CClinicalTrials.gg
Status unknownNCT01788176AclastaUpdated Feb 11, 2013

The Use of Zoledronic Acid to Complex Regional Pain Syndrome

A Phase 2 interventional study of Zoledronic acid and Placebo in Complex Regional Pain Syndromes, sponsored by University of Sao Paulo General Hospital. Status unknown at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-02-11.

Sponsored by University of Sao Paulo General Hospital · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2013), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the efficacy and the safety of using a single, intravenous 5mg dose of zoledronic acid in managing pain in Complex Regional Pain Syndrome patients.

Read the detailed description

Complex regional pain syndrome (CRPS) is a disorder of the extremities that is characterized by spontaneous unexplained disproportionate pain, hyperalgesia, swelling, limited range of motion, vasomotor instability, skin changes, and patchy bone demineralization.The incidence of CRPS was estimated to be 5.46 per 100,000 person years at risk in Olmsted County, Minnesota (US), with a prevalence of 20.57 per 100,000, while its incidence in the general population of the Netherlands was estimated to be much higher, at 26.2 per 100,000 person-years. The adverse effects were not serious and lasted just a few days. The beneficial effects of other bisphosphonates have been already documented in several placebo-controlled trials; however, there are no reports on the use of zoledronic acid to reduce pain in CRPS patients.

02

Conditions studied

  • Complex Regional Pain Syndromes

Keywords

  • Complex Regional Pain Syndromes
  • drug therapy
  • zoledronic acid
03

In context

Complex Regional Pain Syndromes

198 studies on the registry are indexed under Complex Regional Pain Syndromes; 55 are open to participants now.

This study's planned enrollment of 40 is close to the median of 40 across 146 interventional studies indexed under Complex Regional Pain Syndromes.

Browse Complex Regional Pain Syndromes studies →

Lead sponsor

University of Sao Paulo General Hospital is the lead sponsor of 595 studies on the registry; 98 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients over 18 years of age of both genders, with continuing pain that is disproportionate to any inciting event, with cardinal features of CRPS.
  2. Pain - after initial injury with signs and symptoms present at first visit
  3. History of previous unsuccessful treatment for pain, with a minimum of two drug therapies, such as non steroidal anti-inflammatory drugs, steroids, antidepressants, central acting analgesics, calcitonin or sympathetic blocks, (not bisphosphonates) for at least six months.
  4. Must report at least one symptom in three of the four following categories:

    1. Sensory: Reports of hyperesthesia and/or allodynia
    2. Vasomotor: Reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry
    3. Sudomotor/Edema: Reports of edema and/or sweating changes and/or sweating asymmetry
    4. Motor/Trophic: Reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin).
  5. Must display at least one sign* at time of evaluation in two or more of the following categories:

    1. Sensory: Evidence of hyperalgesia (to pinprick) and/or allodynia (to light touch and/or deep somatic pressure and/or joint movement)
    2. Vasomotor: Evidence of temperature asymmetry and/or skin color changes and/or asymmetry
    3. Sudomotor/Edema: Evidence of edema and/or sweating changes and/or sweating asymmetry
    4. Motor/Trophic: Evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin).
  6. Skin temperature of the affected side equal or higher than on the non-affected side.
  7. No other diagnosis better explains the signs and symptoms.

Exclusion criteria

Exclusion Criteria:

  1. Presence of systemic diseases including diabetes mellitus, hyperthyroidism, renal and liver dysfunction, peripheral vascular or cardiovascular diseases, uncontrolled hypertension, rheumatoid and hematopoietic diseases, neurological diseases not related to CRPS, overt alcohol addiction, positive pregnancy test and/or lactating women, hyperparathyroidism, and hypocalcaemia.
  2. Creatinine clearance \<35mL/min, with serum creatinine measured before the dose of zoledronic acid.
  3. Pre-existing hypocalcaemia and disturbance of mineral metabolism (e.g. hyperparathyroidism, thyroid surgery, parathyroid surgery, malabsorption syndromes, and excision of small intestine).
  4. Hypersensitivity to zoledronic acid or any component drugs used in the trial.
  5. Patients with asthma and aspirin-sensitivity
  6. Pregnancy or unwillingness to use contraceptive methods during the trial
  7. Patients who have previously used any kind of bisphosphonate, especially zoledronic acid.
  8. Osteoporosis
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Placebo comparator
    Saline

    One single intravenous infusion of 100ml of saline (placebo control group).

    Drug: Placebo

  • Active comparator
    Zoledronic acid

    one single dose of 5mg intravenous infusion of zoledronic acid (interventional group)

    Drug: Zoledronic acid

Interventions

  • DrugZoledronic acid

    One single dose of 5mg intravenous infusion of zoledronic acid (interventional group)

  • DrugPlacebo

    one single intravenous infusion of 100ml of saline.

06

What researchers measure

Primary outcomes

  1. Pain measured on Visual Analog Scale

    Time frame: up to 12 months after treatment

Secondary outcomes

  1. Lower Limbs vertical force on Wii platform

    Time frame: Baseline, 3, 6 and 12 months

  2. American Orthopaedic Foot and Ankle Scale (AOFAS)

    Time frame: Baseline, 3, 6 and 12 months after treatment

  3. 36-Item Short Form Health Survey (SF-36)

    Time frame: Baseline, 3, 6 and 12 months after treatment

07

Study locations

1 site
  • Centro de Pesquisa Clínica do Instituto de Medicina e Reabilitação do HCFMUSP
    São Paulo, 05716-150, Brazil
    • Pérola G Plapler, MDPhD · Contact · perolagp@yahoo.com · 55 11 39058512
    • Marta Imamura, MDPhD · Contact · martaimf3@gmail.com · 55 11 39058512
    • Pérola G. Plapler, MDPhD · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01788176
Lead sponsor
University of Sao Paulo General Hospital
Collaborators
Novartis
Responsible party
Pérola Grinberg Plapler (MD, PhD, Director of Physical Medicine Division Of Institute Orthopedics and Traumatology of University of Sao Paulo General Hospital, University of Sao Paulo General Hospital) — Principal investigator
First posted
Feb 11, 2013
Start date
Dec 2013
Primary completion
Dec 2015 (estimated)
Completion
Dec 2016 (estimated)
Last update
Feb 11, 2013

Study contacts

Perola Grinberg Plapler, MD
Contact
perolagp@yahoo.com
55 11 39058512
Marta Imamura, MD
Contact
martimf3@gmail.com
55 11 39058512
Linamara R. Battistella, PHD
study director · Centro de Pesquisa Clínica do Instituto de Medicina Física e de Reabilitação do Hospital das Clínicas da FMUSP

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Feb 2013. You cannot join it, but the record below documents what was studied.

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