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A Study to Assess Treatment Outcomes of abobotulinumtoxinA and onabotulinumtoxinA Treatments in Real Life Practice in Toxin-naïve Adult Patients With Limb Spasticity.

Completed
Conditions
Spasticity Related to Any Cause Except Cerebral Palsy
Registration Number
NCT04396704
Lead Sponsor
Ipsen
Brief Summary

The aim of the study is to describe treatment outcomes of abobotulinumtoxinA (aboBoNT-A) and onabotulinumtoxinA (onaBoNT-A) treatments, after one injection of either treatment, in toxin-naïve adult patients with upper and/or lower limb spasticity at a single National Health Service (NHS) centre in the United Kingdom (UK).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
114
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Average Goal Attainment Scale (GAS T) score 12 weeks12 weeks

GAS, a method that evaluates the attainment of priority goals that are of importance to the patient and has been previously used for the management of patients with limb spasticity. Rating is performed for each domain from -3 "worse than at start" to +2 "much more than expected: clear improvement".

Proportion of patients who exceed GAS-T score ≥1 for impairment/ symptoms goal12 weeks
Average Goal Attainment Scale (GAS T) score 6 weeks6 weeks

GAS, a method that evaluates the attainment of priority goals that are of importance to the patient and has been previously used for the management of patients with limb spasticity. Rating is performed for each domain from -3 "worse than at start" to +2 "much more than expected: clear improvement".

Proportion of patients who achieve GAS-T score ≥0 for impairment/ symptoms goal6 weeks
Secondary Outcome Measures
NameTimeMethod
Average total doseDay 0 (first BoNT-A injection) and from baseline up to 24 weeks (reinjection)
Distribution of vials usedDay 0 (first BoNT-A injection) and from baseline up to 24 weeks (reinjection)

If Dysport® 300U / 500U, if Botox® 50U / 100U / 200U

Distribution of localisation methodsDay 0 (first BoNT-A injection) and from baseline up to 24 weeks (reinjection)

Ultrasound, electrostimulation, palpation, electromyography

Distribution of limb and type of muscles injectedDay 0 (first BoNT-A injection) and from baseline up to 24 weeks (reinjection)

Upper limb: shoulder girdle, shoulder, arm, forearm, hand; lower limb: hip, thigh, leg and foot

Proportion of patients who require re-injection between aboBoNT-A and onaBoNT-AWeek 6 and week 12 (re-injection)
Average dose per limb and per type of muscle injectedDay 0 (first BoNT-A injection) and from baseline up to 24 weeks (reinjection)
Average number of unscheduled visitsFrom baseline up to end of the study (up to 24 weeks)
Proportion of patients with ≥1 unscheduled visitFrom baseline up to end of the study (up to 24 weeks)
Proportion of patients with at least "the same", or at least "better" satisfaction with their treatment as measured using a Likert scaleFrom baseline up to 12 weeks

A Likert scale is used to record patient's satisfaction with his/her progress, and the patient's "best response" (since index date) and "response now" (at the time of the review) on a five-category scale: From "Much worse" to "Much better"

Quality of Life (QoL)From baseline up to 12 weeks

The EQ-5D-VAS is used to evaluate patients' quality of life. EQ-5D-VAS is one component of the EQ-5D-5L, a generic, preference-based measure of health-related quality of life. The questions are answered based on how the subject is feeling "today".

Trial Locations

Locations (1)

North Staffordshire Rehabilitation Centre. Midlands Partnership NHS Foundation Trust.

🇬🇧

Stafford, United Kingdom

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