Status:

UNKNOWN

The Use of Teriparatide as an Adjunctive Therapy for the Treatment of Jones Fractures

Lead Sponsor:

Ohio Orthopedic Center of Excellence

Collaborating Sponsors:

Eli Lilly and Company

Conditions:

Fractures

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This randomized, placebo-controlled study will evaluate the effectiveness of the adjunctive use of teriparatide for the healing of Jones fractures.

Eligibility Criteria

Inclusion

  • Patients who are at least 18 years of age and who have closed epiphyses.
  • Patients of both genders and all races.
  • Patients with Jones fractures of the fifth metatarsal less than 2 weeks prior to presenting for clinical evaluation.
  • Patients with a history of an acute injury and an acute Jones fracture defined by Torg et al as a fracture line with sharp margins without widening, absence of intramedullary sclerosis, and minimal or no cortical hypertrophy or evidence of periosteal changes due to chronic stress.
  • Patients with either no prodromal symptoms or prodromal symptoms present less than 2 weeks.
  • Patients with a baseline visual analog scale (VAS) pain score ≤ 20 (100mm scale) for the fifth metatarsal, with the foot at rest and not bearing weight.
  • Patients who are in good general health and who have physical examinations that either are within normal limits or are clinically non-significant as determined by the investigator.
  • Patients with laboratory evaluations that either are within normal limits or are clinically non-significant as determined by the investigator.
  • Patients who have voluntarily signed informed consent forms, including HIPAA Authorization.

Exclusion

  • Patients who are younger than 18 years of age or patients who are 18 years of age or older with open epiphyses.
  • Patients with Jones fractures of the fifth metatarsal greater than 2 weeks prior to presenting for clinical evaluation.
  • Patients with tuberosity avulsion fractures or fifth metatarsal shaft fractures.
  • Patients with prior fifth metatarsal fracture(s).
  • Patients with prodromal symptoms present for more than 2 weeks.
  • Patients with a nonunion or delayed union as defined by the radiographic criteria described by Torg et al.
  • Patients who are allergic to any of the individual active ingredients in teriparatide or related compounds.
  • Patients with chronic rheumatologic disease, ankylosing spondylitis or other inflammatory arthropathy.
  • Patients with associated injuries considered by the investigator as to likely interfere with evaluation of the study drug.
  • Patients with a present condition or history of any clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematologic, endocrine, neurologic, psychiatric, connective tissue, respiratory or other medical disorders.
  • Patients with Worker's Compensation claim(s) under dispute or mediation.
  • Patients with history of drug or alcohol abuse.
  • Patients who are pregnant or lactating.
  • Patients who are considered by the investigator for any reason to be an unsuitable candidate for receipt of the study drug.
  • Patients who are unwilling or unable to follow the follow-up evaluation schedules.
  • Patients who refuse to voluntarily sign the informed consent form.

Key Trial Info

Start Date :

July 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2014

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT01173081

Start Date

July 1 2010

End Date

April 1 2014

Last Update

June 5 2012

Active Locations (1)

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Ohio Orthopedic Center of Excellence

Upper Arlington, Ohio, United States, 43220

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