NCT00884988

Brief Summary

Ankle fractures are invariably complicated by severe soft-tissue swelling which can significantly prevent surgical repair (open reduction and internal fixation - ORIF) of the fractured bone for up to two weeks. The delay in surgical treatment can increase the risk for local skin and bone complications, as well as for deep venous thrombosis. Lymphomyosot® is a non-prescription, homeopathic complex drug which has been used for more than 70 years throughout Europe and the U.S., primarily for tissue edema and swelling. This is a randomized, placebo-controlled, double blind pilot study evaluating the effectiveness of homeopathic combination drug Lymphomyosot® compared to placebo treatment. The study will take place at the Shaare Zedek Medical Center in Jerusalem, Israel. Adult patients (age 18 years and older) admitted to the orthopedic department with acute ankle fractures which require ORIF repair will be assessed for inclusion in this study. The primary outcome measure to be evaluated is the fracture-ORIF waiting period. Other measures to be evaluated are: peri-malleolar circumference; pain (as measured by NRS and analgesic use); duration of hospital stay; and complications such as poor wound healing, blisters, and the development of deep vein thrombosis.

Trial Health

40
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial recruitment is currently suspended
Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Geographic Reach
1 country

1 active site

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 19, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 21, 2009

Completed
10 months until next milestone

Study Start

First participant enrolled

February 1, 2010

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2012

Completed
Last Updated

February 22, 2012

Status Verified

February 1, 2012

Enrollment Period

2.8 years

First QC Date

April 19, 2009

Last Update Submit

February 19, 2012

Conditions

Keywords

ankle fractureedemasurgical repairhomeopathylymphomyosot

Outcome Measures

Primary Outcomes (1)

  • To compare the effect of Lymphomyosot on the duration of time from fracture to ORIF surgery, to placebo medication.

    3 weeks

Secondary Outcomes (4)

  • To compare the effect of Lymphomyosot® on the development of peri-malleolar edema following ankle fracture surgery, to placebo medication.

    3 weeks

  • To compare the effect of Lymphomyosot on pain following ankle fracture, to placebo medication.

    3 weeks

  • To compare the effect of Lymphomyosot on Hospitalization time between the verum and the placebo group.

    3 weeks

  • To compare the effect of Lymphomyosot on complication rate (wound healing disturbance, wound infection, blistering, deep vein thrombosis).

    3 weeks

Study Arms (2)

Lymphomyosot

ACTIVE COMPARATOR

homeopathic remedy

Drug: Lymphomyosot

Placebo remedy

PLACEBO COMPARATOR

identical in color, constituency and taste to true remedy

Drug: Placebo remedy

Interventions

20 drops X3/day, until discharge

Lymphomyosot

20 drops X3/day, until discharge

Placebo remedy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age and older
  • patients with a fracture of the ankle requiring ORIF
  • signed informed consent form.

You may not qualify if:

  • refusal or inability to give informed consent
  • bilateral fractures of the foot or ankle, open fractures, poly-trauma, contralateral limb amputation
  • currently on anticoagulation therapy
  • clinical indication for immediate surgery.
  • ability to undergo surgery on the day of the fracture , or where soft-tissue edema was not the cause which prevented immediate surgery
  • any additional injury that prevents partial weight-bearing.
  • a concomitant fracture of another long bone in the ipsilateral leg
  • if the patient suffers from a systemic disease such as diabetes, malignant tumor, severe peripheral vasculopathy, and/or metabolic disease
  • concurrent participation in another study
  • inability to comply with the study protocol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shaare Zedek Medical Center

Jerusalem, 91031, Israel

Location

MeSH Terms

Conditions

Ankle InjuriesFractures, BoneAnkle FracturesEdema

Interventions

Lymphomyosot

Condition Hierarchy (Ancestors)

Leg InjuriesWounds and InjuriesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Menachem Oberbaum, MD

    Shaare Zedek Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Center for Integrative Complementary Medicine

Study Record Dates

First Submitted

April 19, 2009

First Posted

April 21, 2009

Study Start

February 1, 2010

Primary Completion

December 1, 2012

Last Updated

February 22, 2012

Record last verified: 2012-02

Locations