Foot Dystonia Treatment by Botulinum Toxin Injections in Parkinson Disease : Efficiency of Injections Made in Extrinsic Muscle (Flexor Digitorum Longus Muscle) Compared to Intrinsic Muscle (Flexor Digitorum Brevis or Quadratus Plantae Muscles)
RBHP 2008
1 other identifier
interventional
45
1 country
4
Brief Summary
Foot dystonia is frequently observed in patients suffering from Parkinson'disease. It is characterized by an abnormal involuntary movement which is very uncomfortable (difficult to walk) and painful for the patient. Botulinum toxin injections seem to be efficient to treat this dystonia. However studies on this topic are few and very imprecise (many muscle injected, especially the Flexor digitorum longus, different doses used, heterogeneous population with many types of dystonia included, open studies).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Sep 2009
Typical duration for phase_3
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2009
CompletedFirst Posted
Study publicly available on registry
May 29, 2009
CompletedStudy Start
First participant enrolled
September 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedMarch 25, 2011
March 1, 2011
2 years
May 19, 2009
March 24, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
In a controlled double blind and randomized study, we want to show that intramuscular injections of botulinum toxin are beneficial to reduced dystonia and associated pain in patient with foot dystonia (compared to placebo injections).
one month after the injection of botulinum toxin/placebo
Secondary Outcomes (1)
Efficiency comparison of injections made in leg muscle (Flexor digitorum longus) between injections made directly in foot muscle (Flexor digitorum brevis or quadratus plantae) - Effects of injections on pain and quality of life.
one month after injections of placebo or Botulinum toxin
Interventions
45 patients with an Idiopathic Parkinson's disease and a foot dystonia. Double blind, randomized study
Placebo injection
Eligibility Criteria
You may qualify if:
- Age : 30-75 years
- Patient with an idiopathic Parkinson's disease according to the criteria of the "Parkinson's Disease Society Brain Bank"
- Patient with unilateral tiptoe dystonia. Dystonia must be present more than 1h /day and induce difficulties to walk (severity index ≥ 3 (1 : light, 2 : moderate, 3 : severe, 4 : very severe)).
- Patients never treated with botulinum toxin or already treated for more than 6 months.
- Affiliation to social security
- Agreement of patients
You may not qualify if:
- Patients suffering of an atypical Parkinson syndrome
- Patient with a bilateral tiptoe dystonia
- Patients with contraindication to the botulinum toxin use
- Women without efficient contraception
- Person who participate to an other study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Clermont-Ferrandlead
- Merz Pharmaceuticalscollaborator
Study Sites (4)
CHU Purpan
Toulouse, Toulouse, 31059, France
CHU Gabriel-Montpied
Clermont-Ferrand, 63003, France
Hôpital La Pitié Salpétrière
Paris, 75651, France
Hôpital Haut-Levêque
Pessac, 33600, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Franck Durif
University Hospital, Clermont-Ferrand
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 19, 2009
First Posted
May 29, 2009
Study Start
September 1, 2009
Primary Completion
September 1, 2011
Study Completion
September 1, 2012
Last Updated
March 25, 2011
Record last verified: 2011-03