Trial Outcomes & Findings for A Prospective Comparison of Ultrasound-Guided Percutaneous Platelet-Rich Plasma Injection (NCT NCT01600326)

NCT ID: NCT01600326

Last Updated: 2017-04-05

Results Overview

Patient symptoms are measured on a 50 point scale where 0 is no pain or interference with activities and 50 is highest pain and interference. A verbal evaluation and assessment of subject's pain and symptoms will be completed prior to treatment. After receiving medication a second evaluation will be taken to determine how well the medication has relieved and controlled the subject's pain and inflammation associated with tendinitis. Subjects will be specifically asked to rate the level of pain and how the pain is affecting common activities of daily living. The outcomes will be assessed at 2 follow up periods, 1 and approximately 2 weeks after treatment (but no more than 23 days).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

Up to 23 days

Results posted on

2017-04-05

Participant Flow

Participant milestones

Participant milestones
Measure
Tenotomy Group
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Overall Study
STARTED
15
15
Overall Study
Primary Outcome Measure Data Collection
15
15
Overall Study
COMPLETED
14
14
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Tenotomy Group
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

A Prospective Comparison of Ultrasound-Guided Percutaneous Platelet-Rich Plasma Injection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tenotomy Group
n=15 Participants
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
n=15 Participants
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
60 years
n=99 Participants
53 years
n=107 Participants
57 years
n=206 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
14 Participants
n=107 Participants
24 Participants
n=206 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
1 Participants
n=107 Participants
6 Participants
n=206 Participants
Region of Enrollment
United States
15 participants
n=99 Participants
15 participants
n=107 Participants
30 participants
n=206 Participants
50 Point Pain and Interfence with Activity scale
32.4 units on a scale
n=99 Participants
31.4 units on a scale
n=107 Participants
31.9 units on a scale
n=206 Participants

PRIMARY outcome

Timeframe: Up to 23 days

Population: One data point is missing for time point one for Plasma Injection Group, as noted below.

Patient symptoms are measured on a 50 point scale where 0 is no pain or interference with activities and 50 is highest pain and interference. A verbal evaluation and assessment of subject's pain and symptoms will be completed prior to treatment. After receiving medication a second evaluation will be taken to determine how well the medication has relieved and controlled the subject's pain and inflammation associated with tendinitis. Subjects will be specifically asked to rate the level of pain and how the pain is affecting common activities of daily living. The outcomes will be assessed at 2 follow up periods, 1 and approximately 2 weeks after treatment (but no more than 23 days).

Outcome measures

Outcome measures
Measure
Tenotomy Group
n=15 Participants
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
n=15 Participants
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Pain Level and Interference With Activity
1 week after treatment
16.8 units on a scale
Interval 0.0 to 34.0
25.5 units on a scale
Interval 9.0 to 41.0
Pain Level and Interference With Activity
2 wks post treatment ( no more than 23 days)
15.2 units on a scale
Interval 0.0 to 34.0
19.4 units on a scale
Interval 4.0 to 42.0

SECONDARY outcome

Timeframe: 15 to 555 days post treatment

Information from patient charts were retrospectively reviewed to determine if symptoms were reported as improved, worse, or no change over a time period (range 15 to 555 days post treatment).

Outcome measures

Outcome measures
Measure
Tenotomy Group
n=14 Participants
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
n=14 Participants
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Number of Participants Showing Symptomatic Improvement as Assessed in Patient Chart
10 Participants
11 Participants

Adverse Events

Tenotomy Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Plasma Injection Group

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Tenotomy Group
n=15 participants at risk
Subject enrolled in this arm will receive treatment for tendinitis and pain evaluation of pain pre and post treatment. Tenotomy (no injection): Subjects randomized to this group will fill out a pre-treatment pain survey and have a blood draw They will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti-inflammatory medications for 2 weeks before the study. Two weeks after enrollment subjects see their referring physician to begin physical therapy.
Plasma Injection Group
n=15 participants at risk
Treatment is Ultrasound guided platelet rich plasma injection. Ultrasound guided platelet rich plasma injection: Subjects will fill out a pre-treatment pain survey, then will undergo ultrasound and have blood drawn from their arm. The blood sample will be separated into blood cells and plasma. The plasma portion of the blood (liquid minus the cells) will be injected into the tendon under sterile conditions. Ultrasound will help guide the injection. This is called "Ultrasound guided platelet rich plasma injection." Subjects will be be contacted by the investigator by telephone or email on day 7 and day 14 to complete another pain survey. Subjects must avoid non steroidal anti inflammatory medications for 2 weeks before the study and 2 weeks after the study. Subjects will see their referring physician two weeks after treatment to begin physical therapy.
Infections and infestations
Fever
0.00%
0/15 • Two data collection points, the second of which is between 14 and 23 days following treatment
6.7%
1/15 • Two data collection points, the second of which is between 14 and 23 days following treatment

Other adverse events

Adverse event data not reported

Additional Information

Jon Jacobson

University of Michigan

Phone: 734 936-4365

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place