Duchenne Muscular DystrophyNCT01954940
Whole Body Vibration Therapy in Boys With Duchenne Muscular Dystrophy
A study testing Whole Body Vibration Therapy in people with Duchenne Muscular Dystrophy, run by Children's Hospital of Eastern Ontario at 1 site in Canada.
Trial summary
Whole-body vibration therapy (WBVT) is a novel, non-pharmacological intervention aimed at improving muscle strength and endurance as well as bone density. It holds promise for children with neuromuscular disorders such as Duchenne muscular dystrophy (DMD) since muscle weakness results not only from muscle breakdown… Read more about this study
- Who is it for?
- Ages 8 to 14 years, men only
- Conditions the study is for
- Duchenne Muscular Dystrophy
- What is being tested?
- Whole Body Vibration Therapy
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 4 participants
- Where
- 1 siteCanada
- Study dates
- Mar 2013to Mar 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 8 to 14 years
- Men only
- No healthy volunteers
- Child
Who may be able to join
- Diagnosis of Duchenne muscular dystrophy confirmed by at least one of the following:
- Dystrophin immunofluorescence and/or immunoblot showing complete dystrophin deficiency, and clinical presentation consistent with typical DMD
- Positive gene deletion test (missing one or more exons) in the central rod domain (exons 25-60) of dystrophin, where reading frame can be predicted as "out-of-frame", and clinical presentation consistent with typical DMD
- Complete dystrophin gene sequencing showing an alteration (point mutation, duplication, or other mutation resulting in a stop codon mutation) definitively associated with DMD, and clinical presentation consistent with typical DMD
- Age between 5 - 14 yrs old (inclusive)
- Positive Gower sign (indicating ability to rise from the floor \& presence of proximal muscle weakness).
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- Able to walk 10 meters in <12 seconds
- Able to stand upon WBVT plate (with knees flexed) for entire treatment protocol (i.e. 15-minutes)
- Stable absolute dose of glucocorticoids (i.e. prednisone or deflazacort) for at least 3 months prior
- Stable absolute doses of all medication that may affect muscle function (i.e. coenzyme Q10, green tea extract, creatine, arginine, glutamine, nutritional supplements, etc.) for at least 3 months prior
- Stable absolute dose of all medication that may affect bone metabolism (i.e. vitamin D and calcium supplementation) for at least 3 months prior
Who cannot join
- Clinical presentation, genetic testing and/or muscle biopsy consistent with Becker muscular dystrophy
- History of recent surgery (within past 6-months)
- History of a recent fracture (long-bone or vertebral) within past 6-months.
- Acute inflammatory processes of lower extremities (e.g. cellulitis, etc) due to risk of pain and/or worsening inflammatory process
- History of venous thrombosis (theoretically risk of inducing thromboembolic event).
- History of kidney or bladder stones
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- History of uncontrolled seizures or severe migraines
- History of cardiac arrhythmia
- Intracranial pathology or hardware (e.g. ventriculoperitoneal shunt, cochlear implant).
- Use of any investigational or experimental products within last 6-months and/or concomitant participation in another study
- Inability or refusal to follow the study requirements (e.g. autism, severe cognitive or behaviour problems)
- Inability or refusal to provide informed consent (parent) and/or assent (child)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: THE EFFECT OF WHOLE BODY VIBRATION THERAPY UPON MUSCLE STRENGTH & FUNCTION IN AMBULATORY BOYS WITH DUCHENNE MUSCULAR DYSTROPHY
Whole-body vibration therapy (WBVT) is a novel, non-pharmacological intervention aimed at improving muscle strength and endurance as well as bone density. It holds promise for children with neuromuscular disorders such as Duchenne muscular dystrophy (DMD) since muscle weakness results not only from muscle breakdown but also physical inactivity and muscle disuse atrophy. Weak DMD patients may increasingly limit their physical activity due to fear of falling or loss of independence (e.g. difficulty rising to stand without assistance). Prolonging the length of time boys with DMD are ambulatory is important for delaying complications of this disease (lung hypoventilation, scoliosis) as well as maintaining bone health. We propose to conduct a pilot study of WBVT in young boys with Duchenne muscular dystrophy (DMD). The primary outcome will be to document safety and feasibility of WBVT in this patient population. The secondary outcomes will evaluate changes in muscle strength and endurance. Bone health will also be examined as part of routine clinical care. The study will include 20 ambulatory boys with DMD; patients will be randomized (1:1 allocation) into 2 groups: WBVT treatment or no WBVT treatment (controls). Treatment groups will consist of 10 boys undergoing daily WBVT in an 8-week, open-label trial.
