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Trial registered on ANZCTR
Registration number
ACTRN12614000118606
Ethics application status
Not yet submitted
Date submitted
24/01/2014
Date registered
30/01/2014
Date last updated
30/01/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluating Sensory Perception in Cervical Dystonia
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Scientific title
Evaluating Sensory Perception in Cervical Dystonia
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Secondary ID [1]
283977
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Nil
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Universal Trial Number (UTN)
U1111-1152-5351
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Trial acronym
ESP CD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cervical Dystonia
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Condition category
Condition code
Neurological
291350
291350
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0
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational study- Sensory testing including Quantitative Sensory analysis and nerve conduction studies.
Quantitative Sensory Analysis (QST) will be performed testing pressure, temperature and pain perception. These tests take 2-3 hours to complete.
Control subjects will undergo this testing on a single occasion. Subjects with Cervical Dystonia will undergo this testing on two separate occasions 6 weeks apart.
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Intervention code [1]
288665
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Not applicable
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Comparator / control treatment
Control subjects without neurological disease
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Control group
Active
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Outcomes
Primary outcome [1]
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comparison between sensory testing outcomes in people with cervical dystonia and control subjects
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Assessment method [1]
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Timepoint [1]
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Comparison between groups ( Cervical dystonia compared with healthy controls) will be conducted after all participants have completed their initial visit.
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Primary outcome [2]
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comparison between sensory testing before and after botulinum toxin injection treatment for cervical dystonia
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Assessment method [2]
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Timepoint [2]
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Comparison between sensory testing before and after botulinum toxin injection treatment for cervical dystoniarequires two tests to be performed in each subject with cervical dystonia.
Each participant with cervical dystonia will under go the testing on two separate occasions, with the second testing session taking place after the administration of the participant's next botulinum toxin injection for the treatment of cervical dystonia; testing sessions will be at least 6 weeks apart.
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Secondary outcome [1]
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variability in sensory testing outcomes across affected and non affected body parts in cervical dystonia
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Assessment method [1]
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Timepoint [1]
306562
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this information will be collected during the first testing session in subjects with cervical dystonia
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Eligibility
Key inclusion criteria
Two groups:
1. Cervical dystonia
Cervical dystonia as diagnosed by a movement disorders neurologist, aged > 18 years, capable of providing informed consent. The first visit will be held at the end of the botulinum toxin injection cycle, 12 weeks since last injection.
2. control subjects without known neurological disease or chronic pain syndrome
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1.Complex dystonia phenotype or familial dystonia
2.Presence of neuropathy (including risk factors as detailed below)
a.Diabetes
b.Carpal tunnel syndrome
c.Major cardiac/respiratory/renal impairment
d.Deranged thyroid function
e.Significant B12 deficiency
f.Autoimmune disease
g. Past history of multiple myeloma, chemotherapy
h.Cervical spine pathology/radiculopathy
i.Co-existing neurological disease or other movement disorder
j.Pregnancy
k. Drug and alcohol abuse
l.HepB/HepC/HIV
3.Inability to speak English to sufficient degree to provide appropriate consent
4.Clinically diagnosed dementia
5.Clinically significant generalised pain disorders including
a.Migraine
b.Back pain
c.Fibromyalgia
d.Bruxism/TMJ dysfunction
e.CRPS
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data found to be normally distributed is presented as mean and standard deviation, with comparison between groups made using the independent groups t-test. Data found not to adhere to a normal distribution is presented as median and interquartile range, and differences between groups compared using a Mann-Whitney U-test.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/03/2014
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Actual
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Date of last participant enrolment
Anticipated
1/09/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
1997
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The Alfred - Prahran
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Recruitment postcode(s) [1]
7720
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
288606
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Hospital
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Name [1]
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The Alfred
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Address [1]
288606
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Commercial road
Prahran
Victoria 3004
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Country [1]
288606
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Australia
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Primary sponsor type
Hospital
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Name
The Alfred
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Address
Commercial road
Prahran
Victoria 3004
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
287316
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Country [1]
287316
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Alfred HREC
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Ethics committee address [1]
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The Alfred Hospital Commercial road Prahran Victoria 3004
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/01/2014
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Approval date [1]
290468
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Ethics approval number [1]
290468
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Summary
Brief summary
Dystonia is a movement disorder characterised by involuntary twisting movements and abnormal postures of the body. Cervical dystonia is the most common focal dystonia of younger adults, producing abnormal neck postures, twisting, shaking and turning movements of the neck, and pain in the neck and shoulders. How dystonia develops is not known. Treatment for cervical dystonia is predominantly with Botulinum toxin. There is compelling evidence for its benefit in reducing symptoms of head posturing and pain, however it requires repeated injections and does not always provide satisfactory outcomes. Botulinum toxin is known to interrupt neuro-muscular interaction, producing focal muscle weakness, however evidence for its use in migraine headache has implicated a direct effect on pain perception. Whether improvement in dystonia with botulinum toxin is related only to motor effects or has a longer term benefit on modulating the dystonia itself is not known. The experience of pain can alter sensory and motor processing related to direct interference with neuroplastic processes or compromised motor performance. Sensory testing has shown decreased sensory function in the affected compared with unaffected hand in people with hand dystonia. This type of sensory testing has not been performed in people with cervical dystonia. It is likely all dystonia arises from abnormal sensorimotor integration processes, though this process is currently incompletely understood. This project aims to measure peripheral sensory perception objectively in patients with cervical dystonia to determine if their sensation is abnormal, if this is a generalised or focal situation, and to determine if this sensation is altered by the administration of botulinum toxin which is effective in reducing the severity of the movements.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Kelly Bertram
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Address
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Neurosciences
Alfred Hospital
Commercial road
Prahran
Victoria 3004
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Country
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Australia
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Phone
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+61 3 9076 2000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sarah Hewer
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Address
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Neurosciences
Alfred Hospital
Commercial road
Prahran
Victoria 3004
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Country
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Australia
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Phone
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+61 3 9076 2000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kelly Bertram
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Address
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Neurosciences
Alfred Hospital
Commercial road
Prahran
Victoria 3004
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Country
45844
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Australia
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Phone
45844
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+61 3 9076 2000
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Fax
45844
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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