Trial Outcomes & Findings for PRP as Adjuvant Treatment to CTR for Severe CTS Tunnel Syndrome (NCT NCT04811287)

NCT ID: NCT04811287

Last Updated: 2026-04-30

Results Overview

Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. Symptoms are rated on a 5 point Likert scale. 1 = Minimal 2 = Mild 3 = Moderate 4 = Severe 5 = Very Severe.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

6 months post-op

Results posted on

2026-04-30

Participant Flow

Participant milestones

Participant milestones
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
Carpal tunnel release without adjuvant platelet-rich plasma.
Overall Study
STARTED
4
11
Overall Study
COMPLETED
1
4
Overall Study
NOT COMPLETED
3
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PRP as Adjuvant Treatment to CTR for Severe CTS Tunnel Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Total
n=15 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=14 Participants
3 Participants
n=34 Participants
3 Participants
n=69 Participants
Age, Categorical
>=65 years
4 Participants
n=14 Participants
8 Participants
n=34 Participants
12 Participants
n=69 Participants
Sex: Female, Male
Female
4 Participants
n=14 Participants
6 Participants
n=34 Participants
10 Participants
n=69 Participants
Sex: Female, Male
Male
0 Participants
n=14 Participants
5 Participants
n=34 Participants
5 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=14 Participants
1 Participants
n=34 Participants
1 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=14 Participants
8 Participants
n=34 Participants
12 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=14 Participants
2 Participants
n=34 Participants
2 Participants
n=69 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Asian
2 Participants
n=14 Participants
0 Participants
n=34 Participants
2 Participants
n=69 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=14 Participants
1 Participants
n=34 Participants
1 Participants
n=69 Participants
Race (NIH/OMB)
White
2 Participants
n=14 Participants
7 Participants
n=34 Participants
9 Participants
n=69 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=14 Participants
3 Participants
n=34 Participants
3 Participants
n=69 Participants
Region of Enrollment
United States
4 Participants
n=14 Participants
11 Participants
n=34 Participants
15 Participants
n=69 Participants

PRIMARY outcome

Timeframe: up to 1 month pre-op

Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. Symptoms are rated on a 5 point Likert scale. 1 = Minimal 2 = Mild 3 = Moderate 4 = Severe 5 = Very Severe.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Symptom Severity Scale - Severe
1 Participants
3 Participants
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Symptom Severity Scale - Very Severe
0 Participants
0 Participants
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Functional Status Scale - Severe
0 Participants
3 Participants
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Functional Status Scale - Very Severe
0 Participants
0 Participants

PRIMARY outcome

Timeframe: 3 months post-op

Population: Participants with available data for the Boston Carpal Tunnel Questionnaire 3-month post-op

Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. Symptoms are rated on a 5 point Likert scale. 1 = Minimal 2 = Mild 3 = Moderate 4 = Severe 5 = Very Severe.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=2 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=7 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Symptom Severity Scale
0 Participants
0 Participants
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Functional Status Scale
0 Participants
0 Participants

PRIMARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for the Boston Carpal Tunnel Questionnaire 6-month post-op

Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. Symptoms are rated on a 5 point Likert scale. 1 = Minimal 2 = Mild 3 = Moderate 4 = Severe 5 = Very Severe.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Symptom Severity Scale
0 Participants
0 Participants
Number of Participants With Severe or Very Severe Symtoms as Measured by the Boston Carpal Tunnel Questionnaire
Functional Status Scale
0 Participants
0 Participants

PRIMARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for the grip strength 1-month pre-op

Measured with a dynamometer.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=10 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Grip Strength
11.40 kg
Standard Deviation 3.89
19.14 kg
Standard Deviation 5.5

PRIMARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for Grip Strength 6-month post-op

Measured with a dynamometer.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=4 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Grip Strength
18.85 kg
Standard Deviation 7.71

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for the PROMIS Questionnaire 1-month pre-op

A computer-adaptive test was developed to improve precision and reduce question burden for upper-extremity conditions such as carpal tunnel syndrome. The PROMIS measures self-reported function using a 5-point scale (higher score indicates better function) and produces standardized T-scores based on the general U.S. population with a mean of 50 and a standard deviation (SD) of 10. T-score ranges from 20 to 80, with higher T-scores indicating better upper-extremity function.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=10 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Patient-Reported Outcomes Measurement Information System (PROMIS)
36.73 T-Score
Standard Deviation 9.18
34.41 T-Score
Standard Deviation 3.44

SECONDARY outcome

Timeframe: 3 months post-op

Population: Participants with available data for the PROMIS Questionnaire 3-months post-op

A computer-adaptive test was developed to improve precision and reduce question burden for upper-extremity conditions such as carpal tunnel syndrome. The PROMIS measures self-reported function using a 5-point scale (higher score indicates better function) and produces standardized T-scores based on the general U.S. population with a mean of 50 and a standard deviation (SD) of 10. T-score ranges from 20 to 80, with higher T-scores indicating better upper-extremity function.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=2 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=7 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Patient-Reported Outcomes Measurement Information System (PROMIS)
36.8 T-Score
Standard Deviation 18.4
39.11 T-Score
Standard Deviation 5.59

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for the PROMIS Questionnaire 6-months post-op

