Early Treatment for Acute ACL Tear

NCT ID: NCT01692756

Last Updated: 2018-12-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2017-02-05

Brief Summary

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This research study is the first of its kind and will allow health care professionals and researchers to answer many questions about the reasons why anterior cruciate ligament (ACL) injury leads to knee pain and disability and osteoarthritis. We also hope that this study will be the beginning of new, more powerful and safer drugs to help patients with ACL injuries heal sooner and return to sports or daily activities pain free. Study participants will be recruited from the University of Kentucky and Vanderbilt University.

The purpose of this research is to gather information on how safe and effective Kenalog® is in alleviating knee pain following ACL rupture.

Detailed Description

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Injury to the knee during sports participation often involves partial of full detachment of the ACL. ACL tears cause pain, swelling and inflammation. While the swelling and inflammation usually goes away in time, individuals with ACL injuries may experience pain and notice knee instability (knee slipping, etc.). Often surgery can repair or replace the ACL within the joint, allowing individuals the ability to walk or run again pain free or participate in sports. Unfortunately, osteoarthritis of the knee, which also causes pain and swelling, can occur in that same knee 10-20 years later for reasons which are not well understood.

In this research study, we hope to prevent and reduce the initial post-operative pain. The reduction of pain will allow for earlier movement of the knee joint and preparation for surgery. It may also reduce the risk to develop osteoarthritis in individuals with ACL injuries by treating them within 1-2 days after their injury.

Conditions

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Anterior Cruciate Ligament (ACL) Tears

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Kenalog or Placebo

Kenalog® (40mg) or saline placebo injection 1-2 days after ACL injury and 12-14 days later.

Group Type EXPERIMENTAL

Kenalog or placebo

Intervention Type DRUG

Kenalog then placebo

Subjects will initially receive 40mg injection of Kenalog® 1-2 days after injury and saline placebo at 12-14 days post injury.

Group Type EXPERIMENTAL

Kenalog then Placebo

Intervention Type DRUG

Kenalog only

Subjects will receive two consecutive (40 mg) intra-articular injections of Kenalog®

Group Type EXPERIMENTAL

Kenalog

Intervention Type DRUG

Placebo

subjects will receive two consecutive intra-articular saline placebo injections at the same time periods.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Kenalog or placebo

Intervention Type DRUG

Kenalog then Placebo

Intervention Type DRUG

Kenalog

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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Drug: Kenalog Other Names: triamcinolone acetonide injectable suspension Drug Placebo (for Kenalog) physiologic Saline solution Drug: Kenalog Other Names: triamcinolone acetonide injectable suspension Drug Placebo (for Kenalog) physiologic saline solution Drug: Kenalog Other Names: triamcinolone acetonide injectable suspension Drug Placebo (for Kenalog) physiologic saline solution

Eligibility Criteria

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Inclusion Criteria

* currently participating in sporting activities
* Normal contralateral knee status
* Anterior Cruciate Ligament (ACL) injury occurred while playing a sporting activity

Exclusion Criteria

* underlying inflammatory disease (i.e. Rheumatoid Arthritis, Psoriatic Arthritis, etc.)
* have been diagnosed with hepatitis B or tuberculosis
* currently have an infection, including infection of the skin
* have a disease that weakens your immune system such as diabetes, cancer, HIV or AIDs
* other major medical condition requiring treatment with immunosuppressant or modulating drugs.
* A history of chronic use of non-steroidal anti-inflammatory drugs
* previous exposure or allergic reaction to Kenalog
* prior knee surgery (Ipsilateral or contralateral)
* have received any investigational drug with 4 weeks of study Visit 1
Minimum Eligible Age

14 Years

Maximum Eligible Age

33 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt University

OTHER

Sponsor Role collaborator

Cale Jacobs

OTHER

Sponsor Role lead

Responsible Party

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Cale Jacobs

Sponsor/Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Christian Lattermann, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky, Department of Orthopaedic Surgery

Locations

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UK HeathCare Sports Medicine

Lexington, Kentucky, United States

Site Status

Countries

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United States

References

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Lattermann C, Jacobs CA, Proffitt Bunnell M, Huston LJ, Gammon LG, Johnson DL, Reinke EK, Huebner JL, Kraus VB, Spindler KP. A Multicenter Study of Early Anti-inflammatory Treatment in Patients With Acute Anterior Cruciate Ligament Tear. Am J Sports Med. 2017 Feb;45(2):325-333. doi: 10.1177/0363546516666818. Epub 2016 Oct 7.

Reference Type RESULT
PMID: 28146402 (View on PubMed)

Lattermann C, Jacobs CA, Bunnell MP, Jochimsen KN, Abt JP, Reinke EK, Gammon LG, Huebner JL, Kraus VB, Spindler KP. Logistical challenges and design considerations for studies using acute anterior cruciate ligament injury as a potential model for early posttraumatic osteoarthritis. J Orthop Res. 2017 Mar;35(3):641-650. doi: 10.1002/jor.23329. Epub 2016 Jun 30.

Reference Type RESULT
PMID: 27279368 (View on PubMed)

King JD, Rowland G, Villasante Tezanos AG, Warwick J, Kraus VB, Lattermann C, Jacobs CA. Joint Fluid Proteome after Anterior Cruciate Ligament Rupture Reflects an Acute Posttraumatic Inflammatory and Chondrodegenerative State. Cartilage. 2020 Jul;11(3):329-337. doi: 10.1177/1947603518790009. Epub 2018 Jul 22.

Reference Type DERIVED
PMID: 30033738 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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12-0706

Identifier Type: -

Identifier Source: org_study_id

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