UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061193
Receipt number R000070026
Scientific Title Ultra-early steroid tape intervention for preventing hypertrophic scars after total knee arthroplasty: a randomized controlled trial
Date of disclosure of the study information 2026/04/08
Last modified on 2026/04/08 08:45:06

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Basic information

Public title

Ultra-early steroid tape intervention for preventing hypertrophic scars after TKA: a randomized controlled trial

Acronym

UST-TKA Trial

Scientific Title

Ultra-early steroid tape intervention for preventing hypertrophic scars after total knee arthroplasty: a randomized controlled trial

Scientific Title:Acronym

UST-TKA Trial

Region

Japan


Condition

Condition

Osteoarthritis of the knee

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to determine whether ultra-early initiation of steroid tape therapy at 1 month after total knee arthroplasty is more effective in reducing hypertrophic scar thickness and improving pruritus NRS scores compared with delayed initiation at 3 months postoperatively.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Thickness of the hypertrophic scar (mm) at 6 months postoperatively.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Delayed intervention group (Control)
Delayed initiation of steroid tape therapy starting at 3 months after total knee arthroplasty. Steroid tape is applied from postoperative month 3 as part of standard scar management, and scar thickness and pruritus are assessed over time.

Interventions/Control_2

Ultra-early intervention group (Intervention)
Ultra-early initiation of steroid tape therapy starting at 1 month after total knee arthroplasty. Steroid tape is applied from postoperative month 1, and scar thickness and pruritus NRS scores are assessed over time.

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

50 years-old <=

Age-upper limit

89 years-old >=

Gender

Male and Female

Key inclusion criteria

Key inclusion criteria
1. Patients undergoing primary total knee arthroplasty for knee osteoarthritis.
2. Patients with a fully epithelialized incision and no signs of infection at 1 month postoperatively.
3. Patients who wish to receive steroid tape therapy and provide written informed consent.
4. Patients who are able to complete follow-up assessments up to 6 months after surgery.

Key exclusion criteria

Exclusion criteria
- Patients who show any signs of wound infection (e.g., erythema, discharge, warmth) at 1 month postoperatively.
- Patients whose incision is not fully epithelialized and for whom steroid tape application is not considered safe.
- Patients with known allergies to topical steroids or adhesive materials used in the tape.
- Patients receiving immunosuppressive therapy or systemic corticosteroid treatment.
- Patients with severe dermatologic conditions that may affect wound healing.
- Patients undergoing revision TKA or those with infectious arthritis or other non-primary TKA indications.
- Patients who are unlikely to complete follow-up assessments up to 6 months after surgery.
- Patients who are unable or unwilling to provide written informed consent.

Target sample size

110


Research contact person

Name of lead principal investigator

1st name Yoshinori
Middle name
Last name Mikashima

Organization

Takagi Hospital, Oume Knee Surgery Center

Division name

Oume Knee Surgery Center

Zip code

198-0021

Address

Imadera 5-18-19, Oume City, Tokyo

TEL

0428315255

Email

ymikashima2007@yahoo.co.jp


Public contact

Name of contact person

1st name Yoshinori
Middle name
Last name Mikashima

Organization

Takagi Hospital

Division name

Oume Knee Surgery Center

Zip code

198-0021

Address

Imadera 5-18-19 Takagi Hospital

TEL

0428315255

Homepage URL


Email

ymikashima2007@yahoo.co.jp


Sponsor or person

Institute

Yoshinori Mikashima

Institute

Department

Personal name



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

Takagi Hospital Ethics Committee

Address

Imadera 5-18-19, Oume City, Tokyo

Tel

0428315255

Email

yamazaki@takagi-hp.or.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



Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 08 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


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 04 Month 08 Day

Date of IRB

2026 Year 04 Month 08 Day

Anticipated trial start date

2026 Year 04 Month 08 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry

2028 Year 06 Month 30 Day

Date trial data considered complete

2028 Year 06 Month 30 Day

Date analysis concluded

2028 Year 06 Month 30 Day


Other

Other related information

None in particular


Management information

Registered date

2026 Year 04 Month 08 Day

Last modified on

2026 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070026