Spasticity is often observed as muscle tightness and stiffness in the upper and/or lower limbs. Upper limb spasticity can interfere with joint movement and its severity can range from mild to severe. Common causes of spasticity include cerebral palsy, traumatic brain injury, multiple sclerosis, spinal cord injury, and stroke. This study will assess how safe and effective ABBV-950 is in treating upper limb spasticity in adult post-stroke participants. Adverse events and change in symptoms will be assessed. ABBV-950 in an investigational drug being developed for treating spasticity. This study is conducted in 2 parts. In Part 1, participants are assigned to receive different doses of ABBV-950 or placebo. There is 1 in 4 chance that participants will be assigned to receive placebo. In Part 2, participants will be randomly assigned to receive BOTOX, ABBV-950, or placebo. There is 1 in 5 chance for participants to receive placebo. Approximately 297 adult post-stroke participants with upper limb spasticity will be enrolled at approximately 50 sites in the United States. In Part 1, participants will receive intramuscular (IM) injections of ABBV-950 or placebo on Day 1. In Part 2, participants will receive IM injections of BOTOX, ABBV-950, or placebo on Day 1. All participants will be followed for 24 weeks. There may be higher treatment burden for participants in this trial compared to the standard of care. Participants will attend regular clinic visits during the study. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1
North County Neurology Associates /ID# 256333
Carlsbad, California, United States
Rancho Los Amigos National Rehabilitation center /ID# 255335
Downey, California, United States
Neuro Pain Medical Center /ID# 256036
Fresno, California, United States
New England Institute for Clinical Research /ID# 255020
Stamford, Connecticut, United States
MedStar National Rehabilitation Hospital /ID# 255630
Washington D.C., District of Columbia, United States
JEM Research Institute /ID# 258782
Lake Worth, Florida, United States
Kansas Institute of Research /ID# 254998
Overland Park, Kansas, United States
University of Missouri Hospital /ID# 255310
Columbia, Missouri, United States
Ut Southwestern Medical Center /Parkland Health and Hospital System /Id# 255328
Dallas, Texas, United States
Change From Baseline in Wrist Modified Ashworth Scale-Bohannon (MAS-B)
MAS-B measures muscle tone based on grading the resistance encountered in a specific muscle group by means of passively moving a limb through its range of motion at a study-specified velocity. Score ranges from 0 (No increase in muscle tone) through 4 (Affected part(s) rigid in flexion or extension).
Time frame: Up to Week 6
Number of Participants Experiencing Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study.
Time frame: Up to Week 24
Change in Clinician Global Impression of Change (CGI-C) Score
CGI-C is a 9-point rating scale used to measure the clinician's impression of overall treatment response since the first dose of study intervention. CGI-C scores range from -4 = very marked worsening to +4 = very marked improvement.
Time frame: Up to Week 6
Change in Clinician Global Impression of Severity (CGI-S) Score
CGI-S is a 5-point rating scale used to measure the clinician's or trained personnel's impression of the current severity of the participant's upper limb spasticity. Scores range from 0 = no spasticity to 4 = very severe.
Time frame: Up to Week 6
Percentage of Participants Achieving Wrist MAS-B Responder Status
MAS-B measures muscle tone based on grading the resistance encountered in a specific muscle group by means of passively moving a limb through its range of motion at a study-specified velocity. Score ranges from 0 (No increase in muscle tone) through 4 (Affected part(s) rigid in flexion or extension). Responder is defined as participant with \>= 1 grade improvement from baseline.
Time frame: Up to Week 6
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