A Phase III, Prospective, Multicentre, Open Label, Extension Study, to Assess the Long Term Safety and Efficacy of Repeated Treatment of Dysport® Intramuscular Injection in the Treatment of Lower Limb Spasticity in Adult Subjects With Spastic Hemiparesis Due to Stroke or Traumatic Brain Injury
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- Ipsen
- 入组人数
- 352
- 试验地点
- 50
- 主要终点
- Assessment of the Long-Term Safety of Dysport® Through the Collection of Treatment Emergent Adverse Events (TEAEs)
研究概览
简要总结
The purpose of this research study is to assess the long term safety of Dysport® in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury over repeated treatment cycles.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Completion of Dysport® Adult Lower Limb Spasticity Double Blind study Y-55-52120-140 (NCT01249404)
排除标准
- •Fixed contractures in lower limb
研究组 & 干预措施
Dysport®
Dysport® is injected into lower limbs across 4 cycles of treatment, a minimum of 12 weeks between 2 injections. Doses vary from 1000 U to 1500 U.
干预措施: Botulinum toxin type A (Biological)
结局指标
主要结局
Assessment of the Long-Term Safety of Dysport® Through the Collection of Treatment Emergent Adverse Events (TEAEs)
时间窗: Up to EOS (maximum duration of 52 weeks).
Adverse events (AEs) were monitored from the time that the subject gave informed consent to the end of the study/early withdrawal (EOS/EW). An AE was reported as a TEAE if it was not present prior to study treatment administration in Study 140, or if it was present prior to study treatment in Study 140 but the intensity increased during the treatment phase of this study. Adverse events of special interest (AESIs) were identified as those assessed as being due to remote spread of effect of Dysport®, or any AE that was assessed as a hypersensitivity reaction. TEAEs, treatment related TEAEs, severe TEAEs, TEAEs leading to death, TEAEs leading to withdrawal, treatment emergent AESIs, and serious adverse events (SAEs) are summarised by treatment cycle.
Mean Change From Baseline to Week 4 in Systolic and Diastolic Blood Pressure (BP)
时间窗: Baseline and Week 4 of each cycle
Systolic and diastolic BP were recorded at baseline and at each subsequent study visit. BP was measured with the subject in a sitting position after resting for 3 minutes. Mean change in BP from baseline at Week 4 is reported per cycle.
Mean Change From Baseline to Week 4 in Heart Rate (HR)
时间窗: Baseline and Week 4 of each cycle
HR was recorded at baseline and at each subsequent study visit. HR was measured with the subject in a sitting position after resting for 3 minutes. Mean change in HR from baseline at Week 4 is reported per cycle.
Mean Change From Baseline to Week 4 in Red Blood Cell (RBC) Count
时间窗: Baseline and Week 4 of each cycle
Blood samples for RBC count were taken at baseline, at Week 4, and at EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Haemoglobin and Mean Corpuscular Haemoglobin Concentration (MCHC)
时间窗: Baseline and Week 4 of each cycle
Blood samples for haemoglobin and MCHC were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Haematocrit
时间窗: Baseline and Week 4 of each cycle
Blood samples for haematocrit were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Mean Corpuscular Haemoglobin (MCH)
时间窗: Baseline and Week 4 of each cycle
Blood samples for MCH were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Mean Corpuscular Volume (MCV)
时间窗: Baseline and Week 4 of each cycle
Blood samples for MCV were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in White Blood Cell (WBC) Count, Neutrophils, Lymphocytes and Platelets
时间窗: Baseline and Week 4 of each cycle
Blood samples for WBC count with differentials (neutrophils, lymphocytes) and platelet count were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Alkaline Phosphatase (ALP), Gamma Glutamyl Transferase (GGT), Serum Glutamic Oxaloacetic Transaminase (SGOT) and Serum Glutamic Pyruvic Transaminase (SGPT)
时间窗: Baseline and Week 4 of each cycle
Blood samples were taken at baseline, at Week 4, and at the EOS/EW for analysis of the following clinical chemistry parameters: ALP, GGT, SGOT and SGPT. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Total Bilirubin and Creatinine
时间窗: Baseline and Week 4 of each cycle
Blood samples for clinical chemistry analysis of total bilirubin and creatinine were taken at baseline, at Week 4, and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Mean Change From Baseline to Week 4 in Blood Urea Nitrogen (BUN) and Fasting Blood Glucose
时间窗: Baseline and Week 4 of each cycle
Blood samples for analysis of BUN and fasting blood glucose levels were taken at baseline, at Week 4 and at the EOS/EW. Outcome measure is reported per cycle as change from baseline at Week 4.
Presence of Botulinum Toxin Type A (BTX-A) Neutralising Putative Antibodies (NAbs) Following Injection of Dysport®
时间窗: At Week 4
Blood samples were collected at baseline, Week 4 and at EOS/EW to test for the presence of BTX-A antibodies. The number of subjects who were either NAb positive at baseline or negative at baseline but then positive following injection of Dysport® were reported.
Mean Change From Baseline to Week 4 in 12-Lead Electrocardiogram (ECG)
时间窗: Baseline and Week 4 of each cycle
12-lead ECG tracing was performed at baseline, at Week 4 of each cycle and at EOS/EW. The 12-lead ECG recordings were performed at a paper speed of 25 millimetres/second (mm/s), recorded with the subject in a supine position after 5 minutes rest. The ECG parameters; QT Duration, QT interval corrected with Fridericia's method (QTcF), QT interval corrected with Bazett's method (QTcB), QRS duration and PR duration were recorded and outcome measure is reported per cycle as change from baseline at Week 4.
次要结局
- Mean Change From Baseline to Week 4 in the Modified Ashworth Scale (MAS) Score Measured in the Gastrocnemius-soleus Complex (GSC) (Knee Extended)(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in the MAS Measured in the Soleus Muscle (Knee Flexed)(Baseline and Week 4 of each cycle)
- Percentage of Subjects With At Least a 1 or 2 Grade Reduction in the MAS Measured in the GSC (Knee Extended) at Week 4(Week 4 of each cycle)
- Percentage of Subjects With At Least a 1 or 2 Grade Reduction in the MAS Measured in the Soleus Muscle (Knee Flexed) at Week 4(Week 4 of each cycle)
- Physician's Global Assessment (PGA) of Treatment Response at Week 4(Week 4 of each cycle)
- Percentage of Subjects With a Score of at Least +1 on the PGA Scale at Week 4(Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in the Range of Active Ankle Dorsiflexion Both With the Knee Flexed and With the Knee Extended(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Lower Limb Pain(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Short Form (36) Health Survey (SF-36) Quality of Life (QoL)(Baseline and Week 4 of each cycle)
- Mean Change From Baseline in European Quality of Life - 5 Dimensions, 5 Level (EQ-5D-5L) QoL(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Walking Speed (WS)(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Step Length(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Spasticity Grade (Y) in the GSC (Knee Extended)(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Angle of Arrest (XV1), Angle of Catch (XV3) and Spasticity Angle (X) in the Soleus Muscle (Knee Flexed)(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Spasticity Grade (Y) in the Soleus Muscle (Knee Flexed)(Baseline and Week 4 of each cycle)
- Use of Walking Aids/Orthoses at Baseline and Week 4(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Cadence(Baseline and Week 4 of each cycle)
- Mean Change From Baseline to Week 4 in Angle of Arrest (XV1), Angle of Catch (XV3) and Spasticity Angle (X) in the GSC (Knee Extended)(Baseline and Week 4 of each cycle)
