- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT01586052
Erythropoietin Therapy for Children With Cerebral Palsy: Phase 1
A Phase 1 Clinical Research of Erythropoietin Therapy for Children With Cerebral Palsy: Safety and Efficacy
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Cerebral palsy is a disorder of movement and posture resulted from a nonprogressive lesion or injury of the immature brain. It is a leading cause of childhood onset disability.
Many experimental animal studies have revealed that erythropoietin is useful to repair neurological injury in brain. The main mechanism of erythropoietin is supposed as follows; neuroprotection effect, angiogenesis, and anti-inflammation.
On the basis of many experimental studies, erythropoietin is suggested as a potential therapy for cerebral palsy.
Type d'étude
Inscription (Réel)
Phase
- La phase 1
Contacts et emplacements
Lieux d'étude
-
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, Corée, République de, 463-712
- CHA Bundang Medical Center, CHA University
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Cerebral Palsy
- Abnormal Muscle Tone
- GMFCS (Gross Motor Functional Classification System): II to IV
- Age: 6 months ~ 3 years
- Abnormal Brain MRI compatible to clinical features and non-progressive
- Willing to Comply with All Study Procedure
Exclusion Criteria:
- Known Genetic Disorder
- Baseline Erythropoietin level > 45 mU/mL
- Presence of Drug Hypersensitivity Related to the Study Remedy
- Previous Erythropoietin Treatment before 3 months
- Coagulopathy:
Family History, Unknown Cerebral Infarction, Thromboembolic Events History
- Intractable Seizure Disorder
- Poor Cooperation of Guardian including Inactive Attitude for Rehabilitation
- Uncontrolled Hypertension
- Liver Dysfunction
- Renal Dysfunction
- Absolute Neutrophil Count < 500/dL
- Intracerebral or Intraventricular Hemorrhage
- Malignancy
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Erythropoietin and Rehabilitation
recombinant human erythropoietin injection and active rehabilitation
|
250 IU/kg, Twice a week for 4 weeks
Autres noms:
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Adverse Events
Délai: 8 weeks
|
Monitoring of all adverse events during 8 weeks, the study period We selected specially considered adverse events: encephalopathy, intracranial hemorrhage, seizure, hypertension, thromboembolic event, hypoxia, and acute kidney injury.
Other adverse events will be recorded.
The list was determined by the clinical experience and all adverse reactions reported by the pharmaceutical company.
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8 weeks
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Changes in Quality of Movement
Délai: Baseline - 8 weeks
|
GMPM (Gross Motor Performance Measure) as a standardized measurement tool for assessing quality of movement regarding 3 properties of 5 ones: alignment, coordination, dissociated movement, stability, and weight shift The interrater reliability of GMPM subscores and total scores was 0.758-0.886
(subject n=75, tester n=10).
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Baseline - 8 weeks
|
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Changes in Gross Motor Function
Délai: Baseline - 8 weeks
|
GMFM (Gross Motor Function Measure) as a standardized measurement tool for assessing Gross Motor Function consisting of 6 sub-scales; lying & rolling, sitting, crawling & kneeling, standing, walking, running & jumping The measured interrater reliability of GMFM subscores and total scores was 0.974 - 0.997 (subject n=101, tester n=10) and intrarater reliability of GMFM subscores and total scores between one most experienced rater and another newly t rained rater was 0.994 - 1.000 (subject n=101, tester n=2).
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Baseline - 8 weeks
|
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Changes in Neurodevelopmental Outcomes
Délai: Baseline - 8 weeks
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K-BSID-II (Korean version of Bayley Scale of Infant Development-II) Motor and Mental scales The measured intrarater and interrater reliability of K-BSID-II motor and mental scales was 0.92 - 0.99 (subject n=55, tester n=10).
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Baseline - 8 weeks
|
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Changes in Motor Development
Délai: Baseline - 8 weeks
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AIMS (Alberta Infant Motor Scale) to assess motor development
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Baseline - 8 weeks
|
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Changes in Spasticity
Délai: Baseline - 8 weeks
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MAS (modified Ashworth Scale) measured at biceps, hip adductor, hamstring, heel cord
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Baseline - 8 weeks
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- CPEPOPhase1
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