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出境医 / 临床实验 / Spasticity and Treatment Satisfaction Among Stroke Survivors (REBOT)

Spasticity and Treatment Satisfaction Among Stroke Survivors (REBOT)

Study Description
Brief Summary:
To investigate, through ethnography, changes in symptom burden and disability and their effects/interference on patient functioning, ability to perform activities of daily living (ADL) and quality of life (QoL) throughout the duration of one BoNT-A treatment cycle.

Condition or disease
Spasticity as Sequela of Stroke

Study Design
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Study Type : Observational
Actual Enrollment : 30 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Perceived Spasticity and Treatment Satisfaction Among Stroke Survivors Over the Course of a Complete Treatment Cycle With Botulinum Neurotoxin A (BoNT-A): an Ethnographic Study.
Actual Study Start Date : July 20, 2019
Actual Primary Completion Date : May 12, 2020
Actual Study Completion Date : May 12, 2020
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Degree of functional limitations in daily life activities [ Time Frame: monthly for 12 Weeks, or until end of injection cycle whichever occurs first ]
    Degree of functional limitations in daily life activities (i.e. physical functioning) associated with post-stroke spasticity as assessed by using WHODAS parameters, and identification of their characteristics and changes over time

  2. Health status in subjects with post-stroke spasticity [ Time Frame: weekly for 12 Weeks, or until end of injection cycle whichever occurs first ]
    Health status in subjects with post-stroke spasticity as assessed by using EQ-5D-5L parameters, and identification of their characteristics and changes over time

  3. Severity of Pain [ Time Frame: 12 weeks ]
    Severity of Pain as per EQ-5D-5L and a sliding scale. This is a descriptive scale that covers 5 dimensions: mobility, self-care, usual activities,pain/discomfort and anxiety/depression. the scale consist of 5 levels, where level one corresponds to "no problems" and level 5 corresponds to "extreme problem".


Secondary Outcome Measures :
  1. Burden of spasticity/treatment [ Time Frame: Opening interview and ending qualitative interviews, ethnography data which will be provided at discretion of patient/caregiver for 12 weeks or duration of treatment, whichever occurs first, may also support these qualitative analyses ]
    Themes/domains related to the everyday life experiences of subjects with post-stroke spasticity (e.g. burden disease/treatment) through qualitative analysis of in-depth open-ended interviews

  2. Patients' satisfaction [ Time Frame: weekly for 12 weeks or until end of injection cycle whichever occurs first. Opening and closing interview will also explore this ]
    Subjects Report of Satisfaction with Treatment and their perception/desire of more tailored treatment options

  3. Comparison of feedback between caregivers and stroke survivors [ Time Frame: opening ( before week 1) and ending ( 2 weeks after end of injection cycle) qualitative interviews ]
    Agreement between the themes elicited from semi-structured interviews between caregivers and subjects


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
40 Adults subjects (male or female) suffering from post-stroke spasticity (the US, UK, France, and Italy), who are treated with BoNT-A in the course of routine clinical practice for focal spasticity
Criteria

Inclusion Criteria:

  • Diagnostic of post-stroke spasticity more than three months prior to inclusion
  • At least 6 months on treatment (or two treatment cycles) with BoNT-A injections for spasticity according to the decision of the physician
  • Previous BoNT-A injection cycles did not last for more than 16 weeks
  • Ambulatory (use of walking aids is acceptable)

Exclusion Criteria:

  • Neurological disorder other than stroke
  • Spasticity-specific treatment changes within 3 months prior to inclusion
  • Patients who had undergone neurolysis or surgery to the affected limb within 6 months
  • Concurrent participation in a clinical trial for the treatment of spasticity
Contacts and Locations

