Botox-Like shots may calm shaky hands in essential tremor
NCT ID NCT04766723
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a single injection of botulinum toxin (NT 201) can reduce hand tremors in people with essential tremor. 78 participants received either the drug or a placebo, and neither they nor the researchers knew who got what. The main goal was to measure tremor improvement using a wearable sensor and a clinical rating scale.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Botulinum toxin (NT 201, also known as incobotulinumtoxinA or Xeomin)
- What this could lead to
- If it works, this could provide a new treatment option to reduce hand tremors in people with essential tremor.
- What could go wrong
- This is an early phase 2 trial with only 78 participants. The treatment may not work better than placebo, and botulinum toxin can cause muscle weakness or other side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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78 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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Nov 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: \- Score of ≥ 2 (at least 1 cm tremor amplitude) in at least two out of three maneuvers of test item 4 (upper limb tremor) of the TETRAS performances scale confirmed by an independent TETRAS expert by means of video assessment. Exclusion Criteria: * History or presence of day-to-day fluctuations in ET which would jeopardize meaningful tremor assessment over time, e.g. severe tremor on one day and minimal or no tremor on another day. * Other neurological signs, such as dystonia, ataxia, or parkinsonism, which in the judgment of the investigator could interfere with the ET diagnosis and/or assessment of ET in ULs. * Tremor types other than ET
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cleveland Clinic Lou Ruvo Center for Brain Health, Merz Investigational Site #0010457
Las Vegas, Nevada, 89106, United States
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Houston Methodist Neurological Institute, Merz Investigational Site #0010226
Houston, Texas, 77030, United States
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Instytut Zdrowia Dr. Boczarska-Jedynak
Oświęcim, 32-600, Poland
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London Health Sciences Centre, Merz Investigational Site #0010087
London, Ontario, N6A 5A5, Canada
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Mazowiecki Szpital Bródnowski, Merz Investigational Site #0480064
Warsaw, 03-242, Poland
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Medstar Georgetown Neurology, Merz Investigational Site #0010231
McLean, Virginia, 22101, United States
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Mount Sinai Medical Center, Merz Investigational Site #0010191
New York, New York, 10029, United States
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NeuroKlinika Gabinet Lekarski, Merz Investigational Site #0480101
Lodz, 90-640, Poland
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Selkirk Neurology, Merz Investigational Site #0010456
Spokane, Washington, 99202, United States
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Specjalistyczne Gabinety, Merz Investigational Site #0480059
Krakow, 30-539, Poland
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USF, Department of Neurology, Merz Investigational Site #0010020
Tampa, Florida, 33612, United States
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UW Medical Center - Montlake, Merz Investigational Site #0010450
Seattle, Washington, 98195, United States
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University of Nebraska Medical Center, Merz Investigational Site #0010269
Omaha, Nebraska, 68131, United States
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Vanderbilt University Medical Center, Neuroscience Institute, Merz Investigational Site #0010206
Nashville, Tennessee, 37232, United States