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
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 阶段1
联系人和位置
学习地点
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Gyeonggi-do
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Seongnam-si、Gyeonggi-do、大韩民国、463-712
- CHA Bundang Medical Center, CHA University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Erythropoietin and Rehabilitation
recombinant human erythropoietin injection and active rehabilitation
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250 IU/kg, Twice a week for 4 weeks
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Adverse Events
大体时间:8 weeks
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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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Changes in Quality of Movement
大体时间:Baseline - 8 weeks
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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
大体时间: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
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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