Ingrown Toenails : Surgery Only Versus Surgery + Chemical Cauterization With TCA
Etude Comparative Multicentrique Prospective évaluant la Prise en Charge Chirurgicale associée à Une cautérisation Chimique Par Acide TCA Par Rapport à la Prise en Charge Chirurgicale Standard Dans le Traitement de l'Ongle incarné
1 other identifier
interventional
50
1 country
2
Brief Summary
Ingrown toenail is a very common disease in the general population that touches young adults. There are lots of treatments from local care of pedicure to surgery with matricectomy. Gold standard of symptomatic and painful ingrown toenail is the simple surgery with matricectomy and with suture or directed healing pad. For many years chemical cauterisation with phenolic acid is used, a method with very few relapses and with a more simple pad. However, because of a lack of information about this phenolic acid, the pharmaceutical laboratory withdrew it from the market. The new method to replace phenolic acid is trichloroacetic acid, used mainly in cosmetics for peeling. This method was already compared to phenolic acid and showed equal results with fewer laps of application and a low cost. The comparison between acid trichloroacetic method and the gold standard surgery was never done and will be the goal of this study. It's an open, non randomised, comparative, multicentric (2 centers) study with two groups : common surgery and surgery with chemical cauterisation For this study the investigators will compare between the two groups : gain of quality of life at one month after surgery, difference of pain between before, one week and one month after surgery, the occurrence of adverse events and number of relapses at one year.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2020
Typical duration for not_applicable
2 active sites
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
Study Start
First participant enrolled
September 1, 2020
CompletedFirst Submitted
Initial submission to the registry
May 27, 2021
CompletedFirst Posted
Study publicly available on registry
June 10, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2022
CompletedJune 10, 2021
July 1, 2020
2 years
May 27, 2021
June 9, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Relapses
Relapses of ingrown toenail on the operated nail
one year
Secondary Outcomes (4)
Gain of quality of life
Baseline and one month after the surgery
Complications
At one week and one month after surgery
Pain on the nail
Baseline, one week and one month after surgery
Time before restart sport
Restart sport at one month yes/no
Study Arms (2)
Dermatologic intervention
EXPERIMENTALSurgery with chemical cauterisation TCA
Orthopedic intervention
ACTIVE COMPARATOROnly surgery
Interventions
Removal of the ingrown lateral part of the toenail and chemical cauterisation
Removal of the ingrown lateral part of the toenail with directed Healing pad
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of ingrown toenail
- Patient informed and with signed informed consent
You may not qualify if:
- Medical history of ingrown toenail on the concerned nail
- Other nail disease
- Pregnancy
- Allergy to local anesthetic or to trichloroacetic acid
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Centre hospitalier universitaire de CAEN
Caen, Normandy, 14000, France
Centre hospitalier Mémorial France Etats Unis
Saint-Lô, Normandy, 50000, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Pr DOMPMARTIN ANNE
CHU CAEN
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 27, 2021
First Posted
June 10, 2021
Study Start
September 1, 2020
Primary Completion
September 1, 2022
Study Completion
September 1, 2022
Last Updated
June 10, 2021
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share