Doxycycline for Lateral Epicondylalgia - RCT

Matrix metalloproteinases are involved in the pathogenesis of tendinopathy. Doxycycline, a widely available pharmaceutical agent mostly used for its antibiotic properties, also functions as an inhibitor of MMPs. This study aims to investigate the effect of doxycycline treatment on lateral epicondylalgia (tennis elbow). During three weeks, patients receive doxycycline tablets 100 mg twice daily,...

Date First Received: February 27, 2008

Last Updated: February 27, 2008

Verified by: Kaunas University of Medicine, February 2008

Clinical Trial Phase: N/A | Start Date: 

Overall Status: Recruiting

Estimated Enrollment: 34

Brief Summary

Intervention(s):

Matrix metalloproteinases are involved in the pathogenesis of tendinopathy. Doxycycline, a widely available pharmaceutical agent mostly used for its antibiotic properties, also functions as an inhibitor of MMPs.

This study aims to investigate the effect of doxycycline treatment on lateral epicondylalgia (tennis elbow). During three weeks, patients receive doxycycline tablets 100 mg twice daily, or placebo. Main outcome variable is pain (VAS) at three weeks.

Serum and/or plasma levels of matrix metalloproteinases and tissue inhibitors of metalloproteinases are measured.

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study

Intervention(s) in this Clinical Trial

  • Drug: Placebo
  • Drug: Doxycycline

Arms, Groups and Cohorts in this Clinical Trial

  • Placebo Comparator: 2
  • Experimental: Doxycycline
    • 100 mg twice daily

Outcome Measures for this Clinical Trial

Primary Measures

  • Pain (VAS)
    • Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Age 18-65
  • Pain at the lateral side of the elbow ≥8 weeks
  • Local tenderness on palpation of the lateral epicondyle
  • Pain on resisted extension of the wrist

Exclusion Criteria:

  • Rheumatic disorder
  • History of fibromyalgia or generalised pain
  • Elbow surgery (on the painful side)
  • Active infection
  • Glucocorticoid treatment during the duration of symtoms of epicondylalgia
  • NSAID use within 1 w before presentation and during the study
  • Pregnancy
  • Taking drug that might interact with doxycycline

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 65 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Kaunas University of Medicine

Overall Clinical Trial Officials and Contacts

Overall Contact: Alfredas Smailys, MD, PhD +370 37 327201 smailys@takas.lt

Additional Information

Information obtained from ClinicalTrials.gov on October 10, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00631501

Study ID Number: BE-2-47

ClinicalTrials.gov Identifier: NCT00631501

Health Authority: Lithuania: Kaunas University of Medicine

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