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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT00586365
Other study ID # 2006-P-001670
Secondary ID
Status Withdrawn
Phase Phase 4
First received December 14, 2007
Last updated March 20, 2012
Start date October 2007
Est. completion date October 2010

Study information

Verified date March 2012
Source Massachusetts General Hospital
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

Complex elbow fractures can lead to formation of new bone (called Heterotopic ossification). This new bone is unwanted and it can restrict motion. This research study is being done to learn more about the effect of the drug naproxen, on unwanted formation of new bone around the elbow as it heals after a fracture. Naproxen belongs to a class of drugs called NSAIDs which stands for non-steroidal anti-inflammatory drugs.

Several research studies suggest that NSAIDs such as Naproxen can prevent the unwanted formation of new bone around the hip. The effect of NSAIDS on the formation of bone around the elbow has not been studied as well as it has been studied for their effect on the hip.

The drug, Naproxen is approved by the US food and drug administration (FDA) for sale but ot specifically for the treatment of heterotopic ossification.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date October 2010
Est. primary completion date January 2010
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. Subjects aged 18 years or greater

2. Operative treatment of one of the following injuries

- An elbow dislocation with or without associated fractures

- An olecranon fracture-dislocation, but not simple olecranon fractures

- A distal humerus fracture

Exclusion Criteria:

1. An existing diagnosis of one of the following conditions

- Injury to the central nervous system, thorax, or abdomen precluding the immediate use of non-steroidal anti-inflammatory medications

- Fracture of any long bone since non-steroidal anti-inflammatory medications may increase the risk of nonunion

- History of gastritis, peptic ulcer disease, or upper gastrointestinal bleeding

- Impaired renal function (creatinine > 2.0), hypovolemia, heart failure, high blood pressure ( > 160/90), fluid retention, asthma, liver dysfunction (bilirubin > 2.0), or a coagulation disorder

- Allergy to non-steroidal anti-inflammatory medications

- Asthma, nasal polyps, urticaria, and hypotension associated with the use of NSAIDs

- Considerable dehydration

2. Pregnant or breast-feeding women

3. Concomitant use of one of the following drugs:

- Aspirin

- Other naproxen products (ec-naprosyn, anaprox, anaprox ds, naprosyn suspension, aleve)

- Methotrexate

- Diuretics (thiazides / furosemide)

- ACE-inhibitors (captopril, enalapril, ramipril etc.)

- Beta-blockers (propanolol etc.)

- Probenecid (for gout or hyperuricemia)

- H2-blockers, sucralfate and intensive antacid therapy

- Lithium

- Anticoagulants / Warfarin (coumadin, waran, jantoven etc.)

- Sulfonamides

- Anticonvulsant medication (peganone, mesantoin, cerebyx, dilantin, etc.)

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention


Related Conditions & MeSH terms


Intervention

Drug:
Naproxen
500 mg Naproxen twice a day for two weeks

Locations

Country Name City State
United States Massachusetts General Hospital Boston Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Massachusetts General Hospital

Country where clinical trial is conducted

United States, 

References & Publications (1)

Viola RW, Hastings H 2nd. Treatment of ectopic ossification about the elbow. Clin Orthop Relat Res. 2000 Jan;(370):65-86. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary There is no difference in ulnohumeral flexion 2 weeks Yes
See also
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Enrolling by invitation NCT04867278 - Heterotopic Ossification Prophylaxis N/A
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Recruiting NCT04934332 - Early Ultrasound Screening of Heterotopic Ossification After Severe Neurological Trauma N/A
Withdrawn NCT00262392 - Study of Pamidronate for the Prevention of Heterotopic Ossification N/A
Withdrawn NCT04867018 - Defining the Pathophysiology of Heterotopic Ossification: A Prospective Study
Completed NCT01539447 - Influence of Naproxen on Heterotropic Bone Formation Following Hip Arthroscopy Early Phase 1
Completed NCT05218954 - Balance in Patients With Ectopic Bone Tissue After Total Hip Replacement
Completed NCT06251349 - Comparative Analysis of Radiotherapeutic and Medical Procedures for the Prophylaxis of Heterotopic Ossifications
Completed NCT06088407 - Tranexamic Acid Prophylaxis for Heterotopic Ossification in Elbow Fracture-Dislocation Surgery N/A
Completed NCT03974698 - Uncemented Hemiarthroplasty, Radiological Features Comparing Lateral Versus Anterolateral Approach N/A
Enrolling by invitation NCT05648916 - Celebrex and HO Study