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Trial registered on ANZCTR
Registration number
ACTRN12618001648213
Ethics application status
Approved
Date submitted
1/10/2018
Date registered
5/10/2018
Date last updated
10/09/2019
Date data sharing statement initially provided
10/09/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Measuring the effect of Hyaluronic acid (HA) on tendon healing after arthroscopic rotator cuff repair
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Scientific title
Measuring the effect of Hyaluronic acid (HA) on tendon healing after arthroscopic rotator cuff repair
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Secondary ID [1]
296195
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none
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Universal Trial Number (UTN)
U1111-1221-3129
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rotator Cuff Tear
309834
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Condition category
Condition code
Musculoskeletal
308623
308623
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hyaluronic Acid or sterile saline placebo, given as a single dose (4ml) subacromially 30 minutes after arthroscopic rotator cuff repair. The Coordinating Investigator (Orthopedic Fellow) will administer the fluid at the recovery room.
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Intervention code [1]
312523
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Treatment: Drugs
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Comparator / control treatment
Control group will receive sterile saline injection (4ml) as placebo
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Retear rate of rotator cuff repair. 12 month MRI report will be checked by the consulting investigator and the Cuff tendon integrity will be documented according to the 5-stage Sugaya assessment system
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Assessment method [1]
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Timepoint [1]
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12 months post rotator cuff repair
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Secondary outcome [1]
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Change of range of motion from pre-operative using a goniometer, with the glenohumeral joint as reference.. Motion includes forward flexion, abduction/adduction, external/internal rotation. Range of motion will be recorded at the pre-operative visit by the orthopedic surgeons, and again at 6, 12, 24, and 48 weeks post-operatively
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Assessment method [1]
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Timepoint [1]
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6, 12, 24, and 48 weeks post-rotator cuff repair
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Secondary outcome [2]
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Shoulder function as assessed using the Constant Shoulder Score and ASES scoring systems
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Assessment method [2]
352420
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Timepoint [2]
352420
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6, 12, 24, and 48 weeks post rotator cuff repair
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Eligibility
Key inclusion criteria
Adult patients with confirmed rotator cuff tear who will undergo arthroscopic shoulder rotator cuff repair surgery at St. Vincent’s Private Hospital and Nepean Private Hospital.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Advanced shoulder Arthritis
• Patients below 18 years or above 75 years of age
• Revision of previous cuff repair
• Smokers
• Irreparable cuff tear
• Primary Shoulder instability (Bankart labral tear)
• Rheumatoid arthritis / Inflammatory arthritis
• Chronic pain syndrome
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Only the coordinating investigator will be aware of the patient's allocation, using a central computer. The principal investigators will be blinded of the patient's allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be done using a table generated from a computer program
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Nominal data will be expressed as means +/- SD, while categorical data will be expressed as mean, frequencies, +/- SD. The Mann-Whitney U-test will be utilized to determine significant difference in outcome measures between two groups. Friedman’s test will be used to determine significant difference in outcome measures over time.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
12/11/2018
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Actual
28/03/2019
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Date of last participant enrolment
Anticipated
28/03/2020
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Actual
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Date of last data collection
Anticipated
28/03/2021
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Actual
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Sample size
Target
90
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Accrual to date
29
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St Vincent's Private Hospital (Darlinghurst) - Darlinghurst
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Recruitment hospital [2]
14755
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Nepean Private Hospital - Kingswood
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Recruitment postcode(s) [1]
27986
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
27987
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2474 - Kingswood
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Funding & Sponsors
Funding source category [1]
300785
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Commercial sector/Industry
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Name [1]
300785
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Surgical Specialties Pty Ltd
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Address [1]
300785
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PO Box 6052, FRENCHS FOREST, NSW, 1640
Australia
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Country [1]
300785
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Australia
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Primary sponsor type
Individual
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Name
St Vincent's SportsMed
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Address
Level 5, St, Vincent's Clinic
438 Victoria St
Darlinghurst, NSW
2010
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Country
Australia
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Secondary sponsor category [1]
300333
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None
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Name [1]
300333
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Address [1]
300333
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Country [1]
300333
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301569
