Botulinum Toxin to Improve Cosmesis of Primary Cleft Lip Repair

NCT ID: NCT02247193

Last Updated: 2021-11-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2020-01-13

Brief Summary

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Objective: To determine if the use of botulinum toxin during primary cleft lip repair improves the cosmetic appearance of the cleft lip scar

Detailed Description

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Conditions

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Cleft Lip Scarring Cleft Palate

Keywords

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Botulinum Toxin Botox Craniofacial deformity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Botulinum Toxin

Injection of botulinum toxin into cleft lip at time of surgical repair.

Group Type EXPERIMENTAL

Botulinum Toxin Type A

Intervention Type DRUG

Injection of botulinum toxin at the time of surgery at cleft lip repair site. Botulinum toxin will be injected intraoperatively at 4 standardized sites in the cleft lip during surgical repair.

Saline

Injection of normal saline into cleft lip at time of surgical repair.

Group Type PLACEBO_COMPARATOR

Normal Saline Injection

Intervention Type DRUG

Injection of normal saline into cleft lip at time of surgical repair. Saline will be injected intraoperatively at 4 standardized sites in the cleft lip during surgical repair.

Interventions

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Botulinum Toxin Type A

Injection of botulinum toxin at the time of surgery at cleft lip repair site. Botulinum toxin will be injected intraoperatively at 4 standardized sites in the cleft lip during surgical repair.

Intervention Type DRUG

Normal Saline Injection

Injection of normal saline into cleft lip at time of surgical repair. Saline will be injected intraoperatively at 4 standardized sites in the cleft lip during surgical repair.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* complete unilateral cleft lip with or without cleft palate
* planned for a primary cleft lip repair

Exclusion Criteria

-bilateral cleft lip
Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Matthew Greives

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jaecel O Shah, MD

Role: PRINCIPAL_INVESTIGATOR

UTHealth

Locations

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Memorial Hermann Hospital

Houston, Texas, United States

Site Status

Countries

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United States

References

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Pascual-Pascual SI, Pascual-Castroviejo I. Safety of botulinum toxin type A in children younger than 2 years. Eur J Paediatr Neurol. 2009 Nov;13(6):511-5. doi: 10.1016/j.ejpn.2008.10.006. Epub 2008 Nov 25.

Reference Type BACKGROUND
PMID: 19036619 (View on PubMed)

Galarraga IM. Use of botulinum toxin in cheiloplasty: A new method to decrease tension. Can J Plast Surg. 2009 Fall;17(3):e1-2. doi: 10.1177/229255030901700313.

Reference Type BACKGROUND
PMID: 20808741 (View on PubMed)

Alvarez CM, De Vera MA, Chhina H, Williams L, Durlacher K, Kaga S. The use of botulinum type A toxin in the treatment of idiopathic clubfoot: 5-year follow-up. J Pediatr Orthop. 2009 Sep;29(6):570-5. doi: 10.1097/BPO.0b013e3181b2b3d4.

Reference Type BACKGROUND
PMID: 19700985 (View on PubMed)

Gassner HG, Sherris DA, Friedman O. Botulinum toxin-induced immobilization of lower facial wounds. Arch Facial Plast Surg. 2009 Mar-Apr;11(2):140-2. doi: 10.1001/archfacial.2009.3. No abstract available.

Reference Type BACKGROUND
PMID: 19289689 (View on PubMed)

Christiansen G, Mohney BG, Baratz KH, Bradley EA. Botulinum toxin for the treatment of congenital entropion. Am J Ophthalmol. 2004 Jul;138(1):153-5. doi: 10.1016/j.ajo.2004.02.023.

Reference Type BACKGROUND
PMID: 15234303 (View on PubMed)

Sherris DA, Gassner HG. Botulinum toxin to minimize facial scarring. Facial Plast Surg. 2002 Feb;18(1):35-9. doi: 10.1055/s-2002-19825.

Reference Type BACKGROUND
PMID: 11823931 (View on PubMed)

Sykes JM. Management of the cleft lip deformity. Facial Plast Surg Clin North Am. 2001 Feb;9(1):37-50.

Reference Type BACKGROUND
PMID: 11465005 (View on PubMed)

Seibert RW. Bilateral cleft nasal repair. Facial Plast Surg. 2000;16(1):69-78. doi: 10.1055/s-2000-7328.

Reference Type BACKGROUND
PMID: 11802349 (View on PubMed)

Millard DR Jr. Embryonic rationale for the primary correction of classical congenital clefts of the lip and palate. Ann R Coll Surg Engl. 1994 May;76(3):150-60.

Reference Type BACKGROUND
PMID: 8017808 (View on PubMed)

Witt PD, Hardesty RA. Rotation-advancement repair of the unilateral cleft lip. One center's perspective. Clin Plast Surg. 1993 Oct;20(4):633-45.

Reference Type BACKGROUND
PMID: 8275629 (View on PubMed)

Lee JS, Lee KB, Lee YR, Choi YN, Park CW, Park SD, Jung DH, Lee CS. Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up. Ann Rehabil Med. 2013 Jun;37(3):328-35. doi: 10.5535/arm.2013.37.3.328. Epub 2013 Jun 30.

Reference Type BACKGROUND
PMID: 23869330 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HSC-MS-14-0335

Identifier Type: -

Identifier Source: org_study_id