Trial Outcomes & Findings for Quantifying Musical Performance After Treatment With Myobloc in Musician's Dystonia (NCT NCT00208091)

NCT ID: NCT00208091

Last Updated: 2014-05-09

Results Overview

Note errors (related to errors in duration in msec) were obtained as measures of difference between the affected and unaffected hands--taking the musical instrument digital interface (MIDI) note output from four musical sequences of 8 to 16 notes played. It was calculated by averaging the sequences for each hand, and deriving the square root of the mean of the square of the differences (root mean square error, in msec) in MIDI.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

16 participants

Primary outcome timeframe

Baseline and 6 weeks post-injection

Results posted on

2014-05-09

Participant Flow

The dates of recruitment for this study were from April 2003 to May 2008. Both male and female subjects were included. Each subject must have been diagnosed with a focal, task-specific dystonia which was clinically determined to be the result of a high level of musical skill and intensive performance history to be included in the study.

Participant milestones

Participant milestones
Measure
Botulinum Toxin, Type B
Diluted botulinum toxin (500 Units/0.1 ml) is injected to the affected muscle(s) through a hollow core needle using electromyographic guidance. Dosage according to muscle(s) and symptom severity. Injection occurs at first visit only, after neurological evaluation.
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Quantifying Musical Performance After Treatment With Myobloc in Musician's Dystonia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Botulinum Toxin, Type B
n=16 Participants
Diluted botulinum toxin (500 Units/0.1 ml) is injected to the affected muscle(s) through a hollow core needle using electromyographic guidance. Dosage according to muscle(s) and symptom severity. Injection occurs at first visit only, after neurological evaluation.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=99 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
Age, Continuous
49.375 years
STANDARD_DEVIATION 13.93 • n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
14 Participants
n=99 Participants
Region of Enrollment
United States
16 participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline and 6 weeks post-injection

Note errors (related to errors in duration in msec) were obtained as measures of difference between the affected and unaffected hands--taking the musical instrument digital interface (MIDI) note output from four musical sequences of 8 to 16 notes played. It was calculated by averaging the sequences for each hand, and deriving the square root of the mean of the square of the differences (root mean square error, in msec) in MIDI.

Outcome measures

Outcome measures
Measure
Note Errors (Related to Errors in Duration), Baseline
n=16 Participants
Note errors (related to errors in duration) were calculated as measures of difference between the affected and unaffected hand performing multiple scale sequences of 8 to 16 notes played. This was obtained by averaging sequences, note by note, for each hand and taking the square root of the mean of the square of the differences (root mean square error) in note duration.
Note Errors (Related to Errors in Duration), Post-injection
n=16 Participants
Note errors 6 weeks after diluted botulinum toxin (500 Units/0.1 ml) was injected to the affected muscle(s) through a hollow core needle using electromyographic guidance. Dosages varied for each patient according to symptom severity and involved muscle(s).
Note Errors (Related to Errors in Duration)
8.20 msec
Standard Error 8.49
5.79 msec
Standard Error 4.00

PRIMARY outcome

Timeframe: Baseline and 6 weeks post-injection

Note errors (related to errors in loudness) were obtained as a measure of difference between the affected and unaffected hands--taking the musical instrument digital interface (MIDI) note loudness data (decibels) from four musical sequences of 8 to 16 notes. It was calculated by averaging sequences for each hand and taking the square root of the mean of the square of the differences (root mean square error, in decibels) in MIDI notes.

Outcome measures

Outcome measures
Measure
Note Errors (Related to Errors in Duration), Baseline
n=16 Participants
Note errors (related to errors in duration) were calculated as measures of difference between the affected and unaffected hand performing multiple scale sequences of 8 to 16 notes played. This was obtained by averaging sequences, note by note, for each hand and taking the square root of the mean of the square of the differences (root mean square error) in note duration.
Note Errors (Related to Errors in Duration), Post-injection
n=16 Participants
Note errors 6 weeks after diluted botulinum toxin (500 Units/0.1 ml) was injected to the affected muscle(s) through a hollow core needle using electromyographic guidance. Dosages varied for each patient according to symptom severity and involved muscle(s).
Note Errors (Related to Errors in Loudness)
10.06 decibels
Standard Error 1.28
8.43 decibels
Standard Error 1.63

SECONDARY outcome

Timeframe: Baseline to 6 weeks after injection

Each subject assessed his or her music playing performance change subjectively from -100 percent (fully worse) to 100 percent (fully better).

Outcome measures

Outcome measures
Measure
Note Errors (Related to Errors in Duration), Baseline
n=16 Participants
Note errors (related to errors in duration) were calculated as measures of difference between the affected and unaffected hand performing multiple scale sequences of 8 to 16 notes played. This was obtained by averaging sequences, note by note, for each hand and taking the square root of the mean of the square of the differences (root mean square error) in note duration.
Note Errors (Related to Errors in Duration), Post-injection
Note errors 6 weeks after diluted botulinum toxin (500 Units/0.1 ml) was injected to the affected muscle(s) through a hollow core needle using electromyographic guidance. Dosages varied for each patient according to symptom severity and involved muscle(s).
Subjective Assessment Ratings of Change
30 percentage change
Standard Deviation 29.3

Adverse Events

Botulinum Toxin, Type B

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Seth Pullman

Clinical Motor Physiology Laboratory

Phone: 212-305-3808

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place