AzTrials
AzTrials

InfiltrationNCT05408065

Comparison of the Analgesic Effect of 2 Shoulder Infiltrations

A study testing Triamcinolone Hexacetonide and hyaluronic acid and Triamcinolone Hexacetonide in people with Infiltration and Shoulder Osteoarthritis, run by Centre hospitalier de l'Université de Montréal (CHUM) at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

For patients suffering of osteoarthritis, only analgesic treatments such as anti-inflammatory drugs and cortisone infiltrations provide significant but temporary relief of their pain. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Infiltration, Shoulder Osteoarthritis
What is being tested?
Triamcinolone Hexacetonide and hyaluronic acid and Triamcinolone Hexacetonide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
1 siteCanada
Study dates
15 Nov 2022to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A clinical examination that confirms the radiological diagnosis of moderate to severe primary shoulder osteoarthritis, stage II and above, according to the Samilson-Prieto classification.
  • Patients aged between 20 and 90 years.
  • A patient with bilateral shoulder osteoarthritis will choose the side of the infiltration, only one side can be chosen to participate in the study.
  • The patient must have a clinical pain threshold of a minimum of 4/10 on the visual analogue scale.
  • The patient must have the cognitive ability to read and fill out the questionnaires.
  • The patient must be able to read and understand French or English

Who cannot join

  • Presence of a transfixing rotator cuff tear assessed on MRI.
  • No previous shoulder reconstruction surgery.
  • Pregnant woman.
  • A patient who has received a cortisone infiltration within 6 months prior to the start of the study.
  • A patient who has received a platelet-rich plasma or a hyaluronic acid infiltration within 12 months prior to the start of the study.
  • Diagnosis of avascular necrosis.
Show all 12Show fewer
  • Disease affecting the studied joint (systemic inflammatory disease, history of septic arthritis, osteonecrosis, etc.)
  • Suspicion or presence of active local infectious process.
  • Presence or suspicion of neoplasia or local metastasis.
  • Severe trauma to the shoulder ( ≤ 3 months)
  • Significant cognitive impairment or insufficient language proficiency to adequately answer the questionnaires.
  • Any other serious medical condition that does not allow participation in the study or may be a contraindication to cortisone injection.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Fidaa Al-Shakfa, M.Sc, MBA contact

5148908000 ext. 26103

f.alshakfa.crchum@gmail.com

Canada1 site, 1 recruiting
  • Centre Hospitalier de l'Université de Montréal (CHUM)

    Montreal, Quebec, H2X 0C1

    Fidaa Al-Shakfa, M.Sc, 5148908000 ext. 26103, f.alshakfa.crchum@gmail.com

    Patrice Tétreault, MD FRCSC

    Recruiting

Other trials in Canada

About this study

Official title: A Randomized Single-blinded Clinical Trial of the Efficacy of Intra-articular Infiltration of Cingal (Sodium Hyaluronate/Triamcinolone) Versus Cortisone (Triamcinolone) in Patients With Osteoarthritis of the Shoulder.

For patients suffering of osteoarthritis, only analgesic treatments such as anti-inflammatory drugs and cortisone infiltrations provide significant but temporary relief of their pain. The objective is to compare the analgesic effect of 2 infiltrations: Cingal (sodium hyaluronate and triamcinolone) versus cortisone (triamcinolone). It is anticipated that the Cingal infiltration will have a greater analgesic effect than a simple cortisone infiltration in patients with moderate to severe osteoarthritis of the shoulder.

Method:

  • Randomized controlled trial
  • Monocentric
  • Randomization will be done using sealed envelopes
Read the detailed description

Osteoarthritis is a degenerative joint disease. The progressive erosion of cartilage generates inflammation, pain, and progressive deterioration of joint mobility. Synthetic molecules similar to hyaluronic acid have made it possible to offer patients the option of visco-supplementation by intra-articular injection. It decreases inflammation and pain. CINGAL (Anika Therapeutics, Inc., Bedford, MA), which combines the lubricating action of hyaluronic acid and the anti-inflammatory action of triamcinolone hexacetonide, is one of the available treatments. Several studies have demonstrated the effectiveness of hyaluronic acid in the relief of gonarthrosis. However, the efficacy between an infiltration of hyaluronic acid combined with triamcinolone and a corticosteroid infiltration for glenohumeral osteoarthritis is hardly reviewed in scientific studies.