Read the detailed description
Post-Study Completion Note: Given competition for enrollment in other DMD trials and burden from daily home WBVT training, it was not feasible to study WBVT in the trial setting, nor is it likely to be a feasible modality for optimizing musculoskeletal health in routine care.
- Conditions
- Duchenne Muscular Dystrophy
- Being tested
- Whole Body Vibration Therapy
- Keywords
- Whole body vibration therapy, muscle strength testing, bone health, ambulatory, endurance.
- Medical subject headings
- Muscular Dystrophy, Duchenne
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Whole Body Vibration TherapyDevice
| Study group | Role | What they receive |
|---|---|---|
| Whole Body Vibration Therapy | Experimental | Group will receive daily whole body vibration therapy for up to 9 minutes maximum at a maximum of 18 Hz. Receives: Device: Whole Body Vibration Therapy |
| Control group | No intervention | Group will not receive whole body vibration therapy. This group will conduct all other tests and outcomes except whole body vibration therapy. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Assess the safety of using whole body vibration therapy in boys with Duchenne muscular dystrophy. To assess whether whole body vibration therapy can improve muscle strength and prolong ambulation from baseline to 8 weeks of therapy. To asses.
Is WBVT safe, convenient and well-tolerated when administered daily to ambulatory to boys with DMD?
Measured: 8 weeks
Secondary outcomes (6)
Does WBVT result in any change in muscle strength.
Does WBVT results in any measurable change in muscle strength measured by the maximum resistance of deltoid, hip flexor and knee extensor (measured with microFET2 dynamometer) and grip strength (measured by Jamar hand-held dynamometer)
Measured: 8 weeks
Does WBVT result in any muscle function change.
Does WBVT results in any measurable change in muscle function as measured by timed functional testing (timed 10m walk test; timed 4-stair climb; timed Gower manoeuvre, 6-minute walk test)?
Measured: 8 weeks
Does WBVT result in any measurable change in muscle endurance.
Does WBVT result in any measurable change in muscle endurance (total number of steps taken each day, measured by pedometer)?
Measured: 8 weeks
Quality of life changes.
Does WBVT result in any change in patient and family reported quality of life report? Measured by the Peds Q of L questionnaire.
Measured: 8 weeks
Gait changes.
Does WBVT result in any change in patient's gait (as measured by Gangway gait analysis and Leonardo force plate analysis)
Measured: 8 weeks
Bone health
Does WBVT result in any change in bone health indices (as measured by pQCT and routine skeletal imaging)
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Oct 2013 (estimated)
- Study startMar 2013
- Primary completionMar 2017
- Study completionMar 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Duchenne Muscular DystrophyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 4 participants (actual)
Sponsor and investigators
- Lead sponsor
- Children's Hospital of Eastern Ontario
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Leanne Ward, Children's Hospital of Eastern Ontario
- Investigators
- Leanne Ward, MD, Principal investigator, Children's Hospital of Eastern Ontario
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01954940
- Sponsor's protocol ID
- # 12/17E
- Status last verified
- Aug 2018
- First submitted
- 13 Sep 2013
- Last updated
- 31 Aug 2018
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- THE EFFECT OF WHOLE BODY VIBRATION THERAPY UPON MUSCLE STRENGTH & FUNCTION IN AMBULATORY BOYS WITH DUCHENNE MUSCULAR DYSTROPHY
- ClinicalTrials.gov ID
- NCT01954940
- Acronym / sponsor ID
- # 12/17E
- Conditions
- Duchenne Muscular Dystrophy
- Keywords
- Whole body vibration therapy, muscle strength testing, bone health, ambulatory, endurance.
