- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01606540
Non-steroid Antiinflammatory Drugs to Heal Colles Fracture
The Influence of Non-steroid Antiinflammatory Drugs (NSAID) to Heal Colles Fracture.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
One of the most popular painkillers in the world is known as NSAID (non-steroidal anti-inflammatory drugs). Many studies with animals have been made which show a clear tendency for delayed bone healing by taking NSAIDs.
It is known that an early intake of NSAIDs prevents ectopic ossification in patients, receiving total hip prosthesis. However, cases of prosthetic loosening and instability after 10 years were almost exclusively observed in the group of patients who received NSAIDs postoperatively. However, very few clinical studies still show this tendency. In this study we include patients with fresh fracture in the wrist; Colles fracture. The fracture may seem unstable when there is a lack of bone healing. These fractures are very common in the orthopaedic clinic.
Although there is no dislocation of the fragments, newly formed bone can be weaker as demonstrated by DEXA scanning (bone mineral density measurement). Histological examination of the healing bone can give a definitive answer whether the bone was affected or not. Thus, the possibilities of studying NSAIDs affect on bone healing in humans and the clinical significance are very positive.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Aalborg, Denmark
- Orthopaedic Surgery Research Unit, Aalborg University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients giving written informed consent and authority
- Patients with Colles fracture who require surgery by means of an external fixation or type bridging with or without suture.
- Patients who clinically and radiographically are diagnosed for reposition and therefore require external fixation or type bridging with or without suture.
Exclusion Criteria:
- Patients who have been given adrenal cortex hormone.
- Patients who have been given non-steroid antiinflammatory drugs (NSAID).
- Patients who have not been giving written informed consent and authority.
- Patients who smoke more than 20 cigarettes daily.
- Patients who consume more than 14 drinks weekly.
- Lack of mental and physical ability to follow the directions according to the protocol.
- Medical contraindication to non-steroid antiinflammatory drugs.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Reposition and immobilism
The patient are under sedation before reposition. The patient will be injected with 8-10 ml 1% Lidocain. After reposition the patient is asked to fill in a questionnaire with information of experienced pain based on VAS score. The patient note down the experience of pain each day 14 days after reposition. |
Group A: Daily tablets Ibumetin, 600 mg x 3, 7 days after reposition. Group B: Daily tablets Ibumetin, 600 mg x 3, 3 days after reposition. The following days placebo tablets. Group C: Placebo tablets 1 week after reposition.
Other Names:
Group A: Daily tablets Ibumetin, 600 mg x 3, 7 days after surgery. Group B: Daily tablets Ibumetin, 600 mg x 3, 3 days after surgery. The following days placebo tablets. Group C: Placebo tablets for 1 week after surgery.
Other Names:
|
Active Comparator: Surgery
The method of surgery is type bridging. After surgery the patient is asked to fill in a questionnaire with information of experienced pain based on VAS score. The patient note down the experience of pain each day 14 days after operation. |
Group A: Daily tablets Ibumetin, 600 mg x 3, 7 days after reposition. Group B: Daily tablets Ibumetin, 600 mg x 3, 3 days after reposition. The following days placebo tablets. Group C: Placebo tablets 1 week after reposition.
Other Names:
Group A: Daily tablets Ibumetin, 600 mg x 3, 7 days after surgery. Group B: Daily tablets Ibumetin, 600 mg x 3, 3 days after surgery. The following days placebo tablets. Group C: Placebo tablets for 1 week after surgery.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of dislocation.
Time Frame: An expected average of 5 weeks
|
By means of new radiographic technology the investigator is able to determine the difference between any migration of fragments precisely.
|
An expected average of 5 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain score by VAS scale.
Time Frame: An expected average of 2 weeks.
|
Every patient keeps a pain log 2 weeks after surgery.
|
An expected average of 2 weeks.
|
Bone Mineral Density.
Time Frame: An expected average of 3 months
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By means of DEXA scanning the bone mineral density will be evaluated.
|
An expected average of 3 months
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Movement deflections.
Time Frame: An expected average of 5 weeks
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Evaluation of flexion, extension, pronation and supination after 1 week, 2 weeks, 6 weeks and 3 months. DASH score after 3 months and 1 year. |
An expected average of 5 weeks
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Predictors for bone healing.
Time Frame: An expected average of 3 months
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To determine the predictors for bone healing in cooperation with Immunodiagnostic Systems.
|
An expected average of 3 months
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Determine ossification.
Time Frame: An expected average of 3 months
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To perform a core biopsi in order to determinating ossification of callus.
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An expected average of 3 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Marius Aliuskevicius, M.D., Orthopaedic Research Unit, Aalborg University Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Wounds and Injuries
- Joint Diseases
- Musculoskeletal Diseases
- Joint Dislocations
- Fracture Dislocation
- Radius Fractures
- Fractures, Bone
- Colles' Fracture
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Ibuprofen
Other Study ID Numbers
- N-20120015
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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