Title

TAASS-Traumeel Ointment and Gel Compared With a Topical NSAID in Athletes With Acute Ankle Sprain
A Randomized, Controlled, Multi-center Study on the Effectiveness of Traumeel S (Both Ointment and Gel) in Terms of Pain and Function Compared With a Topical NSAID in Athletes With Acute Ankle Sprain
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    diclofenac traumeel ...
  • Study Participants

    449
The objective of this study is to determine the efficacy of Traumeel S (both ointment and gel) compared to another antiinflammatory drug called Diclofenac in patients with a sprained ankle.
Study objective is the confirmatory proof of efficacy for Traumeel® S topical treatment, both ointment and gel, as compared to diclofenac topical treatment for patients with ankle sprain. In addition tolerability/safety of both drug preparations is to be compared, so that the benefit-risk relation can be determined.
Study Started
Aug 31
2009
Primary Completion
Sep 30
2011
Study Completion
Mar 31
2012
Results Posted
Dec 09
2013
Estimate
Last Update
Jan 09
2014
Estimate

Drug Traumeel S ointment

2 g, 3 times daily topical during 14 days

  • Other names: Traumeel S ointment, Traumeel S gel, Diclofenac gel

Drug Traumeel S gel

2 g, 3 times daily topical during 14 days

Drug Diclofenac gel

2 g, 3 times daily topical during 14 days

Traumeel S ointment Experimental

Traumeel S ointment 2 g, 3 times daily topical during 14 days

Traumeel S gel Experimental

Traumeel S gel 2 g, 3 times daily topical during 14 days

Diclofenac gel Active Comparator

Diclofenac gel 2 g, 3 times daily topical during 14 days

Criteria

Inclusion criteria:

Athletes with an acute unilateral ankle sprain of the lateral ligaments of the ankle joint both male and female
Moderate (30-60 mm) to severe (>60 mm) pain according to the patient's assessment of ankle pain visual analogue scale (VAS) on weight bearing, unable to perform normal training / sports activities
18 - 40 years of age
injury occurred within 24 hours of the first dose of study medication
Willing and able to give written informed consent
Available for the duration of the study

Exclusion Criteria:

Similar injury affecting the same joint within the past 6 months
bilateral ankle injury
bed rest, hospitalization, surgery use of a non-removable rigid cast
Clinically important abnormality for screening laboratory tests
Debilitating acute or chronic illness
Use of corticosteroids in the previous 8 weeks, any analgesics in the previous 6 hours, or 24 hours in case of long-acting NSAID, COX-2 specific inhibitors, or tramadol
History of sensitivity to any component of the study drugs
Unwilling or unable to comply with all the requirements of the protocol
Participation in other studies within 4 weeks prior to study entry and or during the study participation
Current substance or alcohol abuse that in the opinion of the investigator would interfere with compliance or with interpretation of the study result

Summary

Traumeel S Ointment

Traumeel S Gel

Diclofenac Gel

All Events

Event Type Organ System Event Term Traumeel S Ointment Traumeel S Gel Diclofenac Gel

Patient's Assessment of Ankle Pain (VAS)- Absolute Value Decrease on Day 7

Pain evaluated by a 100 mm visual analogue scale (VAS) where 0 means no pain and 100 means the highest, unbearable pain. The absolute values of VAS have been the basis of analysis. The highest is the change in negative, the better are the results in absolute values.

Traumeel S Ointment

-33.0
Absolute value units on a scale VAS (Median)
Inter-Quartile Range: -45.4 to -23.7

Traumeel S Gel

-37.1
Absolute value units on a scale VAS (Median)
Inter-Quartile Range: -50.0 to -27.3

Diclofenac Gel

-37.1
Absolute value units on a scale VAS (Median)
Inter-Quartile Range: -47.4 to -26.8

Change of the Foot and Ankle Ability Measurement (FAAM), Activity of Daily Living Subscale (ADL) From Baseline to Day 7

The Foot and Ankle Ability Measure (FAAM) is a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments. The Foot and Ankle Ability Measure is a 29-item questionnaire divided into two subscales: the Foot and Ankle Ability Measure, 21-item Activities of Daily Living Subscale and the Foot and Ankle Ability Measure, 8-item Sports Subscale. Each item is scored on a 5-point Likert scale (4 to 0) from 'no difficulty at all' (score 4), ´slight difficulty´, ´moderate difficulty´, éxtreme difficulty´ to 'unable to do' (score 0). Responses marked as ´not applicable´were not counted. Item score totals, which range from 0 to 84 for the ADL subscale and 0 to 32 for the Sports subscale, were transformed to percentage scores. Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction.

Traumeel S Ointment

26.2
Scores on a scale (Median)
Inter-Quartile Range: 16.7 to 35.7

Traumeel S Gel

26.2
Scores on a scale (Median)
Inter-Quartile Range: 16.7 to 36.9

Diclofenac Gel

25.0
Scores on a scale (Median)
Inter-Quartile Range: 14.6 to 34.5

Patient's Assessment of Ankle Pain (VAS)- Percentage Decrease on Day 7

Pain evaluated by a 100 mm visual analogue scale (VAS) where 0 means no pain and 100 means the highest, unbearable pain. The absolute values of VAS have been the basis of analysis. The highest is the change in negative, the better are the results in percentages.

Traumeel S Ointment

-60.55
Percentage change in scale VAS (Median)
Inter-Quartile Range: -85.7 to -42.9

Traumeel S Gel

-71.1
Percentage change in scale VAS (Median)
Inter-Quartile Range: -84.85 to -48.4

Diclofenac Gel

-68.9
Percentage change in scale VAS (Median)
Inter-Quartile Range: -83.6 to -48.95

FAAM Sports Subscale

Outcome Measure Data Not Reported

Swelling ('Figure-of-eight')

Outcome Measure Data Not Reported

Physician's Assessment of Normal Function/Activity (5-point-scale)

Outcome Measure Data Not Reported

Time to Normal Function (Training/Sports)

Outcome Measure Data Not Reported

Global Judgment of Efficacy

Outcome Measure Data Not Reported

FAAM ADL Subscale

Outcome Measure Data Not Reported

Total

420
Participants

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Traumeel S Ointment

Traumeel S Gel

Diclofenac Gel