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The Soft Tissue Injection of Corticosteroid and Local Anaesthetic Study

The Soft Tissue Injection of Corticosteroid And Local anaesthetic Study - A Single site, non-inferiority randomised control trial evaluating pain after soft tissue corticosteroid injections with and without local anaesthetic - The SToICAL Study

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2019-003742-32-GB
Enrollment
100
Registered
2019-11-01
Start date
2020-01-17
Completion date
Unknown
Last updated
2025-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Trigger finger De Quervains tenosynovitis Carpal tunnel syndrome MedDRA version: 21.0 Level: PT Classification code 10044654 Term: Trigger finger System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders

Interventions

Trade Name: Lidocaine 1% Product Name: Lidocaine 1% Product Code: LD1002 Pharmaceutical Form: Injection INN or Proposed INN: lidocaine hydrochloride CAS Number: 73-78-9 Current Sponsor code: Lidocaine

Sponsors

University Hospitals Plymouth NHS Trust
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Male or female ages >/= 18 years. A clinical diagnosis of trigger finger, de Quervains tenosynovitis or carpal tunnel syndrome made by a consultant physician. Treatment with corticosteroid injection is recommended by the doctor and agreed by the patient. Patient is willing and able to give informed consent for participation in the study. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50

Exclusion criteria

Exclusion criteria: Previous surgery for the condition being treated at the desired location of injection (Previous corticosteroid injection elsewhere in the hand or wrist does not exclude the patient from the trial). Previous steroid injection for the condition being treated at the desired location of injection (Previous surgery elsewhere in the hand or wrist does not exclude the patient from the trial). Clinical suspicion of local or systematic sepsis or infection. History of hypersensitivity to the corticosteroid or local anaesthetic. Pregnant or breast-feeding females. Unable to understand and complete self-report questionnaires written in English.

Design outcomes

Primary

MeasureTime frame
Main Objective: To determine whether pain experienced at 1-hour after a corticosteroid injection to the hand and wrist is no worse than (not inferior to) the pain experienced after a corticosteroid and local anaesthetic injection. ;Secondary Objective: The secondary objectives; i) Investigate whether there is a difference in pain VAS scores during the 24-hours after a corticosteroid injection for trigger finger, de Quervains tenosynovitis or carpal tunnel syndrome co-administered with or without local anaesthetic. ii) Investigate whether there is a difference in the pain VAS scores at the time of the corticosteroid injection for trigger finger, de Quervains tenosynovitis or carpal tunnel syndrome co-administered with or without local anaesthetic. iii) Investigate the difference in the additional analgesia required and in the functional use of the hand during the first 3 hours following a corticosteroid injection for trigger finger, de Quervains tenosynovitis or carpal tunnel syndrome co-administered with or without local anaesthetic. ;Primary end point(s): Investigate whether there is a difference in pain VAS scores at 1-hour after a corticosteroid injection for trigger finger, de Quervains tenosynovitis or carpal tunnel syndrome co-administered with or without local anaesthetic. ;Timepoint(s) of evaluation of this end point: 1 hour post injection.

Secondary

MeasureTime frame
Secondary end point(s): Investigate whether there is a difference in pain after 24 hours. Investigate a difference in pain VAS scores at the time of injection with and without local anaesthetic. Investigate the difference in additional analgesia required in the functional use of the hands in the first three hours following injection with or without local anaesthetic.;Timepoint(s) of evaluation of this end point: Before injection, 5 minutes after, 1 hour, 2 hours, 3 hours, 24 hours post injection.

Countries

United Kingdom

Contacts

Public ContactCharles Gozzard

University Hospitals Plymouth NHS Trust

charlesgozzard@nhs.net01752430385

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026