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Procedure

Zinc + Botox for Spasmodic Dysphonia

Phase 1 & 2
Waitlist Available
Led By Neil Chheda
Research Sponsored by University of Florida
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Current diagnosis of ADductor spasmodic dysphonia
Has had Botox injection treatments for SD > 6 months
Must not have
Diagnosis of ABductor spasmodic dysphonia
Patients taking > 30 mg zinc supplementation daily prior to study beginning
Timeline
Screening 3 weeks
Treatment Varies
Follow Up the patient record their voice on post-injection day 2, 7, 14, 42, 70, and 98. at their next botox injection, a second cycle will immediately begin for an additional 3 months with audio data obtained on post injection day 2, 7, 14, 42, 70, and 98
Awards & highlights
No Placebo-Only Group

Summary

This trial is studying if combining Botulinum Toxin (BT) treatment with zinc supplementation can improve the effects of BT for spasmodic dysphonia patients.

Who is the study for?
Adults over 18 with a current diagnosis of ADductor spasmodic dysphonia, who have been treated with Botox injections for more than 6 months can join. Pregnant individuals or those already taking over 30 mg of zinc daily are excluded.
What is being tested?
The study is testing if taking a zinc gluconate supplement before getting Botulinum toxin type A (Botox) injections helps extend the treatment's benefits for voice hoarseness due to spasmodic dysphonia.
What are the potential side effects?
Possible side effects may include reactions at the injection site, muscle weakness, difficulty swallowing, and flu-like symptoms from Botox; nausea, vomiting, and metallic taste from zinc supplements.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have been diagnosed with ADductor spasmodic dysphonia.
Select...
I have received Botox treatments for my condition for over 6 months.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I have been diagnosed with ABductor spasmodic dysphonia.
Select...
I have been taking more than 30 mg of zinc daily before starting the study.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~the patient record their voice on post-injection day 2, 7, 14, 42, 70, and 98. at their next botox injection, a second cycle will immediately begin for an additional 3 months with audio data obtained on post injection day 2, 7, 14, 42, 70, and 98
This trial's timeline: 3 weeks for screening, Varies for treatment, and the patient record their voice on post-injection day 2, 7, 14, 42, 70, and 98. at their next botox injection, a second cycle will immediately begin for an additional 3 months with audio data obtained on post injection day 2, 7, 14, 42, 70, and 98 for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in audiometric recording data of subject's speech during a laryngeal botox injection cycle.
Change of Voice-Related Quality of Life (V-RQOL) questionnaire scores during a laryngeal botox injection cycle.

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Botulinum toxin A injection +zinc supplementation"Experimental Treatment2 Interventions
Botulinum toxin A injection into vocal cords for treatment of spasmodic dysphonia, with subject taking zinc supplementation daily for the 5 days preceding the botox injection. This will be the experimental arm of the study.
Group II: Botulinum toxin A injectionActive Control1 Intervention
Botulinum toxin A injection into vocal cords for treatment of spasmodic dysphonia. This is the current standard of care for treatment of this disease process. This will be the control of the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Zinc gluconate supplement
2016
Completed Phase 2
~70
Botulinum toxin type A
2011
Completed Phase 4
~2730

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Logistics

Participation is compensated

You will be compensated for participating in this trial.

Who is running the clinical trial?

University of FloridaLead Sponsor
1,403 Previous Clinical Trials
764,327 Total Patients Enrolled
Neil ChhedaPrincipal InvestigatorUniversity of Florida
~15 spots leftby Dec 2025