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Trial registered on ANZCTR
Registration number
ACTRN12607000426482
Ethics application status
Approved
Date submitted
14/08/2007
Date registered
22/08/2007
Date last updated
22/08/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Selective nerve blocks to relieve pain of knee arthritis
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Scientific title
Selective nerve blocks to relieve pain of knee arthritis
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
knee osteoarthritis
2248
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Condition category
Condition code
Musculoskeletal
2339
2339
0
0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Double blind Randomised selective subcutaneous nerve blocks with local anaesthetic or normal saline in 0.5mL aliquots upto maximum 10 mL for complex knee pain in patients awating knee replacement. The trial involves 1 set of injections with the study drug and upto 2 sets of injections with open label 1% lignocaine to determine if pain can be relieved and the duration of pain relief.
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Intervention code [1]
1960
0
Treatment: Other
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Comparator / control treatment
Normal saline control
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Visual Analgue Pain Scale (VAPS) 0-100 pain score
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Assessment method [1]
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Timepoint [1]
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Baseline, 2 hour, 1 week, 1, 3, 6 months post treatment
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Secondary outcome [1]
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Brief Pain Inventory
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Assessment method [1]
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Timepoint [1]
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Baseline, 2 hour, 1 week, 1, 3, 6 months post treatment
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Secondary outcome [2]
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Medical Outcome Short Form (36) Health Survey (MOS SF36)
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Assessment method [2]
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Timepoint [2]
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Baseline, 1 week, 1, 3, 6 months post treatment
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Secondary outcome [3]
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Knee osteoarthritis outcome score (KOOS)
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Assessment method [3]
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Timepoint [3]
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Baseline, 1 week, 1, 3, 6 months post treatment
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Eligibility
Key inclusion criteria
Waiting list patients with painful knee(s) rated >=5/10 on Verbal Rating Scale (VRS)awaiting knee arthroplasty
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subject on waiting list for a revision knee replacement, has terminal cancer or is unable to communicate or refuses to participate.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Block 1: DB random allocation to lignocaine 1% or N-saline injection;
Block 2: Open label 1% lignocaine injection if pain persists 1 week later;
Block 3: option of 2nd open label 1% lignocaine.
Patients obtaining short term pain relief will be offered
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
8/11/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Frankston Hospital
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Address [1]
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Frankston Hospital
PO Box 52
Frankston, 3199
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Murray Taverner
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Address
Frankston Hospital
PO Box 52
Frankston, 3199
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Terence Loughnan
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Address [1]
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Frankston Hospital
PO Box 52
Frankston, 3199
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Country [1]
2276
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Australia
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Other collaborator category [1]
5
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Individual
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Name [1]
5
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Dr Ashley Webb
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Address [1]
5
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Frankston Hospital
PO Box 52
Frankston, 3199
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Country [1]
5
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Frankston hospital
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Ethics committee address [1]
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Frankston Hospital PO Box 52 Frankston, 3199
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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07/08/2006
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Ethics approval number [1]
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2006-22
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Summary
Brief summary
Knee pain is a common problem with 19-23% prevalence in people aged 40 and over. Frankston hospital has 138 patients awaiting knee replacement and a waiting time exceeding 18 months. Preliminary work suggest patient with anterior, medial and lateral compartment knee pain who have not had open knee surgery may obtain good but temporary pain relief and functional improvement from selectively anaesthetising the cutaneous nerves supplying the knee joint. This study seeks to validate the injection technique, determine which nerves need to be injected and which patients, pain patterns and pathology may benefit from this treatment or may benefit from a follow-on study of pulse radiofrequency treatment to these nerves.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Murray Taverner
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Address
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Frankston Hospital
PO Box 52
Frankston, 3199
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Country
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Australia
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Phone
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03 9784 7445
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Fax
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03 9784 7441
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Murray Taverner
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Address
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Frankston Hospital
PO Box 52
Frankston, 3199
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Country
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Australia
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Phone
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03 9784 7445
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Fax
2063
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03 9784 7441
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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