NCT04204200

Brief Summary

Abstract: Complex regional pain syndrome (CRPS) is a significant complication in operated osteoarticular pathology and may adversely affect patient's quality of life. Vitamin C is an anti-oxidant and a neuro-modulating agent. Intake of vitamin C appears to be the only preventative factor. The objective of this study seeks to assess the effectiveness of liposomal conditioning of vitamin-C in reducing CRPS and to show evidence that it is more effective than taking vitamin C in its usual form.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
66

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2014

Longer than P75 for not_applicable

Status
completed

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

Study Start

First participant enrolled

January 6, 2014

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 8, 2018

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 19, 2019

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

December 13, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

December 18, 2019

Completed
2 months until next milestone

Results Posted

Study results publicly available

February 11, 2020

Completed
Last Updated

February 11, 2020

Status Verified

January 1, 2020

Enrollment Period

4 years

First QC Date

December 13, 2019

Results QC Date

December 20, 2019

Last Update Submit

January 31, 2020

Conditions

Outcome Measures

Primary Outcomes (4)

  • Number of Participants Operated for Complex Regional Pain Syndrome Who Had Transposition of Anterior Tibial Tuberosity

    We take an x-ray of the knee then we calculate of the Index of Caton and Deschamps AT / AP which must be close to 1 cm (from the upper edge to the lower edge of the patella which must be equal to the distance between the tip of the patella and anterior tibial tuberosity) to be interpreted as a transposed tuberosity.

    After one-year of follow-up

  • Number of Participants Operated for Complex Regional Pain Syndrome Who Had Ligamentoplasty ACL According to Kenneth-Jones

    Radiographs of the knee in monopodial support at 30° flexion (schuss) were taken. Measurement analysis of the translation of the tibia relative to the femur which must be close to 0 cm for the patient to be positive for the outcome.

    After one-year follow-up

  • Number of Participants Operated for Complex Regional Pain Syndrome Who Had Internal Unicompartmental Arthroplasty for Centralized Arthritis

    Radiographs of the knee in Schuss with an external decoaptation which must be close to 0 cm and a pan gono gram standing from the front

    After one-year follow-up

  • Number of Participants Operated for Complex Regional Pain Syndrome Who Had Total Knee Arthroplasty for Eccentric Arthritis

    X-rays of the knee and Schuss profile with an internal and external decoaptation which must be close to 0 cm with pan gonogram standing from the front (x-rays of the long axes of the pelvis of the ankles with measurement of the HKA axes on the prosthesis side and on the non-side operated which must be close to 180°) to have eccentric arthritis.

    After one-year follow-up

Study Arms (3)

Allocated to conventional vitamin C (n= 22)

ACTIVE COMPARATOR

* Received allocated conventional vitamin C (n= 22) * Did not receive allocated conventional vitamin C (n= 0)

Dietary Supplement: standard vitamin C

Allocated to liposomal vitamin C (n= 22)

ACTIVE COMPARATOR

* Received allocated liposomal vitamin C (n= 22) * Did not receive allocated liposomal vitamin C (n= 0)

Dietary Supplement: liposomal vitamin C

Allocated to placebo (n= 22)

PLACEBO COMPARATOR

* Received allocated intervention (n= 22) * Did not receive allocated intervention (n= 0)

Dietary Supplement: placebo

Interventions

liposomal vitamin CDIETARY_SUPPLEMENT

The intake of liposomal vitamin C at 500 mg, in the morning and evening, one week before surgery, one during the day of surgery and lastly, during the first 21 post operation days.

Allocated to liposomal vitamin C (n= 22)
standard vitamin CDIETARY_SUPPLEMENT

The intake of traditional vitamin C with a daily intake of 500 mg in the morning and evening for 28 days (starting 7 days before the operative procedure, on the day of the surgery and ending twenty-one days after surgery).

Allocated to conventional vitamin C (n= 22)
placeboDIETARY_SUPPLEMENT

The intake placebo was taken daily in the morning and the evening for 28 days (7 days before surgery, on the day of surgery and twenty-one days after the surgical procedure).

Allocated to placebo (n= 22)

Eligibility Criteria

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

You may qualify if:

  • Female, Age \> 18 years
  • The woman of childbearing age - if applicable - must have a negative urine pregnancy test result and must agree to use adequate contraception (hormonal or barrier contraception method, or abstinence) during the study and one month later)
  • Consenting patient
  • Agrees to maintain the current level of physical activity throughout the study.
  • Agrees to avoid vitamins and supplements for 30 days before enrolment and during the study.
  • Avoid nutritious yeasts, whey protein, energy drinks, pomegranate, pomegranate juice, grapefruit, grapefruit juice and alcohol 7 days before enrolment and during the study
  • Willingness and ability to comply with scheduled visits, cellular phone calls, treatment plans, laboratory tests and completion of other study procedures specified in the protocol.