A computer-adaptive test was developed to improve precision and reduce question burden for upper-extremity conditions such as carpal tunnel syndrome. The PROMIS measures self-reported function using a 5-point scale (higher score indicates better function) and produces standardized T-scores based on the general U.S. population with a mean of 50 and a standard deviation (SD) of 10. T-score ranges from 20 to 80, with higher T-scores indicating better upper-extremity function.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=4 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Patient-Reported Outcomes Measurement Information System (PROMIS)
29.50 T-Scores
44.68 T-Scores
Standard Deviation 11.16

SECONDARY outcome

Timeframe: up to 1 month pre-op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Thumb

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Thumb
Able to discriminate between the 2 points
2 Participants
5 Participants
2 Point Discrimination at Thumb
Not able to discriminate between the 2 points
2 Participants
6 Participants

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for 2-point discrimination at the thumb 6-month post-op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Thumb

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Thumb
Able to discriminate between the 2 points
2 Participants
2 Point Discrimination at Thumb
Not able to discriminate between the 2 points
1 Participants

SECONDARY outcome

Timeframe: up to 1 month pre-op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Index Finger

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Index Finger
Able to discriminate between the 2 points
2 Participants
7 Participants
2 Point Discrimination at Index Finger
Not able to discriminate between the 2 points
2 Participants
4 Participants

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for 2 point discrimination at thuumb 6-month post-op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Index Finger

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Index Finger
Able to discriminate between the 2 points
2 Participants
2 Point Discrimination at Index Finger
Not able to discriminate between the 2 points
1 Participants

SECONDARY outcome

Timeframe: up to 1 month pre-op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Middle Finger

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Middle Finger
Able to discriminate between the 2 points
1 Participants
7 Participants
2 Point Discrimination at Middle Finger
Not able to discriminate between the 2 points
3 Participants
4 Participants

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for 2 point discrimination at thumb 6 month post op

Count of participants able or not able to discriminate between the minimal distance of 2 separate points of touch on the Middle Finger

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
2 Point Discrimination at Middle Finger
Able to discriminate between the 2 points
3 Participants
2 Point Discrimination at Middle Finger
Not able to discriminate between the 2 points
0 Participants

SECONDARY outcome

Timeframe: up to 1 month pre-op

Measured with a pinch meter.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Key Pinch
2.93 kg
Standard Deviation 0.73
4.36 kg
Standard Deviation 0.40

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for Key Pinch 6-month post-op

Measured with a pinch meter.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Key Pinch
5.67 kg
Standard Deviation 1.89

SECONDARY outcome

Timeframe: up to 1 month pre-op

Measured with a pinch meter.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=4 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=11 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
3 Finger Pinch
2.28 kg
Standard Deviation 0.57
4.03 kg
Standard Deviation 0.37

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for 3 finger pinch 6-month post-op

Measured with a pinch meter.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
3 Finger Pinch
4.43 kg
Standard Deviation 1.48

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for median motor latency 1 month pre op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=6 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Motor Latency
4.8 ms
6.16 ms
Standard Deviation 1.03

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for median motor latency 6 months post op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Motor Latency
3.28 ms
Standard Deviation 1.09

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for median motor amplitude 1 month pre op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=6 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Motor Amplitude
1.9 mV
4.35 mV
Standard Deviation 0.73

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for median motor amplitude 6 month post op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Motor Amplitude
1.2 mV
Standard Deviation 0.40

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for median sensory latency 1 month pre op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=6 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Sensory Latency
4.3 ms
4.6 ms
Standard Deviation 0.77

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for median sensory latency 6 month post op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Sensory Latency
3.08 ms
Standard Deviation 1.03

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for median sensory amplitude 1 month pre op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=6 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Sensory Amplitude
5 mV
9.63 mV
Standard Deviation 1.31

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for median sensory amplitude 6 month post op

From EMG/NCS data.

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
Median Sensory Amplitude
7.07 mV
Standard Deviation 2.36

SECONDARY outcome

Timeframe: up to 1 month pre-op

Population: Participants with available data for EMG of Abductor Pollicis Brevis 1 month pre op

From EMG/NCS data - looking at spontaneous activity with signs of denervation or reinnervation. Denervation included increased insertional activity, fibs/sharps, and decreased recruitment. Reinnervation included increased amplitude and polymorphic waves

Outcome measures

Outcome measures
Measure
CTR With PRP
n=1 Participants
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=5 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
EMG of Abductor Pollicis Brevis
Signs of Denervation
0 Participants
2 Participants
EMG of Abductor Pollicis Brevis
Signs of Reinnervation
0 Participants
0 Participants
EMG of Abductor Pollicis Brevis
No Spontaneous Activity
1 Participants
3 Participants

SECONDARY outcome

Timeframe: 6 months post-op

Population: Participants with available data for EMG of Abductor Pollicis Brevis 6 month post op

From EMG/NCS data - looking at spontaneous activity with signs of denervation or reinnervation. Denervation included increased insertional activity, fibs/sharps, and decreased recruitment. Reinnervation included increased amplitude and polymorphic waves

Outcome measures

Outcome measures
Measure
CTR With PRP
Carpal tunnel release with adjuvant platelet-rich plasma.
CTR Without PRP
n=3 Participants
Carpal tunnel release without adjuvant platelet-rich plasma.
EMG of Abductor Pollicis Brevis
Signs of Denervation
0 Participants
EMG of Abductor Pollicis Brevis
Signs of Reinnervation
0 Participants
EMG of Abductor Pollicis Brevis
No Spontaneous Activity
3 Participants

Adverse Events

CTR With PRP

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

CTR Without PRP

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael Fredericson, MD

Stanford University

Phone: (650) 721-1446

Results disclosure agreements

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