Could a common steroid stop wrist fracture pain from becoming chronic?
NCT ID NCT06453447
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study tests whether a 14-day course of prednisone, an anti-inflammatory steroid, can prevent complex regional pain syndrome (CRPS) after wrist fracture surgery. CRPS is a painful complication that can lead to long-term disability and increased opioid use. The study will enroll 40 adults at risk of CRPS, randomly giving them either prednisone or a placebo for two weeks, and track outcomes like pain resolution and opioid consumption.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Prednisone
- What this could lead to
- If it works, this could point toward a simple, short-term treatment to prevent chronic pain and disability after wrist fractures.
- What could go wrong
- This is a very small pilot study (40 people) focused on feasibility, not proof of effectiveness. Prednisone has side effects like weight gain and mood changes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient is aged 19 years or older; 2. Patient has a unilateral, closed, distal radius fracture confirmed by radiographs; 3. The fracture is acute, within 21 days of injury; 4. Patient undergoes open reduction internal fixation with volar locking plate; 5. Patient is identified as at risk of developing CRPS with 2 or more of the following: 1. Pain score on visual analogue scale (VAS) greater than or equal to 5/10 within 1 week of injury and beyond; 2. Centre of Epidemiologic Studies Depression (CES-D) score on presentation is greater than or equal to 16; 3. Patient identifies as female; 6. Patient is identified as developing signs of CRPS based on the Budapest CRPS Criteria; 7. Patient provides informed consent. Exclusion Criteria: 1. Patient has previously fractured ipsilateral wrist; 2. Patient has neurovascular injury associated with distal radius fracture; 3. Patient has associated extremity or polytrauma injuries that would interfere with rehabilitation and outcome measurements, in the opinion of the investigator; 4. Patient has allergy to prednisone or placebo ingredients; 5. Patient has contraindication to prednisone or placebo ingredients; 6. Patient already takes a glucocorticoid medication; 7. Patient has active bacterial, viral, or fungal infection; 8. Patient is diagnosed with diabetes; 9. Patient is pregnant, planning on becoming pregnant, or breastfeeding; 10. Patient is anticipated to have difficulty completing study follow up, in the opinion of the investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Vancouver General Hospital
RECRUITINGVancouver, British Columbia, V5Z 1M9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can mental imagery rewire the Brain's map of a painful limb?
- Can a simple video boost wrist surgery recovery?
- X-Ray clues could spare some patients from wrist surgery
- Could a gentle electric pulse rebuild a broken wrist faster?
- Can a smart brain implant outsmart chronic pain?