Clinical trial • Phase IV • Musculoskeletal
BOTULINUM TOXIN TYPE A - HAEMAGGLUTININ COMPLEX for Spastic equinovarus (post-stroke) | First-ever unilateral stroke
Phase IV trial of BOTULINUM TOXIN TYPE A - HAEMAGGLUTININ COMPLEX for Spastic equinovarus (post-stroke) | First-ever unilateral stroke.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Spastic equinovarus (post-stroke) | First-ever unilateral stroke
- Trial Stage
- Phase IV
- Drug Modality
- Peptide/protein/enzyme
Key dates
- Initial CTIS Submission Date
- 02-09-2024
- First CTIS Authorization Date
- 02-12-2024
Trial design
None/Not specified-controlled Phase IV trial across 1 site in Belgium.
- Comparator
- None/Not specified
- Target Sample Size
- 12
Eligibility
Recruits 12 Vulnerable population not selected. Consent approach: "Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures". Subject information and ICF document present (L1_SIS and ICF adults nl)..
- Pregnancy Exclusion
- 6. Pregnancy
- Vulnerable Population
- Vulnerable population not selected. Consent approach: "Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures". Subject information and ICF document present (L1_SIS and ICF adults nl).
Inclusion criteria
- {"criterion_text":"- Participants eligible for inclusion in this Trial must meet all of the following criteria\n- 1.\tVoluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures\n- 2.\tAt least 18 years of age at the time of signing the Informed Consent Form (ICF)\n- 3.\tUse of highly effective methods of birth control; defined as those that, alone or in combination, result in low failure rate (i.e., less than 1% per year) when used consistently and correctly; such as implants, injectables, combined oral contraceptives, some IUDs, true sexual abstinence (i.e. refraining from heterosexual intercourse during the entire period of risk associated with the Trial treatment(s)) or commitment to a vasectomised partner.\n- 4.\tPes equinovarus due to spasticity\n- 5.\tClinical need for BoNT injection at the lower leg\n- 6.\tAny previous injection of BoNT into the muscles to be investigated was at least 3 months ago\n- 7.\tFirst-ever, unilateral stroke"}
Exclusion criteria
- {"criterion_text":"- 1.\tMusculoskeletal or other neurological problems affecting the lower limb\n- 2.\tPresence of spinal cord pathology that could lead to spasticity, ataxia, dystonia\n- 3.\tCognitive problems that impede measurements\n- 4.\tSevere co-morbidities\n- 5.\tIrritated skin or open wounds where ultrasound will be placed\n- 6.\tPregnancy\n- 7.\tProfound atrophy of the muscles in the target area(s) of injection"}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1) Primary outcome parameters measured by 3DfUS muscle volume.","definition_or_measurement_approach":"Measured by Three Dimensional freehand Ultrasound (3DfUS) to assess muscle volume."}
- {"endpoint_text":"- 2) Primary outcome parameters measured by ISA The primary outcome parameter to determine the neural contributions to hyperresistance will be derived from the fast stretch: muscle activity (root mean square (RMS) EMG [uV].","definition_or_measurement_approach":"Measured by Instrumented Spasticity Assessment (ISA); neural contribution derived from fast stretch quantified as muscle activity (root mean square (RMS) EMG in µV)."}
Recruitment
- Planned Sample Size
- 12
- Recruitment Window Months
- 27
- Consent Approach
- Voluntary written informed consent required from the participant or their legally authorized representative prior to any screening procedures. ICF document present (L1_SIS and ICF adults nl) indicating adult consent; legally authorized representative allowed where applicable.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 12
Belgium
- Earliest CTIS Part Ii Submission Date
- 26-11-2024
- Latest Decision Or Authorization Date
- 02-12-2024
- Processing Time Days
- 6
- Number Of Sites
- 1
- Number Of Participants
- 12
Sites
- Site Name
- UZ Leuven
- Department Name
- Physical Medicine and Rehabilitation
- Contact Person Name
- Fabienne Schillebeeckx
- Contact Person Email
- fabienne.schillebeeckx@uzleuven.be
- Number Of Participants
- 12
Sponsor
Primary sponsor
- Full Name
- UZ Leuven
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Belgium
Investigational products
- Investigational Product Name
- Dysport 500 U, poudre pour solution injectable
- Active Substance
- BOTULINUM TOXIN TYPE A - HAEMAGGLUTININ COMPLEX
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- INTRAMUSCULAR INJECTION
- Route
- Intramuscular injection
- Authorisation Status
- Marketing authorisation in LU (marketingAuthNumber: 0312509)
- Maximum Dose
- 1500 U
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