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A Study of the Combination of Electrical Stimulation and Dysport® in Myofascial Pain Syndrome.

Information source: Ipsen
Information obtained from ClinicalTrials.gov on March 21, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Myofascial Pain Syndromes

Intervention: Botulinum type A toxin (Dysport) (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: Ipsen

Official(s) and/or principal investigator(s):
Stefan Lempereur, MD, Study Director, Affiliation: Ipsen

Summary

The purpose of this study is to determine whether electrical stimulation enhances the effect of botulinum toxin type A (Dysport®) on myofascial pain syndrome.

Clinical Details

Official title: A 16-Week Prospective Randomised Double-Blind Study on Facilitation of DYSPORT® Effect on Myofascial Pain Syndrome (MPS) by Electrical Stimulation.

Study design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome:

Changes in mean pain measured by Visual Analogue Scale (VAS) will be assessed.

Number of patients in percentage whose pain intensity measured by VAS decreases to less than 50% of baseline.

Secondary outcome:

Pain threshold measured by pressure algometer.

Neck Pain and Disability scale (NPAD) and Global Assessment of Impairment Scale (GAS) will be assessed.

Eligibility

Minimum age: 21 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Chronic neck and shoulder pain for at least 6 months, refractory with other

conservative treatments

- Presents at baseline with pain score greater than 50mm on 100mm length VAS. Pain score

will be measured as overall pain over the 7 days preceding the visit during activities

- Active trigger point (TrP) defined as a tender spot localised in a taut band of muscle

fibres associated with tenderness AND referred pain recognised by the patient into well-defined areas that are remote from the TrP area at palpation AND preferably local twitch response at palpation AND/OR jump sign at palpation

Exclusion Criteria:

- Disc/bone disease

- History of surgery on neck

- Neurological deficits, neuromuscular junction disorder, Motor Neuron disease

- Patient has received anesthetic injections to the target trigger point within 4 weeks

of study enrolment, or corticosteroid injections within 3 months

- Systemic inflammatory disease

- Hypersensitivity to Dysport®

- Diffuse tender points, or diagnosed with fibromyalgia

- Previous electrical stimulation

- Previous injection of Dysport® within 6 months of study enrolment

Locations and Contacts

Seoul National University Hospital, Seoul 110-744, Korea, Republic of
Additional Information

Starting date: April 2005
Last updated: October 11, 2007

Page last updated: March 21, 2008

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