Clinical trial
Combination of Vitamin C and N-Acetylcysteine to Improve Functional Outcome After Rotator Cuff Repair: A Triple-blinded, Randomized Controlled Trial
Name
Rama
Description
The goal of this clinical trial is to learn if vitamin C and N-acetylcysteine work to improve shoulder functional score after rotator cuff repair. It will also learn about the safety of vitamin C and N-acetylcysteine. The main questions it aims to answer are:
Do vitamin C and N-acetylcysteine improve the shoulder functional score of participants? Do vitamin C and N-acetylcysteine improve healing of rotator tendon? Researchers will compare vitamin C and N-acetylcysteine to a placebo (a look-alike substance that contains no drug) to see if vitamin C and N-acetylcysteine works to improve shoulder functional score after rotator cuff repair.
Participants will:
Take vitamin C and N-acetylcysteine or a placebo every day for 45 days. Visit the OPD three times at 2 week, 6 month and 12 month after surgery for checkups and tests.
Trial arms
Trial start
2024-05-01
Estimated PCD
2025-09-01
Trial end
2026-05-01
Status
Not yet recruiting
Phase
Early phase I
Treatment
Ascorbic acid
Vitamin C (solution) 500 mg IV q4h for 4 doses PO d0 Vitamin C (tablet) 100mg 5 tab PO BID for 45 days
Arms:
Ascorbic Acid and N-acetylcysteine
Other names:
Vitamin C
N-acetyl cysteine
NAC (effervescent) 600mg 1 tab PO OD for 45 days
Arms:
Ascorbic Acid and N-acetylcysteine
Other names:
NAC
placebo
pharmacologically inactive substance
Arms:
Placebo
Size
110
Primary endpoint
ASES score
6 months after surgery
Eligibility criteria
Inclusion Criteria:
* All patient who undergone arthroscopic primary rotator cuff complete repair.
* Clinical history and symptom consistent with rotator cuff tear.
* MRI confirmation of rotator cuff tear.
Exclusion Criteria:
* Non-reparable or partial rotator cuff repair.
* High grade fatty degeneration of the rotator cuff (Goutallier III, IV)
* At least one torn tendon with retraction to the glenoid (stage 3 of Patte classification)
* Rotator cuff retear.
* Isolated subscapularis tear.
* Patient who loss follow up.
* Patent who cannot respond questionnaire.
* Patient who allergy to vitamin C or N-acetylcysteine.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 110, 'type': 'ESTIMATED'}}
Updated at
2024-04-25
1 organization
2 products
1 indication
Organization
Mahidol UniversityProduct
Ascorbic acidIndication
Rotator Cuff TearsProduct
N-acetyl cysteine