RecruitingPhase 2NCT05677152

Influence of an Anti-osteoporotic Drug on Healing After Surgical Repair of Chronic Rotator Cuff Lesions of the Shoulder

Influence of Zoledronic Acid on Healing After Arthroscopic Repair of Chronic Rotator Cuff Lesions - A Prospective, Randomized, Placebo-controlled Phase II Trial


Sponsor

AUVA Traumazentrum Vienna Site UKH Meidling

Enrollment

80 participants

Start Date

Aug 22, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is a prospective, single-center, placebo-controlled, non-comparative, phase II study to evaluate the influence of an adjuvant, intravenous therapy with zoledronic acid (single dose) on healing after arthroscopic repair of chronic rotator cuff tears. The study including its financial support was approved by the medical director of the General Accident Insurance Institution (AUVA) , Dr. Roland Frank. Hypothesis to prove: Adjuvant intravenous therapy with zoledronic acid does improve tendon healing after arthroscopic reconstruction of chronic rotator cuff tears compared to a control group without adjuvant therapy with zoledronic acid.,


Eligibility

Min Age: 50 YearsMax Age: 70 Years

Inclusion Criteria5

  • Age between 50 and 70 years
  • Magnetic resonance imaging verified rotator cuff tear (within 6 month prior to surgery)
  • Rupture size with a maximum diameter of 3 cm
  • Willingness to participate in the study
  • Willingness to participate in a unified physiotherapy with use of a shoulder abduction pad for four weeks postoperativel

Exclusion Criteria19

  • Patients younger than 50 or older than 70 years of age
  • Pregnancy
  • Known allergy to zoledronic acid or other components of the medicinal product
  • Previous fracture of the affected shoulder
  • Previous surgery of the affected shoulder
  • Previous or existing bacterial infection of the affected shoulder
  • Rupture of more than two tendons in the affected shoulder (massive rotator cuff tear)
  • Isolated subscapularis tendon tear
  • Presence of glenohumeral osteoarthritis (Hamada type 3 or higher)
  • Diabetes mellitus (fasting glucose ≥ 126 mg/dl, HbA1C ≥ ZORRO Version Draft1.0/09.05.2022 Page 6 of 42 6.5%)
  • Malignant tumor disease
  • Pathological dental status
  • Known disease that interferes with bone metabolism
  • Concomitant diseases that do not permit general anesthesia
  • Previous therapy with anti-osteoporotic drugs (bisphosphonates, denosumab, teriparatide)
  • Epilepsy
  • Claustrophobia
  • Chronic alcohol abuse
  • Drug abuse

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Interventions

DRUGIntravenous Infusion of Aclasta®

Intravenous Infusion of Aclasta® (Verum) or physiological saline solution 0.9% (Placebo)


Locations(1)

Jakob Schanda

Vienna, Austria

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NCT05677152


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