Thumb Osteoarthritis Clinical Trial
Official title:
NSAID Injection Versus Corticosteroid Injection for Basilar Thumb Arthritis: A Randomized, Controlled Trial
Verified date | August 2023 |
Source | Mayo Clinic |
Contact | Lindsey Hobbs |
Phone | 15072262669 |
hobbs.lindsey[@]mayo.edu | |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The Researchers are trying to compare two different types of intraarticular injections (injection in the joint) for treating the symptoms of moderate to advanced basilar thumb arthritis. One injection is ketorolac (an NSAID) and the other is triamcinolone (a corticosteroid).
Status | Recruiting |
Enrollment | 240 |
Est. completion date | December 2024 |
Est. primary completion date | October 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility | Inclusion Criteria: - Adults > 40 years of age - Pain at the thumb base brought on by direct pressure (grind test) and with movement - Pain resistant to previous conservative management with oral analgesics, NSAIDs, icing, and splinting - Radiological observation indicative of arthritis based on the Eaton-Littler classification system (stages 1 through 4) - Patient could understand the protocol and signed the informed consent - Patient was covered by health insurance Exclusion Criteria: - Known allergy to either of the treatment products - Patient's analgesic treatment regimen was modified within four weeks before trial inclusion - Scaphoid-trapezial arthritis present - Localized or systemic infection - Previous thumb surgery on study thumb - Previous thumb injury on study thumb - Patient with inflammatory arthritis (e.g., rheumatoid arthritis, psoriatic arthritis) - Severe and/or uncontrolled hypertension - De Quervain tendinopathy present - Previous injections to the trapeziometacarpal joint on study thumb - Uncontrolled diabetes - Pregnant or lactating females - Immunodeficient patients - Patients that are currently using nicotine products, or who have quit in the last 12 months - Patients under guardianship, curatorship, or are otherwise not self-sufficient - Patients participating in another clinical research trial which interferes with this study protocol or outcomes - Patients unable to follow the protocol in the investigators' judgement. |
Country | Name | City | State |
---|---|---|---|
United States | Mayo Clinic | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Mayo Clinic |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Visual Analogue Scale (VAS) of Pain | Patient-reported VAS score with both motion and rest of the CMC joint. | At initial evaluation and then 1 month, 3 months, 6 months, and 1 year post-injection. | |
Secondary | Michigan Hand Outcomes Questionnaire (MHQ) | Patient-reported MHQ score | At initial evaluation and then 1 month, 3 months, 6 months, and 1 year post-injection. | |
Secondary | Grip Strength | Grip strength measured with a dynamometer, reported in kilograms. Measurements will be performed three times, with the mean value of the three repetitions used as the reported value. | At initial evaluation and then 1 month, 3 months, 6 months, and 1 year post-injection. | |
Secondary | Apposition Strength | Apposition strength measured with a dynamometer, reported in kilograms. Measurements will be performed three times, with the mean value of the three repetitions used as the reported value. | At initial evaluation and then 1 month, 3 months, 6 months, and 1 year post-injection. | |
Secondary | Opposition Strength | Opposition strength measured with a dynamometer, reported in kilograms. Measurements will be performed three times, with the mean value of the three repetitions used as the reported value. | At initial evaluation and then 1 month, 3 months, 6 months, and 1 year post-injection. |
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