Exploring intrathecal baclofen treatment for hereditary spastic paraplegia
Official title: Intrathecal Baclofen for the Management of Hereditary Spastic Paraparesis: a Prospective Cohort Study
Run by Shanghai 6th People's Hospital · NCT06844734 · Data updated 2026-11-12
This study is testing if a special pump that delivers baclofen directly into the spine can help people with hereditary spastic paraplegia improve their movement and quality of life better than taking the medication by mouth.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 14 Years to 70 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Shanghai 6th People's Hospital Academic / other |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | January 1, 2025 |
| Main results expected | March 1, 2028 |
| Study ends | March 1, 2028 |
| Registry record updated | February 26, 2025 |
| Trial ID | NCT06844734 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 14 to 70 years diagnosed with hereditary spastic paraplegia and exhibiting significant spasticity.
✕Probably not a fit
Patients with other neurological diseases or those who are allergic to baclofen may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the effectiveness of continuous infusion of intrathecal baclofen (ITB) for patients with hereditary spastic paraplegia (HSP) in China. It aims to assess changes in gait, motor function, spasticity levels, quality of life, and psychological status before and after ITB surgery compared to a control group receiving oral baclofen. The study will also evaluate complications following ITB surgery and its impact on skeletal deformities. A total of 50 patients aged 14 to 70 years will participate over a 3-year period, with half receiving ITB and half receiving oral baclofen.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the quality of life and functional abilities of patients with hereditary spastic paraplegia.
How similar studies have gone: While the use of intrathecal baclofen for spasticity has been explored, this specific application for hereditary spastic paraplegia is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients meet the clinical and genetic diagnostic criteria of hereditary spastic paraplegia (HSP); * Age: 14 to 70 years old * Modified Ashworth Score for lower limbs: ≥2 joints with muscle tone ≥grade 3 * Patients are willing to participate in clinical trials and able to understand and comply with the research program Exclusion Criteria: * Patients are allergic to the baclofen * Other neurological diseases likely affecting the evaluation of study treatment * Other medical conditions such as: heart disease, tumor, blood disease, liver disease, kidney disease, etc. in the past 1 year * Pregnancy or lactating women or subjects who are unable to use appropriate contraception during the trial * Participating in another study drug trial and used the investigational drug in the past 30 days * Subjects have poor compliance or other factors that are not suitable for participating in the clinical trial
Where it's running
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Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Principal investigator: Li Cao, phD — Shanghai Jiao Tong University Affiliated Sixth People's Hospital
- Study coordinator: Li Cao, phD
- Email: caoli2000@yeah.net
- Phone: +86 21 64369263
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Rare Disease Registry for Movement Disorders in Southern Anhui
This project is creating a registry to collect information from adults with motor neuron diseases, spinocerebellar ataxias, hereditary muscular dystrophy, or hereditary spastic paraplegia in Southern Anhui.
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TreatHSP/SPAX: An adaptive natural history platform for SPAX diseases
This study tests a shared, long-term framework to track how SPAX diseases progress and to develop useful patient-centered outcome measures and biomarkers.
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Noninvasive spinal stimulation to improve walking in hereditary spastic paraplegia
This trial will test whether noninvasive transcutaneous spinal cord stimulation can improve walking and reduce muscle stiffness in adults with hereditary spastic paraplegia.
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Wearable monitoring of walking and arm movement in adults with neuromuscular or metabolic movement disorders
This project uses a wrist/ankle wearable to continuously monitor walking and upper-limb movement in ambulant adults with neuromuscular diseases or obesity to see if digital measures like stride speed track real-life motor function.
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Evaluating surgical treatment for foot deformities in hereditary spastic paraplegia
This study is testing how well surgery can help people with hereditary spastic paraplegia and foot deformities feel and function better over two years.
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Robot-assisted walking treatment for hereditary spastic paraplegia
This study is testing whether using a robot to help with walking, along with regular physical therapy, can improve movement and quality of life for people with hereditary spastic paraplegia.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.