Primary objective: To compare the analgesic effect of two different infiltrations.

Secondary outcome: To evaluate the patient's functional ability

It is anticipated that a CINGAL infiltration will have a greater beneficial effect than a simple cortisone infiltration in patients with mild to severe shoulder OA.

84 patients with moderate to severe shoulder osteoarthritis will be recruited to receive intra-articular infiltration of CINGAL or cortisone. The infiltration will be randomly assigned. A standard x-ray and magnetic resonance imaging examination will be performed before the infiltration. Demographic data, medical history and 2 questionnaires will be completed prior to infiltration.

Once the evaluation is completed, the patient is randomized and referred to radiology to receive his infiltration under fluoroscopy by a radiologist assigned to the project. Two electronic questionnaires and a medication diary will be sent to the patient at 1, 3 and 6 months post-infiltration.

Being tested
Triamcinolone Hexacetonide and hyaluronic acid, Triamcinolone Hexacetonide
Keywords
infiltration, Osteoarthritis, hyaluronic acid
Medical subject headings
Osteoarthritis

What participants receive

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

  • Triamcinolone Hexacetonide and hyaluronic acidDrug

    Also called Cingal

    infiltration under fluoroscopy

  • Triamcinolone HexacetonideDrug

    Also called Cortisone

    infiltration under fluoroscopy

Study groups in NCT05408065
Study groupRoleWhat they receive
CingalExperimentalA single infiltration of Cingal, 4 mL, 88 of mg hyaluronic acid and 18 mg of triamcinolone hexacetonide
Receives: Drug: Triamcinolone Hexacetonide and hyaluronic acid
CortisoneActive comparatorA single infiltration of cortisone, 40mg of triamcinolone and 4mL of bupivacaine 0.25%
Receives: Drug: Triamcinolone Hexacetonide

What is being measured

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

  1. Change in VAS score

    Visual analogue score VAS; 0-10 scale, 0: no pain 10: worst possible pain

    Measured: Change from baseline (preinfiltration visit) VAS score at 3 months after the infiltration

Secondary outcomes (11)
  1. Change in VAS score

    Visual analogue score VAS; 0-10 scale, 0: no pain 10: worst possible pain

    Measured: Change from baseline (preinfiltration visit) VAS score at 1 month after the infiltration

  2. Change in VAS score

    Visual analogue score VAS; 0-10 scale, 0: no pain 10: worst pain

    Measured: Change from baseline (preinfiltration visit) VAS score at 6 months after the infiltration

  3. Change in QuickDash disability/symptoms score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 1 month after the infiltration

  4. Change in QuickDash disability/symptoms score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 3 months after the infiltration

  5. Change QuickDash disability/symptoms score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 6 months after the infiltration

  6. Change in QuickDash Work score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 1 month after the infiltration

  7. Change in QuickDash Work score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 3 months after the infiltration

  8. Change in QuickDash Work score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 6 months after the infiltration

  9. Change in QuickDash Sport/Music score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 1 month after the infiltration

  10. Change in QuickDash Sport/Music score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 3 months after the infiltration

  11. Change in QuickDash Sport/Music score

    QuickDash; 0-100 scale, 0: no difficulties 100: unable

    Measured: Change from baseline (preinfiltration visit) QuickDash score at 6 months after the infiltration

Timeline

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

  1. First posted7 Jun 2022
  2. Study start15 Nov 2022
  3. Primary completionSep 2026 (estimated)
  4. Study completionDec 2026 (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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
84 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05408065
Sponsor's protocol ID
2023-10659
Other IDs
2023
Status last verified
Feb 2024
First submitted
11 May 2022
Last updated
12 Feb 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Brox JI, Lereim P, Merckoll E, Finnanger AM. Radiographic classification of glenohumeral arthrosis. Acta Orthop Scand. 2003 Apr;74(2):186-9. doi: 10.1080/00016470310013932.

