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Trial Title: Effect of Subcutaneous Polyvidone Collagen Treatment on Hand Recovery in Adult Rheumatoid Arthritis.

NCT ID: NCT06656169

Condition: Arthritis, Rheumatoid

Conditions: Official terms:
Arthritis
Arthritis, Rheumatoid
Povidone

Conditions: Keywords:
Rheumatoid Arthritis
Collagen Polyvidone
Synovial Tissue
Tumor necrosis factor-alpha
American College of Rheumatology Questionnaire
Rheumatoid Factor

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: A double-blind, randomized, masked, placebo-controlled, randomized clinical trial will be conducted

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Subcutaneous polyvidone collagen
Description: Use collagen-polyvidone at a dose of 0.2 ml, applied to the affected area of the hand.
Arm group label: Case group

Other name: Fibroquel

Intervention type: Other
Intervention name: saline solution
Description: administer saline solution at a dose of 0.2 ml, applied to the affected area of the hand.
Arm group label: Control group

Summary: A study in geriatric rheumatology on the treatment of rheumatoid arthritis (RA) in older adults is described. Its objective is to compare the effects of subcutaneous polyvidone collagen versus placebo, analyzing clinical improvement, biochemical response and quality of life in people over 60 years of age. The Phase IV, double-blind, randomized, placebo-controlled clinical trial will be conducted between 2023 and 2026. Sixty patients with early-stage arthritis will participate, assessing factors such as pain, functionality and synovitis with various statistical tools and analyses.

Detailed description: Geriatric rheumatology specializes in the study of rheumatic diseases in older adults, who have immune and physiological characteristics that influence the manifestation of these diseases. In the case of rheumatoid arthritis (RA), a chronic inflammatory disease that affects the joints, treatments that improve functionality and reduce pain in the hands, evaluated by ultrasound, are studied. Its objective is to compare the effects of treatment with subcutaneous polyvidone collagen versus placebo on clinical improvement of the hands, biochemical response and quality of life in people over 60 years of age with rheumatoid arthritis. A Phase IV, double-blind, randomized, placebo-controlled clinical trial will be conducted between August 2023 and August 2026. Sixty patients (30 in each group) with early-stage arthritis will participate. Pain, functionality, synovitis, and quality of life will be assessed using various scales, biochemical analyses, and statistical tests.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients with arthritic hand uni or bilateral - Early rheumatoid arthritis (> or equal to 2 years of evolution with treatment and stable) - Conventional treatment based on non-steroidal anti-inflammatory drugs (NSAIDs) alone for the disease without the use of biologic therapy or DMARDs. Exclusion Criteria: - Patient with previous treatment of the arthritic hand with steroids, previous surgery and/or some other local medical treatment - Persistence of symptoms and functional alterations. - Patients with diabetes mellitus, rheumatic polyarthropathy, scleroderma, fibromyalgia, systemic lupus erythematosus or any other autoimmune disease.

Gender: All

Minimum age: 60 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: National Western Speciality Hospital, Mexican Social Security Institute

Address:
City: Guadalajara
Zip: 44329
Country: Mexico

Status: Recruiting

Contact:
Last name: Clotilde Fuentes-Orozco, M.D, Ph.D

Phone: 523331154287
Email: clotilde.fuentes@gmail.com

Facility:
Name: Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, México

Address:
City: Guadalajara
Zip: 44329
Country: Mexico

Status: Recruiting

Start date: January 1, 2024

Completion date: January 5, 2026

Lead sponsor:
Agency: Instituto Mexicano del Seguro Social
Agency class: Other

Source: Instituto Mexicano del Seguro Social

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06656169

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