% discontinued the study due to treatment-related TEAEs. No botulinumtoxinA-naïve patients developed neutralizing antibodies (NAbs) after incobotulinumtoxinA. All children/adolescents with known pre-treatment status and testing positive for Nabs at final visit (

Indexed as

Botulinum Toxins, Type ANeuromuscular AgentsSialorrheaAdolescentAntibodies, NeutralizingChildChild, PreschoolFemaleHumansMaleMuscle SpasticityTreatment OutcomeAntibodies, NeutralizingBotulinum Toxins, Type AincobotulinumtoxinANeuromuscular Agentsall movement disordersall pediatricantibodiesbotulinum toxinimmunogenicityincobotulinumtoxinAmuscle spasticitysafetysialorrhea

Identifiers

PMID36136523
PMCPMC9505819
OpenAlexW4293770560

What OpenQuestion holds

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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.