- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07680504
A Pilot Superiority Study Comparing the Efficacy of a Combination of a Glenohumeral Intra-articular Injection With a Suprascapular Nerve Block Versus a Glenohumeral Intra-articular Corticosteroid Injection in Retractile Capsulitis (EBLOUIR)
Drug Trial
- Single-center
- Exploratory trial
- Controlled
- Randomized
- Double-blind
- Prospective
Objective is to compare improvements in shoulder function at 3 months between the group receiving an intra-articular injection combined with a suprascapular nerve block and the group receiving an intra-articular injection combined with a placebo block 19 patients in the Experimental Group (block with corticosteroid and intra-articular injection on Day 0) 19 patients in the Control Group (block with saline and intra-articular injection on Day 0)
- Total duration: 36 months
- Recruitment period: 24 months
- Treatment duration per patient: 2 ultrasound-guided procedures on Day 0
- Follow-up duration per patient: 12 months after the procedure
At J0 : Under ultrasound guidance, inject 2 mL of lidocaine into the notch, then:
- Experimental Group: 8 mL of 1% lidocaine into the notch with 1 mL of betamethasone,
- Control Group: 9 mL of saline into the notch.
During these consultations, M1, M3, M6 et M12 , the following examinations will be performed:
- Clinical examination of the painful shoulder, including measurement of range of motion
- Visual Analog Scale (VAS) for pain
- Quick Dash, OSS, and SPADI self-report questionnaires completed by the patient
- Recording of complications
- Questions about returning to work
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
- Navn: Paul ARNOLFO Paul, PH
- Telefonnummer: 02 44 76 81 79
- E-mail: Paul.arnolfo@chu-nantes.fr
Studiesteder
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Nantes, Frankrig
- CHU de Nantes
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Kontakt:
- Paul Arnolfo, PH
- Telefonnummer: 02 44 76 81 79
- E-mail: Paul.arnolfo@chu-nantes.fr
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Patients with shoulder pain and stiffness that has persisted for at least 2 months but less than 12 months, with a loss of passive range of motion in at least 2 planes (lateral rotation, medial rotation, abduction, forward flexion) of at least 30 degrees compared to the contralateral side
- Patients between the ages of 18 and 65
- Patients enrolled in a social security program
Exclusion Criteria:
- - Corticosteroid injection into the affected shoulder < 4 months ago
- History of any surgery on the affected shoulder within the past 12 months
- Patients with a neuromuscular condition (neurological deficit) or shoulder condition (arthropathy) that could interfere with the assessment of the primary endpoint
- Signs or risk of infection (bacterial-like infection and/or fever and/or antibiotic use)
- Poor skin condition of the affected shoulder
- Anticoagulation with VKAs or anti-Xa agents, or active bleeding disorder or one in remission for less than 5 years (malignant hematologic disorders, myelodysplasia, autoimmune thrombocytopenia) or chemotherapy (antiplatelet agents permitted except prasugrel and clopidogrel)*
- Uncontrolled hypertension,
- Decompensated diabetes or diabetes at risk of decompensation,
- Contraindications to diprosten, Kenacort, or lidocaine
- Psychiatric conditions that may be exacerbated by corticosteroids
- Pregnant or breastfeeding women, or women who refuse to use effective contraception
- Individuals belonging to a vulnerable group as defined by Regulation (EU) No. 536/2014 and French law (See section 4.4 of the protocol) - - Patients unable to comply with the protocol requirements (see Section 4.4 of the protocol)
- Patients participating in another clinical research protocol involving a drug or medical device
- Patients who refuse to participate in the study
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Diprostene
Supracapsular nerve block: injection of 10 mL of 1% lidocaine (2 mL along the needle path and 8 mL around the nerve), followed by an injection of 1 mL of DIPROSTENE®. Intra-articular injection: injection of 2 mL of 1% lidocaine along the needle path and 1 mL of KENACORT RETARD® 40 mg. |
Supracapsular nerve block: injection of 10 mL of 1% lidocaine (2 mL along the needle path and 8 mL around the nerve), followed by an injection of 1 mL of DIPROSTENE®. Intra-articular injection: injection of 2 mL of 1% lidocaine along the needle path and 1 mL of KENACORT RETARD® 40 mg. |
|
Placebo komparator: Saline Solution
Suprascapular nerve block: Inject 2 mL of 1% lidocaine along the needle path, followed by 9 mL of normal saline. Intra-articular injection: injection of 2 mL of 1% lidocaine along the needle path and 1 mL of KENACORT RETARD® 40 mg. |
Suprascapular nerve block: Inject 2 mL of 1% lidocaine along the needle path, followed by 9 mL of normal saline. Intra-articular injection: injection of 2 mL of 1% lidocaine along the needle path and 1 mL of KENACORT RETARD® 40 mg. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Difference in Quick DASH scores between baseline and M3
Tidsramme: 3 months
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3 months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
1. Functional Assessment
Tidsramme: D0, Month 1, Month 3, Month 6, month 12
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Function using the Quick Dash
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D0, Month 1, Month 3, Month 6, month 12
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1. Functional Assessment
Tidsramme: D0, Month 1, Month 3, Month 6, month 12
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Function using the SPADI scores
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D0, Month 1, Month 3, Month 6, month 12
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1. Functional Assessment
Tidsramme: D0, Month 1, Month 3, Month 6, month 12
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Function using the OSS
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D0, Month 1, Month 3, Month 6, month 12
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Measuring Joint Ranges of Motion with a Goniometer
Tidsramme: Day 0, Month 1, Month 3, Month 6, and Month 12
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Day 0, Month 1, Month 3, Month 6, and Month 12
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Pain Assessment
Tidsramme: D0, Month 1, Month 3, Month 6, month 12
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With VAS (Visual Analog Scale) 0-10
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D0, Month 1, Month 3, Month 6, month 12
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EVA pain before and after each movement
Tidsramme: Day 0, Month 1, Month 3, Month 6, and Month 12
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Day 0, Month 1, Month 3, Month 6, and Month 12
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Return-to-work timelines following the procedure for patients who are employed
Tidsramme: Month 1, Month 3, Month 6, and Month 12
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Month 1, Month 3, Month 6, and Month 12
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Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- RC25_0554
- 2026-525317-31-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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