Status:

TERMINATED

The Movement of Botulinum Toxin Through the Lateral Gastrocnemius Muscle in Humans: An Expanded Examination

Lead Sponsor:

Weill Medical College of Cornell University

Collaborating Sponsors:

Allergan

Conditions:

Stroke

Muscle Spasticity

Eligibility:

All Genders

30-75 years

Phase:

PHASE4

Brief Summary

Despite the wide-spread use of botulinum toxin (BT) to treat spasticity (increased muscle tone) in central neurological disease, evidence-based guidance on dosing, dilution, and injection technique is...

Detailed Description

The research questions for the present study series are as followed: 1. How does the movement and morphology of BT muscle effect (BTME) differ between standardized, research injections into spastic a...

Eligibility Criteria

Inclusion

  • Experimental Group:
  • Male and female aged 30-75
  • Diagnosis of any stroke (ischemic or hemorrhagic, first occurrence or recurrent)
  • Clinically significant lower extremity spasticity as assessed by PI that would benefit from BT treatment
  • Ambulatory with or without device and without assistance at household or greater level
  • Indication to inject gastrocnemius muscle (any combination of spastic lower extremity muscle injections are acceptable)
  • Goal of treatment may include improvement of gait, ankle range of motion, ankle foot orthosis fit, heel strike, ankle position in stance phase, decreased clonus, or relief from painful muscle spasms
  • Naïve to BT of any serotype in any lower extremity muscle
  • Naïve to phenol or alcohol treatment in any lower extremity muscle

Exclusion

  • History of concomitant neurological disease (central or peripheral) other than stroke
  • Contraindication to intramuscular injection of BT
  • Medically unstable as determined by PI
  • Have an intrathecal baclofen pump
  • Contraindication for MRI (Subjects with MRI-compatible hip replacements may participate, but not those with total knee replacements due to artifact)

Key Trial Info

Start Date :

June 15 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 18 2019

Estimated Enrollment :

4 Patients enrolled

Trial Details

Trial ID

NCT03367429

Start Date

June 15 2018

End Date

September 18 2019

Last Update

December 29 2021

Active Locations (1)

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1

NewYork Presbyterian Hospital - Weill Cornell Medicine

New York, New York, United States, 10065