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Starting soon Observational

Development of a Patient-reported Outcome Measure for Chiari Malformation and Syringomyelia

NCT06011226 · tracked via the Priya Life Science France tracker
Phase
Observational
Started
2023-09
Last updated
2023-09-21

Condition(s) studied

SyringomyeliaChiari Malformation

Investigational drug(s) / intervention(s)

focus groupsquestionnaire

focus groups: A dozen patients with Chiari malformation and syringomyelia (n = 4) or isolated Chiari malformation (n = 4) or isolated syringomyelia (n = 4) will be brought together in at least two focus groups. Each focus group will include 5 to 8 patients and will last approximately 1 to 2 hours. The focus groups will be recorded (audio only, no personal data will be collected during these sessions) and will be conducted in the presence of a neurosurgeon and a psychologist, who will moderate the session.

questionnaire: developed questionnaire will be proposed to the patients in phase 2 and 3

Study summary

Chiari malformation corresponds to the herniation of cerebellar tonsils into the foramen magnum resulting in obstruction of cerebrospinal fluid circulation, which may eventually lead to the formation of an intramedullary cavity called syringomyelia.

Chiari and syringomyelia can be responsible of variable symptoms, based on which neurosurgeons might propose surgical treatment. Yet, there is no properly developped and validated patient reported outcome measure (PROM) to assess the clinical severity of Chiari malformation and/or syringomyelia. The lack of such evaluation tool is a major issue to determine the optimal therapeutic strategy and to achieve a standardized and reproducible follow-up.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: Criteria common to all subjects included in the study * Age \> 18 years * Subject understanding French Patients included in Phase I * Subject with signed informed consent Patients included in phase II * Patient not opposed to study participation Patients Chiari only group: * Isolated descent of cerebellar tonsils \> 5 mm below McRae's line (no associated syringomyelia) Patients syringomyelia only group: * Presence of an intramedullary fluid cavity secondary to circulatory disturbance of cerebrospinal fluid of non foraminal origin (no Chiari) Patients Chiari with Syringomyelia group: * Presence of Chiari malformation (tonsils \> 5 mm below McRae's line) AND foraminal syringomyelia. Exclusion Criteria: * Insufficient command of French * Minor or protected adult (guardianship, curatorship, safeguard of justice) * Diagnosis of Chiari and/or syringomyelia not proven by an MRI scan * Pregnant or breast-feeding

Primary outcome measure(s)

  • development of metrologic and psychometric features of a patient-reported outcome measure (Bicêtre Chiari and Syringomyelia score - BCS score) — throughout the study (an average of 26 months)
    Development of metrologic and psychometric features of a patient-reported outcome measure (Bicêtre Chiari and Syringomyelia score - BCS score) for evaluating functional severity of Chiari malformation and/or syringomyelia
  • validation of metrologic and psychometric features of a patient-reported outcome — throughout the study (an average of 26 months)
    validation of metrologic and psychometric features of a patient-reported outcome measure (Bicêtre Chiari and Syringomyelia score - BCS score) for evaluating functional severity of Chiari malformation and/or syringomyelia

Trial sites (1)

FacilityCityRegionStatus
Hôpital Bicêtre - Service de Neurochirurgie - CRMR C-MAVEM Le Kremlin-Bicêtre France
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06011226 on ClinicalTrials.gov ↗ ← All trials in France