HEMITOX : Effect of Botulinum Toxin Injections on Motor and Functional Ability of Upper Limb in Adults at Earlier Phases of Spastic Hemiplegia After Stroke

NCT ID: NCT00276185

Last Updated: 2011-01-19

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2009-12-31

Brief Summary

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Botulinum toxin produced beneficial effects in spasticity in the hemiplegic upper limb. This study will test if botulinum toxin injections at earlier phases (\<or = 3 months) in spasticity improve functional and motor tests compared with late injections (\>or = 6 months).

Detailed Description

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Conditions

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Hemiplegia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Interventions

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Time delay treatment of botulinum toxin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Minimum age 18
* Spastic hemiplegia after ischemic stroke (carotid occlusion) within the past 3 months.
* Antispasticity medication stabilized for the last 30 days
* Severe cognitive impairment such that patient is unable to provide scale assessment.
* Significant spasticity impeding improvement by re-education for 2 months or less
* Lack of muscular retraction defined by a minimal range of articular motion as :

* finger : complete extension and rolling up
* wrist : extension 40°/flexion : 45°
* elbow : extension - 10°/flexion : 120°
* shoulder : Enjalbert score 2 or more
* Antagonist muscles (to spasticity) activity score 1 or more
* Social Security benefits

Exclusion Criteria

* Ischemic stroke thought to be due to basilar or vertebral vessel occlusion
* Known motor neuron or neuromuscular junction disease, disorders in which pain limits the ability to inject muscles (algodystrophy)
* Absence of mobility in proximal part of upper limb that does not predict a functional gain
* Minor stroke with non-disabling deficit or rapidly improving motor symptoms
* other serious illness, e.g. severe hepatic, cardiac, or renal failure ; acute myocardial infarction ; or a complex disease that may confound treatment assessment
* Treatment of spasticity by previous administration of botulinum toxin, if known
* Known allergy to botulinum toxin
* Currently participating in other research studies
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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J. Rebeyrol Hospital in Limoges

UNKNOWN

Sponsor Role collaborator

Rennes University Hospital

OTHER

Sponsor Role collaborator

Center of Physical Medicine and Rehabilitation (Notre Dame de Lourdes Center in Rennes)

UNKNOWN

Sponsor Role collaborator

Saint Jacques Hospital in Nantes

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role collaborator

Centre Régional de Département de médecine physique et réadaptation CHU-C3RF in Angers

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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CHU Clermont-Ferrand

Principal Investigators

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Franck Durif

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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Clermont-Ferrand University Hospital

Clermont-Ferrand, Auvergne, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Franck Durif

Role: CONTACT

(33) 04 73 750 750

Facility Contacts

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Franck Durif

Role: primary

(33) 04 73 750 750

References

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Wissel J, Muller J, Dressnandt J, Heinen F, Naumann M, Topka H, Poewe W. Management of spasticity associated pain with botulinum toxin A. J Pain Symptom Manage. 2000 Jul;20(1):44-9. doi: 10.1016/s0885-3924(00)00146-9.

Reference Type RESULT
PMID: 10946168 (View on PubMed)

Other Identifiers

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CHU63-0003

Identifier Type: -

Identifier Source: org_study_id

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