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Rotator Cuff Calcific TendonitisSUCTIONNCT02776345

Ultrasound Guided Interventions of Calcific Tendonitis of Rotator Cuff (SUCTION)

A study testing Ultrasound guided Needle Fragmentation, US guided needle fragmentation & Lavage and Ultrasound guided subacromial injection in people with Rotator Cuff Calcific Tendonitis, run by Hamilton Health Sciences Corporation at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine whether minimally invasive treatments like ultrasound guided needle fragmentation with and without lavage is associated with better clinical outcomes compared to the subacromial bursal corticosteroid injection treatment only. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Rotator Cuff Calcific Tendonitis
What is being tested?
Ultrasound guided Needle Fragmentation, US guided needle fragmentation & Lavage and Ultrasound guided subacromial injection
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
160 participants
Where
1 siteCanada
Study dates
Mar 2021to Apr 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Adult men or women ages 18 to 60 years
  • Shoulder pain ( including impingement pain) and reduced range of shoulder movement for greater than 6 months with no relief from non-operative means (physiotherapy, nonsteroidal anti-inflammatory medication, rest).
  • Documentation of failed physiotherapy and conservative management.
  • Calcific tendonitis as diagnosed on ultrasound.
  • Informed consent from participant.
  • Ability to speak, understand and read in the language of the clinical site.

Who cannot join

  • Previous inclusion in a study involving calcific tendonitis of the rotator cuff
  • Evidence of a calcification in any of the rotator cuff tendons except the supraspinatus tendon.
  • Presence of a tear of the rotator cuff.
  • The supraspinatus tendon calcification is more than 1.5 cm is its largest dimension.
  • Concomitant clinical or MRI diagnosis of frozen shoulder.
  • Previous rotator cuff or shoulder surgery.
Show all 15Show fewer
  • Those on blood thinners.
  • Those with allergies to medication used.
  • Those with a skin infection at the site of needle entry.
  • Immunosuppressive medication use.
  • Chronic pain syndromes.
  • Significant medical co-morbidities (requiring daily assistance).
  • Ongoing litigation or compensation claims secondary to shoulder problems.
  • Age below 18 years and above 60 years.
  • Any other reasons given to exclude the patient.

Trial locations and contacts

1 site in 1 country.

Hang Yu, BHSc. contact

6478659385

henry.yu@medportal.ca

Michelle L Kuang, BSc. contact

2899256990

michelle.kuang@medportal.ca

Canada1 site
  • Hamilton General Hospital

    Hamilton, Ontario, L9L2X2

    Hema Choudur, MBBS,FRCPC, 905-527-4322 ext. 46521, choudur@hhsc.ca

    Hema N Choudur, MBBS,FRCPC

Other trials in Canada

About this study

Official title: Study to Evaluate Ultrasound Guided Interventions of Calcific Tendonitis of Rotator Cuff- International CollabratioN (SUCTION)

The purpose of this study is to determine whether minimally invasive treatments like ultrasound guided needle fragmentation with and without lavage is associated with better clinical outcomes compared to the subacromial bursal corticosteroid injection treatment only.

Read the detailed description

The objectives of this study are to compare the clinical outcomes of the three treatment arms: ultrasound guided needle fragmentation with lavage, ultrasound guided needle fragmentation without lavage, and subacromial bursal corticosteroid injection treatment. The study design is a randomized control trial.

Being tested
Ultrasound guided Needle Fragmentation, US guided needle fragmentation & Lavage, Ultrasound guided subacromial injection
Keywords
calcific tendonitis, rotator cuff calcific tendonitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ultrasound guided Needle FragmentationOther

    Using 15-20 to and fro gentle movements of the needle tip, the calcification will be fragmented, with the needle tip within the pseudocapsule. The needle tip will be retracted into the subacromial bursa and 3 ml of 0.5% sensorcaine and 1 ml of steroid ( Depomedrol- 40mg/ml) will be injected into the bursa. The needle will then be removed.

  • US guided needle fragmentation & LavageOther

    Using local anesthetic and strict aseptic precautions, the tip of the 18-20 gauge needle will be advanced into the sub acromial bursa under ultrasound guidance and 2ml. of local anesthetic ( 1% xylocaine) will be injected into the bursa. The needle tip will be advanced into the supraspinatus tendon and ½ ml or less of 0.5% Sensorcaine will be injected into the pseudo capsule around the calcification. Using 15-20 to and fro gentle movements of the needle tip, the calcification will be fragmented, with the needle tip within the pseudo capsule. During this procedure, or after the fragmentation, using a syringe of saline or local anesthetic( 1% xylocaine) and with pumping action of the syringe the calcification with be sucked into the syringe.

