Trial Outcomes & Findings for TAASS-Traumeel Ointment and Gel Compared With a Topical NSAID in Athletes With Acute Ankle Sprain (NCT NCT01066520)

NCT ID: NCT01066520

Last Updated: 2014-01-09

Results Overview

Pain evaluated by a 100 mm visual analogue scale (VAS) where 0 means no pain and 100 means the highest, unbearable pain. The absolute values of VAS have been the basis of analysis. The highest is the change in negative, the better are the results in absolute values.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

449 participants

Primary outcome timeframe

From baseline (day 1) visit to day 7

Results posted on

2014-01-09

Participant Flow

Initiation date stage I(299 patients):24.08.2009, completion date stage I: 19.01.2011 Initiation date stage II(150 patients): 04.03.2011, completion date stage II: 12.09.2011 The evaluation criteria have not been changed in the different stages. The interim analysis after Stage I re-confirmed the originally calculated sample size.

Athletes of both sexes with acute unilateral sprain of the lateral ankle joint; 18 to 40 years of age; injury occurred within 24 hours of the first dose of study medication, with moderate (30-60mm) to severe (\>60mm) pain on weight bearing.420 of the enrolled 449 patients have been selected into the ITT population. 447 patients received treatment

Participant milestones

Participant milestones
Measure
Traumeel S Ointment
Traumeel® S ointment, 2 g of ointment three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Traumeel S Gel
Traumeel® S gel, 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Diclofenac Gel
NSAID gel (Diclofenac 1%; standard brand), 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Overall Study
STARTED
143
140
137
Overall Study
COMPLETED
143
140
137
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

TAASS-Traumeel Ointment and Gel Compared With a Topical NSAID in Athletes With Acute Ankle Sprain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Traumeel S Ointment
n=143 Participants
Traumeel S Ointment 2g, 3 times daily topical during 14 days
Traumeel S Gel
n=140 Participants
Traumeel S Gel 2g, 3 times daily topical during 14 days
Diclofenac Gel
n=137 Participants
Diclofenac Gel 2g, 3 times daily topical during 14 days
Total
n=420 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
143 Participants
n=5 Participants
140 Participants
n=7 Participants
137 Participants
n=5 Participants
420 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
39 Participants
n=5 Participants
39 Participants
n=7 Participants
34 Participants
n=5 Participants
112 Participants
n=4 Participants
Sex: Female, Male
Male
104 Participants
n=5 Participants
101 Participants
n=7 Participants
103 Participants
n=5 Participants
308 Participants
n=4 Participants
Region of Enrollment
Spain
143 participants
n=5 Participants
140 participants
n=7 Participants
137 participants
n=5 Participants
420 participants
n=4 Participants

PRIMARY outcome

Timeframe: From baseline (day 1) visit to day 7

Population: Changes from baseline at day7: absolute values and in percentage. Primary analyses were based on the Intent-To-Treat sample. Only patients with intial VAS\<30 mm were excluded from the analysis set. Missing data were handled by the 'Last Observation Carried Forward' method.

Pain evaluated by a 100 mm visual analogue scale (VAS) where 0 means no pain and 100 means the highest, unbearable pain. The absolute values of VAS have been the basis of analysis. The highest is the change in negative, the better are the results in absolute values.

Outcome measures

Outcome measures
Measure
Traumeel S Ointment
n=143 Participants
Traumeel® S ointment, 2 g of ointment three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Traumeel S Gel
n=140 Participants
Traumeel® S gel, 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Diclofenac Gel
n=137 Participants
NSAID gel (Diclofenac 1%; standard brand), 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Patient's Assessment of Ankle Pain (VAS)- Absolute Value Decrease on Day 7
-33.00 Absolute value units on a scale VAS
Interval -45.4 to -23.7
-37.10 Absolute value units on a scale VAS
Interval -50.0 to -27.3
-37.10 Absolute value units on a scale VAS
Interval -47.4 to -26.8

PRIMARY outcome

Timeframe: Day 1 to day 7

Population: Changes to Baseline: absolute values. Primary analyses were based on the Intent-To-Treat sample. Only patients with intial VAS\<30 mm were excluded from the analysis set. Missing data were handled by the 'Last Observation Carried Forward' method.

