The purpose of this study is to assess the longitudinal attainment of subject centred and functional related goals (cumulated Goal Attainment Scale Total (GAS T) score) after abobotulinumtoxinA injection (including following repeated injection cycles where they occur) alongside spasticity management used in real life settings over a period of 18 months (and a maximum of six injection cycles).
Study Type
OBSERVATIONAL
Enrollment
242
This is an observational study designed to reflect real world clinical practice in the use of abobotulinumtoxinA. AbobotulinumtoxinA injected doses, frequency of injections, number of injection sites and volume injected per site are in accordance with the current USPI and physician's clinical practice.
Cumulated GAS T score
Defined as the mean of the individual GAS T scores across all cycles will be used to measure progress towards individual therapy goals. If all goals are achieved as expected, the GAS T score is 50.0.
Time frame: From day 1 up to 30 months
AbobotulinumtoxinA dose
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Time intervals between injections
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Number of injection points
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Muscle(s) injected
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Sedation used
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Type of injection guidance utilised
During each injection cycle and overall
Time frame: Day 1, then every 3.5 months (approximately) up to 30 months
Concomitant drug therapies
Listed and tabulated by frequency
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Children's National Medical Center
Washington D.C., District of Columbia, United States
Nicklaus Children's Hospital
Miami, Florida, United States
Laszlo J. Mate, M.D.
North Palm Beach, Florida, United States
Clinical Integrative Research Central Atlanta
Atlanta, Georgia, United States
Mt. Washington Pediatric Hospital
Baltimore, Maryland, United States
William Beaumont Hospital Pediatric Research
Royal Oak, Michigan, United States
Gillette Children's Specialty Healthcare
Saint Paul, Minnesota, United States
University of Missouri
Columbia, Missouri, United States
Washington University School Of Medicine
St Louis, Missouri, United States
Valley Health System
Ridgewood, New Jersey, United States
...and 17 more locations
Time frame: From day 1 up to 30 months
Non-drug therapies
Listed and tabulated by frequency
Time frame: From day 1 up to 30 months
Modified Ashworth scale (as applicable) in the injected muscle groups (gastrocnemius, soleus and others) at baseline and per the investigators' decision/routine practice during the course of the study.
This evaluation will not be mandatory during this study. Response over time will be presented using descriptive statistics.
Time frame: From day 1 up to 30 months (per investigator's decision/routine practice)
Average GAS T score
Per injection cycle
Time frame: Day 1 then every 3.5 months (approximately) up to 30 months
Percentage achievement of primary treatment goal
During each injection cycle and overall
Time frame: Day 1 then every 3.5 months (approximately) up to 30 months
Percentage achievement of primary treatment goal(s) per goal area(s) after repeated abobotulinumtoxinA injections
Per injection cycle
Time frame: Day 1 then every 3.5 months (approximately) up to 30 months
Incidence of adverse events and special situations collected
Adverse events will be coded using the Medical Dictionary for Regulatory Activities (MedDRA).
Time frame: From day 1 up to 30 months
Direct and indirect health care costs
Derived from the collected data, including concomitant treatments.
Time frame: From day 1 up to 30 months