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4 participants (actual)
- Lead sponsor
- Children's Hospital of Eastern OntarioUniversity, hospital or other
- Study start
- Mar 2013
- Primary completion
- Mar 2017 (actual)
- Study completion
- Mar 2017 (actual)
- First posted
- 7 Oct 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Whole-body vibration therapy (WBVT) is a novel, non-pharmacological intervention aimed at improving muscle strength and endurance as well as bone density. It holds promise for children with neuromuscular disorders such as Duchenne muscular dystrophy (DMD) since muscle weakness results not only from muscle breakdown but also physical inactivity and muscle disuse atrophy. Weak DMD patients may increasingly limit their physical activity due to fear of falling or loss of independence (e.g. difficulty rising to stand without assistance). Prolonging the length of time boys with DMD are ambulatory is important for delaying complications of this disease (lung hypoventilation, scoliosis) as well as maintaining bone health. We propose to conduct a pilot study of WBVT in young boys with Duchenne muscular dystrophy (DMD). The primary outcome will be to document safety and feasibility of WBVT in this patient population. The secondary outcomes will evaluate changes in muscle strength and endurance. Bone health will also be examined as part of routine clinical care. The study will include 20 ambulatory boys with DMD; patients will be randomized (1:1 allocation) into 2 groups: WBVT treatment or no WBVT treatment (controls). Treatment groups will consist of 10 boys undergoing daily WBVT in an 8-week, open-label trial.
Detailed description
Post-Study Completion Note: Given competition for enrollment in other DMD trials and burden from daily home WBVT training, it was not feasible to study WBVT in the trial setting, nor is it likely to be a feasible modality for optimizing musculoskeletal health in routine care.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Whole Body Vibration Therapy | Experimental | Device: Whole Body Vibration TherapyGroup will receive daily whole body vibration therapy for up to 9 minutes maximum at a maximum of 18 Hz. |
| Control group | No intervention | –Group will not receive whole body vibration therapy. This group will conduct all other tests and outcomes except whole body vibration therapy. |
Who may qualify
- Ages
- 8 to 14 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (11 listed)
- Diagnosis of Duchenne muscular dystrophy confirmed by at least one of the following:
- Age between 5 - 14 yrs old (inclusive)
- Positive Gower sign (indicating ability to rise from the floor \& presence of proximal muscle weakness).
- Able to walk 10 meters in <12 seconds
- Able to stand upon WBVT plate (with knees flexed) for entire treatment protocol (i.e. 15-minutes)
Key exclusion criteria (12 listed)
- Clinical presentation, genetic testing and/or muscle biopsy consistent with Becker muscular dystrophy
- History of recent surgery (within past 6-months)
- History of a recent fracture (long-bone or vertebral) within past 6-months.
- Acute inflammatory processes of lower extremities (e.g. cellulitis, etc) due to risk of pain and/or worsening inflammatory process
- History of venous thrombosis (theoretically risk of inducing thromboembolic event).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Whole Body Vibration Therapy | Device | Whole Body Vibration Therapy |
Primary outcome
Assess the safety of using whole body vibration therapy in boys with Duchenne muscular dystrophy. To assess whether whole body vibration therapy can improve muscle strength and prolong ambulation from baseline to 8 weeks of therapy. To asses.
Time frame: 8 weeks
Is WBVT safe, convenient and well-tolerated when administered daily to ambulatory to boys with DMD?
6 secondary outcomes
Does WBVT result in any change in muscle strength.
Time frame: 8 weeks
Does WBVT result in any muscle function change.
Time frame: 8 weeks
Does WBVT result in any measurable change in muscle endurance.
Time frame: 8 weeks
Quality of life changes.
Time frame: 8 weeks
Gait changes.
Time frame: 8 weeks
Bone health
Time frame: 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Aug 2018.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Leanne Ward, MD principal investigator
Children's Hospital of Eastern Ontario
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Whole Body Vibration Therapy in people with Duchenne Muscular Dystrophy, run by Children's Hospital of Eastern Ontario at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Assess the safety of using whole body vibration therapy in boys with Duchenne muscular dystrophy. To assess whether whole body vibration therapy can improve muscle strength and prolong ambulation from baseline to 8 weeks of therapy. To asses. (time frame: 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2018.