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NCT06937931PHASE2Recruiting

A Study of IPN10200 for the Treatment of Cervical Dystonia in Adults

Ipsen

Start Date

6/30/2025

Completion Date

11/5/2027

Summary

The purpose of this study is to evaluate the efficacy and safety of the study drug, Corabotase (also known as IPN10200), and to assess how well it works when compared with placebo in treating Cervical Dystonia (CD) in adults. CD can cause a series of abnormalities and symptoms in the head and neck that can lead to neck pain and stiffness, and headaches. CD is believed to involve deep parts within the brain that control movement, but genetic factors, environmental factors, and abnormalities in the brain may also play a role. The usual treatment for CD includes injecting BoNT into the affected muscles, but the treatment only lasts about 3 months. Corabotase is designed to last for a longer period. The study will consist of two periods: 1. A Screening Period of up to 4 weeks (28 days) to assess whether a participant can take part in the study and requires at least one visit. 2. A Treatment Period of 36 weeks. On Day 1 of the treatment period, participants will receive either Corabotase Dose A or Dose B (additional participants may receive Corabotase Dose C) of the study drug, or placebo distributed into different muscles in the head, neck and shoulders. Participants may continue some other medications, but details need to be recorded. There will be 10 visits to the clinic in person and one remote visits (phone call) (12 visits to the clinic for participants who receive Dose C). Participants will undergo blood samplings, urine collections, physical/neurological examinations, and clinical evaluations. Participants will also need to complete questionnaires throughout the study. The total study duration for a participant will be up to 40 weeks (approximately 9 months).

Eligibility Criteria

Age Range: 18 years to 80 years

Inclusion Criteria: 1. A clinical diagnosis of isolated Cervical Dystonia (CD) (idiopathic) characterized by dystonic symptoms localised to the head, neck, and shoulder areas with at least moderate severity at Screening and Baseline (Day 1) defined as: * (a) Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)-Total score ≥20 * (b) TWSTRS-Severity subscale score ≥15 * (c) TWSTRS-Disability subscale score ≥3 * (d) TWSTRS-Pain subscale score ≥ 1 2. Treatment naïve or non-naïve to BoNT therapy for CD Exclusion Criteria: 1. Participants presenting with a swallowing disorder of any origin which might be exacerbated by BoNT treatment, such as: * (a) Grade 3 or 4 on the Dysphagia Severity Scale (severe dysphagia) with swallowing difficulties and requiring a change in diet. 2. Predominant anterocollis. 3. Predominant retrocollis. 4. Traumatic torticollis or tardive torticollis. 5. Marked limitation on passive range of motion that suggests cervical contractures or structural abnormality.

Interventions

BIOLOGICAL

Corabotase

OTHER

Placebo

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Conditions

Cervical Dystonia

Locations

University of Arizona Health Sciences - Neurology

Tucson, Arizona 85724

United States

Parkinson's & Mvmt Disorders Inst

Fountain Valley, California 92708

United States

Parkinson's Ds & Mvt Disorders Cntr

Boca Raton, Florida 33486

United States

USF Health Byrd Alzheimer's Institute

Tampa, Florida 33613

United States

Emory Brain Health Center

Atlanta, Georgia 30329

United States

Rush Medical Center

Chicago, Illinois 60612

United States

Quest Research Institute

Farmington Hills, Michigan 48334

United States

Ichan Sch of Medicine @ Mt. Sinai

New York, New York 10029

United States

Kingfisher Cooperative

Spokane, Washington 99201

United States

Fakultni nemocnice u sv. Anny v Brne - I. Neurologicka klinika

Brno,

Czechia

MINKSneuro s.r.o.

Brno,

Czechia

NEUROHK s.r.o.

Choceň,

Czechia

Fakultni nemocnice Olomouc - Neurologicka klinika

Olomouc,

Czechia

Vseobecna fakultni nemocnice v Praze - Neurologicka klinika

Prague,

Czechia

CHU Grenoble Alpes - Site Nord - Neurology

Grenoble,

France

Timone University Hospital

Marseille,

France

CHU Nimes - Hôpital Caremeau

Nîmes,

France

Hopitaux Universitaire de Strasbourg - Hopital de Hautepierre - Neurologie

Strasbourg,

France

Centre Hospitalier Universitaire (CHU) Purpan - Institut Des Sciences du Cerveau De Toulouse (Institute for Brain Sciences)

Toulouse,

France

Curiositas ad sanum Studien- und Beratungs GmbH Haag i.OB - Neurologie

Haag in Oberbayern,

Germany

Universitätsklinikum Hamburg-Eppendorf

Hamburg,

Germany

GFO Kliniken Troisdorf

Troisdorf,

Germany

University Hospital Tuebingen - Neurologie

Tübingen,

Germany

Ospedale Bellaria, IRCCS Istituto delle Scienze Neurologiche, AUSL Bologna

Bologna,

Italy

Istituto Auxologico Italiano - Auxologico San Luca

Milan,

Italy

Istituto Neurologico C. Besta

Milan,

Italy

IRCCS C.Mondino, Istituto Neurologico Nazionale, Fondazione

Pavia,

Italy

Azienda USL-IRCCS di Reggio Emilia - Presidio ospedaliero provinciale sede di Reggio Emilia

Reggio Emilia,

Italy

Specjalistyczna Praktyka Lekarska Dr Stanislaw Ochudlo

Katowice,

Poland

Futuremeds Krakow

Krakow,

Poland

SP ZOZ Szpital Uniwersytecki w Krakowie

Krakow,

Poland

Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.

Oświęcim,

Poland

Eskulap Pabianice Sp z o.o.

Pabianice,

Poland

ETG Neuroscience Sp. z o.o.

Warsaw,

Poland

Wojewodzki Szpital Specjalistyczny im. J. Gromkowskiego

Wroclaw,

Poland

Hospital de la Santa Creu i Sant Pau - Neurología

Barcelona,

Spain

H.U. Puerta del Mar - Neurocirugía

Cadiz,

Spain

Hospital Universitario De La Princesa

Madrid,

Spain

Hospital Universitario Ramon y Cajal - Neurologia

Madrid,

Spain

Hospital Universitario Virgen del Rocio - Neurofisiología Clínica

Seville,

Spain

Royal Devon And Exeter Hospital - Neurology

Exeter,

United Kingdom

The Walton Centre

Fazakerley,

United Kingdom

University College London Hospitals NHS Foundation Trust - National Hospital for Neurology and Neurosurgery

London,

United Kingdom

Luton And Dunstable Hospital - Neurology

Luton,

United Kingdom