    PubMed 12807327
  • Hangody L, Szody R, Lukasik P, Zgadzaj W, Lenart E, Dokoupilova E, Bichovsk D, Berta A, Vasarhelyi G, Ficzere A, Hangody G, Stevens G, Szendroi M. Intraarticular Injection of a Cross-Linked Sodium Hyaluronate Combined with Triamcinolone Hexacetonide (Cingal) to Provide Symptomatic Relief of Osteoarthritis of the Knee: A Randomized, Double-Blind, Placebo-Controlled Multicenter Clinical Trial. Cartilage. 2018 Jul;9(3):276-283. doi: 10.1177/1947603517703732. Epub 2017 May 23.

    PubMed 28535076
  • Noel E, Hardy P, Hagena FW, Laprelle E, Goebel F, Faure C, Favard L, Gaudin P, Christ R, Baudot C, Dietl J, Goupille P. Efficacy and safety of Hylan G-F 20 in shoulder osteoarthritis with an intact rotator cuff. Open-label prospective multicenter study. Joint Bone Spine. 2009 Dec;76(6):670-3. doi: 10.1016/j.jbspin.2009.10.008.

    PubMed 19945321
  • He WW, Kuang MJ, Zhao J, Sun L, Lu B, Wang Y, Ma JX, Ma XL. Efficacy and safety of intraarticular hyaluronic acid and corticosteroid for knee osteoarthritis: A meta-analysis. Int J Surg. 2017 Mar;39:95-103. doi: 10.1016/j.ijsu.2017.01.087. Epub 2017 Jan 27.

    PubMed 28137554
  • Petrella RJ, Petrella M. A prospective, randomized, double-blind, placebo controlled study to evaluate the efficacy of intraarticular hyaluronic acid for osteoarthritis of the knee. J Rheumatol. 2006 May;33(5):951-6.

    PubMed 16652426
  • Petrella RJ, Emans PJ, Alleyne J, Dellaert F, Gill DP, Maroney M. Safety and performance of Hydros and Hydros-TA for knee osteoarthritis: a prospective, multicenter, randomized, double-blind feasibility trial. BMC Musculoskelet Disord. 2015 Mar 18;16:57. doi: 10.1186/s12891-015-0513-6.

    PubMed 25887932
  • Smith C, Patel R, Vannabouathong C, Sales B, Rabinovich A, McCormack R, Belzile EL, Bhandari M. Combined intra-articular injection of corticosteroid and hyaluronic acid reduces pain compared to hyaluronic acid alone in the treatment of knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1974-1983. doi: 10.1007/s00167-018-5071-7. Epub 2018 Jul 25.

    PubMed 30046992
  • Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983 Apr;65(4):456-60.

    PubMed 6833319
  • Tammachote N, Kanitnate S, Yakumpor T, Panichkul P. Intra-Articular, Single-Shot Hylan G-F 20 Hyaluronic Acid Injection Compared with Corticosteroid in Knee Osteoarthritis: A Double-Blind, Randomized Controlled Trial. J Bone Joint Surg Am. 2016 Jun 1;98(11):885-92. doi: 10.2106/JBJS.15.00544.

    PubMed 27252432
  • Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty. 1999 Sep;14(6):756-60. doi: 10.1016/s0883-5403(99)90232-2.

    PubMed 10512449
  • Zhang B, Thayaparan A, Horner N, Bedi A, Alolabi B, Khan M. Outcomes of hyaluronic acid injections for glenohumeral osteoarthritis: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2019 Mar;28(3):596-606. doi: 10.1016/j.jse.2018.09.011. Epub 2018 Nov 28.

    PubMed 30502030

Questions about this trial

What is this clinical trial studying?

A study testing Triamcinolone Hexacetonide and hyaluronic acid and Triamcinolone Hexacetonide in people with Infiltration and Shoulder Osteoarthritis, run by Centre hospitalier de l'Université de Montréal (CHUM) 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 12 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: looking for participants now, as of the sponsor's last update on 12 Feb 2024. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Fidaa Al-Shakfa, M.Sc, MBA (5148908000 ext. 26103, f.alshakfa.crchum@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in VAS score (time frame: Change from baseline (preinfiltration visit) VAS score at 3 months after the infiltration). 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 NCT05408065, which also lists 11 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 12 Feb 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in