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
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

Related trials

Other published trials that may interest you.