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Neurotoxin

Botulinum Toxin A for Peripheral Neuropathy

Phase 2
Recruiting
Research Sponsored by Medical College of Wisconsin
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients who have been diagnosed with breast cancer and undergone treatment with taxane-based chemotherapeutic agents, including those with metastatic and non-metastatic disease
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline and 2 weeks, 4 weeks, 8 weeks, 12 weeks, 6 months
Awards & highlights

Study Summary

This trial is examining whether a toxin commonly used to treat muscle spasms can also help relieve nerve pain caused by chemotherapy.

Who is the study for?
This trial is for breast cancer patients who have undergone taxane-based chemotherapy and are experiencing neuropathic pain within 6 months of treatment. Participants must be adults over 18, score >4 on the DN4 scale for neuropathic pain, and able to consent. Excluded are those with end-stage renal disease, pregnant or breastfeeding women, prior peripheral neuropathy causes other than chemotherapy, recent Botulinum Toxin A treatment or changes in pain medication.Check my eligibility
What is being tested?
The study tests if IncobotulinumtoxinA (INA) injections can relieve chemotherapy-induced peripheral neuropathy (CIPN) better than saline placebo. Forty participants will be randomly assigned to receive either INA or saline injections into hands/feet sites. Pain levels will be measured using the Neuropathic Pain Scale before and after eight weeks of intervention.See study design
What are the potential side effects?
Possible side effects include hypersensitivity reactions to INA injection, muscle weakness or atrophy where injected, infection at the injection site, and general discomfort from intradermal injections.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have breast cancer and have been treated with taxane-based chemotherapy.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline and 2 weeks, 4 weeks, 8 weeks, 12 weeks, 6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline and 2 weeks, 4 weeks, 8 weeks, 12 weeks, 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Improvement in pain from baseline at eight weeks as measured by the change in Neuropathic Pain Scale (NPS)
Secondary outcome measures
Change in pain characteristics as measured by the change in each individual domain of Neuropathic Pain Scale (NPS)
Change in quality of life as measured by the Neuropathic Pain Impact on Quality of Life (NePIQoL) score
Improvement in pain from baseline as measured by the change in Neuropathic Pain Scale (NPS)
+1 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: IncobotulinumtoxinAExperimental Treatment1 Intervention
IncobotulinumtoxinA (Xeomin®, Merz) (INA) will be reconstituted with preservative-free normal saline to a dilution of 5mL:100 units. Study participants in this arm will receive 50u INA (total volume 2.5mL) injected into each limb, max 2 limbs per subject (either bilateral hands or bilateral feet.) Hands: INA will be injected across the palmar surface of the digits in a grid like pattern covering a total of 25 sites per limb (0.1mL/site). Feet: INA will be injected across the dorsal surface of the feet also in a grid like pattern covering a total of 25 sites per limb (0.1mL/site).
Group II: saline controlPlacebo Group1 Intervention
Study participants in this arm will 2.5mL normal saline injected into each limb, max 2 limbs per subject (either bilateral hands or bilateral feet.) Hands: saline will be injected across the palmar surface of the digits in a grid like pattern covering a total of 25 sites per limb (0.1mL/site). Feet: Saline will be injected across the dorsal surface of the feet also in a grid like pattern covering a total of 25 sites per limb (0.1mL/site).

Find a Location

Who is running the clinical trial?

Medical College of WisconsinLead Sponsor
610 Previous Clinical Trials
1,162,673 Total Patients Enrolled

Media Library

IncobotulinumtoxinA (Xeomin®, Merz) (Neurotoxin) Clinical Trial Eligibility Overview. Trial Name: NCT03571334 — Phase 2
Peripheral Neuropathy Research Study Groups: IncobotulinumtoxinA, saline control
Peripheral Neuropathy Clinical Trial 2023: IncobotulinumtoxinA (Xeomin®, Merz) Highlights & Side Effects. Trial Name: NCT03571334 — Phase 2
IncobotulinumtoxinA (Xeomin®, Merz) (Neurotoxin) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03571334 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many patients are enrolled in this study?

"Yes, the most recent information available on clinicaltrials.gov shows that this study is actively looking for patients to enroll. The original posting was on July 8th, 2020 and the last update was December 21st, 2021. So far, 40 people have been enrolled at a single site."

Answered by AI

What does the scientific community know about IncobotulinumtoxinA from past research?

"Currently, there are 68 ongoing clinical trials investigating IncobotulinumtoxinA with 22 trials in Phase 3. While most of the clinical trials for IncobotulinumtoxinA are based in Farmington Hills, Michigan, there are 761 locations operating clinical trials for IncobotulinumtoxinA."

Answered by AI

Are we still able to enroll participants for this research project?

"This trial, which is currently recruiting patients, was first posted on July 8th 2020. The listing was last updated on December 21st 2021."

Answered by AI

For what purpose is IncobotulinumtoxinA commonly prescribed?

"IncobotulinumtoxinA is commonly used to ameliorate urinary incontinence but can also help patients with conditions such as spinal cord, botox, and overactive bladder syndrome."

Answered by AI

Does IncobotulinumtoxinA carry any risks for patients?

"There is some data suggesting IncobotulinumtoxinA is safe, but none that it is effective. Therefore, we've given it a score of 2."

Answered by AI

Who else is applying?

What site did they apply to?
Froedtert Hospital
What portion of applicants met pre-screening criteria?
Did not meet criteria
Recent research and studies
~8 spots leftby Apr 2025