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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
Vanderbilt University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Trigger Finger

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

First Posted
July 1, 2019
Last Updated
December 9, 2019
Sponsor
Vanderbilt University Medical Center
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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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