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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05980793
Other study ID # DOPS
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date September 25, 2023
Est. completion date July 15, 2029

Study information

Verified date October 2023
Source Karolinska Institutet
Contact Elin Sward, MD, PhD
Phone +46812361000
Email elin.sward@regionstockholm.se
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this clinical trial is to compare the effects of a surgical and a non-surgical treatment method in patients with osteoarthritis in the proximal interphalangeal (PIP) joint. The main questions it aims to answer are: - Are the treatments effective? - Is the surgical treatment more effective than the non-surgical treatment? Participants will receive surgical treatment (PIP joint denervation) or non surgical treatment (patient education plus exercise). Researchers will compare the non-surgical and surgical groups to see if pain, patient-reported function, quality of life, movement and grip strength differs between the groups.


Description:

This is a parallel group, two-arm, randomized, controlled trial comparing the effects of surgical denevation to patient education plus exercise in patients with symptomatic PIP joint osteoarthritis. The research questions are: 1. Does any of the treatments denervation of the PIP-joint and patient education plus exercise decrease pain, improve patient-reported outcomes, grip strength and range of motion (ROM) in PIP-joint osteoarthritis? 2. Does denervation of the PIP-joint decrease pain, and improve patient-reported outcomes grip strength and ROM more effectively than patient education plus exercise for PIP-joint osteoarthritis? Participants will be randomly assigned (1:1) to receive surgical denervation of the PIP-joint or education plus exercise. A block randomization scheme with a fixed block size of 10 will be used. Patients will be stratified according to gender. Sealed opaque envelopes will be used and data analysts will be masked for treatment allocation. Assesments will be made at inclusion, and after 3, 6 and 12 months. The studys primary enpoint is 12 months after intervention.


Recruitment information / eligibility

Status Recruiting
Enrollment 90
Est. completion date July 15, 2029
Est. primary completion date July 15, 2028
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age = 18 years. - Chronic symptomatic osteoarthritis in the PIP-joint. - Radiological signs of osteoarthritis on posteroanterior and lateral radiographs assessed by the Kellgren-Lawrence classification (grade II-IV) (Kellgren & Lawrence, 1957). - Clinical signs of PIP-joint arthritis. Exclusion Criteria: - Inflammatory arthritis. - Ongoing infection in the hand. - Inability to co-operate with the follow-up protocol. - Intra-articular glucocorticoid, PRP or Hyaluronic acid injections in the affected joint less than 3 months prior to enrollment.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
PIP joint denervation
Surgical denervation of the PIP joint
Patient education plus exercise
An education plus exercise program

Locations

Country Name City State
Sweden Department of Hand Surgery, Södersjukhuset Stockholm

Sponsors (2)

Lead Sponsor Collaborator
Karolinska Institutet Stockholm South General Hospital

Country where clinical trial is conducted

Sweden, 

Outcome

Type Measure Description Time frame Safety issue
Primary Pain on load (change baseline to -12 months) Pain (Numerical Rating Scale, 0-100 points, 100 is a worse outcome) 0-12 months
Secondary Pain at rest (change baseline to -3, -6, -12 months) Pain (Numerical Rating Scale, 0-100 points, 100 is a worse outcome) 0-12 months
Secondary HQ8 (8-item patient questionnaire) change baseline to -3, -6, 12 months A questionnaire used by Swedish Healthcare Quality Registry for hand surgery (HAKIR), 0-100 points, 100 is a worse outcome. 0-12 months
Secondary PRWHE (Patient Rated Wrist/Hand Evaluation) change baseline to -3, 6, 12 months A questionnaire that measures hand/wrist function (0-100 points, 100 is a worse outcome) 0-12 months
Secondary EQ5D-5L change baseline to -3, -6, -12 months A questionnaire that measures quality of life (0-1 point, 0 is a worse outcome). 0-12 months
Secondary Objective function change baseline to -3, -6, -12 months Range of motion (goniometer with 5 degrees interval) 0-12 months
Secondary Objective function change baseline to -3, -6, -12 months grip strength (hydraulic hand dynamometer, kilograms) 0-12 months
Secondary Complications 2PD (Two point discrimination, 0-15mm, 15 indicating a worse outcome) 0-12 months
Secondary Complications Mini Sollerman (0-12 points, 12 indicating a better outcome) 0-12 months
Secondary Complications Infection (clinical evaluation, positive cultures, need for antibiotics) 0-12 months
Secondary Additional treatment Need for further surgery/treatment 0-12 months
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