  • Ultrasound guided subacromial injectionOther

    Using local anesthetic and strict aseptic precautions, the tip of the 22 gauge needle will be advanced into the sub acromial bursa under ultrasound guidance and 4 ml. of local anesthetic ( 0.5% xylocaine) and 1 ml of steroid( Depomedrol 40 mg/ml) will be injected into the bursa. The needle will then be removed. Post procedure US images in the short and long axis planes will be obtained and documented. The patient's post procedure pain on a scale of 10 and their range of shoulder movement (abduction) will be assessed and documented.

Study groups in NCT02776345
Study groupRoleWhat they receive
Ultrasound guided Needle FragmentationActive comparatorUltrasound guided Needle Fragmentation (Intervention): Using 15-20 to and fro gentle movements of the needle tip, the calcification will be fragmented, with the needle tip within the pseudocapsule. The needle tip will be retracted into the subacromial bursa and 3 ml of 0.5% sensorcaine and 1 ml of steroid ( Depomedrol- 40mg/ml) will be injected into the bursa. The needle will then be removed.
Receives: Other: Ultrasound guided Needle Fragmentation
US guided needle fragmentation & LavageActive comparatorUsing local anesthetic and strict aseptic precautions, the tip of the 18-20 gauge needle will be advanced into the sub acromial bursa under ultrasound guidance and 2ml. of local anesthetic ( 1% xylocaine) will be injected into the bursa. The needle tip will be advanced into the supraspinatus tendon and ½ ml or less of 0.5% Sensorcaine will be injected into the pseudo capsule around the calcification. Using 15-20 to and fro gentle movements of the needle tip, the calcification will be fragmented, with the needle tip within the pseudo capsule. During this procedure, or after the fragmentation, using a syringe of saline or local anesthetic( 1% xylocaine) and with pumping action of the syringe the calcification with be sucked into the syringe.
Receives: Other: US guided needle fragmentation & Lavage
Ultrasound guided subacromial injectionPlacebo comparatorUsing local anesthetic and strict aseptic precautions, the tip of the 22 gauge needle will be advanced into the sub acromial bursa under ultrasound guidance and 4 ml. of local anesthetic ( 0.5% xylocaine) and 1 ml of steroid( Depomedrol 40 mg/ml) will be injected into the bursa. The needle will then be removed. Post procedure US images in the short and long axis planes will be obtained and documented. The patient's post procedure pain on a scale of 10 and their range of shoulder movement (abduction) will be assessed and documented.
Receives: Other: Ultrasound guided subacromial injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Decrease in Pain as measured by the Visual analog scale from 1-10

    Pain in the original symptomatic area of the rotator cuff will be reassessed using the visual analog scale from 1-10 (1 being the lowest pain and 10 being the highest)

    Measured: 8 months

  2. Decreased Range of Motion in the shoulder measured in degrees

    Abduction, internal rotation, external rotation and circumduction of the shoulder

    Measured: 8 months

Secondary outcomes (4)
  1. Complications and co existing conditions not detected prior to the procedure

    Infection, procedure induced tendon tears, reduced range of motion ( from other causes such as frozen shoulder), and other adverse events

    Measured: Post ultrasound guided procedure through completion of study, up to one year

  2. Costs and health resource utilization as measured by administrative and billing data related to treatment

    Treatment-related costs to the healthcare system and/or patient through billing codes and data

    Measured: Up to 8-12 months post surgery

  3. Generic physical and mental health as measured by EuroQol

    Measured: Up to 8-12 months post surgery

  4. The ultrasound appearance of the targeted calcification

    Measured: Up to 8-12 months post surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 May 2016 (estimated)
  2. Study startMar 2021 (estimated)
  3. Primary completionApr 2022 (estimated)
  4. Study completionApr 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02776345
Sponsor's protocol ID
1447
Acronym
SUCTION
Status last verified
Sep 2020
First submitted
15 Apr 2016
Last updated
25 Sep 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Fusaro I, Orsini S, Diani S, Saffioti G, Zaccarelli L, Galletti S. Functional results in calcific tendinitis of the shoulder treated with rehabilitation after ultrasonic-guided approach. Musculoskelet Surg. 2011 Jul;95 Suppl 1:S31-6. doi: 10.1007/s12306-011-0119-6.

