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CompletedNCT01923103DDUpdated Dec 5, 2023

Natural Disease Progress of Dupuytren Disease

An observational study in Dupuytren Contracture and Disease Progression, sponsored by University Medical Center Groningen. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by University Medical Center Groningen · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
261
Ages
18 Years and older
Sex
All
01

Study summary

Dupuytren disease (DD) is a progressive fibromatosis of the palmar fascias of the hand and fingers, which may lead to extension deficits of the fingers. The disease can be very disabling in moderate and severe cases, whereby performing normal daily activities can become very problematic. The aetiology and pathogenesis are not completely understood. There is a genetic disposition and it is influenced by environmental factors. The disease is especially prevalent in white males of Northern European descent above 50 years of age. There is paucity of knowledge about the natural progression of the disease. Several studies have been conducted on progression of disease and from these studies it becomes obvious that the disease is progressive over several years. However, in most studies only one moment of follow-up has taken place, so the course of the progression over time is unknown.

The aim of this study is to enhance our knowledge on the natural disease progression of DD at different stages.

Read the detailed description

Objective:

  • Primary objective: To study natural disease progress of Dupuytren Disease (DD) in different stages of disease in males and females above 18 years of age.
  • Secondary objectives:

    1. To study the effect of potential risk factors for DD on natural disease progress.
    2. To study at what stage of disease patients with DD experience problems in daily life.
    3. To study the incidence and course of recurrent disease. Primary Hypothesis: The natural course of disease is an exponential function of time.
    4. To study the intrarater reliability of the measurements

    f. To determine whether the echogenicity of the nodules can predict progression g. To determine whether extension deficit measurements can be replaced by measurements of extension, and whether this will facilitate the statistical analysis h. To determine the association between passive and active measurements of extension and extension deficit, and to see whether active measurements can be derived from passive measurements and vice versa.

  • Study design: The study is designed as a prospective observational pilot study with a follow-up of 10 years.
  • Study population: Males and females above 18 years of age with all stages of primary Dupuytren's disease in at least one hand
  • Main study parameters/endpoints: The natural course of progression of DD measured as the increase or decrease in size of nodules and cords in millimetres and/or increase of total passive extension deficit in degrees, from baseline to endpoint.
  • Secondary study parameters:

    1. Patient-reported hand function (Michigan Hand Outcomes Questionnaire (MHOQ), Patient-Rated Wrist/Hand Evaluation (PRWHE) and Unité Rhumatologique des Affections de la Main (URAM) scale
    2. incidence and course of recurrent disease
    3. disease activity (ultrasonography and tonometry)
  • Procedure Patients visit the outpatient clinic every 6 months (first 5 years of follow-up) and later on every 12 months (last 5 years of follow-up) for an anamnestic interview, physical examination of the hands, ultrasonography, tonometry and for filling out the PROMs.
02

Conditions studied

  • Dupuytren Contracture
  • Disease Progression
03

In context

Dupuytren Contracture

78 studies on the registry are indexed under Dupuytren Contracture; 18 are open to participants now.

This study's enrollment of 261 is above the median of 80 across 19 observational studies indexed under Dupuytren Contracture.

Browse Dupuytren Contracture studies →

Lead sponsor

University Medical Center Groningen is the lead sponsor of 627 studies on the registry; 176 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Patients with Dupuytren Disease who participated in prior studies and patients from the outpatient clinic

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients (> 18 years of age) with primary Dupuytren's disease in all Tubiana stages
  • Operated hands of patients with primary Dupuytren's disease on the contra lateral hand

Exclusion criteria

Exclusion Criteria:

  • Patients who are incapable of giving consent
  • Patients who are not able or not willing to visit the UMCG for follow-up
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
261 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. The course of DD: passive and active extension deficit and dimension of palpable nodules and cords

    Active and passive extension deficit is measured with a goniometer at joint level Dimension of nodules and cords is measured using a tumorimeter

    Time frame: every 6-12 months

Secondary outcomes

  1. Disease activity: Echogenicity and nodule hardness

    Activity of a nodule is determined by 1) echogenicity of the ultrasound image in sagittal and transversal plane, 2) hardness of the nodule determined by tonometry

    Time frame: every 12 months, starting from 2016 (ultrasound) and 2018 (tonometry)

  2. Patient-reported hand function: MHQ, PRWHE and URAM

    To study what problems patients with DD experience in daily life, PROMs are used. MHQ and PRWHE in the first 2 years, URAM later on

    Time frame: every 6-12 months

07

Study locations

1 site
  • University Medical Center Groningen
    Groningen, 9700 RB, Netherlands
08

References and documents

Individual participant data

Plan to share: No — There is no plan available, but we are open for collaboration

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2012 to primary completion in Mar 2023, 129 months.

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

Registered
Aug 9, 2013
First posted
Aug 14, 2013
StartActual
Jun 22, 2012
Primary completionActual
Mar 2023
CompletionActual
Mar 20, 2023
Last update
Dec 5, 2023
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 Dec 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01923103
Responsible party
D.C. Broekstra (PhD, University Medical Center Groningen) — Principal investigator
First posted
Aug 14, 2013
Start date
Jun 22, 2012
Primary completion
Mar 2023
Completion
Mar 20, 2023
Last update
Dec 5, 2023

Study contacts

Paul MN Werker, PhD
principal investigator · University Medical Center Groningen

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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