Trial Outcomes & Findings for Differential Efficacy of Corticosteroid Solutions for Non-Operative Treatment of Digit Flexor Tenosynovitis (NCT NCT04002037)

NCT ID: NCT04002037

Last Updated: 2024-06-26

Results Overview

The patient will be asked to complete a questionnaire with questions related to their hand. Their answers will be scored on a scale of 0-100 with 0 being no disability and 100 being the highest level of disability.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

95 participants

Primary outcome timeframe

6 Weeks

Results posted on

2024-06-26

Participant Flow

Participant milestones

Participant milestones
Measure
Triamcinolone 40mg/mL
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Overall Study
STARTED
24
43
28
Overall Study
COMPLETED
24
43
28
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Differential Efficacy of Corticosteroid Solutions for Non-Operative Treatment of Digit Flexor Tenosynovitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Triamcinolone 40mg/mL
n=24 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=43 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=28 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Total
n=95 Participants
Total of all reporting groups
Age, Continuous
64.54 years
STANDARD_DEVIATION 9.99 • n=93 Participants
63.77 years
STANDARD_DEVIATION 10.65 • n=4 Participants
61.75 years
STANDARD_DEVIATION 9.11 • n=27 Participants
63.37 years
STANDARD_DEVIATION 0 • n=483 Participants
Sex: Female, Male
Female
17 Participants
n=93 Participants
30 Participants
n=4 Participants
22 Participants
n=27 Participants
69 Participants
n=483 Participants
Sex: Female, Male
Male
7 Participants
n=93 Participants
13 Participants
n=4 Participants
6 Participants
n=27 Participants
26 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
2 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
3 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
2 Participants
n=4 Participants
0 Participants
n=27 Participants
2 Participants
n=483 Participants
Race (NIH/OMB)
White
22 Participants
n=93 Participants
40 Participants
n=4 Participants
28 Participants
n=27 Participants
90 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants

PRIMARY outcome

Timeframe: 6 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to complete a questionnaire with questions related to their hand. Their answers will be scored on a scale of 0-100 with 0 being no disability and 100 being the highest level of disability.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=12 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=27 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=16 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Disabilities of the Arm, Shoulder and Hand (DASH)
12.69 score on a scale
Standard Deviation 19.87
18.69 score on a scale
Standard Deviation 18.73
24.72 score on a scale
Standard Deviation 13.74

PRIMARY outcome

Timeframe: 12 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to complete a questionnaire with questions related to their hand. Their answers will be scored on a scale of 0-100 with 0 being no disability and 100 being the highest level of disability.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=13 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=24 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=12 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Disabilities of the Arm, Shoulder and Hand (DASH)
17.66 score on a scale
Standard Deviation 19.88
18.09 score on a scale
Standard Deviation 17.71
23.38 score on a scale
Standard Deviation 22.91

PRIMARY outcome

Timeframe: 6 Month

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to complete a questionnaire with questions related to their hand. Their answers will be scored on a scale of 0-100 with 0 being no disability and 100 being the highest level of disability.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=13 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=30 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=14 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Disabilities of the Arm, Shoulder and Hand (DASH)
22.73 score on a scale
Standard Deviation 19.53
22.12 score on a scale
Standard Deviation 20.55
13.64 score on a scale
Standard Deviation 16.24

PRIMARY outcome

Timeframe: 6 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to report their pain on a scale of 0 - 10 using the Visual Analog Scale with 0 being no pain and 10 being the worst pain the patient can imagine.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=12 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=27 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=14 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Pain Visual Analog Score (VAS)
1.08 score on a scale
Standard Deviation 2.15
1.33 score on a scale
Standard Deviation 2.2
2.04 score on a scale
Standard Deviation 2.09

PRIMARY outcome

Timeframe: 12 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to report their pain on a scale of 0 - 10 using the Visual Analog Scale with 0 being no pain and 10 being the worst pain the patient can imagine.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=13 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=24 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=15 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Pain Visual Analog Score (VAS)
1.15 score on a scale
Standard Deviation 1.91
2.38 score on a scale
Standard Deviation 2.37
3.33 score on a scale
Standard Deviation 3.22

