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Limb Girdle Muscular DystrophiesEIDYNCT04772027

Motor Parameters in Patients With Limb Girdle Muscular Dystrophy

An observational study of Limb Girdle Muscular Dystrophies, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary objective of the study is to perform 2-year follow up with motor parameters evolution using instrumental assessments in patients with limb girdle muscular dystrophie, and to identify which motor parameters are sensitive to change. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Limb Girdle Muscular Dystrophies
How many people
80 participants
Where
1 siteFrance
Study dates
1 Apr 2021to Jan 2025
Phase
Observational
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 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Population with limb girdle muscular dystrophie for 2-year longitudinal follow-up in Raymond Poincaré hospital. The 4 most common types of diseases: calpainopathy, sarcoglycanopathy, dysferlinopathy and alpha-dystroglycanopathy. Control group: healthy population without neuromuscular or squeletic disorder.

Who may be able to join

  • For limb girdle muscular dystrophie group:
  • Patients diagnosed limb girdle muscular dystrophie;
  • Aged between 18 and 70 years;
  • Covered by the French social security scheme;
  • Patient able to maintain upright position alone;
  • Able to walk at least 10 meters and 6 minutes consecutively without help.
  • For Volunteer group:
  • Adult (18 to 70 years) without neuromuscular or squeletic disorder.

Who cannot join

  • § For all:
  • Without associated neuromuscular disorders such as respiratory or muscular-squeletic diseases, apart from the consequences of dystrophy;
  • Contraindication to the tests;
  • Noncontrol cardiac rhythm disorders;
  • Lying down position intolerance due to severe respiratory troubles;
  • Pregnant or breastfeeding woman.

Trial locations and contacts

1 site in 1 country.

France1 site, 1 recruiting
  • Laboratoire d'analyse du mouvement, Service d'exploration fonctionnelles, Hôpital Raymond Poincaré, APHP

    Garche, 92380

    Recruiting

Other trials in France

About this study

Official title: Characterization and Identification of Motor Parameters Using Instrumental Assessment in Patients With Limb Girdle Muscular Dystrophy

The primary objective of the study is to perform 2-year follow up with motor parameters evolution using instrumental assessments in patients with limb girdle muscular dystrophie, and to identify which motor parameters are sensitive to change.

The secondary objectives of the study are:

  • to describe the changes of the parameters obtained from instrumental evaluations in comparison with the changes obtained from clinical assessments.
  • to characterize the muscular impairments, the biomechanical gait disorders, the standing postural control disorders, the biomechanical upper limb disorders in spatial exploration, the limitation of upper limb capacities, the fatigue, the endurance, the patients' participation to their activities and their quality of life, in comparison with a healthy paired population.
  • to highlight the relationships between muscular assessment parameters, biomechanical gait parameters, standing posture control and upper limb spatial exploration.
  • to highlight the relationships between data from instrumental assessments and data from clinical assessments.
  • to highlight the relationships between instrumental assessments data and clinical assessments data on one side, and features of patients (age, sex, duration since diagnosis, type of LGMD, rehabilitation in follow-up, sportive practices...) on the other side.
Read the detailed description

This is a monocentric study in which 2 sub-groups of people will be enrolled: LGMD patients and healthy volunteers. Each enrolled LGMD patient will have 5 visits during 2 years, one baseline visit and four half-yearly visits. Each enrolled healthy volunteer will have one planned visit only. The duration of enrollments will last 20 months.

Keywords
Limb Girdle Muscular Dystrophies (LGMD), motricity, instrumental assessment
Medical subject headings
Muscular Dystrophies, Limb-Girdle

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT04772027
Study groupRoleWhat they receive
Muscular dystrophies group40 patients with limb girdle muscular dystrophie
Comparator group40 healthy volunteers without neuromuscular or squeletic disorder

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline on maximal strength

    Maximal strength and muscular activation of knee extensors will be evaluated by isometric test with an isokinetic dynamometer (Biodex Medical Systems Inc., Shirley, New York, USA).

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  2. Change from baseline on peak hip flexion

    Hip flexion peak during gait will be evaluated with tridimensional gait analysis with an optoelectronic system ((Optitrack system, Natural Point Inc. Corvallis, OR, USA)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  3. Change from baseline on speed of center of pression during standing postural control

    Speed of center of pression will be measured by force platforms (AMTI, Advanced Mechanical Technology).

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  4. Change from baseline on elbow peak extension during upper limb spatial exploration

    Elbow peak extension will be measured biomechanically with an optoelectronic system during upper limb spatial exploration (Optitrack system, Natural Point Inc. Corvallis, OR, USA)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

Secondary outcomes (32)
  1. Change from baseline on muscular parameters

    Maximal strength during isometric tests of hip, knee flexors, ankle and maximal grip strength. (Biodex Medical Systems Inc., Shirley, New York, USA) Muscular fatigue

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  2. Joint kinematic parameters: change from baseline on gait speed

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Spatio-temporal = speed (m/s)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  3. Joint kinematic parameters: change from baseline on step length

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  4. Joint kinematic parameters: change from baseline on cadence

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  5. Joint kinematic parameters: change from baseline on step width

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  6. Joint kinematic parameters: change from baseline on % single support phase of gait cycle

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  7. Joint kinematic parameters: change from baseline on % swing phase of gait cycle

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  8. Joint kinematic parameters: change from baseline on % support phase of gait cycle

    Spatio-temporal from biomechanical gait analysis: an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) will be used.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  9. Change from baseline on kinetic gait parameters

    Kinetic parameters will be obtained from biomechanical gait analysis with AMTI force plateforms (Advanced Mechanical Technology, Waterton, MA, USA).

