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CompletedNCT01945112Updated Dec 12, 2018Results posted

Prevention Trial Assessing Paper-Tape in Endurance Distances II (Pre-TAPED II)

An interventional study of Paper Tape in Blister of Foot, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-12.

Sponsored by Stanford University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Friction foot blisters are one of the most common and often debilitating complaints of all athletes, and hikers and runners in particular. Blistering rates in the literature of outdoor hikers range from 7%-54%. This study's aim is to build on Pre-TAPED I, and determine whether applying paper tape to the areas of the foot where blisters historically occur in endurance runners can prevent the incidence of friction blisters.

Read the detailed description

Participants will be ultra-endurance athletes competing in Racing the Planet's 250 mile/7 day 4 Desert events in 2014 (Jordan, Gobi, Madagascar, and Atacama. A convenience sample will be used, with full consent signed before inclusion into the study, with participants being informed that study inclusion is entirely optional and will not affect medical care. Randomization will be conducted for each participant, a coin will be flipped to determine which foot is to be taped, heads - right foot, and tails, left foot. The non-taped foot will be used as a control. The runner's normal sock/shoe system will be used to reflect natural wilderness conditions. Participants will have demographic data collected prior to the race, including age, gender, country of origin, number of marathons run prior, pack weight, and sock type. The study endpoint occurs when a hot spot or blister develops on either the treated or untreated foot. Runners will be instructed to treat suspected blisters or hot spots as they normally would, and to inform the study administrators the same day for visual inspection and final questionnaire to determine if they develop blisters or hot spots, whether they applied or re-applied tape themselves, removed tape, and the reasons for these actions.

Participants will have tape applied to area(s) prone to blister on 1 foot, if no blister history, 1 area will be randomly assigned. The tape will be left on the selected foot until a blister or hot spot develops on either foot or the end of the race, whichever comes first. At that point, the study is over and the participant can continue or stop taping at their choice. If participants are prone to blisters or hot spots in particular areas, 1" paper tape applied to that site on trial foot. However, if the participant has no previous blister or hot spot experience, a site will be randomly assigned by picking a piece of paper out of a bag with the site written on a piece of paper (heel, toe, instep, head of 5th metatarsal). Therefore, a single participant can have more than 1 site on an individual foot.

02

Conditions studied

  • Blister of Foot

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03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Any runner who are enrolled in an RTP 4 deserts event, All runners who are 18-75 years old All runners who speak or read English. The study will be enrolling only those who speak or read English, so they can fully understand and have knowledgeable consent to the study enrollment protocols.

Exclusion criteria

Exclusion Criteria:

Any blisters, broken blisters, or hot spots present on either foot at the time of initial taping as determined by visual foot inspection by a enrolling researcher.

The runner allergic to paper-tape.

04

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
128 participants (actual)

Study arms

  • Experimental
    Paper Tape

    Paper tape will be applied to study participants' blister prone areas or a randomly selected spot (if no blister history on that foot) - with untaped areas of the same foot as control.

    Device: Paper Tape

Interventions

  • DevicePaper Tape

    Applied to blister prone areas of the foot

05

What researchers measure

Primary outcomes

  1. Count of Participants With Any Foot Blister in Taped or Untaped Area of the Foot

    Blister data were collected without regard to whether the foot was right or left.

    Time frame: within 7 days of application of tape

06

Results

Posted May 16, 2017

Participant flow

Participant flow — Overall Study
MilestonePaper Tape on Right and No Tape on Left FootPaper Tape on Left and No Tape on Right Foot
Started7751
Completed7751
Not completed00

Outcome measures

PrimaryCount of Participants With Any Foot Blister in Taped or Untaped Area of the Foot

Blister data were collected without regard to whether the foot was right or left.

Time frame:
within 7 days of application of tape
Reported as:
Count of participants · Participants
Count of Participants With Any Foot Blister in Taped or Untaped Area of the Foot
ParticipantsPaper Tape
Blister anywhere106
Blister in taped area30
Blister in untaped area81

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Paper Tape on RIght Foot and No Tape on Left Foot—0/77 (0%)0/77 (0%)
Tape on Left Foot and No Tape on Right Foot—0/51 (0%)0/51 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Paper Tape
Mean39.3 (22 to 63)
Sex: Female, Male
Sex: Female, Male(Participants)Paper Tape
Female31
Male97
07

Study locations

1 site
  • Stanford University
    Stanford, California 94034, United States
08

References and documents

Publications

  • Lipman GS, Sharp LJ, Christensen M, Phillips C, DiTullio A, Dalton A, Ng P, Shangkuan J, Shea K, Krabak BJ. Paper Tape Prevents Foot Blisters: A Randomized Prevention Trial Assessing Paper Tape in Endurance Distances II (Pre-TAPED II). Clin J Sport Med. 2016 Sep;26(5):362-8. doi: 10.1097/JSM.0000000000000319. PubMed 27070112 ↗
09

Registry details

Key details

Study ID
NCT01945112
Lead sponsor
Stanford University
Collaborators
Resurrection Medical Center
Responsible party
Grant S Lipman (Principal Investigator, Stanford University) — Principal investigator
First posted
Sep 18, 2013
Start date
Feb 2014
Primary completion
Jul 2015
Completion
Jul 2015
Results posted
May 16, 2017
Last update
Dec 12, 2018

Study contacts

Grant S Lipman, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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