You may not qualify if:

  • Pregnant, breastfeeding or considering pregnancy during the trial
  • Diabetic women
  • No renal lithiasis
  • No deficiency Glucose-6-phosphate dehydrogenase
  • Unstable medical conditions
  • Immunocompromised persons such as subjects who have undergone organ transplantation
  • Subjects who planned surgery during the clinical study
  • History of blood disorders / bleeding
  • Alcohol abuse (\> 2 standard alcoholic beverages per day) or drug addiction in the last 6 months
  • Participation in a clinical research trial within 30 days of randomization
  • Allergy or sensitivity to the product during the clinical study.
  • Persons who have a cognitive impairment and/or are unable to give an informed opinion.
  • Any other condition that, in the opinion of the physician, could affect the subject and lead to the successful completion of the study, action or pose a significant risk to the subject.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (22)

  • Camelot C, Ramare S, Lemoine J, Saillant G. [Orthopedic treatment of fractures of the lower extremity of the radius by the Judet technique. Anatomic results in function of the type of lesion: apropos of 280 cases]. Rev Chir Orthop Reparatrice Appar Mot. 1998 Apr;84(2):124-35. French.

    PMID: 9775056BACKGROUND
  • van der Laan L, Kapitein PJ, Oyen WJ, Verhofstad AA, Hendriks T, Goris RJ. A novel animal model to evaluate oxygen derived free radical damage in soft tissue. Free Radic Res. 1997 Apr;26(4):363-72. doi: 10.3109/10715769709097816.

    PMID: 9167941BACKGROUND
  • Matsuda T, Tanaka H, Shimazaki S, Matsuda H, Abcarian H, Reyes H, Hanumadass M. High-dose vitamin C therapy for extensive deep dermal burns. Burns. 1992 Apr;18(2):127-31. doi: 10.1016/0305-4179(92)90009-j.

    PMID: 1590927BACKGROUND
  • Zollinger PE, Tuinebreijer WE, Kreis RW, Breederveld RS. Effect of vitamin C on frequency of reflex sympathetic dystrophy in wrist fractures: a randomised trial. Lancet. 1999 Dec 11;354(9195):2025-8. doi: 10.1016/S0140-6736(99)03059-7.

    PMID: 10636366BACKGROUND
  • Cazeneuve JF, Leborgne JM, Kermad K, Hassan Y. [Vitamin C and prevention of reflex sympathetic dystrophy following surgical management of distal radius fractures]. Acta Orthop Belg. 2002 Dec;68(5):481-4. French.

    PMID: 12584978BACKGROUND
  • Aim F, Klouche S, Frison A, Bauer T, Hardy P. Efficacy of vitamin C in preventing complex regional pain syndrome after wrist fracture: A systematic review and meta-analysis. Orthop Traumatol Surg Res. 2017 May;103(3):465-470. doi: 10.1016/j.otsr.2016.12.021. Epub 2017 Mar 4.

    PMID: 28274883BACKGROUND
  • Harden NR, Bruehl S, Perez RSGM, Birklein F, Marinus J, Maihofner C, Lubenow T, Buvanendran A, Mackey S, Graciosa J, Mogilevski M, Ramsden C, Chont M, Vatine JJ. Validation of proposed diagnostic criteria (the "Budapest Criteria") for Complex Regional Pain Syndrome. Pain. 2010 Aug;150(2):268-274. doi: 10.1016/j.pain.2010.04.030. Epub 2010 May 20.

    PMID: 20493633BACKGROUND
  • Elhusseiny KM, Abd-Elhay FA, Kamel MG, Abd El Hamid Hassan HH, El Tanany HHM, Hieu TH, Tieu TM, Low SK, Hou V, Dibas M, Huy NT. Examined and positive lymph nodes counts and lymph nodes ratio are associated with survival in major salivary gland cancer. Head Neck. 2019 Aug;41(8):2625-2635. doi: 10.1002/hed.25742. Epub 2019 Mar 23.

    PMID: 30905082BACKGROUND
  • Abd-Elhay FA, Elhusseiny KM, Kamel MG, Low SK, Sang TK, Mehyar GM, Nhat Minh LH, Hashan MR, Huy NT. Negative Lymph Node Count and Lymph Node Ratio Are Associated With Survival in Male Breast Cancer. Clin Breast Cancer. 2018 Dec;18(6):e1293-e1310. doi: 10.1016/j.clbc.2018.07.003. Epub 2018 Jul 7.

    PMID: 30093263BACKGROUND
  • de Thomasson E, Rouvreau P, Piriou P, Fitoussi F, Boury G, Judet T. [Orthopaedic treatment of colles' fractures according to judet's method]. Eur J Orthop Surg Traumatol. 1995 Dec;5(2):87-92. doi: 10.1007/BF02716246. French.