    This includes peak of ground reaction force in antero-posterior and vertical axis.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  10. Change from baseline on standing postural control parameters: COP displacements

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA). Parameters of stabilization include:

    Mean and maximal speed of center of pression (COP) displacements.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  11. Change from baseline on standing postural control parameters: elliptic surface

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA). Parameters of stabilization include:

    Elliptic surface covering 90% of COP positions.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  12. Change from baseline on standing postural control parameters: Amplitude of COP

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA). Parameters of stabilization include:

    Amplitude of COP shift in anteroposterior and mediolateral axis.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  13. Change from baseline on standing postural control parameters: Romberg quotient

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA). Parameters of stabilization include:

    Romberg quotient.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  14. Change from baseline on standing postural orientation parameters

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA).

    The orientation parameters include: mean position of COP in anteroposterior and mediolateral axis.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  15. Change from baseline on standing postural orientation parameters: limb loading ratio

    Parameters of stabilization and postural orientation during postural control assessment on force platforms (AMTI, Advanced Mechanical Technology), Waterton, MA, USA).

    The orientation parameters include: limb loading ratio.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  16. Change from baseline on drinking task with left and right upper limb: velocity and movement time

    The spatio-temporal parameters will be obtained from biomechanical analysis with an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) including:

    Velocity and movement time (Total movement time / Peak velocity/ Mean velocity)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  17. Change from baseline on drinking task with left and right upper limb: movement strategy

    The spatio-temporal parameters will be obtained from biomechanical analysis with an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) including:

    Movement strategy (Time to peak velocity / time to first peak)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  18. Change from baseline on drinking task with left and right upper limb: smoothness and coordination movement

    The spatio-temporal parameters will be obtained from biomechanical analysis with an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) including:

    Smoothness and coordination movement (number of movements units / interjoint coordination)

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  19. Change from baseline on drinking task with left and right upper limb: trunk displacement

    The spatio-temporal parameters will be obtained from biomechanical analysis with an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) including:

    Trunk displacement

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  20. Change from baseline on drinking task with left and right upper limb: angular joint

    The spatio-temporal parameters will be obtained from biomechanical analysis with an optoelectronic system (Optitrack system, Natural Point Inc. Corvallis, OR, USA) including:

    Angular joint

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  21. Change from baseline on 6 minutes walking test distance

    6 minutes walking test

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  22. Change from baseline on the Berg Balance Scale score

    The Berg Balance Scale

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  23. Change from baseline on Brooke Upper Extremity Scale score

    Brooke Upper Extremity Scale score for upper extremity capacities.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  24. Change from baseline on locomotor

    Questionnaires Abiloco

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  25. Change from baseline on upper limb capacities

    Questionnaires Abilhand

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  26. Change from baseline on patient occupations

    Patient occupations assessed by COPM (Canadian Occupational Performance Measure). The measurement will be from 1 (not at all performant) to 10 (very performant) as score.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  27. Change from baseline on MRC (Medical Research Council) score on flexors and extensors of lower and upper limb

    Testing MRC (Medical Research Council), a scale for muscle power. The muscle scale grades muscle power on a scale of 0 to 5 in relation to the maximum expected for that muscle.

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  28. Change from baseline on Fatigue Severity Scale (FSS) score

    Questionnaire Fatigue Severity Scale (FSS) for fatigue assessment

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  29. Change from baseline on number of fall risks

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

  30. Change from baseline on number of physiotherapy sessions per week

    Measured: at baseline, 6 months, 12 months, 18 months and 24 months

  31. Change from baseline on number of sports practice per week

    Measured: at baseline, 6 months, 12 months, 18 months and 24 months

  32. Change from baseline on Individualized Neuromuscular Quality of Life Questionnaire (INQoL)

    Quality of life questionnaire: INQoL

    Measured: Assessed at 6 months, 12 months, 18 months and 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2021
  2. Study start1 Apr 2021
  3. Primary completionJan 2025 (estimated)
  4. Study completionJan 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04772027
Sponsor's protocol ID
APHP200141
Other IDs
2020-A02090-39
Acronym
EIDY
Status last verified
Sep 2023
First submitted
7 Jan 2021
Last updated
6 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Limb Girdle Muscular Dystrophies, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 8 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 6 Sep 2023. 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 France. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Céline BONNYAUD, PhD (+33 (0)1 71 14 49 21, celine.bonnyaud@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline on maximal strength (time frame: Assessed at 6 months, 12 months, 18 months and 24 months). The study lists 4 primary outcomes in all. 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 6 Sep 2023.

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