Clinical trial • Phase IV • Musculoskeletal
Piroxicam for Lateral epicondylitis
Phase IV trial of Piroxicam for Lateral epicondylitis.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Lateral epicondylitis
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 09-12-2024
- First CTIS Authorization Date
- 09-01-2025
Trial design
Randomised, mesotherapy with piroxicam and lidocaine (intradermal) versus intradermal dry needling. piroxicam (product piroxicam) listed with max total amount 20 (dose unit: mg/ml); lidocaine hydrochloride (product lidocaine hydrochloride) listed with max total amount 1.5 ml. schedule not specified in the record.-controlled Phase IV trial in Portugal.
- Randomised
- Yes
- Comparator
- Mesotherapy with piroxicam and lidocaine (intradermal) versus intradermal dry needling. Piroxicam (product PIROXICAM) listed with max total amount 20 (dose unit: mg/ml); Lidocaine hydrochloride (product LIDOCAINE HYDROCHLORIDE) listed with max total amount 1.5 ml. Schedule not specified in the record.
- Target Sample Size
- 85
- Trial Duration For Participant
- 180
Eligibility
Recruits 85 adults.
- Pregnancy Exclusion
- 5) pregnancy;
Inclusion criteria
- {"criterion_text":"- Patients older than 18 years with 1) clinical diagnosis of LE defined as pain over the lateral epicondyle provoked by palpation, resisted extension or gripping; 2) A visual analogue scale (VAS) score for pain greater than 40mm (0-100mm); 3) symptoms duration for more than 3 months."}
Exclusion criteria
- {"criterion_text":"- 1) other diseases that can alter clinical evaluation detected through history, clinical examination, ultrasound or other exams for comorbidities such as carpal tunnel syndrome, cervical radiculopathy, elbow arthritis, intraarticular loose bodies, previous elbow surgery or clinically significant or recent trauma, fibromyalgia and major psychiatric conditions; 2) VAS score for pain less than 40mm; 3) any of the following treatments during the previous 4 weeks before baseline visit: physical therapy, bandage, mesotherapy and local corticosteroid injection or a combination of these; 4) nonsteroidal anti-inflammatory drugs (NSAIDS) taken during the week previous to inclusion; 5) pregnancy; 6) allergy to any of the study drugs; 7) severely immunosuppressed patients; 8) known coagulopathies."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Changes from baseline in pain intensity quantified by using a 0-100 VAS score. We will consider the treatment effective if a reduction of 20/100 in the VAS score is achieved.","definition_or_measurement_approach":"Pain intensity measured by 0-100 Visual Analogue Scale (VAS); treatment considered effective if reduction of 20/100 in VAS score is achieved."}
Secondary endpoints
- {"endpoint_text":"- Changes from baseline in a three-point scale that measures pain on resisted dorsiflexion of the wrist and third finger, registered as none, some or definite, at 1 week, 2 weeks, 3 weeks, 1 month and 3 months. - Changes from baseline in general health evaluation with the short form-36 mental health (SF- 36 MH), at 1 week, 2 weeks, 3 weeks, 1 month, 3 months and 6 months","definition_or_measurement_approach":"Three-point pain scale on resisted dorsiflexion (none/some/definite) measured at 1 week, 2 weeks, 3 weeks, 1 month and 3 months. General health evaluated using SF-36 mental health domain at 1 week, 2 weeks, 3 weeks, 1 month, 3 months and 6 months."}
Recruitment
- Planned Sample Size
- 85
- Recruitment Window Months
- 13
- Consent Approach
- Written informed consent will be obtained from adult participants (patients older than 18 years). Subject information and informed consent form document is listed for the trial.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 85
Portugal
- Earliest CTIS Part Ii Submission Date
- 07-01-2025
- Latest Decision Or Authorization Date
- 09-01-2025
- Processing Time Days
- 2
- Number Of Sites
- 1
- Number Of Participants
- 85
Sites
- Site Name
- Unidade Local De Saude De Santa Maria E.P.E.
- Department Name
- Rheumatology
- Principal Investigator Name
- Fernando Saraiva
- Principal Investigator Email
- fernando.saraiva@ulssm.min-saude.pt
- Contact Person Name
- Fernando Saraiva
- Contact Person Email
- fernando.saraiva@ulssm.min-saude.pt
Sponsor
Primary sponsor
- Full Name
- Unidade Local De Saude De Santa Maria E.P.E.
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Portugal
Co-sponsors
- Instituto De Medicina Molecular Joao Lobo Antunes
Investigational products
- Investigational Product Name
- PIROXICAM
- Active Substance
- Piroxicam
- Modality
- Small molecule
- Routes Of Administration
- Intradermal
- Route
- Intradermal
- Maximum Dose
- 20 mg/ml
- Investigational Product Name
- LIDOCAINE HYDROCHLORIDE
- Active Substance
- Lidocaine hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- Intradermal
- Route
- Intradermal
- Maximum Dose
- 1.5 ml
- Combination Treatment
- Yes
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