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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00296868
Other study ID # SRvB/2001-290/JV
Secondary ID
Status Completed
Phase Phase 4
First received February 24, 2006
Last updated February 24, 2006
Start date January 2001
Est. completion date December 2005

Study information

Verified date December 2005
Source Stichting Achmea Slachtoffer en Samenleving
Contact n/a
Is FDA regulated No
Health authority Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
Study type Interventional

Clinical Trial Summary

Complex Regional Pain Syndrome or posttraumatic dystrophy is a pain syndrome which develops after a trauma, surgery or for unknown reason. The incidence after wrist fractures varies in literature from 2 - 37%. The female sex is involved three times as much as the male sex. There is one study in literature which describes a prophylactic effect of vitamin C after wrist fractures. Goal of this study is to search for a dose dependent effect of vitamin C and to replicate these earlier findings.


Description:

The trial was designed as a multicentre, randomized, controlled study. Three hospitals in the Netherlands participated in this study, using the same experimental design.

Adults (18 years or above) with a wrist fracture who were seen in the emergency department of each hospital were asked to participate in this study. Patients were asked to start the trial medication on the day of the fracture. Two capsules had to be taken once daily for 50 days. Patients were allocated randomly to receive either placebo or a dosage of 200, 500 or 1500 mg of vitamin C daily.

The endpoint of the study was defined as the presence of CRPS at any moment, in the period up to one year after the fracture. All participants and physicians were unaware of the treatment allocation.

Patients were seen after 1 week, 4 or 5 weeks (or when the cast was removed), 6 or 7 weeks, 12 weeks, and 26 weeks. After one year patients were interviewed by telephone or received an inquiry letter with a postage-paid envelope for their reply. The normal fracture treatment, either conservative or operative, was not compromised by the protocol, and if necessary patients were seen more often and/or at other times than planned.

Complex regional pain syndrome was diagnosed when four of the following five symptoms were present throughout an area larger than the wrist, including the area distal to the wrist (hand and fingers), and if they occurred or increased after activity: unexplained diffuse pain, which is not in normal relation to the fracture; difference in skin color relative to the other arm; diffuse edema; difference in skin temperature relative to the other arm; limited active range of motion, unrelated to the stage of fracture treatment. If CRPS was diagnosed, the end point of the study was reached and the protocol was terminated to enable treatment for CRPS.


Recruitment information / eligibility

Status Completed
Enrollment 300
Est. completion date December 2005
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- wrist fracture

- adult (18 years and older)

Exclusion Criteria:

- no comprehension of the written information

- not able to appear for follow-up (living abroad)

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Prevention


Related Conditions & MeSH terms


Intervention

Drug:
ascorbic acid (vitamin C) versus placebo


Locations

Country Name City State
Netherlands Rode Kruis Ziekenhuis, Vondellaan 13 Beverwijk

Sponsors (1)

Lead Sponsor Collaborator
Stichting Achmea Slachtoffer en Samenleving

Country where clinical trial is conducted

Netherlands, 

References & Publications (1)

Zollinger PE, Tuinebreijer WE, Kreis RW, Breederveld RS. Effect of vitamin C on frequency of reflex sympathetic dystrophy in wrist fractures: a randomised trial. Lancet. 1999 Dec 11;354(9195):2025-8. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary the existence of CRPS until one year after follow-up
Secondary difference in outcome and dose (dose comparison) after one year of follow-up
See also
  Status Clinical Trial Phase
Recruiting NCT05371938 - Volar Locking Plate Versus External Fixation for Distal Radius Fracture - a Longterm Follow up N/A