Topical Treatment Is Effective and Safe for Acute Ankle Sprains: The Multi-Center Double-Blind Randomized Placebo-Controlled TRAUMED Trial.

TRAUMED Tr14 ankle sprain anti-inflammatory agents diclofenac injury musculoskeletal pain traumeel treatment

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
01 Feb 2024
Historique:
received: 27 11 2023
revised: 17 01 2024
accepted: 29 01 2024
medline: 10 2 2024
pubmed: 10 2 2024
entrez: 10 2 2024
Statut: epublish

Résumé

Topical NSAIDs are widely used to treat ankle sprains. Traumed (Tr14) gel is a multicomponent formulation, demonstrating inflammation-resolution properties. This multicenter, double-blind trial investigated the efficacy and safety of Tr14 gel versus placebo gel and non-inferiority versus 1% diclofenac gel, applied 3×/day for 7 days after acute lateral ankle sprain (EudraCT Number: 2016-004792-50). The primary outcome was AUC for pain on passive movement, assessed by VAS from baseline to Days 4 and 7. The trial population included 625 patients aged 18 to 78 years. The AUC scores were 187.88 and 200.75 on Day 4 ( Tr14 gel is effective and safe in acute ankle sprains, compared to placebo gel and diclofenac gel, and has faster pain resolution. The trial was registered in clinicaltrialsregister.eu, EudraCT number 2016-004792-50 on 07.06.2017.

Sections du résumé

BACKGROUND BACKGROUND
Topical NSAIDs are widely used to treat ankle sprains. Traumed (Tr14) gel is a multicomponent formulation, demonstrating inflammation-resolution properties.
METHODS METHODS
This multicenter, double-blind trial investigated the efficacy and safety of Tr14 gel versus placebo gel and non-inferiority versus 1% diclofenac gel, applied 3×/day for 7 days after acute lateral ankle sprain (EudraCT Number: 2016-004792-50). The primary outcome was AUC for pain on passive movement, assessed by VAS from baseline to Days 4 and 7.
RESULTS RESULTS
The trial population included 625 patients aged 18 to 78 years. The AUC scores were 187.88 and 200.75 on Day 4 (
CONCLUSIONS CONCLUSIONS
Tr14 gel is effective and safe in acute ankle sprains, compared to placebo gel and diclofenac gel, and has faster pain resolution.
TRIAL REGISTRATION BACKGROUND
The trial was registered in clinicaltrialsregister.eu, EudraCT number 2016-004792-50 on 07.06.2017.

Identifiants

pubmed: 38337536
pii: jcm13030841
doi: 10.3390/jcm13030841
pii:
doi:

Types de publication

Journal Article

Langues

eng

Auteurs

Ludger Gerdesmeyer (L)

Orthopedics and Trauma Surgery, Kiel Municipal Hospital, 24116 Kiel, Germany.

Johannes Vester (J)

idv Data Analysis & Study Planning, 82131 Gauting, Germany.

Christian Schneider (C)

Orthopedic Center Theresie, 80339 Munich, Germany.

Britt Wildemann (B)

Experimental Trauma Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany.

Christine Frank (C)

Heel GmbH, 76532 Baden-Baden, Germany.

Myron Schultz (M)

Heel GmbH, 76532 Baden-Baden, Germany.

Bernd Seilheimer (B)

Heel GmbH, 76532 Baden-Baden, Germany.

Alta Smit (A)

Heel GmbH, 76532 Baden-Baden, Germany.

Gino Kerkhoffs (G)

Department of Orthopedic Surgery and Sports Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Centers, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.

Classifications MeSH