Study to Document the Effectiveness of Dysport in Patients Suffering From Upper Limb Spasticity (ULS) After Stroke (PSAS REGISTRY)
Observational Prospective Study to Document the Effectiveness of Dysport in Patients Suffering From Upper Limb Spasticity (ULS) After Stroke, Under Conditions of Routine Clinical Practice
Studieoversigt
Status
Status
Betingelser
Betingelser
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Kontakter og lokationer
Studiesteder
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Ciecierzyn, Polen, 21-003
- Indywidualna Praktyka Lekarska
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Katowice, Polen, 40-752, ul Medyków 14
- Samodzielny Publiczny Centralny Szpital Kliniczny im, Śląskiego Uniwersytetu Medycznego w Katowicach Oddział Neurologii Wieku Podeszłego
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Sandomierz, Polen, 27-600 Schinzla 13
- Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Sandomierzu - Szpital - Oddział Neurologii z Pododdziałem Udarowym
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Szczecin, Polen, Chopina 22, 71-450
- Indywidualna Specjalistyczna Praktyka Lekarska W Zakresie Neurologii
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Warsaw, Polen, Sobieskiego 9, 02-957
- II Klinika Neurologiczna, Instytut Psychiatrii i Neurologii
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Wrocław, Polen, 51-149 KOSZAROWA 5
- Wojewódzki Szpital Specjalistyczny Im.J.Gromkowskiego
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- ≥ 18 years of age.
- A history of ischemic or haemorrhagic stroke before minimum 3 months prior to the inclusion into drug programme, documented by discharge from the hospital.
- Post-stroke spasticity of confirmed upper extremity moderate or higher (the result of the modified Ashworth scale - MAS ≥ 2) in at least one muscle group.
- Classification of the patient into the programme occurs when a patient has a designated date of commencement of medical rehabilitation confirmed by the providing rehabilitation services.
- Drug administration needs to take place no earlier than three weeks before the start of medical rehabilitation.
- Written informed consent given by patient before any occurrence of study related procedure.
- Patient has been already included in a NHF Dysport programme.
Exclusion Criteria:
- Severe dysphagia and respiratory disorders.
- Pregnancy
- Myasthenia gravis and myasthenic syndrome - based on neurological examination (additional tests only in justified cases).
- Generalized symptoms of infection
- The presence of inflammation within the planned sites of administration.
- Fixed contractures in the soft tissues and joints.
- Dementia medium or deep cycle (score on mini mental state examination (MMSE) equal to or less than 18 points).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change in Investigator and patient Clinical Global Impression of Improvement (CGI-I)
Tidsramme: Change from baseline (visit 1) to visit 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Clinical Global Impression of Improvement (CGI-I) scale: 7-point scale, ranging from 1 (very much improved) to 7 (very much worse), with a score of 4 indicating no change.
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Change from baseline (visit 1) to visit 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Global assessment of spasticity by Modified Ashworth Scale (MAS)
Tidsramme: Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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MAS - spasticity scores at each joint: shoulder, elbow, wrist, finger, thumb
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Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Measurement of upper limb muscle weakness by Medical Research Council (modified MRC) scale for muscle strength
Tidsramme: Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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To document cost of treatment with Dysport in these patients
Tidsramme: Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Direct costs associated with the administration of Dysport will include the dose of Dysport, interval between reinjections, cost of healthcare resources: needles, syringes, identification techniques of the muscles.
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Visits 1, 2 and 3 (visits occur every 3-4 months, during approximately 9 months of observation)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- A-38-52120-215
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Kliniske forsøg med Post Stroke Arm Spasticity
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NCT01086176AfsluttetPost-tetanisk tæl på en arm, den anden arm er kontrollen