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Effects of Methylprednisolone After Total Hip Arthroplasty

This study has been completed.
Lundbeck Foundation
Information provided by (Responsible Party):
Troels Haxholdt Lunn, Hvidovre University Hospital Identifier:
First received: August 28, 2009
Last updated: September 28, 2011
Last verified: September 2011

The purpose of the study is to compare the effects of pre-operative methylprednisolone (125mg iv) versus placebo on postoperative outcome after hip arthroplasty.

The hypothesis is that pre-operative methylprednisolone (125mg iv) will reduce time to fulfill discharge criteria.

Condition Intervention Phase
Postoperative Pain
Postoperative Nausea and Vomiting
Sleeping Quality
Inflammatory Response
Drug: Methylprednisolone
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Effects of Pre-operative Methylprednisolone (125mg iv) After Total Hip Arthroplasty: A Prospective, Randomized, Double-blind, Placebo-controlled Trail

Resource links provided by NLM:

Further study details as provided by Hvidovre University Hospital:

Primary Outcome Measures:
  • Time to fulfill discharge criteria [ Time Frame: At discharge (mean 1-2 days) ]

Secondary Outcome Measures:
  • Hand muscle strength [ Time Frame: 24 hours ]
  • Sleeping quality on the visual analog scale [ Time Frame: up to four days ]
  • Inflammatory response measured as CRP in blood sample [ Time Frame: 24 hours postoperatively ]
  • Fatigue measured on a 10 point numeric range scale [ Time Frame: up to four days ]
  • Additional analgetics, antinausea agents and sleeping medicine. [ Time Frame: up to four days ]
    Measures as mg (analgetics) and daily use (yes or no)(antinausea agents and sleeping medicine).

  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: up to 30 days ]
  • Postoperative pain scores on the visual analog scale [ Time Frame: up 30 days ]
  • Postoperative nausea and vomiting (PONV) on 4 point numeric range scale [ Time Frame: up to 4 days ]

Enrollment: 48
Study Start Date: April 2010
Study Completion Date: January 2011
Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Methylprednisolone
Methylprednisolone 125 mg iv pre-operatively
Drug: Methylprednisolone
Methylprednisolone 125 mg iv pre-operatively
Placebo Comparator: Saline
Saline iv pre-operatively in equivalent volume (placebo)
Drug: Methylprednisolone
Methylprednisolone 125 mg iv pre-operatively

Detailed Description:
In spite of being one of the last century's most successful surgical procedures in treatment of advanced osteoarthritis total hip arthroplasty is still associated with postoperative pain and delayed rehabilitation. The investigators therefore decided to evaluate the effects of pre-operative methylprednisolone (125mg iv) versus placebo on postoperative outcome in a well defined fast-track setup after hip arthroplasty.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Elective total hip arthroplasty
  • Able to speak and understand danish
  • Able to give informed consent

Exclusion Criteria:

  • Alcohol or medical abuse
  • Allergies to local anesthetics or methylprednisolone
  • Age < 18 years
  • Daily use of opioids or glucocorticoids
  • Pregnancy or breastfeeding (fertile women)
  Contacts and Locations
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Please refer to this study by its identifier: NCT00968903

Hvidovre University Hospital
Copenhagen, Hvidovre, Denmark, 2650
Sponsors and Collaborators
Hvidovre University Hospital
Lundbeck Foundation
  More Information

Responsible Party: Troels Haxholdt Lunn, MD, Hvidovre University Hospital Identifier: NCT00968903     History of Changes
Other Study ID Numbers: H-A-2008-030
EudraCT: 2008-006528-67
Study First Received: August 28, 2009
Last Updated: September 28, 2011

Keywords provided by Hvidovre University Hospital:
Hip arthroplasty
Post-operative pain

Additional relevant MeSH terms:
Pain, Postoperative
Postoperative Nausea and Vomiting
Signs and Symptoms
Neurologic Manifestations
Nervous System Diseases
Postoperative Complications
Pathologic Processes
Signs and Symptoms, Digestive
Prednisolone acetate
Methylprednisolone acetate
Methylprednisolone Hemisuccinate
Prednisolone hemisuccinate
Prednisolone phosphate
Anti-Inflammatory Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Neuroprotective Agents
Protective Agents processed this record on April 28, 2017