The Foot and Ankle Ability Measure (FAAM) is a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments. The Foot and Ankle Ability Measure is a 29-item questionnaire divided into two subscales: the Foot and Ankle Ability Measure, 21-item Activities of Daily Living Subscale and the Foot and Ankle Ability Measure, 8-item Sports Subscale. Each item is scored on a 5-point Likert scale (4 to 0) from 'no difficulty at all' (score 4), ´slight difficulty´, ´moderate difficulty´, éxtreme difficulty´ to 'unable to do' (score 0). Responses marked as ´not applicable´were not counted. Item score totals, which range from 0 to 84 for the ADL subscale and 0 to 32 for the Sports subscale, were transformed to percentage scores. Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction.

Outcome measures

Outcome measures
Measure
Traumeel S Ointment
n=143 Participants
Traumeel® S ointment, 2 g of ointment three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Traumeel S Gel
n=140 Participants
Traumeel® S gel, 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Diclofenac Gel
n=137 Participants
NSAID gel (Diclofenac 1%; standard brand), 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Change of the Foot and Ankle Ability Measurement (FAAM), Activity of Daily Living Subscale (ADL) From Baseline to Day 7
26.20 Scores on a scale
Interval 16.7 to 35.7
26.20 Scores on a scale
Interval 16.7 to 36.9
25.00 Scores on a scale
Interval 14.6 to 34.5

PRIMARY outcome

Timeframe: From baseline (day 1) visit to day 7

Pain evaluated by a 100 mm visual analogue scale (VAS) where 0 means no pain and 100 means the highest, unbearable pain. The absolute values of VAS have been the basis of analysis. The highest is the change in negative, the better are the results in percentages.

Outcome measures

Outcome measures
Measure
Traumeel S Ointment
n=143 Participants
Traumeel® S ointment, 2 g of ointment three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Traumeel S Gel
n=140 Participants
Traumeel® S gel, 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Diclofenac Gel
n=137 Participants
NSAID gel (Diclofenac 1%; standard brand), 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Patient's Assessment of Ankle Pain (VAS)- Percentage Decrease on Day 7
-60.55 Percentage change in scale VAS
Interval -85.7 to -42.9
-71.10 Percentage change in scale VAS
Interval -84.85 to -48.4
-68.90 Percentage change in scale VAS
Interval -83.6 to -48.95

SECONDARY outcome

Timeframe: Day 1 to 4, 14, 42

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1 to 4, 7, 14, 42

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1 to 4,7,14

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1 to 4, 7, 14, 42

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1 to 4, 7, 14, 42

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 14

Outcome measures

Outcome data not reported

Adverse Events

Traumeel S Ointment

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Traumeel S Gel

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Diclofenac Gel

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Traumeel S Ointment
n=152 participants at risk
Traumeel® S ointment, 2 g of ointment three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Traumeel S Gel
n=148 participants at risk
Traumeel® S gel, 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
Diclofenac Gel
n=147 participants at risk
NSAID gel (Diclofenac 1%; standard brand), 2 g of gel three times daily for 14 days, to sufficiently cover the area of the lesion, gently rubbing
General disorders
Pain
0.66%
1/152 • Number of events 2 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/148 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
General disorders
Swelling
0.00%
0/152 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/148 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
1.4%
2/147 • Number of events 3 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Infections and infestations
Influenza
0.00%
0/152 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/148 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Infections and infestations
Nasopharingitis
0.00%
0/152 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
1.4%
2/148 • Number of events 2 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Injury, poisoning and procedural complications
Joint injury
0.66%
1/152 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/148 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Injury, poisoning and procedural complications
Joint sprain
0.66%
1/152 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/148 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/152 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
1.4%
2/148 • Number of events 2 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Nervous system disorders
Headache
2.0%
3/152 • Number of events 7 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
3.4%
5/148 • Number of events 5 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Nervous system disorders
Hypoasthesia
0.66%
1/152 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/148 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Respiratory, thoracic and mediastinal disorders
Oropharingeal pain
0.66%
1/152 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/148 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/152 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/148 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/147 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Skin and subcutaneous tissue disorders
Erythema
2.0%
3/152 • Number of events 4 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.00%
0/148 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
Skin and subcutaneous tissue disorders
Pruritus
1.3%
2/152 • Number of events 2 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
1.4%
2/148 • Number of events 2 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)
0.68%
1/147 • Number of events 1 • Safety information was collected for the whole duration of the trial from 24.08.2009 (FPI) to 12.09.2011 (LPO)

Additional Information

Dr. Istvan Zatik

Biologische Heilmittel Heel GmbH

Phone: +4972215013192

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60