E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The epicondylitis is an overuse injury, in most cases, is a self-limited course and responds well to conservative treatment. Its etiology is degenerative and is related to a repetitive overuse and underlying tendinopathy. |
La epicondilitis es una lesión provocada por movimientos repetitivos que en la mayor parte de los casos tiene un curso autolimitado y responde bien al tratamiento conservador. Su etiología es degenerativa y se relaciona con un sobreuso repetitivo y tendinopatía subyacente. |
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E.1.1.1 | Medical condition in easily understood language |
The overuse of the muscles attached to the lateral bone of the elbow (epicondyle), as occurs in some jobs and also tennis players, causing its inflammation, known as epicondylitis. |
El uso excesivo de los músculos que se unen al hueso lateral del codo (epicóndilo), como ocurre en algunos trabajos y también en los tenistas, ocasionan su inflamación, conocida como epicondilitis. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Musculoskeletal Diseases [C05] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To compare the efficacy of extracorporeal shockwave, infiltrations of autologous platelet-rich plasma and combination therapy with both, in patients with work-related epicondylitis, which do not respond to initial treatment with anti-inflammatory drugs and rehabilitation (level of pain, functional recovery, mobility, temporary disability and percentage of workers who require surgery). |
Comparar la eficacia del tratamiento con ondas de choque extracorpóreas, de las infiltraciones de plasma autólogo rico en plaquetas y de la terapia combinada con ambas, en pacientes con epicondilitis por contingencia profesional, que no responden al tratamiento inicial con anti-inflamatorios no esteroideos y |
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E.2.2 | Secondary objectives of the trial |
To assess the cost-effectiveness of the three treatment care protocol modalities in controlling the work-related sick-leave period. |
Evaluar el coste-efectividad de las tres modalidades terapéuticas protocolo asistencial en el control de la incapacidad por contingencia profesional. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Workers diagnosed with work-related epicondylitis (ICD 9-CM code 726.32) as the primary diagnosis, receiving healthcare in Ibermutuamur. - Age equal or greater than 18 years. - Patients receive this diagnosis after being explored: painful sensitivity to pressure on the epicondyle; Cozen maneuver; chair test; and radiological examination. - Does not present remission of symptoms after a period of approximately 25 days of conservative treatment that include oral medication, local cold, functional relative rest and rehabilitation. |
- Trabajadores con diagnóstico de epicondilitis (Código CIE 9-MC 726.32) por Contingencia Profesional como diagnóstico principal, que reciben asistencia sanitaria en Ibermutuamur. Contingencia profesional se refiere a que el origen de la epicondilitis es una enfermedad profesional conforme a la normativa vigente, o bien tiene consideración de accidente de trabajo. - Edad igual o mayor a 18 años. - Diagnóstico de la patología tras exploración, empleando sensibilidad dolorosa a la presión sobre el epicóndilo; maniobra de Cozen; prueba de la silla; y exploración radiológica. - Ausencia de remisión de los síntomas tras un periodo de aproximadamente 25 días de tratamiento conservador, consistente en medicación oral, frío local, reposo funcional relativo y rehabilitación. |
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E.4 | Principal exclusion criteria |
- Patients with cervical pathology. - With posterior interosseous neuropathy. - With any kind (unless cancer pathology hospital discharge) cancer. - Patients with mental health problems that prevent them from successfully follow rehabilitation treatment. - Patients with thrombocytopenia. - Patients who have pacemakers. - Clotting problems or anticoagulant therapy. - Rheumatoid arthritis diagnosed. - Pregnant or breast-feeding patients. - Treatment with deposit costicoesteroid infiltrations in the last 6 weeks |
- Pacientes con patología cervical. - Con neuropatía del interóseo posterior. - Con cáncer de cualquier tipo (salvo que esté de alta clínica de la patología cancerosa). -Pacientes con problemas de salud mental que les impida seguir de forma satisfactoria el tratamiento rehabilitador. - Pacientes con trombopenia. - Pacientes que disponen de marcapasos. - Problemas de coagulación o terapia anticoagulante. - Artritis reumatoide diagnosticada. - Mujeres embarazadas o en periodo de lactancia. - Tratamiento con infiltraciones de costicoesteroides de depósito en las últimas 6 semanas. |
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E.5 End points |
E.5.1 | Primary end point(s) |
- Pain visual analog scale (VAS). - DASH (Disability of the Arm, Shoulder & Hand) score. - Variables biomechanical study - Ultrasound |
- Escala visual analógica del dolor (EVA) - DASH (Disability of the Arm, Shoulder & Hand) score - Variables del estudio biomecánico - Ecografía |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Baseline: VAS and DASH scales (conventional therapy). 10 days: VAS, DASH, biomechanical assessment. 1 month: VAS, DASH, biomechanical assessment and ultrasound after physical rehabilitation if needed (recruitment and study group intervention assignment). 1 month: VAS and DASH. 2 months: biomechanical assessment and ultrasound. 3 months: VAS, DASH, biomechanical assessment and ultrasound. |
Basal: Escalas EVA y DASH. 10 días: EVA, DASH, valoración biomecánica. 1 mes: Escalas EVA, DASH, valoración biomecánica y ecografía. 1 mes. EVA y DASH. 2 meses: Valoración biomecánica y ecografía. 3 meses: Escalas EVA, DASH, valoración biomecánica y ecografía. |
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E.5.2 | Secondary end point(s) |
- Demographic variables. - Employer company and job variables. - Clinical variables. |
- Variables demográficas. - Variables de la empresa y del puesto de trabajo. - Variables clínicas. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Demographic variables: baseline. - Employer company and job: baseline. - Clinical variables: baseline and one year after the recruitment (end of the study). |
- Variables demográficas: inicio del estudio. - Variables de empresa y puesto de trabajo: inicio del estudio. - Variables clínicas: inicio del estudio y un año tras el reclutamiento (fin del estudio). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
unicéntrico en España |
single site in Spain |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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After recuitment and intervention (October 2018-December 2019), LVLS is scheduled to be January 2020. Data analysis will be completing after that date and resultswill be available on June 2020. |
Después de reclutamiento y la intervención (Octubre 2018-Diciembre 2019), ), LVLS está programado para enero de 2020. El análisis de datos se estará completando después de esta fecha y los resultados estarán disponibles en Junio 2020. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 2 |