ClinicalTrials.gg
CompletedNCT01164644Updated May 17, 2017Results posted

The Utility of Peri-operative Arnica Montana for Reduction of Ecchymosis in Rhinoplasty Surgery

An interventional study of Arnica montana and Placebo in Ecchymosis, sponsored by University of Wisconsin, Madison. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2017-05-17.

Sponsored by University of Wisconsin, Madison · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

Arnica montana is a homeopathic drug that is made in accordance with the official methods of the Homeopathic Pharmacopoeia of the United States (HPUS) and is commonly used by cosmetic surgeons throughout the world, although there is no study proving its benefit after rhinoplasty surgery. The purpose of the research is to see if Arnica montana will reduce the amount of bruising and the intensity of the bruising after surgery. Photographs of the subject's face will be taken and used to analyze bruising after rhinoplasty surgery in subjects who receive Arnica montana and compare them to photographs of subjects who take a placebo (sugar pill).

Read the detailed description

Subjects will receive either oral arnica montana or placebo without any identifying labels or markers on the drugs.

During the post-operative period, the patients will be seen back in surgery clinic on post-operative days 3, 7 and 10. During the first two visits, the subject will receive routine post-operative care with no difference from patients not enrolled in the study. This includes routine sets of photographs. The participant will then return for a third post-operative visit lasting under ten minutes only for study photos using the left and right "three-quarters" view. Again, the subject will hold a measurement marker so length measurements can be made, and this marker will be held under the ear to not interfere with the routine cosmetic analysis of the photographs. The digital photographs will be used to analyze the bruising for the study. The ratio was calculated by dividing the number of pixels of bruised area over number of pixels of standard area.

02

Conditions studied

  • Ecchymosis

Keywords

  • ecchymosis
  • bruising
  • rhinoplasty
  • nose job
  • arnica
  • arnica montana
03

In context

Ecchymosis

38 studies on the registry are indexed under Ecchymosis; 6 are open to participants now.

This study's enrollment of 28 is below the median of 66 across 34 interventional studies indexed under Ecchymosis.

Browse Ecchymosis studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,188 studies on the registry; 181 are open to participants now.

Of its 157 completed or terminated interventional studies of FDA-regulated products, 118 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: Adult patients who are deemed candidates for rhinoplasty surgery at UW Transformations will be eligible to participate in the study.

-

Exclusion Criteria:

  • Patients who are prisoners
  • Patients who are pregnant and breast-feeding women
  • Patients taking anti-coagulants (such as blood thinners), anti- drugs (such as NSAIDS), or other homeopathic remedies during the peri-operative period
  • Patients with a bruising or bleeding disorder
  • Patients who take oral therapy
  • Patients who suffer from severe liver or kidney disease
  • Patients with , infection, immunodeficiency, metabolic syndrome, infectious or inflammatory gastrointestinal disease
  • Patients with oral or contact allergies to Arnica montana or to any other member of the Asteraceae family of plants such as ragweed, chrysanthemums, marigolds, and daisies
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
28 participants (actual)

Study arms

  • Active comparator
    Arnica Montana

    The subject will take twelve pills by mouth three times a day over four days.

    Drug: Arnica montana

  • Placebo comparator
    Placebo

    The subject will take twelve pills by mouth three times a day over four days.

    Drug: Placebo

Interventions

  • Subjects will take twelve pills by mouth three times a day over four days.

  • DrugPlacebo

    Subjects will take twelve pills by mouth three times a day over four days.

    Also known as: Sugar pill

06

What researchers measure

Primary outcomes

  1. Assess Extent of Bruising

    Primary outcome measure will be to measure the extent of bruising in based on a ratio of pixels on post-operative day number three. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker. The ratio was calculated by dividing the number of pixels of bruised area over number of pixels of standard area.

    Time frame: Post-operative day 3

  2. Assess Extent of Bruising

    Primary outcome measure will be to measure the extent of bruising based on a ratio of pixels on post-operative day number seven. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker.

