Efficacy of Botulinum Toxin for the Treatment of Dystonia Associated With Parkinson's Disease and Atypical Parkinsonism

NCT ID: NCT04948684

Last Updated: 2021-07-02

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

Total Enrollment

63 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-01

Study Completion Date

2021-02-11

Brief Summary

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Dystonia is a disabling symptom affecting both patients with idiopathic Parkinson's disease (PD) and atypical parkinsonism (AP).

Botulinum toxinum (BoNT), by blocking muscle contraction, is a possible treatment for focal dystonia.

The benefit of BoNT treatment has been proven in some focal dystonia associated with PD or AP.

The investigators aim to give an overview of the efficacy of BoNT in a variety of focal dystonia in a large cohort of parkinsonian patients.

Detailed Description

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Conditions

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Parkinson Disease Atypical Parkinsonism Dystonia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients with dystonia secondary to atypical Parkinsonism or Parkinson's disease

Patients with dystonia secondary to idiopathic Parkinson's disease or atypical parkinsonism and treated with BoNT

No interventions assigned to this group

Patients with atypical Parkinsonism or Parkinson's disease and no dystonia

Patients with idiopathic Parkinson's disease or atypical parkinsonism and without reported dystonia

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Diagnosed Parkinson's disease or Atypical Parkinsonism
* Age \> 18 years
* Reported dystonia
* At least 1 injection with Botulinum toxin realized

Exclusion Criteria

* Refusal to participate in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role collaborator

Hospital Avicenne

OTHER

Sponsor Role lead

Responsible Party

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Arnaud Lapostolle

interne

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bertrand Degos, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Avicenne

Locations

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Avicenne Hospital

Bobigny, Seine-Saint-Denis, France

Site Status

Countries

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France

References

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Dressler D. Botulinum toxin drugs: brief history and outlook. J Neural Transm (Vienna). 2016 Mar;123(3):277-9. doi: 10.1007/s00702-015-1478-1. Epub 2015 Nov 11.

Reference Type BACKGROUND
PMID: 26559824 (View on PubMed)

Jankovic J. Botulinum toxin: State of the art. Mov Disord. 2017 Aug;32(8):1131-1138. doi: 10.1002/mds.27072. Epub 2017 Jun 22.

Reference Type BACKGROUND
PMID: 28639368 (View on PubMed)

Tolosa E, Compta Y. Dystonia in Parkinson's disease. J Neurol. 2006 Dec;253 Suppl 7:VII7-13. doi: 10.1007/s00415-006-7003-6.

Reference Type BACKGROUND
PMID: 17131231 (View on PubMed)

Marsili L, Bologna M, Kojovic M, Berardelli A, Espay AJ, Colosimo C. Dystonia in atypical parkinsonian disorders. Parkinsonism Relat Disord. 2019 Sep;66:25-33. doi: 10.1016/j.parkreldis.2019.07.030. Epub 2019 Jul 23.

Reference Type BACKGROUND
PMID: 31443953 (View on PubMed)

Mills R, Bahroo L, Pagan F. An update on the use of botulinum toxin therapy in Parkinson's disease. Curr Neurol Neurosci Rep. 2015 Jan;15(1):511. doi: 10.1007/s11910-014-0511-3.

Reference Type BACKGROUND
PMID: 25407133 (View on PubMed)

Pacchetti C, Albani G, Martignoni E, Godi L, Alfonsi E, Nappi G. "Off" painful dystonia in Parkinson's disease treated with botulinum toxin. Mov Disord. 1995 May;10(3):333-6. doi: 10.1002/mds.870100317.

Reference Type BACKGROUND
PMID: 7651452 (View on PubMed)

Giladi N, Meer J, Honigman S. The use of botulinum toxin to treat "striatal" toes. J Neurol Neurosurg Psychiatry. 1994 May;57(5):659. doi: 10.1136/jnnp.57.5.659. No abstract available.

Reference Type BACKGROUND
PMID: 8201355 (View on PubMed)

Rieu I, Degos B, Castelnovo G, Vial C, Durand E, Pereira B, Simonetta-Moreau M, Sangla S, Fluchere F, Guehl D, Burbaud P, Geny C, Gayraud D, Ory-Magne F, Bouhour F, Llinares E, Derost P, Marques A, Durif F. Incobotulinum toxin A in Parkinson's disease with foot dystonia: A double blind randomized trial. Parkinsonism Relat Disord. 2018 Jan;46:9-15. doi: 10.1016/j.parkreldis.2017.10.009. Epub 2017 Oct 19.

Reference Type BACKGROUND
PMID: 29102441 (View on PubMed)

Lapostolle A, Houot M, Mongin M, Degos B. Comparison of Botulinum neurotoxin efficiency in dystonia associated with Parkinson's disease and atypical parkinsonism: a retrospective study with a self-reported improvement scale. J Neurol. 2022 Nov;269(11):6021-6028. doi: 10.1007/s00415-022-11280-y. Epub 2022 Jul 19.

Reference Type DERIVED
PMID: 35854137 (View on PubMed)

Other Identifiers

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CLEA-2021-167

Identifier Type: -

Identifier Source: org_study_id

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