UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049167
Receipt number R000056005
Scientific Title Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1
Date of disclosure of the study information 2022/10/11
Last modified on 2024/04/19 15:04:18

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Basic information

Public title

Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1

Acronym

DM Psycho-social Support Study

Scientific Title

Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1

Scientific Title:Acronym

DM Psycho-social Support Study

Region

Japan


Condition

Condition

Myotonic dystrophy type 1

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

Myotonic dystrophy type 1 (DM1) is a rare disease with autosomal dominant inheritance with a relatively common occurrence among muscular dystrophies. Its symptoms are diverse and include muscle weakness, myotonia, gastrointestinal and cardiopulmonary symptoms, dysphagia, problems in vision and hearing, endocrine symptoms, cognitive dysfunction including apathy, pain, daytime sleepiness and fatigue. For this reason, in order to improve the patient's life prognosis and QOL a multidisciplinary approach involving medical care, physiotherapy, diet therapy, rehabilitation and psycho-social support is necessary in DM1 care. However, due to the strong impact from the severity of physical symptoms, psycho-social aspect of care is often overlooked. We conducted a preliminary survey on QOL of the patients and caregiver burden (Endo et al., 2019; Kurauchi et al., 2019). Based on the results, we developed a psycho-social support program which aims to improve patient's felt symptoms and caregiver's caregiving burden through increasing activity of the patient by utilizing occupational therapy approach and through psychoeducation of self-care. This study is a single-group interventional study to examine the effects of the program.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Activity and Participation: Frenchay Activities Index

Key secondary outcomes

Fatigue: Fatigue Severity Scale
Daytime Sleepiness: Epworth Sleepiness Scale
QOL: SF-12v2
Apathy: Apathy Evaluation Scale Caregiver version
Cognitive ability: Mini Mental State Examination
Caregiving burden: Zarit Caregiver Burden Short version


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Patients and caregivers receive from interventional staffs the support program sessions (approximately 10 sessions) which each lasts for an hour, with a frequency of once a week to once a month.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients and caregivers who are able to fully understand the contents of the informed consent document and from whom written consent is obtained before participation.
2) Both patient and caregiver agree to participate in the study.
3) Patients and caregivers aged 18 or older at the time of informed consent.
4) Patients who are diagnosed with DM1 by genetic testing (DMPK gene).
5) Patients who are able to move independently by walking or using an assistive device/wheelchair.
6) A caregiver is defined as "a family member, relative, partner, or friend who lives with the patient, who is not in a caregiving profession, and who reduces the patient's burden due to illness regardless of the level of care provided".

Key exclusion criteria

1) If either the patient or caregiver is unwilling to participate in the study.
2) If patient has intake of antipsychotics and/or mood stabilizers.
3) If there was a change in dosage of antidepressants, anti-anxiety drugs, sleeping pills, Modafinil, and Ritalin in the past 12 months. However, intake of as-needed anxiolytics and sleeping pills are allowed.
4) If the caregiver is in caregiving profession.
5) Other cases in which the principal investigator or research co-investigator determines that the participant is not suitable for study participation.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Makiko
Middle name
Last name Endo

Organization

National Center of Neurology and Psychiatry

Division name

Hospital, Clinical Research Unit

Zip code

187-0031

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

TEL

042-341-2711

Email

endo@ncnp.go.jp


Public contact

Name of contact person

1st name Makiko
Middle name
Last name Endo

Organization

National Center of Neurology and Psychiatry

Division name

Hospital, Clinical Research Unit

Zip code

187-0031

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

TEL

042-341-2711

Homepage URL


Email

endo@ncnp.go.jp


Sponsor or person

Institute

National Center of Neurology and Psychiatry

Institute

Department

Personal name



Funding Source

Organization

MEXT (Japan)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

National Hospital Organization, Aomori Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, National Center of Neurology and Psychiatry

Address

4-1-1 Ogawahigashi-cho, Kodaira, Tokyo

Tel

042-341-2711

Email

ml_rinri-jimu@ncnp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 10 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

16

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2022 Year 08 Month 05 Day

Date of IRB

2022 Year 08 Month 05 Day

Anticipated trial start date

2022 Year 10 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 10 Month 09 Day

Last modified on

2024 Year 04 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056005


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name