NCT04115085

Brief Summary

It was never investigated which preservative non-invasive treatments are superior to treat rhizarthrosis. This randomized study compares the effect of 1. hand therapy vs. 2. therapeutic ultrasound vs. 3. hand therapy plus therapeutic ultrasound in the treatment of rhizarthrosis.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 30, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 3, 2019

Completed
4 days until next milestone

Study Start

First participant enrolled

October 7, 2019

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2024

Completed
Last Updated

May 12, 2023

Status Verified

May 1, 2023

Enrollment Period

4.2 years

First QC Date

September 30, 2019

Last Update Submit

May 10, 2023

Conditions

Keywords

DegenerationTrapeziometacarpal osteoarthritisBasal Joint ArthritisArthrosisHandThumb

Outcome Measures

Primary Outcomes (1)

  • Disabilities of the Arm, Shoulder and Hand (DASH)

    Disabilities as measured by the DASH scale; No Difficulty (1), Mild Difficulty (2), Moderate Difficulty (3), Severe Difficulty (4), Unable (5)

    Change after 9 weeks and 3, 4 and 8 months

Secondary Outcomes (4)

  • Visual analogue scale (VAS) pain

    Change after 9 weeks and 3, 4 and 8 months

  • Short Form 36 SF-36

    Change after 9 weeks and 3, 4 and 8 months

  • Functional assessment: Thumb force

    Change after 9 weeks and 3, 4 and 8 months

  • Functional assessment: Goniometry

    Change after 9 weeks and 3, 4 and 8 months

Study Arms (4)

Hand therapy

EXPERIMENTAL

9 weeks of standard hand therapy including two 20 min slots per week.

Procedure: Hand therapy (18 treatments)

Therapeutic ultrasound

EXPERIMENTAL

9 weeks of standard ultra sound therapy including two 10 min slots per week.

Procedure: Therapeutic ultrasound (18 treatments)

Combined hand therapy and therapeutic ultrasound

EXPERIMENTAL

9 weeks of standard hand therapy plus therapeutic ultrasound including two 30 min slots per week.

Procedure: Combined hand therapy and therapeutic ultrasound (18 treatments)

Sham ultrasound group

SHAM COMPARATOR

9 weeks of sham ultrasound therapy including two 10 min slots per week.

Procedure: Sham ultrasound group (18 treatments)

Interventions

18 treatments (ea. 20 Min) within 9 weeks

Hand therapy

18 treatments (ea. 10 Min) within 9 weeks

Therapeutic ultrasound

18 treatments (ea. 30 Min) within 9 weeks

Combined hand therapy and therapeutic ultrasound

Sham ultrasound group receive 18 treatments (ea. 10 Min) within 9 weeks

Sham ultrasound group

Eligibility Criteria

Age40 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female patients aged 40 to 90 years
  • Pain intensity in the region of the thumb base in pain phases ≥ 40 mm on the VAS of 0 to 100 mm (relative to the last 24 hours)
  • Complaints for at least 3 months
  • X-ray Stadium Eaton I-IV at least once secured

You may not qualify if:

  • History of surgery on the affected hand, wrist or forearm
  • Planned surgery in the next 8 months
  • Anticoagulation (Marcumar, Heparin)
  • Haemophilia, V. Willebrandt Jürgens syndrome, thrombocytopathy and other blood anomalies
  • acute pain medication (\<7 days)
  • Systemic medication with corticoids or immunosuppressants
  • Intraarterticular injections or RSO within the last 3 months
  • Pregnancy, lactation
  • Insulin-dependent type I diabetes mellitus
  • Significant cognitive impairment
  • clinically relevant or progressive disease (e.g., liver, kidney, cardiovascular system, respiratory tract, vascular system, brain, metabolism, thyroid) that could affect the course of the study
  • Malignant disease
  • Clinically relevant addiction or substance abuse disorder (defined as alcohol, drug and drug abuse)
  • Insufficient mental possibility of cooperation
  • Therapy with oral anticoagulants (e.g., Marcumar)
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Waldfriede Hospital

Berlin, 14163, Germany

Location

Related Publications (1)

  • Bock M, Eisenschenk A, Lorenzen H, Lautenbach M. Study of Medical Ultrasound for Rhizarthrosis (SUR): study protocol for a randomized controlled single-center pilot-trial. Trials. 2020 Jun 1;21(1):450. doi: 10.1186/s13063-020-04375-2.

MeSH Terms

Conditions

Osteoarthritis

Interventions

Ultrasonic Therapy

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

DiathermyHyperthermia, InducedTherapeutics

Study Officials

  • Markus Bock, Dr. med.

    Waldfriede Hospital

    PRINCIPAL INVESTIGATOR
  • Martin Lautenbach, Dr. med.

    Waldfriede Hospital

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 30, 2019

First Posted

October 3, 2019

Study Start

October 7, 2019

Primary Completion

December 31, 2023

Study Completion

March 31, 2024

Last Updated

May 12, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will not share

Locations