    PubMed 21479869
  • Kachewar SG, Kulkarni DS. Calcific tendinitis of the rotator cuff: a review. J Clin Diagn Res. 2013 Jul;7(7):1482-5. doi: 10.7860/JCDR/2013/4473.3180. Epub 2013 Jul 1.

    PubMed 23998102
  • del Cura JL, Torre I, Zabala R, Legorburu A. Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder: short- and long-term results. AJR Am J Roentgenol. 2007 Sep;189(3):W128-34. doi: 10.2214/AJR.07.2254.

    PubMed 17715078
  • Yoo JC, Koh KH, Park WH, Park JC, Kim SM, Yoon YC. The outcome of ultrasound-guided needle decompression and steroid injection in calcific tendinitis. J Shoulder Elbow Surg. 2010 Jun;19(4):596-600. doi: 10.1016/j.jse.2009.09.002. Epub 2009 Dec 2.

    PubMed 19959377
  • Aina R, Cardinal E, Bureau NJ, Aubin B, Brassard P. Calcific shoulder tendinitis: treatment with modified US-guided fine-needle technique. Radiology. 2001 Nov;221(2):455-61. doi: 10.1148/radiol.2212000830.

    PubMed 11687690
  • Sconfienza LM, Bandirali M, Serafini G, Lacelli F, Aliprandi A, Di Leo G, Sardanelli F. Rotator cuff calcific tendinitis: does warm saline solution improve the short-term outcome of double-needle US-guided treatment? Radiology. 2012 Feb;262(2):560-6. doi: 10.1148/radiol.11111157. Epub 2011 Dec 5.

    PubMed 22143923
  • Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schunemann HJ; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008 Apr 26;336(7650):924-6. doi: 10.1136/bmj.39489.470347.AD.

    PubMed 18436948
  • Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull. 1968 Oct;70(4):213-20. doi: 10.1037/h0026256. No abstract available.

    PubMed 19673146
  • Viera AJ, Garrett JM. Understanding interobserver agreement: the kappa statistic. Fam Med. 2005 May;37(5):360-3.

    PubMed 15883903
  • Zhu J, Jiang Y, Hu Y, Xing C, Hu B. Evaluating the long-term effect of ultrasound-guided needle puncture without aspiration on calcifying supraspinatus tendinitis. Adv Ther. 2008 Nov;25(11):1229-34. doi: 10.1007/s12325-008-0115-x.

    PubMed 18998062
  • Chiou HJ, Chou YH, Wu JJ, Huang TF, Ma HL, Hsu CC, Chang CY. The role of high-resolution ultrasonography in management of calcific tendonitis of the rotator cuff. Ultrasound Med Biol. 2001 Jun;27(6):735-43. doi: 10.1016/s0301-5629(01)00353-2.

    PubMed 11516532
  • De Zordo T, Ahmad N, Odegaard F, Girtler MT, Jaschke W, Klauser AS, Chhem RK, Romagnoli C. US-guided therapy of calcific tendinopathy: clinical and radiological outcome assessment in shoulder and non-shoulder tendons. Ultraschall Med. 2011 Jan;32 Suppl 1:S117-23. doi: 10.1055/s-0029-1245333. Epub 2010 Apr 22.

    PubMed 20414859
  • Farin PU, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol. 1996 Aug;25(6):551-4. doi: 10.1007/s002560050133.

    PubMed 8865489
  • Oliva F, Via AG, Maffulli N. Physiopathology of intratendinous calcific deposition. BMC Med. 2012 Aug 23;10:95. doi: 10.1186/1741-7015-10-95.

    PubMed 22917025
  • Ogon P, Suedkamp NP, Jaeger M, Izadpanah K, Koestler W, Maier D. Prognostic factors in nonoperative therapy for chronic symptomatic calcific tendinitis of the shoulder. Arthritis Rheum. 2009 Oct;60(10):2978-84. doi: 10.1002/art.24845.

    PubMed 19790063

Questions about this trial

What is this clinical trial studying?

A study testing Ultrasound guided Needle Fragmentation, US guided needle fragmentation & Lavage and Ultrasound guided subacromial injection in people with Rotator Cuff Calcific Tendonitis, run by Hamilton Health Sciences Corporation at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 25 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hang Yu, BHSc. (6478659385, henry.yu@medportal.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Decrease in Pain as measured by the Visual analog scale from 1-10 (time frame: 8 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02776345, which also lists 18 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2020.

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