E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Masticatory muscle hyperactivity/bruxism in patients with Cerebral Palsy. |
Tuggmuskulär hyperaktivitet/bruxism hos personer med cerebral pares. |
|
E.1.1.1 | Medical condition in easily understood language |
Masticatory muscle hyperactivity/bruxism in patients with Cerebral Palsy. |
Tuggmuskulär hyperaktivitet/bruxism hos personer med cerebral pares. |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10028037 |
E.1.2 | Term | Movement disorders (incl parkinsonism) |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The main objective of the study is to evaluate if injections with botulinum toxin in persons with cerebral palsy and severe bruxism/parafunction in masticatory muscles reduce the bite force without any adverse effects. |
Huvudsyftet med studien är att utvärdera om injektioner med botulinum toxin hos personer med cerebral pares och svår bruxism/hyperaktiv i tuggmuskulaturen reducerar bitmuskelstyrkan utan negativa biverkningar. |
|
E.2.2 | Secondary objectives of the trial |
Secondary objectives are:
- To evaluate if it is possible to identify responders after one injection
- Patient-reported outcomes including bruxism, pain, chewing- and speech ability and oral health-quality of life
- To evaluate mandibular movements in function, before and after injcection |
Sekundära syften är:
- Att ta reda på om man redan efter en injektion kan identifiera responders
- Att ta reda på patientens bedömning av bruxism, smärta, tugg- och talförmåga och munhälsa- livskvalitet
- Att utvärdera underkäkens rörelsemönster vid funktion, före och efter injektion |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Willingness to participate
2. Female and male aged 18 years or older
3. CP with masticatory muscle hyperactivity/bruxism
4. Obvious tooth wear
5. Capabillity to decide |
1. Villig att delta
2. Kvinnor och män 18 år eller äldre
3. CP med tuggmuskulär hyperaktivitet/bruxism
4. Tydligt tandslitage
5. Fullt beslutskapabel |
|
E.4 | Principal exclusion criteria |
1. Inability to understand the study and complete the questionnaire
2. Patients with known hypersensitivity to Botox
3. Patients with any infection in the injection site
4. Treatment with BTX-A injection last month
5. Medication with aminoglycoside antibiotics, spectinomycin and neuromuskular blockers
|
1. Oförmåga att förstå studien och svara på frågeformulären
2. Individer med känd överkänslighet mot botulinumtoxin typ A eller något hjälpämne
3. Vid infektion vid det planerade injektionsstället
4. Behandling med BTX-A, oavsett kroppsdel, senaste månaden
5. Medicinering med aminoglykosida antibiotika, spektinomycin och neuromuskulära blockerare |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Bite force, measured with a bite fork, peak at maximal clenching during 3 sec, mean of 3 tests.
- Bite force as "chewing", measured with a bite fork, mean of 5 tests. |
- Bitkraften, mätt med en bitkraftsmätare där en bitgaffel placeras mellan tandraderna. Kraften registreras i peak vid maximal sammanbitning under 3 sek och mean av 3 försök görs.
- Bitkraften som vid "tuggning", mean av 5 försök. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
4, 12 and 16 weeks |
4, 12 och 16 veckor |
|
E.5.2 | Secondary end point(s) |
- Patient Reported Outcomes assessed by VAS and a swedish version of General Oral Health Assessment Index, GOHAI.
- Mandibular jaw mowement, measured with SmartEye Pro - MME |
- Patientenkäter och frågeformulär mäts med VAS och en svensk version av GOHAI.
- Underkäkens rörelsemönster utvärderas med SmartEye Pro - MME. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
4, 12 and 16 weeks. |
4, 12 och 16 veckor. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
End of study is defined as "the last visit of the last subject undergoing the clinical study". |
Studien är definierad som klar när "sista patienten har genomgått den kliniska studien" |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | |