| CTRI Number |
CTRI/2025/02/080004 [Registered on: 06/02/2025] Trial Registered Prospectively |
| Last Modified On: |
04/02/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Effect of steroid injection versus dextrose injection, also known as prolotherapy in patients with carpal tunnel syndrome. |
|
Scientific Title of Study
|
Efficacy of single dose of perineural prolotherapy and corticosteroid injections in primary Carpal Tunnel Syndrome at a tertiary care hospital in India - A randomized control trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| IEC/AIIMS BBSR/PG Thesis/2024-25/03 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Lakshmi Sajith |
| Designation |
Junior Resident |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Physical Medicine and Rehabilitation
AIIMS Bhubaneswar
Sijua, Patrapada
Khordha ORISSA 751019 India |
| Phone |
8073930152 |
| Fax |
|
| Email |
lakshmi6896@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Apurba Barman |
| Designation |
Additional Professor |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Physical Medicine and Rehabilitation
AIIMS Bhubaneswar
Sijua, Patrapada
Khordha ORISSA 751019 India |
| Phone |
9438884211 |
| Fax |
|
| Email |
pmr_apurba@aiimsbhubaneswar.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Apurba Barman |
| Designation |
Additional Professor |
| Affiliation |
AIIMS Bhubaneswar |
| Address |
Department of Physical Medicine and Rehabilitation
AIIMS Bhubaneswar
Sijua, Patrapada
Khordha ORISSA 751019 India |
| Phone |
9438884211 |
| Fax |
|
| Email |
pmr_apurba@aiimsbhubaneswar.edu.in |
|
|
Source of Monetary or Material Support
|
| AIIMS BHUBANESWAR Odisha PO Dumuduma Dist Khurda PIN 751019
|
|
|
Primary Sponsor
|
| Name |
All India Institute of Medical Sciences Bhubaneswar Odisha |
| Address |
AIIMS BHUBANESWAR ODISHA
SIJUA PATRAPADA
PO Dumduduma Dist Khurda
PIN 751019 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr LAKSHMI SAJITH |
AIIMS |
ROOM NO 5
DEPARTMENT OF PMR
AIIMS BHUBANESWAR Khordha ORISSA |
8073930152
lakshmi6896@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| AIIMS INSTITUTIONAL ETHICS COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
CORTICOSTEROID INJECTION |
Group B- Patients will receive a single dose of 40mg corticosteroid injection (1ml) and 4 ml Lignocaine perineurally |
| Intervention |
DEXTROSE PROLOTHERAPY, |
Group A- Patients will receive a single dose of (5%) dextrose prolotherapy injection (5ml) perineurally |
| Intervention |
NORMAL SALINE (PLACEBO) |
Group C- Control group- Patients will receive a single dose of perineural Normal Saline (0.9%) injection |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1.Patients aged above 18 years
2.Patients with Nocturnal paresthesia, symptomatically getting relief after shaking the hands.
3.Pain, paresthesia or sensory symptoms in the area of the median nerve over the thumb and finger.
4.Symptoms longer than 4 weeks duration.
5.Numbness in sensory distribution of median nerve.
6.Weakness with atrophic change of median nerve innervated thenar muscles.
7.Phalen test +, and or Tinel Sign +. |
|
| ExclusionCriteria |
| Details |
1.Pregnancy
2.H/O of polyneuropathy, brachial plexopathy, thoracic outlet syndrome.
3.H/O Inflammatory arthritis, Type 2 DM, Rheumatologic disorder.
4.Previous h/o CS Injection, Skin infection on injection site, trauma or neoplasm at injection site, hypersensitivity to corticosteroid.
5.Current warfarin use. |
|
|
Method of Generating Random Sequence
|
|
|
Method of Concealment
|
|
|
Blinding/Masking
|
|
|
Primary Outcome
|
| Outcome |
TimePoints |
| 1.To measure pain relief following perineural injections of dextrose prolotherapy and corticosteroid in Carpal Tunnel Syndrome. |
1. 0 weeks (V0)
2. 6 weeks (V1)
3. 12 weeks (V2) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 1.To measure functional improvement following perineural injections of dextrose prolotherapy and corticosteroid in Carpal Tunnel Syndrome. |
2 years |
| To measure the change in quality of life following perineural injections of dextrose prolotherapy and corticosteroid in Carpal Tunnel Syndrome. |
2 years |
|
|
Target Sample Size
|
Total Sample Size="96" Sample Size from India="96"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
15/02/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response (Others) -
- For how long will this data be available start date provided 28-01-2025 and end date provided 28-01-2027?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
We aim to investigate the effectiveness of dextrose prolotherapy compared to corticosteroid injection in reducing pain and improving function in patients with Carpal Tunnel Syndrome. We hypothesize that dextrose prolotherapy injection will be superior to corticosteroid injection in terms of pain relief and functional improvement. This study has the potential to provide valuable insights into the use of regenerative injections in Carpal Tunnel Syndrome management and contribute to better outcomes for patients. |