TOXSIALO-TRIAL : Evaluation of the long-term efficacy of the injection of botulinum toxin A into the salivary glands versus scopolamine patches in the treatment of drooling in children over 4 years old with cerebral palsy.
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 入组人数
- 132
- 试验地点
- 12
- 主要终点
- Change in score of the degree and impact of the drooling between baseline and after 15 months of treatment, measured by the DIS scale
研究概览
简要总结
To evaluate and compare the efficacy after 15 months of a “standardized rehabilitation guidance” treatment, associated with the injection of botulinum toxin (Botox®) in the salivary glands, compared to a “standardized rehabilitation guidance” treatment associated with the use of a scopolamine patch (Scopoderm®), on the degree and impact of drooling for children with cerebral palsy aged 4 years and over with pathological drooling.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 主要目的
- Botulinum toxin / Scopolamine
- 盲法
- None
入排标准
- 年龄范围
- 0 years 至 17 years(0-17 Years)
- 接受健康志愿者
- 是
入选标准
- •Aged 4 to 17 years old
- •Cerebral palsy (with permanent tonus and posture disorder caused by a stable (non-progressive/non-degenerative) brain injury, congenital or acquired before the age of 2 years, regardless of the origin of the lesion) and with disabling drooling
- •Significant impact of drooling on the children (DIS score ≥40)
- •Affiliated or beneficiary of a social security scheme
- •At least one of the parents understanding and speaking French
- •Written consent form signed by both parents
- •Absence of known current pregnancy and breastfeeding
排除标准
- •Previous history of surgery for drooling
- •Untreated severe or acute dental inflammatory condition (dental caries, gingivitis…)
- •Epileptic encephalopathies and Rett syndromes
- •Injection of botulinum toxin (all locations) in the 3 months prior to the inclusion
- •Treatment by scopolamine patch (Scopoderm®) or other anticholinergic (Artane®, etc.) in the 7 days prior to inclusion
- •Contraindication to the anesthetic or sedation
- •Contraindication to one of the treatments studied (glaucoma, myasthenia, uretroprostatic disorders)
- •Injection site infection
- •Patients without gastrostomy, with a swallowing disorder (to saliva) or absence of spontaneous swallowing reflex not investigated by an ENT specialist (by nasoscopy or other)
- •On-going or programmed orthodontic treatment over the study period
结局指标
主要结局
Change in score of the degree and impact of the drooling between baseline and after 15 months of treatment, measured by the DIS scale
Change in score of the degree and impact of the drooling between baseline and after 15 months of treatment, measured by the DIS scale
次要结局
- Description of concomitant treatments used at each time point.
- Description of the nature of the adverse events that have occurred (by symptom), as well as their frequency and their intensity, measured using the AE intensity scale (see § 8.1.5 safety) at each time point.
- Scores of the degree and impact of the drooling, measured by the DIS scale at 1, 3, 6, 9 and 12 months of treatment (compared to the baseline measurement at the initiation of treatment at M0).
- Severity of the drooling (quantity of saliva), measured by the average number of bibs used per day per patient (counted over 7 days) at 1, 3, 6, 9, 12 and 15 months (compared to the baseline measurement at treatment initiation at M0).
- Clinical complications of the drooling, measured by the number of hospitalizations for pulmonary infections and the number of prescriptions for antibiotic treatment linked to bronchial secondary infection at 1, 3, 6, 9, 12 and 15 months.
- Quantification of the adverse events, measured by the proportion of patients with at least one adverse event and the number of adverse events per patient at each time point.
- Level of treatment discontinuation due to adverse events, measured by the proportion of patients with at least one adverse event having led to a discontinuation of the treatment at each time point.
- Description of the nature and the frequency of the rehabilitation procedures used over 15 months.
- Description of the experimented strategies used (dose modifications /reinjections and their justifications) at each time point.
研究者
Dr. Sandrine TOUZET
Scientific
Hospices Civils De Lyon
