Vitamin D3 in Sensory Recovery After Digital NERVe Suture (D3NERV).
D3NERV
2 other identifiers
interventional
72
1 country
3
Brief Summary
Digital nerve injuries are frequent in a FESUM center (Federation Européenne des Services d'Urgences Mains), and they need to be repaired in order to reduce the risk of hypoesthesia and to prevent painful neuroma. Several animal studies have shown that Cholecalciferol improves axonal nerve regeneration and myelination. No study has ever been done on human subjects to evaluate the nerve regeneration after Cholecalciferol supplementation. Our hypothesis is that Cholecalciferol supplementation could improve axonal nerve regeneration and myelination after traumatic digital nerve injuries treated by microsurgical sutures and reduce the risk of hypoesthesia and neuroma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jan 2020
Typical duration for phase_3
3 active sites
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
August 19, 2019
CompletedFirst Posted
Study publicly available on registry
October 4, 2019
CompletedStudy Start
First participant enrolled
January 20, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedAugust 31, 2021
July 1, 2021
2.9 years
August 19, 2019
August 30, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Weber test (Month 6)
2 point discrimination test of Weber on the side of the fingertip concerned by the wound, comparing to the controlateral arm, after 6 months.
Month 6
Secondary Outcomes (10)
Weber test (Month 12)
Month 12
Resting pain on the operated finger
Month 2, Month 6, Month 12
Neuropathic pain on the operated finger
Month 2, Month 6, Month 12
Global functional outcome measure
Month 2, Month 6, Month 12
Cold Intolerance
Month 2, Month 6, Month 12
- +5 more secondary outcomes
Study Arms (2)
Cholecalciferol
EXPERIMENTALCholecalciferol (Vitamin D3) 100 000 IU/2 mL
Placebo
PLACEBO COMPARATORPlacebo of Cholecalciferol (Vitamine D3) 100 000 IU/2 mL
Interventions
Eligibility Criteria
You may qualify if:
- Affiliated to social security scheme,
- Wound of the palmar hand with isolated digital nerve section, requiring digital nerve microsurgical suture in the operating room by a senior surgeon,
- Signing a free and informed consent and well-informed of the study and procedure.
You may not qualify if:
- Ischemia,
- Multiple lesion of the same nerve,
- Pregnant or nursing women,
- Contraindication of Cholecalciferol : known hypersensitivity, any history of hypercalcemia, hypercalciuria or renal lithiasis,
- Cholecalciferol supplementation in the past 6 months,
- Lesion of the same controlateral finger,
- History of nerve lesion or hypoesthesia on the same finger,
- History of previous neurological disorders with upper limb sensitivity disorder,
- Impossibility to undergo the medical follow-up because of geographical, social or psychological reason,
- Participation in another clinical trial that does not allow simultaneous participation in several clinical trials,
- Orlistat® Treatment,
- History of celiac disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Caen University Hospital
Caen, 14000, France
Rouen University Hospital
Rouen, 76000, France
Institut de la main Nantes Atlantique
Saint-Herblain, 44800, France
Related Publications (26)
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PMID: 16140692BACKGROUNDBattiston B, Geuna S, Ferrero M, Tos P. Nerve repair by means of tubulization: literature review and personal clinical experience comparing biological and synthetic conduits for sensory nerve repair. Microsurgery. 2005;25(4):258-67. doi: 10.1002/micr.20127.
PMID: 15934044BACKGROUNDBertleff MJ, Meek MF, Nicolai JP. A prospective clinical evaluation of biodegradable neurolac nerve guides for sensory nerve repair in the hand. J Hand Surg Am. 2005 May;30(3):513-8. doi: 10.1016/j.jhsa.2004.12.009.
PMID: 15925161BACKGROUNDChabas JF, Stephan D, Marqueste T, Garcia S, Lavaut MN, Nguyen C, Legre R, Khrestchatisky M, Decherchi P, Feron F. Cholecalciferol (vitamin D(3)) improves myelination and recovery after nerve injury. PLoS One. 2013 May 31;8(5):e65034. doi: 10.1371/journal.pone.0065034. Print 2013.
PMID: 23741446BACKGROUNDHeaney RP, Davies KM, Chen TC, Holick MF, Barger-Lux MJ. Human serum 25-hydroxycholecalciferol response to extended oral dosing with cholecalciferol. Am J Clin Nutr. 2003 Jan;77(1):204-10. doi: 10.1093/ajcn/77.1.204.
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PMID: 25827143BACKGROUNDManoli T, Schiefer JL, Schulz L, Fuchsberger T, Schaller HE. Influence of immobilization and sensory re-education on the sensory recovery after reconstruction of digital nerves with direct suture or muscle-in-vein conduits. Neural Regen Res. 2016 Feb;11(2):338-44. doi: 10.4103/1673-5374.169638.
PMID: 27073390BACKGROUNDMontava M, Garcia S, Mancini J, Jammes Y, Courageot J, Lavieille JP, Feron F. Vitamin D3 potentiates myelination and recovery after facial nerve injury. Eur Arch Otorhinolaryngol. 2015 Oct;272(10):2815-23. doi: 10.1007/s00405-014-3305-y. Epub 2014 Sep 27.
PMID: 25261104BACKGROUNDPomares G, Dap F, Dautel G. Complete section of proper palmar digital pedicles: Correlation between arterial patency and sensory recovery. Hand Surg Rehabil. 2017 Apr;36(2):136-140. doi: 10.1016/j.hansur.2016.12.001. Epub 2017 Mar 9.
PMID: 28325428BACKGROUNDPrzybelski R, Agrawal S, Krueger D, Engelke JA, Walbrun F, Binkley N. Rapid correction of low vitamin D status in nursing home residents. Osteoporos Int. 2008 Nov;19(11):1621-8. doi: 10.1007/s00198-008-0619-x. Epub 2008 Apr 18.
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PMID: 16176227BACKGROUNDTaylor PN, Davies JS. A review of the growing risk of vitamin D toxicity from inappropriate practice. Br J Clin Pharmacol. 2018 Jun;84(6):1121-1127. doi: 10.1111/bcp.13573. Epub 2018 Apr 16.
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PMID: 11879864BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2019
First Posted
October 4, 2019
Study Start
January 20, 2020
Primary Completion
December 1, 2022
Study Completion
December 1, 2022
Last Updated
August 31, 2021
Record last verified: 2021-07