Evidence map›Paper›PMID 28914131›Full record

Trial reportJournal of child neurology2017

Safety and Efficacy of Repeat Open-Label AbobotulinumtoxinA Treatment in Pediatric Cerebral Palsy.

Mauricio R Delgado, Marcin Bonikowski, Jorge Carranza, Edward Dabrowski, Dennis Matthews, Barry Russman, Ann Tilton, Juan Carlos Velez, Anne-Sophie Grandoulier, Philippe Picaut

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of child neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01251380 (A Phase III, Prospective, Multicentre, Open Label, Extension Study Assessing the Long Term Safety and Efficacy of Repeated Treatment With DYSPORT® Used in the Treatment of Lower Limb Spasticity in Children With Dynamic Equinus Foot Deformity Due to Cerebral Palsy), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01251380 phase3completednot on this map

A Phase III, Prospective, Multicentre, Open Label, Extension Study Assessing the Long Term Safety and Efficacy of Repeated Treatment With DYSPORT® Used in the Treatment of Lower Limb Spasticity in Children With Dynamic Equinus Foot Deformity Due to Cerebral Palsy

TypeinterventionalSponsorIpsenRan2011 to 2015Enrolled216ConditionsCerebral Palsy, Muscle Spasticity, ChildrenArmsBotulinum toxin type A
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 4 countries.

Mauricio R Delgado1 University of Texas Southwestern Medical Center and Texas Scottish Rite Hospital for Children, Dallas, TX, USA.
Marcin Bonikowski2 Mazovian Neuropsychiatry Center, Warsaw, Poland.
Jorge Carranza3 Hospital San José Celaya, Celaya, Guanajuato, Mexico.
Edward Dabrowski4 Beaumont Health, Oakland University School of Medicine, Grosse Pointe, MI, USA.
Dennis Matthews5 Children's Hospital Colorado, Aurora, CO, USA.
Barry Russman6 Shriner's Hospital for Children, Portland, OR, USA.
Ann Tilton7 LSUHSC and Children's Hospital New Orleans, New Orleans, LA, USA.
Juan Carlos Velez8 Centro de Rehabilitacion Club De Leones Cruz del Sur, Punta Arenas, Chile.
Anne-Sophie Grandoulier9 Ipsen, Les Ulis, France.
Philippe Picaut9 Ipsen, Les Ulis, France.
Ipsen (France) · FRBeaumont Health · USChildren's Hospital of New Orleans · USFundación Chile · CLShriners Hospitals for Children - Portland · USSouthwestern Medical Center · USUniversity of Celaya · MXUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This was a prospective, repeat-treatment, open-label study (NCT01251380) of abobotulinumtoxinA for the management of lower limb spasticity in children who had completed a double-blind study. Children (2-17 years) received injections into the gastrocnemius-soleus complex, and other distal and proximal muscles as required (maximum total dose per injection cycle: 30 U/kg or 1000U). A total of 216 of the 241 double-blind patients entered the extension study and 207 received ≥1 open label injection into the gastrocnemius-soleus; 17-24% of patients also had injections into the hamstrings. The most frequent adverse events were related to common childhood infections and the most frequent treatment-related adverse event was injection site pain (n = 10). There was no evidence of a cumulative effect on adverse events. Sustained significant clinical improvements in muscle tone (Modified Ashworth Scale), spasticity (Tardieu Scale), overall clinical benefit (Physicians Global Assessment), and goal attainment (Goal Attainment Scale) were also observed across treatment cycles.

Indexed as

Botulinum Toxins, Type ACerebral PalsyMuscle SpasticityNeuromuscular AgentsAdolescentChildChild, PreschoolFemaleHumansLower ExtremityMaleMuscle, SkeletalParesisSeverity of Illness IndexTreatment OutcomeabobotulinumtoxinABotulinum Toxins, Type ANeuromuscular AgentsabobotulinumtoxinAcerebral palsyDysportequinus foot

Identifiers

PMID28914131
PMCPMC5652649
OpenAlexW2756131896

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.