This study is "A Prospective, Multi-center, Single Arm, Open-label, Phase IV Clinical Trial to Evaluate the Efficacy and Safety of MEDITOXIN® in Treatment of Post Stroke Upper Limb Spasticity".
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Meditoxin® (Botulinum toxin type A) was injected up to 360 U.
Change in muscle tone determined by MAS (Modified Ashworth Scale) of wrist flexor
Change in muscle tone determined by MAS (Modified Ashworth Scale: Measures resistance during passive soft-tissue stretching; score 0 to 4, 4 being most difficult passive movement) of wrist flexor in subjects with post stroke upper limb spasticity at week 4 after administration compared to baseline.
Time frame: 4 weeks
Change in muscle tone determined by MAS (Modified Ashworth Scale) of elbow flexor and finger flexor
Change in muscle tone determined by MAS (Modified Ashworth Scale: Measures resistance during passive soft-tissue stretching; score 0 to 4, 4 being most difficult passive movement) of elbow flexor and finger flexor at week 4 and 16 after administration compared to baseline, and at 4 weeks after re-administration compared to the time of re-visit.
Time frame: 4 weeks, 16 weeks, and 4 weeks after re-visit
Change in muscle tone determined by MAS (Modified Ashworth Scale) of wrist flexor
Change in muscle tone determined by MAS (Modified Ashworth Scale: Measures resistance during passive soft-tissue stretching; score 0 to 4, 4 being most difficult passive movement) of wrist flexor at week 16 after administration compared to baseline, and at 4 weeks after re-administration compared to the time of re-visit.
Time frame: 16 weeks, and 4 weeks after re-visit
The effective rate of wrist flexor, elbow flexor, and finger flexor
The effective rate of wrist flexor, elbow flexor, and finger flexor at week 4 and 16 compared to baseline and at week 4 after re-administration compared to re-visit, defining the muscle with MAS (Modified Ashworth Scale: Measures resistance during passive soft-tissue stretching; score 0 to 4, 4 being most difficult passive movement) score of ≥1 among the wrist flexor, elbow flexor, and finger flexor muscles as responders when the MAS is reduced by 1 score compared to baseline (week 0).
Time frame: 4 weeks, 16 weeks, and 4 weeks after re-visit
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Change in DAS (Disability Assessment Scale) score
Change in score of goal assessment section in DAS (Disability Assessment Scale: Measures disability associated with upper limb spasticity in patients; score 0 to 3, 3 being the most severe disability) at week 4 and 16 compared to baseline and at week 4 after re-administration compared to re-visit.
Time frame: 4 weeks, 16 weeks, and 4 weeks after re-visit
Change in QOL (SF-36v2; Quality of Life) score
Change in score of Short Form 36 ver.2 (SF-36v2; Quality of Life, QOL: a questionnaire with 36 questions regarding general health change affecting patient's quality of life; score from 1 up to 5, from minimum to high impact on quality of life) at week 4 and 16 compared to baseline and at week 4 after re-administration compared to re-visit.
Time frame: 4 weeks, 16 weeks, and 4 weeks after re-visit
Subject's or caregiver's global assessment
Subject's or caregiver's global assessment (rating from -3 to +3 on the overall treatment effect, with +3 being very satisfied with treatment) at week 4 and 16 compared to baseline and at week 4 after re-administration compared to re-visit.
Time frame: 4 weeks, 16 weeks, and 4 weeks after re-visit
Number of participants with Adverse Events (AEs) to assess safety of investigational product.
Safety of IP assessed by the number of partiicipants with adverse events determined by MedDra ver 16.0 from enrollment to the end of study.
Time frame: Through study completion, an average of 1 year