    Time frame: Post-operative day 7

  3. Assess Extent of Bruising

    Primary outcome measure will be to measure the extent of bruising based on a ratio of pixels on post-operative day number ten. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker.

    Time frame: Post-operative day 10

07

Results

Posted May 3, 2013

Participant flow

Adult patients scheduled for rhinoplasty surgery with nasal bone osteotomies by the senior author at an outpatient surgery center were recruited by a clinic nurse practitioner (GJ) during the routine pre-operative history and physical exam visit. Enrollment was opened from July of 2009 through June of 2012.

Participant flow — Overall Study
MilestoneArnica MontanaPlacebo
Started1214
Completed913
Not completed31

Outcome measures

PrimaryAssess Extent of Bruising

Primary outcome measure will be to measure the extent of bruising in based on a ratio of pixels on post-operative day number three. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker. The ratio was calculated by dividing the number of pixels of bruised area over number of pixels of standard area.

Time frame:
Post-operative day 3
Reported as:
Mean · a ratio of pixels
Assess Extent of Bruising
a ratio of pixelsArnica MontanaPlacebo
Assess Extent of Bruising.617 ± .091.736 ± .118
PrimaryAssess Extent of Bruising

Primary outcome measure will be to measure the extent of bruising based on a ratio of pixels on post-operative day number seven. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker.

Time frame:
Post-operative day 7
Reported as:
Mean · a ratio of pixels
Assess Extent of Bruising
a ratio of pixelsArnica MontanaPlacebo
Assess Extent of Bruising.600 ± .082.894 ± .146
PrimaryAssess Extent of Bruising

Primary outcome measure will be to measure the extent of bruising based on a ratio of pixels on post-operative day number ten. Every subject held a card in front of their face with a specific size marker. The square area of this marker was known and used to measure the number of pixels in this marker with Photoshop and compare it to the known area. Next the area of bruising was measured in number of pixels. Therefore for every photograph a standardized ratio of pixels was known because of the marker.

Time frame:
Post-operative day 10
Reported as:
Mean · a ratio of pixels
Assess Extent of Bruising
a ratio of pixelsArnica MontanaPlacebo
Assess Extent of Bruising.432 ± .125.543 ± .094

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arnica Montana—1/12 (8.3%)0/12 (0%)
Placebo—0/14 (0%)0/14 (0%)
Most frequent serious events
Most frequent serious events
EventArnica MontanaPlacebo
thrombocytopeniaBlood and lymphatic system disorders1/120/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Arnica MontanaPlaceboTotal
<=18 years000
Between 18 and 65 years121426
>=65 years000
Age, Continuous
Age, Continuous(years)Arnica MontanaPlaceboTotal
Mean34.75 ± 13.0632.71 ± 13.3433.65 ± 13.05
Sex: Female, Male
Sex: Female, Male(Participants)Arnica MontanaPlaceboTotal
Female8715
Male4711
Region of Enrollment
Region of Enrollment(participants)Arnica MontanaPlaceboTotal
United States121426
08

Study locations

1 site
  • University of Wisconsin-Madison
    Madison, Wisconsin 53792, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2010, a primary completion of Dec 2012 and a completion of Dec 2012. It does not say whether these dates are actual or estimated.

Results were first posted in May 2013, 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 15, 2010
First posted
Jul 16, 2010
Start
Jun 2010
Primary completionActual
Dec 2012
CompletionActual
Dec 2012
Results first posted
May 3, 2013
Last update
May 17, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 17, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01164644
Responsible party
Sponsor
First posted
Jul 16, 2010
Start date
Jun 2010
Primary completion
Dec 2012
Completion
Dec 2012
Results posted
May 3, 2013
Last update
May 17, 2017

Study contacts

Benjamin C Marcus, MD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Arnicae flos extract

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