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Comparative Trial of Botox in the Management of Children With Congenital Muscular Torticollis

Primary Purpose

Torticollis

Status
Withdrawn
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Botox
Sponsored by
University of British Columbia
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Torticollis focused on measuring Botox, torticollis, Congenital Muscular Torticollis (CMT)

Eligibility Criteria

4 Months - 1 Year (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Infants diagnosed with CMT and referred by family physician, pediatrician or orthopaedic surgeon Initial assessment and initiation of treatment prior to 4 months of age Cervical spine radiograph, no focal bony abnormality Head tilt greater than 5 degrees at 5 months of age Lateral head righting past neutral in upright suspension Restricted neck range of movement in lateral flexion or rotation or both Signed consent form and willingness to participate in the study Compliance with attending bi-weekly follow-up appointments Exclusion Criteria: Any other diagnosis affecting tone or muscle function Any condition that would preclude an anesthetic Any vertebral abnormalities identified by radiograph Attending other health practitioners for treatment, i.e., massage therapist, chiropractor Any associated ocular problems as determined by a pediatric ophthalmologist

Sites / Locations

  • British Columbia Children's Hospital, Dept. of Orthopedics

Outcomes

Primary Outcome Measures

The primary outcome will be range of motion.

Secondary Outcome Measures

The secondary outcomes will be length of treatment time and number of required surgeries.

Full Information

First Posted
September 13, 2005
Last Updated
May 5, 2015
Sponsor
University of British Columbia
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1. Study Identification

Unique Protocol Identification Number
NCT00175604
Brief Title
Comparative Trial of Botox in the Management of Children With Congenital Muscular Torticollis
Official Title
Comparative Trial of Botox Versus Conventional Treatment Used in the Management of Children With Congenital Muscular Torticollis (CMT)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2011
Overall Recruitment Status
Withdrawn
Why Stopped
Not able to recruit any subjects for the study and was closed in February 2008
Study Start Date
August 2004 (undefined)
Primary Completion Date
February 2008 (Anticipated)
Study Completion Date
February 2008 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
University of British Columbia

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary purpose is to investigate the effect of Botox on the treatment of congenital muscular torticollis (CMT). The investigators' hypothesis is that a Botox injection will be an effective treatment when used in conjunction with current treatment procedures.
Detailed Description
The babies that require a neck collar for CMT will be randomly placed into two groups. One group will receive standard treatment which includes physiotherapy and occupational therapy. The other group will receive standard treatment plus an injection of Botox. The babies will be monitored to determine if one group has a more favorable outcome than the other in terms of range of motion, length of treatment time and number of required surgeries.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Torticollis
Keywords
Botox, torticollis, Congenital Muscular Torticollis (CMT)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Botox
Intervention Description
The babies that require a neck collar for CMT will be randomly placed into two groups. One group will receive standard treatment which includes physiotherapy and occupational therapy. The other group will receive standard treatment plus an injection of Botox.
Primary Outcome Measure Information:
Title
The primary outcome will be range of motion.
Time Frame
assessed bi-weekly until treatment is complete
Secondary Outcome Measure Information:
Title
The secondary outcomes will be length of treatment time and number of required surgeries.
Time Frame
assessed bi-weekly until treatment is complete

10. Eligibility

Sex
All
Minimum Age & Unit of Time
4 Months
Maximum Age & Unit of Time
1 Year
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Infants diagnosed with CMT and referred by family physician, pediatrician or orthopaedic surgeon Initial assessment and initiation of treatment prior to 4 months of age Cervical spine radiograph, no focal bony abnormality Head tilt greater than 5 degrees at 5 months of age Lateral head righting past neutral in upright suspension Restricted neck range of movement in lateral flexion or rotation or both Signed consent form and willingness to participate in the study Compliance with attending bi-weekly follow-up appointments Exclusion Criteria: Any other diagnosis affecting tone or muscle function Any condition that would preclude an anesthetic Any vertebral abnormalities identified by radiograph Attending other health practitioners for treatment, i.e., massage therapist, chiropractor Any associated ocular problems as determined by a pediatric ophthalmologist
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen Tredwell, MD
Organizational Affiliation
University of British Columbia
Official's Role
Principal Investigator
Facility Information:
Facility Name
British Columbia Children's Hospital, Dept. of Orthopedics
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6H 3V4
Country
Canada

12. IPD Sharing Statement

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Comparative Trial of Botox in the Management of Children With Congenital Muscular Torticollis

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