Trigger Finger Corticosteroid Injection With and Without Local Anesthetic
Primary Purpose
Trigger Finger
Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Corticosteroid with lidocaine with epinephrine
Corticosteroid with normal saline
Sponsored by
About this trial
This is an interventional treatment trial for Trigger Finger
Eligibility Criteria
Inclusion Criteria:
- At least 18 years old with trigger finger
Exclusion Criteria:
- Preference for open trigger finger release
- Not a candidate for corticosteroid injection
- Contraindication to lidocaine with epinephrine
Sites / Locations
- Vanderbilt University Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Corticosteroid with lidocaine with epinephrine
Corticosteroid with normal saline
Arm Description
This arm includes an injection mixture of corticosteroid and lidocaine with epinephrine
This arm includes a mixture of corticosteroid and normal saline. The purpose of normal saline is the keep the volume and concentration similar when compared to the injections containing lidocaine.
Outcomes
Primary Outcome Measures
Pain Outcome: Visual Analog Scale
Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever
Pain Outcome: Visual Analog Scale
Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever
Secondary Outcome Measures
Full Information
NCT ID
NCT04023695
First Posted
July 1, 2019
Last Updated
December 9, 2019
Sponsor
Vanderbilt University Medical Center
1. Study Identification
Unique Protocol Identification Number
NCT04023695
Brief Title
Trigger Finger Corticosteroid Injection With and Without Local Anesthetic
Official Title
Trigger Finger Corticosteroid Injection With and Without Local Anesthetic; a Randomized, Double Blind Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
October 1, 2017 (Actual)
Primary Completion Date
August 30, 2018 (Actual)
Study Completion Date
August 30, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Vanderbilt University Medical Center
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Steroid injection is the first line treatment for trigger finger. Steroid injection is sometimes mixed with a local anesthetic.
Detailed Description
The treatment of trigger finger involves an injection of corticosteroid. Corticosteroid treats the underlying inflammatory pathology. Some surgeons add lidocaine with epinephrine as a local anesthetic with the injection. Lidocaine with epinephrine is associated with a burning sensation and may be the primary pain associated with the injection. We hypothesize that a corticosteroid injection without lidocaine with epinephrine will be less painful, and equally effective in treating trigger finger
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Trigger Finger
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
110 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Corticosteroid with lidocaine with epinephrine
Arm Type
Active Comparator
Arm Description
This arm includes an injection mixture of corticosteroid and lidocaine with epinephrine
Arm Title
Corticosteroid with normal saline
Arm Type
Experimental
Arm Description
This arm includes a mixture of corticosteroid and normal saline. The purpose of normal saline is the keep the volume and concentration similar when compared to the injections containing lidocaine.
Intervention Type
Drug
Intervention Name(s)
Corticosteroid with lidocaine with epinephrine
Intervention Description
Trigger finger injection
Intervention Type
Drug
Intervention Name(s)
Corticosteroid with normal saline
Intervention Description
Trigger finger injection
Primary Outcome Measure Information:
Title
Pain Outcome: Visual Analog Scale
Description
Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever
Time Frame
Assessed 1 minute after injection (in clinic)
Title
Pain Outcome: Visual Analog Scale
Description
Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever
Time Frame
Assessed after 24 hours after injection (by phone)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
At least 18 years old with trigger finger
Exclusion Criteria:
Preference for open trigger finger release
Not a candidate for corticosteroid injection
Contraindication to lidocaine with epinephrine
Facility Information:
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37235
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
IPD will not be shared with other researchers
Learn more about this trial
Trigger Finger Corticosteroid Injection With and Without Local Anesthetic
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