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Intramuscular Injections of Botulinum Toxin in Lateral Pterygoid Muscle in the Treatment of Temporomandibular Dysfunctions: Studying the Interest of MRI Guidance and Ultrasound Guidance (MAUSBOT)

Primary Purpose

Mandibular Dysfunction

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
MRI guidance
Ultrasound guidance
Sponsored by
Centre Hospitalier Universitaire de Besancon
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mandibular Dysfunction

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • patients suffering from muscular TemporoMandibular Dysfunctions (TMD) with clinical diagnosis: myofascial pain, limited opening of the mouth, articular noise.
  • >= 18 years old
  • with signed informed consent form

Exclusion Criteria:

  • articular TMD: arthritis or other inflammatory disease of temporomandibular joint, arthrosis, bone deformation, previous fracture of condylar area ;
  • electromyographic hypoactivity, pure muscular diseases ;
  • oro-mandibular dystonia ;
  • botulinum toxin allergy,
  • risk of bleeding
  • recent or active infection
  • intercurrent antibiotic treatment (drug interaction) ;
  • vaccination during the 15 days preceding the injection.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    MRI guidance

    Ultrasound guidance

    Arm Description

    Injections of botulinum toxin performed using MRI guidance

    Injections of botulinum toxin performed using ultrasound guidance

    Outcomes

    Primary Outcome Measures

    Pain improvement
    Significant improvement of the pain measured with VAS (0 to 10), corresponding to at least 30% decrease of the pain after injection of botulinum toxin A

    Secondary Outcome Measures

    Full Information

    First Posted
    May 19, 2021
    Last Updated
    May 20, 2021
    Sponsor
    Centre Hospitalier Universitaire de Besancon
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04900324
    Brief Title
    Intramuscular Injections of Botulinum Toxin in Lateral Pterygoid Muscle in the Treatment of Temporomandibular Dysfunctions: Studying the Interest of MRI Guidance and Ultrasound Guidance
    Acronym
    MAUSBOT
    Official Title
    Intramuscular Injections of Botulinum Toxin in Lateral Pterygoid Muscle in the Treatment of Temporomandibular Dysfunctions: Studying the Interest of MRI Guidance and Ultrasound Guidance
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 2021 (Anticipated)
    Primary Completion Date
    August 2022 (Anticipated)
    Study Completion Date
    February 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Centre Hospitalier Universitaire de Besancon

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The main hypothesis is that a significant pain improve (measured with Visual Analogic Scale [VAS]) can be observed after injection of botulinum toxin A, meaning the success of the guidance device.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Mandibular Dysfunction

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    48 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    MRI guidance
    Arm Type
    Experimental
    Arm Description
    Injections of botulinum toxin performed using MRI guidance
    Arm Title
    Ultrasound guidance
    Arm Type
    Experimental
    Arm Description
    Injections of botulinum toxin performed using ultrasound guidance
    Intervention Type
    Device
    Intervention Name(s)
    MRI guidance
    Intervention Description
    Injections of botulinum toxin performed using MRI guidance
    Intervention Type
    Device
    Intervention Name(s)
    Ultrasound guidance
    Intervention Description
    Injections of botulinum toxin performed using ultrasound guidance
    Primary Outcome Measure Information:
    Title
    Pain improvement
    Description
    Significant improvement of the pain measured with VAS (0 to 10), corresponding to at least 30% decrease of the pain after injection of botulinum toxin A
    Time Frame
    Month 2

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: patients suffering from muscular TemporoMandibular Dysfunctions (TMD) with clinical diagnosis: myofascial pain, limited opening of the mouth, articular noise. >= 18 years old with signed informed consent form Exclusion Criteria: articular TMD: arthritis or other inflammatory disease of temporomandibular joint, arthrosis, bone deformation, previous fracture of condylar area ; electromyographic hypoactivity, pure muscular diseases ; oro-mandibular dystonia ; botulinum toxin allergy, risk of bleeding recent or active infection intercurrent antibiotic treatment (drug interaction) ; vaccination during the 15 days preceding the injection.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Mélanie PONS, Int
    Email
    mpons@chu-besancon.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Christophe MEYER, Md PhD
    Organizational Affiliation
    CHU de Besançon
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Intramuscular Injections of Botulinum Toxin in Lateral Pterygoid Muscle in the Treatment of Temporomandibular Dysfunctions: Studying the Interest of MRI Guidance and Ultrasound Guidance

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