Evaluation of pain after intra-articular botulinum toxin injections in carpometacarpal osteoarthritis of the thumb
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Centre Hospitalier Universitaire De Nice
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Evolution of the initial pain by Visual Analogue Scale compared to that measured at 3 months after the injection. Score from 0 to 10. 0 corresponds to the absence of pain and 10 to the maximum imaginable pain.
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
To show that botulinum toxin injection is superior to placebo injection in improving pain in symptomatic trapezometacarpal osteoarthritis at 3 months
Investigators
Dr Pierre BLANC Investigateur Principal
Scientific
Centre Hospitalier Universitaire De Nice
Eligibility Criteria
Inclusion Criteria
- •Patient >18 years old
- •Patient with rhizarthrosis objectified by interrogation, radiography with at least 2 of the following criteria: osteophyte, joint space narrowing, subchondral sclerosis or geode
- •Patient who has had an X-ray of the wrist (face, profile and Kapandji incidence) to estimate the severity of the rhizarthrosis.
- •Visual analog scale (VAS) of pain > 4
- •Failure of well-conducted drug treatments with level 1 and 2 analgesics, anti-inflammatory drugs and orthotic devices
Exclusion Criteria
- •History of surgery of the thumb column
- •Patient who has received an intra-articular trapezoidal metacarpal injection of corticoids, botulinum toxin or hyaluronic acid or other product within the last 6 months
- •Patient who has received a Botulinum toxin injection at any site within the last 3 months
- •Myasthenia or Lambert-Eaton disease, neuromuscular dysfunction, hypersensitivity to incobotulinumtoxin A, severe respiratory disorder or severe swallowing disorder
- •Patients with hypersensitivity to botulinum toxin or to any of the excipients (human albumin sucrose)
Outcomes
Primary Outcomes
Evolution of the initial pain by Visual Analogue Scale compared to that measured at 3 months after the injection. Score from 0 to 10. 0 corresponds to the absence of pain and 10 to the maximum imaginable pain.
Evolution of the initial pain by Visual Analogue Scale compared to that measured at 3 months after the injection. Score from 0 to 10. 0 corresponds to the absence of pain and 10 to the maximum imaginable pain.