Locations
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France
Ipsen Central Contact
Paris, France
Sponsors and Collaborators
Ipsen
Investigators
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Study Director: Ipsen Medical Director Ipsen
Tracking Information
First Submitted Date May 29, 2019
First Posted Date June 24, 2019
Last Update Posted Date June 1, 2020
Actual Study Start Date July 20, 2019
Actual Primary Completion Date May 12, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 19, 2019)
  • Degree of functional limitations in daily life activities [ Time Frame: monthly for 12 Weeks, or until end of injection cycle whichever occurs first ]
    Degree of functional limitations in daily life activities (i.e. physical functioning) associated with post-stroke spasticity as assessed by using WHODAS parameters, and identification of their characteristics and changes over time
  • Health status in subjects with post-stroke spasticity [ Time Frame: weekly for 12 Weeks, or until end of injection cycle whichever occurs first ]
    Health status in subjects with post-stroke spasticity as assessed by using EQ-5D-5L parameters, and identification of their characteristics and changes over time
  • Severity of Pain [ Time Frame: 12 weeks ]
    Severity of Pain as per EQ-5D-5L and a sliding scale. This is a descriptive scale that covers 5 dimensions: mobility, self-care, usual activities,pain/discomfort and anxiety/depression. the scale consist of 5 levels, where level one corresponds to "no problems" and level 5 corresponds to "extreme problem".
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: June 19, 2019)
  • Burden of spasticity/treatment [ Time Frame: Opening interview and ending qualitative interviews, ethnography data which will be provided at discretion of patient/caregiver for 12 weeks or duration of treatment, whichever occurs first, may also support these qualitative analyses ]
    Themes/domains related to the everyday life experiences of subjects with post-stroke spasticity (e.g. burden disease/treatment) through qualitative analysis of in-depth open-ended interviews
  • Patients' satisfaction [ Time Frame: weekly for 12 weeks or until end of injection cycle whichever occurs first. Opening and closing interview will also explore this ]
    Subjects Report of Satisfaction with Treatment and their perception/desire of more tailored treatment options
  • Comparison of feedback between caregivers and stroke survivors [ Time Frame: opening ( before week 1) and ending ( 2 weeks after end of injection cycle) qualitative interviews ]
    Agreement between the themes elicited from semi-structured interviews between caregivers and subjects
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Spasticity and Treatment Satisfaction Among Stroke Survivors
Official Title Perceived Spasticity and Treatment Satisfaction Among Stroke Survivors Over the Course of a Complete Treatment Cycle With Botulinum Neurotoxin A (BoNT-A): an Ethnographic Study.
Brief Summary To investigate, through ethnography, changes in symptom burden and disability and their effects/interference on patient functioning, ability to perform activities of daily living (ADL) and quality of life (QoL) throughout the duration of one BoNT-A treatment cycle.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population 40 Adults subjects (male or female) suffering from post-stroke spasticity (the US, UK, France, and Italy), who are treated with BoNT-A in the course of routine clinical practice for focal spasticity
Condition Spasticity as Sequela of Stroke
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: February 28, 2020)
30
Original Estimated Enrollment
 (submitted: June 19, 2019)
40
Actual Study Completion Date May 12, 2020
Actual Primary Completion Date May 12, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Diagnostic of post-stroke spasticity more than three months prior to inclusion
  • At least 6 months on treatment (or two treatment cycles) with BoNT-A injections for spasticity according to the decision of the physician
  • Previous BoNT-A injection cycles did not last for more than 16 weeks
  • Ambulatory (use of walking aids is acceptable)

Exclusion Criteria:

  • Neurological disorder other than stroke
  • Spasticity-specific treatment changes within 3 months prior to inclusion
  • Patients who had undergone neurolysis or surgery to the affected limb within 6 months
  • Concurrent participation in a clinical trial for the treatment of spasticity
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years to 75 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03995524
Other Study ID Numbers F-FR-52120-258
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party Ipsen
Study Sponsor Ipsen
Collaborators Not Provided
Investigators
Study Director: Ipsen Medical Director Ipsen
PRS Account Ipsen
Verification Date May 2020