UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052076
Receipt number R000059439
Scientific Title Study on the efficacy of conservative treatments on pain relief in patients with symptomatic interphalangeal joint osteoarthritis
Date of disclosure of the study information 2023/09/01
Last modified on 2023/08/31 21:10:01

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Basic information

Public title

Study on the efficacy of conservative treatments on pain relief in patients with painful interphalangeal joint osteoarthritis

Acronym

Conservative treatments for painful digital OA

Scientific Title

Study on the efficacy of conservative treatments on pain relief in patients with symptomatic interphalangeal joint osteoarthritis

Scientific Title:Acronym

Conservative treatments for symptomatic digital OA

Region

Japan


Condition

Condition

Osteoarthritis of interphalangeal joints

Classification by specialty

Plastic surgery Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To characterize the short- and medium-term effects of intra-articular injection and joint traction therapy on pain in patients with symptomatic interphalangeal joint OA

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Pinch strenghth

Key secondary outcomes

Range of motion
Functional assessment measures for upper limb


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. age 20 years or older
2. Patients with a diagnosis of hand OA according to American College of Rheumatology criteria
3. Patients with at least one symptomatic DIP joint, with pain lasting for preceding 6 weeks or longer.

Key exclusion criteria

Patients with any of secondary hand OA, inflammatory arthritis, or other neurological and skeletal disease diagnosis contributing to hand pain

Target sample size

35


Research contact person

Name of lead principal investigator

1st name Susumu
Middle name
Last name Saito

Organization

Graduate School of Medicine and Faculty of Medicine, Kyoto University

Division name

Department of Plastic and Reconstructive Surgery

Zip code

606-8507

Address

54, Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3613

Email

susumus@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Susumu
Middle name
Last name Saito

Organization

Graduate School of Medicine and Faculty of Medicine, Kyoto University

Division name

Department of Plastic and Reconstructive Surgery

Zip code

606-8507

Address

54, Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3613

Homepage URL


Email

susumus@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University

Institute

Department

Personal name

Susumu Saito


Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Graduate School and Faculty of Medicine, Ethics Committee

Address

Yoshida-Konoe-cho, Sakyo-ku, Kyoto

Tel

075-753-4680

Email

ethcom@kuhp.kyoto-u.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

京都大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2023 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

21

Results

The effect of traction therapy on symptomatic joints in patients with DIP joint OA was assessed over time. A significant increase of two-point pinch strength was observed after 1-month traction and maintained for 6 months. At every time point, the treated digits showed a significantly higher improvement of two-point pinch strength from baseline compared to control digits. The patients showed high adherence to the treatment. At month 6, around 80% of patients spontaneously continued traction therapy.

Results date posted

2023 Year 08 Month 31 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Mean age was 64.9 (range, 48-74) and female patients were dominant (85%). More than 70% of patients had symptom for more than 1 year.

Participant flow


Adverse events

No adverse events

Outcome measures

Two-point pinch strength

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 12 Month 27 Day

Date of IRB

2021 Year 01 Month 26 Day

Anticipated trial start date

2021 Year 01 Month 29 Day

Last follow-up date

2023 Year 03 Month 24 Day

Date of closure to data entry

2023 Year 03 Month 24 Day

Date trial data considered complete

2023 Year 03 Month 24 Day

Date analysis concluded

2023 Year 08 Month 31 Day


Other

Other related information

The pinch strength of patients who underwent traction therapy at home for one month was observed over time. The contralateral finger served as a control. Twenty-one patients participated in the observational study, and 18 fingers from 13 patients were included in paired comparison analysis. Two-point pinch strength increased significantly at 1 month compared to before treatment and was maintained until 6 months. In comparison with within-subject control, the rate of improvement from before treatment was significantly higher in treated digits. Patient compliance with treatment was good.


Management information

Registered date

2023 Year 08 Month 31 Day

Last modified on

2023 Year 08 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059439