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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT00276185
Date of registration: 12/01/2006
Prospective Registration: No
Primary sponsor: University Hospital, Clermont-Ferrand
Public title: HEMITOX : Effect of Botulinum Toxin Injections on Motor and Functional Ability of Upper Limb in Adults at Earlier Phases of Spastic Hemiplegia After Stroke
Scientific title: Effect of Botulinum Toxin Injections on Motor and Functional Ability of Upper Limb in Adults at Earlier Phases of Spastic Hemiplegia After Stroke
Date of first enrolment: December 2005
Target sample size: 180
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT00276185
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment  
Phase:  Phase 3
Countries of recruitment
France
Contacts
Name:     Franck Durif
Address: 
Telephone:
Email:
Affiliation:  University Hospital, Clermont-Ferrand
Name:     Franck Durif
Address: 
Telephone: (33) 04 73 750 750
Email:
Affiliation: 
Name:     Franck Durif
Address: 
Telephone: (33) 04 73 750 750
Email:
Affiliation: 
Key inclusion & exclusion criteria

Inclusion Criteria:

- Minimum age 18

- Spastic hemiplegia after ischemic stroke (carotid occlusion) within the past 3
months.

- Antispasticity medication stabilized for the last 30 days

- Severe cognitive impairment such that patient is unable to provide scale assessment.

- Significant spasticity impeding improvement by re-education for 2 months or less

- Lack of muscular retraction defined by a minimal range of articular motion as :

- finger : complete extension and rolling up

- wrist : extension 40°/flexion : 45°

- elbow : extension - 10°/flexion : 120°

- shoulder : Enjalbert score 2 or more

- Antagonist muscles (to spasticity) activity score 1 or more

- Social Security benefits

Exclusion Criteria:

- Ischemic stroke thought to be due to basilar or vertebral vessel occlusion

- Known motor neuron or neuromuscular junction disease, disorders in which pain limits
the ability to inject muscles (algodystrophy)

- Absence of mobility in proximal part of upper limb that does not predict a functional
gain

- Minor stroke with non-disabling deficit or rapidly improving motor symptoms

- other serious illness, e.g. severe hepatic, cardiac, or renal failure ; acute
myocardial infarction ; or a complex disease that may confound treatment assessment

- Treatment of spasticity by previous administration of botulinum toxin, if known

- Known allergy to botulinum toxin

- Currently participating in other research studies



Age minimum: 18 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Hemiplegia
Intervention(s)
Drug: Time delay treatment of botulinum toxin
Primary Outcome(s)
Deficiency, incapacity, handicap : Frenchay Arm test(post stroke arm function); Enjalbert test;
Clinical Global Impression (CGI)
Fugl-Meyer upper limb test
Modified Ashworth scale (upper limb)
Enjalbert test
Functional Independence Measure
36-Item Short Form (SF-36) quality of life
Box and blocks test
Secondary Outcome(s)
Range of pain
Individual functional kinesitherapy
Secondary ID(s)
CHU63-0003
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Center of Physical Medicine and Rehabilitation (Notre Dame de Lourdes Center in Rennes)
Rennes University Hospital
Centre Hospitalier Universitaire de Saint Etienne
Saint Jacques Hospital in Nantes
Centre Hospitalier Universitaire de Besancon
Centre Régional de Département de médecine physique et réadaptation CHU-C3RF in Angers
J. Rebeyrol Hospital in Limoges
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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