NCT05423028

Brief Summary

Carpal tunnel syndrome is the most common peripheral entrapment neuropathy of the upper limb. Previous experiments found that ultrasound-guided median nerve hydrodissection with 5% dextrose water could ameliorate the condition of carpal tunnel syndrome. Oral administration of vitamin B 12 had been reported to reduce the discomfort from peripheral neuropathy although the level of evidence is not strong. This prospective, double-blind randomized control trial aims to compare the effects of different kinds of the injection agents on carpal tunnel syndrome.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

December 7, 2021

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

June 6, 2022

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 21, 2022

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

March 21, 2024

Status Verified

March 1, 2024

Enrollment Period

3 years

First QC Date

June 6, 2022

Last Update Submit

March 20, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change of Boston Carpal Tunnel Syndrome Questionnaire

    Measure the severity of symptoms and functional status before and after treatment

    Pre-treatment, 1st, 3rd, 6th month after injection

Secondary Outcomes (4)

  • Visual analog scale of pain and tingling

    Pre-treatment, 1st, 3rd, 6th month after injection

  • Cross-sectional area of the median nerve

    Pre-treatment, 1st, 3rd, 6th month after injection

  • Median nerve elastography

    Pre-treatment, 1st, 3rd, 6th month after injection

  • Median nerve conduction velocity and amplitude

    Pre-treatment, 1st, 6th month after injection

Study Arms (3)

Dextrose

ACTIVE COMPARATOR
Procedure: Ultrasound-guided nerve hydrodissection

Vitamin B12

EXPERIMENTAL
Procedure: Ultrasound-guided nerve hydrodissection

Dextrose + Vitamin B12

EXPERIMENTAL
Procedure: Ultrasound-guided nerve hydrodissection

Interventions

Peri- median nerve injection for hydrorelease and decompression

DextroseDextrose + Vitamin B12Vitamin B12

Eligibility Criteria

Age20 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age between 20-80 year-old.
  • Diagnosis (carpal tunnel syndrome) was confirmed using an electrophysiological study.

You may not qualify if:

  • Previously undergone wrist surgery or steroid injection for CTS
  • Thrombocytopenia
  • Coagulopathy
  • Inflammation status
  • Polyneuropathy
  • Brachial plexopathy
  • Cervical radiculopathy
  • Autoimmune disease
  • Malignancy
  • Pregnancy
  • Thoracic outlet syndrome

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University

Tainan, Taiwan

RECRUITING

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Condition Hierarchy (Ancestors)

Median NeuropathyMononeuropathiesPeripheral Nervous System DiseasesNeuromuscular DiseasesNervous System DiseasesNerve Compression SyndromesCumulative Trauma DisordersSprains and StrainsWounds and Injuries

Central Study Contacts

Yao-Hong Guo, MD, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 6, 2022

First Posted

June 21, 2022

Study Start

December 7, 2021

Primary Completion

December 1, 2024

Study Completion

December 1, 2024

Last Updated

March 21, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will share

Locations