Pulsed Radiofrequency Therapy for Hand OsteoArthritis Pain
PROAP
1 other identifier
interventional
60
1 country
1
Brief Summary
Different types of pain may be present in patients with hand osteoarthritis, including nociceptive pain and non-nociceptive pain. This makes adequate pain treatment difficult, and thus new treatment options are needed. To this end, this trial will evaluate the effect of transcutaneous pulsed radiofrequency for the treatment of hand osteoarthritis pain.
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 Apr 2022
Typical duration for not_applicable
1 active site
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
December 17, 2021
CompletedFirst Posted
Study publicly available on registry
February 1, 2022
CompletedStudy Start
First participant enrolled
April 4, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2025
CompletedNovember 14, 2023
November 1, 2023
2.8 years
December 17, 2021
November 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Hand pain at 6 weeks after trancutaneous pulsed radiofrequency or sham
Hand pain measured in a 0-10 numeric rating scale after trancutaneous pulsed radiofrequency or sham
6 weeks
Secondary Outcomes (16)
Hand pain at 12 weeks after trancutaneous pulsed radiofrequency or sham
12 weeks
Efficacy of transcutaneous pulsed radiofrequency on hand function
6 weeks, 12 weeks
Efficacy of transcutaneous pulsed radiofrequency on hand stiffness
6 weeks, 12 weeks
Efficacy of transcutaneous pulsed radiofrequency on the number of tender joints
6 weeks, 12 weeks
Efficacy of trancutaneous pulsed radiofrequency on anxiety
6 weeks, 12 weeks
- +11 more secondary outcomes
Other Outcomes (2)
Effect of local inflammation at baseline on the efficacy of tPRF
6 weeks, 12 weeks
Effect of different QST profiles on tPRF efficacy
6 weeks, 12 weeks
Study Arms (2)
Transcutaneous pulsed radiofrequency
ACTIVE COMPARATORAfter signing informed consent, patients assigned to the intervention group by randomization will receive a single treatment with transcutaneous pulsed radiofrequency.
Sham
SHAM COMPARATORAfter signing informed consent, patients assigned to the sham group by randomization will receive a single treatment with sham, which is indistinguishable from the active treatment. This is achieved by putting the device in demo mode, which gives all the same audiovisual signals as the active mode, but no treatment. Given that the treatment is not felt by patients, this ensures blinding.
Interventions
single treatment with transcutaneous pulsed radiofrequency, for a duration of 15 minutes, at a strength of 800 mA.
Sham treatment by turning on the device in demo mode. No treatment delivered, but indistinguishable by sound or visual signals or sensations felt by the study participant
Eligibility Criteria
You may qualify if:
- Age 18-80
- Hand osteoarthritis according to the ACR criteria
- Hand pain of at least 30mm on a 100mm VAS
- Chronic hand pain
You may not qualify if:
- Known inflammatory rheumatic diseases
- Psoriasis
- Seropositivity for rheumatoid factor of anti-CCP antibodies
- No understanding of the Dutch language
- Fibromyalgia (Following the ACR 2011 classification criteria)
- Neurological disorders interfering with pain perception and measurements
- Carpal tunnel syndrome interfering with pain perception and measurements
- History of chemo- and/or radiotherapy
- Spinal surgery or spinal trauma with lasting complaints interfering with pain perception and measurements
- Cognitive impairment or psychiatric conditions interfering with pain perception and measurements
- Pregnancy or breast-feeding
- Eye surgery for glaucoma or keratoconus or other surgery of the cornea in the three preceding months
- Presence of an implantable cardioverter-defibrillator (ICD), neurostimulator or pacemaker
- Metal implants in the hand, arm, shoulder or neck of the side that is to be treated
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Leiden University Medical Centre
Leiden, South Holland, 2333 ZA, Netherlands
Study Officials
- PRINCIPAL INVESTIGATOR
Margreet Kloppenburg, Prof. Dr.
LUMC
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- 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
- Professor
Study Record Dates
First Submitted
December 17, 2021
First Posted
February 1, 2022
Study Start
April 4, 2022
Primary Completion
February 1, 2025
Study Completion
February 1, 2025
Last Updated
November 14, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will not share