- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning 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
Studieöversikt
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 1
Kontakter och platser
Studieorter
-
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, Korea, Republiken av, 463-712
- CHA Bundang Medical Center, CHA University
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: Erythropoietin and Rehabilitation
recombinant human erythropoietin injection and active rehabilitation
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250 IU/kg, Twice a week for 4 weeks
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Adverse Events
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Changes in Quality of Movement
Tidsram: 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
Tidsram: Baseline - 8 weeks
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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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Samarbetspartners
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- CPEPOPhase1
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