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| Name | Class |
|---|---|
| Daewoong Pharmaceutical Co. LTD. | INDUSTRY |
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Study Design: Randomized Single Blind Study Objective: To determine the dose relationship of DWP 450 for finger flexor spasticity Subjects: 78 patients with upper extremity spasticity after CVA Inclusion criteria: Patient who have spasticity (MAS greater than 2 in finger flexors) Methods: Patients will be randomly assigned to one of 5 groups. Gp 1: placebo, Gp 2: 15U, Gp 3: 30 U, Gp 4: 50 U, Gp 5: 75 U
Seventy-eight patients with upper extremity spasticity after cerebrovascular accident will be recruited and randomly assigned to one of 5 groups. The groups are as followings.
Gp 1: placebo group (Normal saline 1.2 ml) Gp 2: Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 15 U Gp 3: Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 30 U Gp 4: Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 50 U Gp 5: Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 70 U
According to the group, the injection will be performed to the finger flexor musles (flexor digitorum superficialis and profundus). Outcome measurement will be MAS (Modified ashworth scale), FMA, Wolf Motor Assessment, Cross sectional area measured by Ultrasonography.
Patient evaluation will be conducted 2 weeks, 1 months, 2 months, and 3 months after the injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Normal Saline 0.9% 1.2 ml will be injected to finger flexor muscles |
|
| Treatment dose 15 | Experimental | Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 15 U will be injected to finger flexor muscles |
|
| Treatment dose 30 | Experimental | Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 30 U will be injected to finger flexor muscles |
|
| Treatment dose 50 | Experimental | Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 50 U will be injected to finger flexor muscles |
|
| Treatment dose 70 | Experimental | Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 70 U will be injected to finger flexor muscles |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal Saline 0.9% 1.2 ml | Drug |
| ||
| Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 15 U |
| Measure | Description | Time Frame |
|---|---|---|
| MAS (Modified Ashworth Scale) | Spasticity measurement measures resistance during passive soft-tissue stretching(taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
| baseline |
| MAS (Modified Ashworth Scale) | Spasticity measurement measures resistance during passive soft-tissue stretching(taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
| 2wks after injection |
| MAS (Modified Ashworth Scale) | Spasticity measurement measures resistance during passive soft-tissue stretching(taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
|
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasonography | measurement of changes of cross sectional area | baseline |
| Ultrasonography | measurement of changes of cross sectional area |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shi-Uk Lee, MD, PhD | Contact | shiuk.lee@gmail.com | ||
| Min Hyung Lee | Contact | 0206330@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Shi-Uk Lee | Seoul National University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul Metropolitan Government-Seoul National University Boramae Medical Center | Recruiting | Seoul | Dong Jak Ku | 156-707 | South Korea |
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| Drug |
|
|
| Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 30 U | Drug |
|
|
| Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 50 U | Drug |
|
|
| Clostridium Botulinum Toxin Type A (Nabota, DWP 450) 70 U | Drug |
|
|
| 4wks after injection |
| MAS (Modified Ashworth Scale) | Spasticity measurement measures resistance during passive soft-tissue stretching(taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
| 8wks after injection |
| MAS (Modified Ashworth Scale) | Spasticity measurement measures resistance during passive soft-tissue stretching(taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
| 12wks after injection |
| 2wks after injection |
| Ultrasonography | measurement of changes of cross sectional area | 4wks after injection |
| Ultrasonography | measurement of changes of cross sectional area | 8wks after injection |
| Ultrasonography | measurement of changes of cross sectional area | 12wks after injection |
| Fugl Myer Upper Extremity Assessment | measurement of upper extremity function | baseline |
| Fugl Myer Upper Extremity Assessment | measurement of upper extremity function | 2 wks after injection |
| Fugl Myer Upper Extremity Assessment | measurement of upper extremity function | 4 wks after injection |
| Fugl Myer Upper Extremity Assessment | measurement of upper extremity function | 8 wks after injection |
| Fugl Myer Upper Extremity Assessment | measurement of upper extremity function | 12 wks after injection |
| Wolf Motor Assessment | measurement of upper extremity function | baseline |
| Wolf Motor Assessment | measurement of upper extremity function | 2 wks after injection |
| Wolf Motor Assessment | measurement of upper extremity function | 4 wks after injection |
| Wolf Motor Assessment | measurement of upper extremity function | 8 wks after injection |
| Wolf Motor Assessment | measurement of upper extremity function | 12 wks after injection |
| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| D019274 | Botulinum Toxins, Type A |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D001905 | Botulinum Toxins |
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |
| D001426 | Bacterial Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |
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