E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Stump hyperhidrosis in lower limb amputees |
Hiperhidrosis del muñón de amputación de extremidades inferiores |
|
E.1.1.1 | Medical condition in easily understood language |
Excessive sweating of the stump in lower limb amputees |
Sudoración excesiva del muñón de amputación de extremidades inferiores |
|
E.1.1.2 | Therapeutic area | Not possible to specify |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020642 |
E.1.2 | Term | Hyperhidrosis |
E.1.2 | System Organ Class | 10040785 - Skin and subcutaneous tissue disorders |
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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 |
Check the effectiveness of botulinum toxin type A free of complexing proteins used by iontophoresis to decrease sweating of lower limb stump. |
Comprobar la eficacia de la toxina botulínica Tipo A sin proteínas complejantes utilizada mediante iontoforesis para reducir la sudoración del muñón de amputación de la extremidad inferior. |
|
E.2.2 | Secondary objectives of the trial |
- Assess comfort / tolerability/adverse effects of the technique - Determine the duration of effect - Assess if there are significant changes in patients? quality of life - Assess if significant changes occur in six minutes walking test - Assess if there is any impact on the level of pain on the stump and the phantom limb |
- Valorar confort/tolerabilidad de la técnica/efectos secundarios/ reacciones adversas - Determinar duración del efecto - Valorar si hay cambios significativos en la calidad de vida de los pacientes - Valorar si produce cambios significativos a nivel funcional con test 6 minutos marcha - Valorar si hay algún impacto a nivel de dolor del muñón de amputación y de miembro fantasma |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Lower limb amputation at any level. - Evolution of time since the amputation: 6 months or more. - Prosthesis wearers. - Activity level: K2-K4. - Excessive sweating of the stump that produces alteration in the use / fit of the prosthesis. - Approval and signing of informed consent. - Age >18. |
- Amputación extremidad inferior a cualquier nivel. - Tiempo evolutivo desde amputación: 6 meses o más. - Portadores de prótesis. - Nivel de actividad: K2-K4. - Sudoración excesiva del muñón que produzca alteración en el uso/ajuste de la prótesis. - Autorización y firma de consentimiento informado. - Edad >18 años. |
|
E.4 | Principal exclusion criteria |
- Having another type of treatment for excessive sweating of the stump. - Existence of contraindications to the use of botulinum toxin: hypersensitivity to the molecule, myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, peripheral neuromuscular disorders. - Having a pacemaker. - Cutaneous impairment in the stump: infection or loss of skin integrity. - Pregnancy or lactation |
- Estar realizando otro tipo de tratamiento para la hipersudoración del muñón. - Existencia de contraindicaciones para el uso de toxina botulínica: hipersensibilidad a la molécula, miastenia gravis, síndrome de Eaton-Lambert, esclerosis lateral amiotrófica, trastornos neuromusculares periféricos. - Ser portador de marcapasos. - Alteración cutánea en el muñón amputación: infección o pérdida de integridad de la piel. - Embarazo o lactancia. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Questionnaire: - How much sweat do you have during the day? (VAS 0-10) - How much does sweat interfere in the placement of the prosthesis? (VAS 0-10) - How long can you walk without losing adhesion of the prosthesis? (timed) - How many times a day do you have to remove the prosthesis to dry the stump and the socket? - How much pain do you have in the amputation stump? (VAS 0-10) - How much phantom limb pain do you have? (VAS 0-10) |
Cuestionario referido al muñón de amputación: - ¿Cuánto sudor tiene al día? (EVA 0-10) - ¿Cuánto interfiere el sudor en la colocación de la prótesis? (EVA 0-10) - ¿Cuánto tiempo puede caminar sin perder la adherencia de la prótesis? (tiempo min) - ¿Cuántas veces al día se tiene que quitar la prótesis para secar el muñón y el encaje? - ¿Cuánto dolor tiene en el muñón de amputación? (EVA 0-10) - ¿Cuánto dolor de miembro fantasma tiene? (EVA 0-10) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
One week before and 15 days after placebo intervention,15 days, 1.5 months, 2.5 months and 3.5 months after real intervention. |
Una semana antes y 15 días después de la intervención placebo; y 15 días, 1.5 meses, 2.5 meses y 3.5 meses después de la intervención real. |
|
E.5.2 | Secondary end point(s) |
- Pain / Discomfort during the procedure (VAS 0-10) - Scale of quality of life: SF-36. - 6 minute walking test - Complications / adverse effects. |
- Dolor/Molestias durante la intervención (EVA 0-10) - Escala de calidad de vida: SF-36. - Test 6 minutos marcha. - Complicaciones/Efectos adversos. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
One week before and 15 days after placebo intervention,15 days, 1.5 months, 2.5 months and 3.5 months after real intervention. |
Una semana antes y 15 días después de la intervención placebo; y 15 días, 1.5 meses, 2.5 meses y 3.5 meses después de la intervención real. |
|
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 | Yes |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Usamos los mismos pacientes como controles con la intervención placebo inicial |
We use the same patients as their own control by performing initial placebo intervention. |
|
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 | 1 |
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
|
LVLS |
última visita del último paciente |
|
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 | 5 |
E.8.9.1 | In the Member State concerned days | |