    PMID: 24193325BACKGROUND
  • Roumen RM, Hesp WL, Bruggink ED. Unstable Colles' fractures in elderly patients. A randomised trial of external fixation for redisplacement. J Bone Joint Surg Br. 1991 Mar;73(2):307-11. doi: 10.1302/0301-620X.73B2.2005162.

    PMID: 2005162BACKGROUND
  • Cooney WP 3rd, Dobyns JH, Linscheid RL. Complications of Colles' fractures. J Bone Joint Surg Am. 1980;62(4):613-9.

    PMID: 6155380BACKGROUND
  • Stanton-Hicks M, Janig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain. 1995 Oct;63(1):127-133. doi: 10.1016/0304-3959(95)00110-E.

    PMID: 8577483BACKGROUND
  • van der Laan L, ter Laak HJ, Gabreels-Festen A, Gabreels F, Goris RJ. Complex regional pain syndrome type I (RSD): pathology of skeletal muscle and peripheral nerve. Neurology. 1998 Jul;51(1):20-5. doi: 10.1212/wnl.51.1.20.

    PMID: 9674773BACKGROUND
  • Oyen WJG, Arntz IE, Claessens RAMJ, Van der Meer JWM, Corstens FHM, Goris JAR. Reflex sympathetic dystrophy of the hand: an excessive inflammatory response? Pain. 1993 Nov;55(2):151-157. doi: 10.1016/0304-3959(93)90144-E.

    PMID: 8309706BACKGROUND
  • Tanaka H, Broaderick P, Shimazaki S, Matsuda H, Hansalia H, Hanumadass M, Reyes H, Matsuda T. How long do we need to give antioxidant therapy during resuscitation when its administration is delayed for two hours? J Burn Care Rehabil. 1992 Sep-Oct;13(5):567-72. doi: 10.1097/00004630-199209000-00010.

    PMID: 1452591BACKGROUND
  • Zollinger PE, Tuinebreijer WE, Breederveld RS, Kreis RW. Can vitamin C prevent complex regional pain syndrome in patients with wrist fractures? A randomized, controlled, multicenter dose-response study. J Bone Joint Surg Am. 2007 Jul;89(7):1424-31. doi: 10.2106/JBJS.F.01147.

    PMID: 17606778BACKGROUND
  • Ekrol I, Duckworth AD, Ralston SH, Court-Brown CM, McQueen MM. The influence of vitamin C on the outcome of distal radial fractures: a double-blind, randomized controlled trial. J Bone Joint Surg Am. 2014 Sep 3;96(17):1451-9. doi: 10.2106/JBJS.M.00268.

    PMID: 25187584BACKGROUND
  • Reuben SS. Preventing the development of complex regional pain syndrome after surgery. Anesthesiology. 2004 Nov;101(5):1215-24. doi: 10.1097/00000542-200411000-00023. No abstract available.

    PMID: 15505459BACKGROUND
  • Besse JL, Gadeyne S, Galand-Desme S, Lerat JL, Moyen B. Effect of vitamin C on prevention of complex regional pain syndrome type I in foot and ankle surgery. Foot Ankle Surg. 2009;15(4):179-82. doi: 10.1016/j.fas.2009.02.002. Epub 2009 Apr 5.

    PMID: 19840748BACKGROUND
  • Shibuya N, Humphers JM, Agarwal MR, Jupiter DC. Efficacy and safety of high-dose vitamin C on complex regional pain syndrome in extremity trauma and surgery--systematic review and meta-analysis. J Foot Ankle Surg. 2013 Jan-Feb;52(1):62-6. doi: 10.1053/j.jfas.2012.08.003. Epub 2012 Sep 15.

    PMID: 22985495BACKGROUND
  • Sabesan VJ, Shahriar R, Petersen-Fitts GR, Whaley JD, Bou-Akl T, Sweet M, Milia M. A prospective randomized controlled trial to identify the optimal postoperative pain management in shoulder arthroplasty: liposomal bupivacaine versus continuous interscalene catheter. J Shoulder Elbow Surg. 2017 Oct;26(10):1810-1817. doi: 10.1016/j.jse.2017.06.044. Epub 2017 Aug 24.

    PMID: 28844420BACKGROUND

Results Point of Contact

Title
Dr. Jean-Francois Cazeneuve, Surgeon
Organization
Centre Hospitalier de Ham

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Surgeon, MD

Study Record Dates

First Submitted

December 13, 2019

First Posted

December 18, 2019

Study Start

January 6, 2014

Primary Completion

January 8, 2018

Study Completion

June 19, 2019

Last Updated

February 11, 2020

Results First Posted

February 11, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will share
Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
5 years
Access Criteria
Information will be given after approval.