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Nepean Blue Mountains Local Health District Human Research Ethics Committee
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Ethics committee address [1]
301569
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Nepean Hospital Derby Street Penrith, NSW 2750
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Ethics committee country [1]
301569
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Australia
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Date submitted for ethics approval [1]
301569
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05/10/2018
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Approval date [1]
301569
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Ethics approval number [1]
301569
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Ethics committee name [2]
301589
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St Vincent’s Hospital Human Research Ethics Committee
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Ethics committee address [2]
301589
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St. Vincent's Hospital 438 Victoria Street Darlinghurst, NSW 2010
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Ethics committee country [2]
301589
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Australia
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Date submitted for ethics approval [2]
301589
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05/10/2018
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Approval date [2]
301589
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19/02/2019
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Ethics approval number [2]
301589
0
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Summary
Brief summary
The clinical outcome of arthroscopic rotator cuff repair including pain and ROM is generally favourable Despite advances in surgical techniques for rotator cuff repair, postoperative non-healing of rotator cuff tendons (tendon re-tear) is a serious issue, with an incidence ranging between 20% and 95%. Given that re-tear rate after cuff repair is a serious issue, a number of approaches have been investigated to improve rotator cuff repair healing including advancements in the fields of repair materials, repair techniques, biological augmentation and rehabilitation protocols. In this study we examine the healing effect of HA after cuff repair taking in consideration that some in-vitro and animal studies have demonstrated a significant positive effect of HA on tendon healing. Moreover, the efficacy and safety of HA in some abdominal surgeries and as a non-surgical therapy in shoulder disorders has been widely reported.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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3130
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/AnzctrAttachments/376090-HA study protocol 25Sep .docx
(Protocol)
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Attachments [2]
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/AnzctrAttachments/376090-1st check point (1).docx
(Other)
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Attachments [3]
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/AnzctrAttachments/376090-HA and cuff repair study- Patient information and consent form (2).docx
(Participant information/consent)
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Attachments [4]
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/AnzctrAttachments/376090-HREC Cover Letter.pdf
(Other)
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Attachments [5]
3136
3136
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0
/AnzctrAttachments/376090-2nd check point.docx
(Other)
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Attachments [6]
3137
3137
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0
/AnzctrAttachments/376090-3rd check point (1).docx
(Other)
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Attachments [7]
3138
3138
0
0
/AnzctrAttachments/376090-4th check point (1).docx
(Other)
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Attachments [8]
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3139
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/AnzctrAttachments/376090-5th check point (1).docx
(Other)
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Contacts
Principal investigator
Name
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A/Prof Simon Tan
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Address
87418
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St. Vincent's SportsMed
Level 5 St. Vincent's Clinic
438 Victoria St
Darlinghurst, NSW
2010
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Country
87418
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Australia
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Phone
87418
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+61 283826969
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Fax
87418
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Email
87418
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[email protected]
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Contact person for public queries
Name
87419
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Simon Tan
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Address
87419
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St. Vincent's SportsMed
Level 5 St. Vincent's Clinic
438 Victoria St
Darlinghurst, NSW
2010
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Country
87419
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Australia
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Phone
87419
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+61 283826969
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Fax
87419
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Email
87419
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[email protected]
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Contact person for scientific queries
Name
87420
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Simon Tan
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Address
87420
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St. Vincent's SportsMed
Level 5 St. Vincent's Clinic
438 Victoria St
Darlinghurst, NSW
2010
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Country
87420
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Australia
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Phone
87420
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+61 283826969
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Fax
87420
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Email
87420
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
To protect patient privacy
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
4589
Informed consent form
Contact the office of St Vincent's SportsMed (02 8...
[
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376090-(Uploaded-06-09-2019-10-07-34)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF