UMIN-CTR Clinical Trial

Recruitment status Completed
Unique ID issued by UMIN UMIN000015314
Receipt No. R000017798
Scientific Title The assessment of median nerve elasticity in patients with rheumatoid arthritis by using elastosonography (multicenter clinical study)
Date of disclosure of the study information 2014/10/01
Last modified on 2020/03/16 (Ver. 7)

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Basic information
Public title The assessment of median nerve elasticity in patients with rheumatoid arthritis by using elastosonography (multicenter clinical study)
Acronym The assessment of median nerve elasticity in patients with rheumatoid arthritis
Scientific Title The assessment of median nerve elasticity in patients with rheumatoid arthritis by using elastosonography (multicenter clinical study)
Scientific Title:Acronym The assessment of median nerve elasticity in patients with rheumatoid arthritis
Region
Japan

Condition
Condition rheumatoid arthritis
Classification by specialty
Orthopedics
Classification by malignancy Others
Genomic information NO

Objectives
Narrative objectives1 The aim of this study is to measure the median nerve stiffness by using elastosonography at the carpal tunnel level and check subclinical damage of the median nerve. The median nerve stiffness of patients with rheumatoid arthritis is compared to the stiffness of healthy control.
Basic objectives2 Others
Basic objectives -Others This study is cross sectional study without any intervention.
Trial characteristics_1 Exploratory
Trial characteristics_2 Pragmatic
Developmental phase Not applicable

Assessment
Primary outcomes To compare the median nerve stiffness of patients with rheumatoid arthritis with healthy controls
Key secondary outcomes To compare the median nerve cross sectional area of patients with rheumatoid arthritis with healthy controls

Base
Study type Observational

Study design
Basic design
Randomization
Randomization unit
Blinding
Control
Stratification
Dynamic allocation
Institution consideration
Blocking
Concealment

Intervention
No. of arms
Purpose of intervention
Type of intervention
Interventions/Control_1
Interventions/Control_2
Interventions/Control_3
Interventions/Control_4
Interventions/Control_5
Interventions/Control_6
Interventions/Control_7
Interventions/Control_8
Interventions/Control_9
Interventions/Control_10

Eligibility
Age-lower limit
20 years-old <=
Age-upper limit

Not applicable
Gender Male and Female
Key inclusion criteria 1)1.patients with rheumatoid arthritis, 2.healthy controls
1)both men and women who are over 20 years old
3)participants who accepted to join our study
Key exclusion criteria 1)participants who have a possibility of secondary carpal tunnel syndrome (diabetes mellitus, acute trauma, pregnancy, hypothyroidism, hyperthyroidism, rheumatic disease except for rheumatoid arthritis)
2)double crush syndrome patients (with cervical spondylosis)
3)cervical spondylotic myelopathy patients
4)poly myelopathy patients
5)patients who have previous fracture of wrist
6)patients who have previous surgery of wrist
7)participants who are considered to join this study is not appropriated
Target sample size 300

Research contact person
Name of lead principal investigator
1st name Tadashi
Middle name
Last name Okano
Organization Osaka city university
Division name Orthopedic surgery
Zip code 545-8585
Address 1-4-3 Asahimachi, Abenoku, Osaka city, Osaka
TEL 06-6645-3851
Email ma1sa3ru@med.osaka-cu.ac.jp

Public contact
Name of contact person
1st name Tadashi
Middle name
Last name Okano
Organization Osaka city university
Division name Orthopedic surgery
Zip code 545-8585
Address 1-4-3 Asahimachi, Abenoku, Osaka city, Osaka
TEL 06-6645-3851
Homepage URL
Email ma1sa3ru@med.osaka-cu.ac.jp

Sponsor
Institute Osaka city university, Orthopedic surgery
Institute
Department

Funding Source
Organization None
Organization
Division
Category of Funding Organization Self funding
Nationality of Funding Organization

Other related organizations
Co-sponsor
Name of secondary funder(s)

IRB Contact (For public release)
Organization Osaka city university
Address 1-2-7 Asahimachi, Abenoku, Osaka city, Osaka
Tel 06-6645-3435
Email ethics@med.osaka-cu.ac.jp.

Secondary IDs
Secondary IDs NO
Study ID_1
Org. issuing International ID_1
Study ID_2
Org. issuing International ID_2
IND to MHLW

Institutions
Institutions 大阪市立大学大学院医学研究科

Other administrative information
Date of disclosure of the study information
2014 Year 10 Month 01 Day

Related information
URL releasing protocol http://www.med.osaka-cu.ac.jp/orthoped/research/
Publication of results Published

Result
URL related to results and publications https://www.tandfonline.com/doi/abs/10.1080/14397595.2019.1602914?journalCode=imor20
Number of participants that the trial has enrolled 312
Results
The nerve stiffness in patients with RA measured by ultrasound real-time tissue elastography was higher than without RA. Inflammatory condition of the flexor tendon and wrist joint in patients with RA may generate fibrotic changes in the median nerve.
Results date posted
2020 Year 03 Month 16 Day
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics
402 hands of 201 RA group and 222 hands of 111 non-RA group 
Participant flow
Provide informed consent directly to the selected patients and have them give their consent in a written consent form.
Adverse events
In this study, only ultrasound examination was performed and no specific adverse events were reported.
Outcome measures
Ultrasonography was performed to evaluate the circumference, cross-sectional area (CSA) and strain ratio as an elasticity of the median nerve at the inlet level of the carpal tunnel and the proximal portion of the carpal tunnel inlet.
Plan to share IPD
IPD sharing Plan description

Progress
Recruitment status Completed
Date of protocol fixation
2014 Year 04 Month 01 Day
Date of IRB
2014 Year 03 Month 05 Day
Anticipated trial start date
2014 Year 10 Month 01 Day
Last follow-up date
2017 Year 03 Month 31 Day
Date of closure to data entry
Date trial data considered complete
Date analysis concluded

Other
Other related information case-control sumpling

Management information
Registered date
2014 Year 10 Month 01 Day
Last modified on
2020 Year 03 Month 16 Day


Link to view the page
URL(English) https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017798