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
Studieoversikt
Status
Status
Forhold
Forhold
Studietype
Studietype
Registrering (Faktiske)
Registrering
Kontakter og plasseringer
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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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
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 studiet utformet?
Designdetaljer
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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 |
Tiltaksbeskrivelse |
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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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- A-38-52120-215
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