E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
POST -OPERATIVE LOWER LIMB EDEMA |
EDEMA DE LA EXTREMIDAD INFERIOR POST OPERATORIA |
|
E.1.1.1 | Medical condition in easily understood language |
INFLAMMATION OF THE LOWER LIMB (LEG) POST-OPERATIVE |
INFLAMACION DE LA EXTREMIDAD INFERIOR (PIERNA) POST OPERATORIO |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014220 |
E.1.2 | Term | Edema extremities |
E.1.2 | System Organ Class | 100000004867 |
|
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 |
Evaluate the anti-inflammatory role of dexamethasone in reducing postoperative edema in patients undergoing total hip arthroplasty. |
Evaluar el papel antiinflamatorio de la dexametasona en la disminución del edema postoperatorio en pacientes intervenidos de artroplastia total de cadera. |
|
E.2.2 | Secondary objectives of the trial |
- Evaluate the reduction of postoperative pain in patients who have been administered dexamethasone preoperatively.
- Study the influence of the different approaches to Total Hip Arthroplasty on the appearance of postoperative edema in the operated limb.
- Describe the influence of intravenous peroperative Dexamethasone in improving rapid recovery programs in total hip arthroplasty |
- Evaluar la disminución del dolor postoperatorio en pacientes a los que se les ha administrado dexametasona preoperatoriamente.
- Estudiar la influencia de las distintas vías de abordaje de la Artroplastia Total de Cadera en la aparición de edema postoperatorio en la extremidad intervenida.
- Describir la influencia de la Dexametasona peroperatoria endovenosa en la mejora de los programas de recuperación rápida en artroplastia total de cadera |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
a. Men and women aged 30-80 years b. Patients that undergo primary total hip replacement. c. Diagnosis of primary hip osteoarthritis. d. They accept and sign the informed consent |
a. Hombres y mujeres de 30-80 años b. Pacientes que vayan a someterse a artroplastia total de cadera primaria. c. Diagnóstico de artrosis primaria cadera. d. Aceptan y firman el consentimiento informado |
|
E.4 | Principal exclusion criteria |
a. Patient undergoing corticosteroid treatment during the last 6 months before surgery. b. Patients with a diagnosis of secondary osteoarthritis of the hip. c. Patients with a diagnosis of hip fracture d. Allergic patients to Dexamethasone. e. Patients who meet the criteria for malnutrition. F. Patient with a diagnosis of Diabetes Mellitus (DM1 and DM2) g. Patients with Congestive Heart Failure (CHF) h. Patients with Chronic Renal Insufficiency (eGFR˂60). i. Patients with peripheral venous insufficiency j. Patients diagnosed with previous lymphedema. k. Patients with alterations of the cortico-adrenal axis l. Any condition that, in the clinical judgment of the researchers, may interfere with the object of the research |
a. Paciente en tratamiento con corticoides durante los últimos 6 meses antes de la cirugía. b. Pacientes con diagnóstico de artrosis secundaria de cadera. c. Pacientes con diagnóstico de fractura de cadera d. Pacientes alérgicos a Dexametasona. e. Pacientes que cumplan con criterios de malnutrición. f. Paciente con diagnostico de Diabetes Mellitus (DM1 y DM2) g. Pacientes con Insuficiencia Cardiaca Congestiva (ICC) h. Pacientes afectos de Insuficiencia Renal Crónica (IRC, FG˂60). i. Pacientes con insuficiencia venosa periférica (IVP). j. Pacientes diagnosticados de linfedema previo. k. Pacientes con alteraciones del eje cortico-adrenal l. Cualquier condición que a juicio clínico de los investigadores pueda interferir en el objeto de la investigación |
|
E.5 End points |
E.5.1 | Primary end point(s) |
• Thigh circumference • Leg Perimeter • PCR value • IL-6 value |
• Perímetro Muslo • Perímetro Pierna • Valor PCR • Valor IL-6 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
1 week after surgical intervention |
1 semana tras intervencion quirúrgica |
|
E.5.2 | Secondary end point(s) |
sex Age Body mass index Medical history Type of approach Physiotherapy start day Time of admission Postoperative visual analog scale (VAS) • Harris Functional Scale (HHS) |
Edad Sexo Índice de masa corporal Antecedentes patologicos Tipo de abordaje Día inicio fisioterapia Tiempo de ingreso Escala visual analógica (EVA) postoperatorio Escala funcional de Harris (HHS) |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Discharge date |
Alta hospitalaria |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
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 | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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
|
LVLS |
Ultima visita del último paciente incluido en el estudio |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |