Status:

UNKNOWN

BotulInum Toxin Type A for Peripheral Neuropathic Pain in subjEcts With Carpal Tunnel Syndrome

Lead Sponsor:

Francesco Bono

Conditions:

Carpal Tunnel Syndrome

Neurogenic Inflammation

Eligibility:

All Genders

18-60 years

Phase:

PHASE2

Brief Summary

The main purpose of the study is to assess the safety and efficacy of repeated administrations of BoNT-A in subjects with NP attributable to carpal tunnel syndrome (CTS) through a randomized, double-b...

Detailed Description

Botulinum toxin type A (BoNT-A) is widely used to treat muscle hyperactivity, based on its ability to inhibit synaptic exocytosis and, therefore, to disable neural transmission. Further research has s...

Eligibility Criteria

Inclusion

  • Male or female subject aged ≥18 and ≤60 years old.
  • Probable or definitive NP according to the International Association for the Study of Pain criteria.
  • Daily pain attributable to CTS for at least 6 months. This must be attributable to idiopathic carpal tunnel syndrome and with nerve conduction velocity findings consistent with this condition
  • Moderate-severe pain according to the 11-point Numerical. Rating Scale (NRS; 4-8)
  • We allow the concomitant use of analgesic treatments if they have been used at a stable doses for 4 weeks before the enrolment and for the whole study.
  • Signed informed consent prior to participation in the study

Exclusion

  • Pain level ≥9 on 11-point NRS.
  • CTS with atrophy of median-innervated muscles and EMG study suggesting a severe nerve injury.
  • Subject with contraindications or hypersensitivity to BoNT-A.
  • Subject with disorders of the neuromuscular junction, progressive neuropathy disorders, coagulation disorders or major psychiatric disorders.
  • Subject with diabetes, rheumatoid arthritis, connective tissue diseases, vasculitis, untreated hypothyroidism, acromegaly.
  • Subject using drugs acting on neuromuscular junctions, topical drugs (e.g., capsaicin or lidocaine), or anesthetic blocks.
  • Subject has used BoNT-A.
  • Subject is pregnant or breastfeeding women.
  • Subject enrolled in another interventional trial for the treatment of of the same disease.

Key Trial Info

Start Date :

May 25 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2023

Estimated Enrollment :

164 Patients enrolled

Trial Details

Trial ID

NCT05411900

Start Date

May 25 2022

End Date

December 1 2023

Last Update

June 9 2022

Active Locations (1)

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Aou Mater Domini

Catanzaro, Italy, 88100