PRIMARY outcome

Timeframe: 6 Month

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

The patient will be asked to report their pain on a scale of 0 - 10 using the Visual Analog Scale with 0 being no pain and 10 being the worst pain the patient can imagine.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=15 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=29 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=16 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Pain Visual Analog Score (VAS)
1.53 score on a scale
Standard Deviation 1.46
1.97 score on a scale
Standard Deviation 2.41
1.38 score on a scale
Standard Deviation 2.13

PRIMARY outcome

Timeframe: 6 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

PROMIS Physical Function - Upper Extremity is a self-reported performance measure assessing physical function of the upper extremity focusing on nine activities that require use of the upper extremity including shoulder, arm, and hand activities. Responses are as follows: 5 = Without any difficulty; 4 = With a little difficulty; 3=With some difficulty; 2=With much difficulty; and 1=Unable to do. The PROMIS Upper Extremity assessment evaluates upper extremity function, with raw scores typically ranging from 8 to 40, depending on the specific form used. These raw scores are converted to T-scores using a standardized table, with a mean of 50 and a standard deviation of 10. These T-scores range from 15 to 61. A higher T-score indicates better upper extremity function, while a lower T-score signifies greater impairment.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=12 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=26 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=9 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Patient Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Scores
48.24 score on a scale
Standard Deviation 13.45
44.49 score on a scale
Standard Deviation 11.89
37.55 score on a scale
Standard Deviation 8.98

PRIMARY outcome

Timeframe: 12 Weeks

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

PROMIS Physical Function - Upper Extremity is a self-reported performance measure assessing physical function of the upper extremity focusing on nine activities that require use of the upper extremity including shoulder, arm, and hand activities. Responses are as follows: 5 = Without any difficulty; 4 = With a little difficulty; 3=With some difficulty; 2=With much difficulty; and 1=Unable to do. The PROMIS Upper Extremity assessment evaluates upper extremity function, with raw scores typically ranging from 8 to 40, depending on the specific form used. These raw scores are converted to T-scores using a standardized table, with a mean of 50 and a standard deviation of 10. These T-scores range from 15 to 61. A higher T-score indicates better upper extremity function, while a lower T-score signifies greater impairment.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=11 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=22 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=14 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Patient Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Scores
48.28 score on a scale
Standard Deviation 12.09
44.82 score on a scale
Standard Deviation 11.68
43.44 score on a scale
Standard Deviation 12.4

PRIMARY outcome

Timeframe: 6 Month

Population: The analysis population differs from the participant flow module due to participants not completing the outcome measure or due to early study termination.

PROMIS Physical Function - Upper Extremity is a self-reported performance measure assessing physical function of the upper extremity focusing on nine activities that require use of the upper extremity including shoulder, arm, and hand activities. Responses are as follows: 5 = Without any difficulty; 4 = With a little difficulty; 3=With some difficulty; 2=With much difficulty; and 1=Unable to do. The PROMIS Upper Extremity assessment evaluates upper extremity function, with raw scores typically ranging from 8 to 40, depending on the specific form used. These raw scores are converted to T-scores using a standardized table, with a mean of 50 and a standard deviation of 10. These T-scores range from 15 to 61. A higher T-score indicates better upper extremity function, while a lower T-score signifies greater impairment.

Outcome measures

Outcome measures
Measure
Triamcinolone 40mg/mL
n=15 Participants
A corticosteroid injection of Triamcinolone 40mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 40mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Triamcinolone 10mg/mL
n=29 Participants
A corticosteroid injection of Triamcinolone 10mg/mL will be given to subjects to treat their symptoms of trigger finger. Triamcinolone Acetonide 10mg/mL: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Soluble Dexamethasone 4mg/mL
n=14 Participants
A corticosteroid injection of Soluble Dexamethasone 4mg/mL will be given to subjects to treat their symptoms of trigger finger. Dexamethasone 4 mg/ml: Corticosteroid injection will occur up to two times if trigger finger symptoms are not resolved.
Patient Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Scores
38.46 score on a scale
Standard Deviation 12.9
42.23 score on a scale
Standard Deviation 11.43
47.9 score on a scale
Standard Deviation 11.51

Adverse Events

Triamcinolone 40mg/mL

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

Triamcinolone 10mg/mL

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

Soluble Dexamethasone 4mg/mL

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Vicki L Jones

UMissourri

Phone: 573-882-7583

Results disclosure agreements

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