Botulinum Toxin (BOTOX) for Cerebral Palsy

NCT ID: NCT00060957

Last Updated: 2016-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

1997-07-31

Brief Summary

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This study examines botulinum toxin (BOTOX, or BTX) for the treatment of muscle twitches and spasticity associated with cerebral palsy in children. Botulinum toxin is a naturally occurring bacterial toxin (botulinum toxin) that inactivates certain parts of muscles.

Detailed Description

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This trial will test the effectiveness of BTX injections versus placebo to reduce plantar-flexor spasticity and improve function and mobility in children with spastic diplegia, a common form of cerebral palsy. The study will evaluate the effects of the treatment across five domains that relate to disability: pathophysiology, impairment, functional limitation, disability, and societal limitation.

Forty children, ages 4 to 12 years, will be recruited and randomized into one of two groups. Group A will receive BTX. Group B will receive a placebo injection. Participants will be assessed at the beginning of the trial and at Weeks 3, 8, 12, and 24. Assessments include quantitative electromyographic kinesiology measurements, electromechanical measurement of joint torque across the ankle joint using the Spasticity Measurement System, Gross Motor Function Measure, physical exam parameters, energy expenditure using the Energy Cost Index, kinematic gait analysis, and the Canadian Occupational Performance Measure.

Participants are followed for a total of 6 months. Participants initially randomized to Group B will have the opportunity for BTX treatment after 24 weeks.

Conditions

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Cerebral Palsy Muscle Spasticity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Botulinum toxin type A

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Spastic diplegic cerebral palsy
* Community or independent ambulators
* Expressive communication skills at age 3 or above
* Stable social environment
* Reasonable proximity to the medical center
* Physical therapy at least once per week
* No other serious health problems that would interfere with the study

Exclusion Criteria

* Other forms of cerebral palsy
* Previous treatment with botulinum toxin
* Musculoskeletal contractures greater than 15 degrees
* Unstable social environment
Minimum Eligible Age

3 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role lead

Principal Investigators

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Ross M. Hays, M.D.

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital and Regional Medical Center

Locations

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Children's Hospital and Regional Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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1R01HD035750-01

Identifier Type: NIH

Identifier Source: org_study_id

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