Role of Vitamin C at 6 Months on Incidence of Complex Regional Pain Syndrome Type I in Upper Limb Surgery (CRPS-VITC)

2024-518310-28-00 Protocol PI2015_843_0001 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites · Protocol PI2015_843_0001

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 1,000
Countries 1
Sites 2

Algoneurodystrophy CRPS type 1

The aim of the study is to demonstrate a significant reduction of CRPS 1 when taking vitamin C during the perioperative period in upper limb surgery.

Key facts

Sponsor
Centre Hospitalier Universitaire Amiens Picardie
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Decision date (initial)
2024-10-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518310-28-00
EudraCT number
2015-000145-24
ClinicalTrials.gov
NCT02390505

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

The aim of the study is to demonstrate a significant reduction of CRPS 1 when taking vitamin C during the perioperative period in upper limb surgery.

Secondary objectives 3

  1. to compare between the 2 arms the occurrence of CRPS Type 1, one year after surgery
  2. Descriptive analysis (overall and per arm) of the population affected by CRPS Type 1: age, sex, history, type of surgery.
  3. Evaluation of tolerance and attendance taking vitamin C in pre and post operative period.

Conditions and MedDRA coding

Algoneurodystrophy CRPS type 1

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. patients over 18 yo undergoing major surgery of the upper limb
  2. patients able to give their consent to follow the protocol of treatment and monitoring
  3. Patient with social security coverage

Exclusion criteria 15

  1. Patient not wishing to be part of the study, or out of condition to express consent
  2. children
  3. patients under guardianship
  4. Woman of childbearing potential without an effective contraceptive method
  5. pregnant or lactating women
  6. patients with hemochromatosis
  7. patients with chronic kidney disease
  8. patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency
  9. allergy or known hypersensitivity to one of the molecules of treatment
  10. patients suffering or having already suffered from complex regional pain syndrome type 1 or type 2
  11. Patient seeking follow-up outside referral centres
  12. patients unable due to personal or professional mobility, to conduct post-operative follow up
  13. patients undergoing surgery with nerve suture with nerve graft
  14. Patient requiring two surgical procedures on the same limb
  15. emergency surgery

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Appearance of a complex regional pain syndrome (CRPS) 6 months after surgery

Secondary endpoints 3

  1. Epidemiological description of CRPS affected population
  2. Appearance of a complex regional pain syndrome (CRPS) 12 months after surgery
  3. C Vitamin tolerance and protocol compliance

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

L-Ascorbic Acid

SUB127188 · Substance

Active substance
L-Ascorbic Acid
Pharmaceutical form
CAPSULE
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
26 g gram(s)
Max treatment duration
52 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Cellulose, Microcrystalline

SUB12626MIG · Substance

Active substance
Cellulose, Microcrystalline
Pharmaceutical form
ORAL POWDER
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
26 g gram(s)
Max treatment duration
52 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire Amiens Picardie

Sponsor organisation
Centre Hospitalier Universitaire Amiens Picardie
Address
1 Rond Point Du Pr Christian Cabrol
City
Amiens Cedex 1
Postcode
80054
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
Docteur Emmanuel DAVID

Public contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
Hermil Lucile

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 1,000 2
Rest of world 0

Investigational sites

France

2 sites · Authorised, recruitment pending
Centre Hospitalier Universitaire Amiens Picardie
Orthopédie et Traumatologie, 1 Rond Point Du Pr Christian Cabrol, 80054, Amiens Cedex 1
Centre Hospitalier Universitaire Rouen
Chirurgie plastique et de la main, 1 Rue De Germont, 76000, Rouen

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-518310-28-00 5
Recruitment arrangements (for publication) NA 1
Subject information and informed consent form (for publication) L1_SIS and ICF patient 1.3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-23 France Acceptable
2024-10-10
2024-10-10