Which works better for CMT foot problems: surgery or therapy alone?
NCT ID NCT07432035
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at two ways to help people with Charcot-Marie-Tooth disease (CMT) walk better. One group gets foot surgery followed by rehabilitation, the other gets only physical therapy. Researchers will track walking speed and endurance for up to two years to see which approach leads to bigger improvements. The goal is to help patients and doctors choose the best treatment for foot deformities caused by CMT.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population comprises adults with Charcot-Marie-Tooth disease (CMT) evaluated and treated at a tertiary referral center specializing in neuromuscular and foot and ankle disorders. Participants were identified from consecutive clinical encounters beginning in February 2017, incorporating both retrospectively and prospectively collected data. Eligible individuals had a genetically or clinically confirmed diagnosis of CMT and presented with foot deformity and gait impairment attributable to peripheral neuropathy. All participants were ambulatory, with or without assistive devices, at the time of enrollment. Management strategies included functional surgical intervention followed by rehabilitation or structured physical therapy alone, reflecting routine clinical practice. Longitudinal outcome data were obtained through standardized assessments conducted at baseline and predefined follow-up time points throughout the study period.
- Ages
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12 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants aged 12 years or older at the time of enrollment * Genetically or clinically confirmed CMT, based on established diagnostic criteria * Presence of foot deformity and/or gait impairment attributable to CMT, as determined by a treating clinician * Ability to ambulate at least 10 meters, with or without assistive devices * Medically eligible for either functional surgical intervention or structured physical therapy, as determined by the treating team * Willingness and ability to participate in longitudinal follow-up assessments * Provision of written informed consent Exclusion Criteria: * Previous major foot or ankle surgery that substantially altered lower-limb biomechanics * Presence of non-CMT-related neurological disorders affecting gait (eg, stroke, Parkinson disease, multiple sclerosis) * Severe musculoskeletal conditions unrelated to CMT that limit walking ability (eg, advanced hip or knee osteoarthritis) * Active lower-limb infection, ulceration, or acute injury at the time of enrollment * Severe cognitive impairment or psychiatric condition precluding reliable participation * Medical contraindications to surgery or exercise-based rehabilitation, when relevant * Inability to complete baseline functional assessments or anticipated inability to complete follow-up
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
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How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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