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NCT06220539: CARE

CAsting and REhabilitation Versus Supervised Neglect for Osteochondral Lesions of the Talus in the Pediatric Population

Not yet recruiting NA Last updated 24 January 2024
What this trial tests

NA trial testing Casting and supervised rehabilitation in Cartilage Injury in 76 participants. Not yet recruiting.

Timeline
1 February 2024
Primary endpoint
1 July 2027
1 July 2027

Quick facts

Lead sponsorTristan Buck
PhaseNA
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment76
Start date1 February 2024
Primary completion1 July 2027
Estimated completion1 July 2027
Sites2 locations across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Tristan Buck

Who can join

Adults 4 to 18, any sex, with Cartilage Injury or Orthopedic Disorder. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Rationale: OCLs (osteochondral lesions) of the talus can be congenital or can occur after trauma or in patients with juvenile idiopathic arthritis (JIA). The main complaint of an OCL is pain during weightbearing activities. Therefore, these lesions have significant impact on the health status of patients. Objective: The aim of this study is to optimize the treatment for skeletally immature patients with an osteochondral lesion. The hypothesis is that a period of immobilization and supervised rehabilitation will lead to better clinical and radiological outcomes compared with standard care which is a ''skill-full'' neglect. Study design: Observational comparative study Study population: Skeletally immature children with an osteochondral lesion of the talus diagnosed on CT. Intervention: Patients in the intervention group will undergo an 8-week period of casting and walking on crutches. Afterwards, they will receive a protocolled period of rehabilitation under supervision of a physical therapist. The control group will have the standard care as treatment. Main study parameters/endpoints: the main study outcome is the difference between the two groups on the OxAFQ-C. Secondary study outcomes are radiologic changes in terms of morphology and lesion size, NRS during weight bearing and quality of life measured with a Peds-QL, EQ-5D-y and AAS. Nature and extent of the burden and risks associated with participation, benefit and group relatedness: the burden that patients will have is mainly the time that they have to spent on fulfilling the questionnaires.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Cartilage Injury

Currently open trials in the same condition.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing