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

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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