- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT04948684
Efficacy of Botulinum Toxin for the Treatment of Dystonia Associated With Parkinson's Disease and Atypical Parkinsonism
Efficacy of Botulinum Toxin for the Treatment of Dystonia Associated With Parkinson's Disease and Atypical Parkinsonism: a Monocentric Cohort Study With Patient Reported Outcome
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.
Studienübersicht
Status
Bedingungen
Studientyp
Einschreibung (Tatsächlich)
Kontakte und Standorte
Studienorte
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Seine-Saint-Denis
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Bobigny, Seine-Saint-Denis, Frankreich, 93009
- Avicenne Hospital
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Probenahmeverfahren
Studienpopulation
All patients that have been evaluated in the Neurology department of Avicenne Hospital (academic medical center) between september 1st 2017 and february 11th 2021.
Data will be retrospectively collected within the medical records of those patients.
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Kohorten und Interventionen
Gruppe / Kohorte |
|---|
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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
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Patients with atypical Parkinsonism or Parkinson's disease and no dystonia
Patients with idiopathic Parkinson's disease or atypical parkinsonism and without reported dystonia
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Comparison of the patient reported efficacy of botulinum toxin treatment between PD and AP patients
Zeitfenster: Up to twelve months
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Evaluation by the patient of the efficacy of the former injection on an improvement scale ranging from 0 to 100% (minimum value : 0, maximum value : 100, higher scores mean a better outcome) systematically made in routine care during follow up appointment
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Up to twelve months
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Comparison of the patient reported duration of improvement after treatment by botulinum toxin between PD and AP patients
Zeitfenster: Up to twelve months
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Evaluation by the patient of the duration of the period during which symptoms were improved (in weeks) systematically made in routine care during follow up appointment
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Up to twelve months
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Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Comparison of the patients' age between PD and AP groups
Zeitfenster: Baseline
|
Age in years of patients from PD and AP groups
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Baseline
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Comparison of the sex-ratio between PD and AP groups
Zeitfenster: Screening
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Percentage of female (%) in PD and AP groups
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Screening
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Comparison of the patients' duration of disease between PD and AP groups
Zeitfenster: Baseline
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Duration of the disease (years since diagnosis of PD or AP) of patients from PD and AP groups
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Baseline
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Comparison of the patients' severity of the disease between PD and AP groups
Zeitfenster: Baseline
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Severity of the disease in both PD and AP groups measured by the Hoehn and Yahr scale (stage 0 to stage 5, a higher score meaning a more severe disease)
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Baseline
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Comparison of the patients' daily need in levodopa between PD and AP groups
Zeitfenster: Baseline
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Levodopa equivalent daily dose (in mg, method as described by CL Tomlinson) of patient from PD and AP groups
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Baseline
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Comparison of the percentage of patients treated with an apomorphine pump between PD and AP groups
Zeitfenster: Baseline
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Percentage of patients treated with apomorphine (%) in PD and AP groups
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Baseline
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Comparison of the percentage of patients treated with deep brain stimulation between PD and AP groups
Zeitfenster: Baseline
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Percentage of patients treated with deep brain stimulation (%) in PD and AP groups
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Baseline
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Comparison of the patients' age between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Age in years
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Baseline
|
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Comparison of the percentage of patients treated with deep brain stimulation between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Percentage of patients treated with deep brain stimulation (%) in both groups
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Baseline
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Comparison of the percentage of patients treated with an apomorphine pump between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
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Percentage of patients treated with apomorphine (%) in both groups
|
Baseline
|
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Comparison of the patients' daily need in levodopa between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Levodopa equivalent daily dose (in mg, method as described by CL Tomlinson) of patient from both groups
|
Baseline
|
|
Comparison of the severity of the disease between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Severity of the disease in both groups measured by the Hoehn and Yahr scale (stage 0 to stage 5, a higher score meaning a more severe disease)
|
Baseline
|
|
Comparison of the patients' duration of disease between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Duration of the disease (years since diagnosis of AP or PD) of patients
|
Baseline
|
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Comparison of the sex-ratio between patients presenting with dystonia and patients without reported dystonia
Zeitfenster: Baseline
|
Percentage of female (%)
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Baseline
|
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Comparison of the dystonia's characteristics between PD and AP groups : muscle affected
Zeitfenster: Day 0
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Muscle affected by dystonia (described with International Anatomical Terminology)
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Day 0
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Comparison of the dystonia's characteristics between PD and AP groups : duration of dystonia
Zeitfenster: Day 0
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Duration of the dystonia (years since first report of the dystonia)
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Day 0
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Comparison of the characteristics of the botulinum toxin injection between PD and AP groups : dose
Zeitfenster: Day 0
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Dose of BoNT used (in mL)
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Day 0
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Comparison of the characteristics of the botulinum toxin injection between PD and AP groups : type of BoNT
Zeitfenster: Day 0
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Type of botulinum toxin used (onabotulinumtoxinA, abobotulinumtoxinA or incobotulinumtoxinA)
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Day 0
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Comparison of the characteristics of the botulinum toxin injection between PD and AP groups : site of injection
Zeitfenster: Day 0
|
Site of injection (described with International Anatomical Terminology)
|
Day 0
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Comparison of the characteristics of the botulinum toxin injection between PD and AP groups : number of injections
Zeitfenster: Day 0
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Number of injection performed during injection appointment
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Day 0
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Comparison of the characteristics of the botulinum toxin injection between PD and AP groups : usage of electromyographic or ultrasound guidance
Zeitfenster: Day 0
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Usage of ultrasound or electromyography to guide BoNT injection
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Day 0
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Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Bertrand Degos, MD,PhD, Hospital AVICENNE
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Gehirns
- Erkrankungen des zentralen Nervensystems
- Erkrankungen des Nervensystems
- Neurologische Manifestationen
- Erkrankungen der Basalganglien
- Bewegungsstörungen
- Synucleinopathien
- Neurodegenerative Krankheiten
- Dyskinesien
- Parkinson Krankheit
- Dystonie
- Dystonische Störungen
- Parkinsonsche Störungen
Andere Studien-ID-Nummern
- CLEA-2021-167
Plan für individuelle Teilnehmerdaten (IPD)
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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