Clinical Trial to Evaluate the Efficacy and Safety of Platelet-rich Plasma Infiltration in Chronic Omalgia
Randomized Clinical Trial to Evaluate the Efficacy and Safety of Platelet-Rich Plasma (PRP) Injection Combined With Physical Exercise in Chronic Omalgia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Bizkaia
-
Barakaldo, Bizkaia, Spain, 48903
- Recruiting
- Hospital Universitario Cruces
-
Contact:
- Juan Ignacio Reoyo, doctor
- Phone Number: 34 946006000
- Email: uiceecc.regulatoria@bio-bizkaia.eus
-
Bilbao, Bizkaia, Spain, 48013
- Not yet recruiting
- Hospital Universitario Basurto
-
Contact:
- Iñigo Cearra, doctor
- Phone Number: 34 944 00 60 00
- Email: uiceecc.regulatoria@bio-bizkaia.eus
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients between 35 and 75 years of age, both inclusive.
- Presence of pain in the affected shoulder for 3 or more months.
- Body Mass Index (BMI) values between 20 and 27 kg/m2, including both values.
- Confirmed diagnosis of chronic shoulder pain associated with rotator cuff tendinopathy, following an unfavorable response to standard treatment with analgesics and nonsteroidal anti-inflammatory drugs for 4-6 weeks.
- Patients who agree to participate in the study and sign the informed consent form.
Exclusion Criteria:
- Confirmed diagnosis of complete rotator cuff tear.
- Patients with systemic autoimmune rheumatic disease (connective tissue diseases and systemic necrotizing vasculitis).
- Patients with diabetes mellitus.
- Patients with hematological disorders (thrombopathy, thrombocytopenia, anemia with Hb<9 g/dl).
- Patients undergoing immunosuppressive treatment at the time of inclusion.
- Patients undergoing treatment with intramuscular corticosteroids in the 3 months prior to the first administration of the trial treatment.
- Patients undergoing treatment with nonsteroidal anti-inflammatory drugs (more than 10 consecutive days at usual doses), opioids, or oral corticosteroids during the 15 days prior to treatment in the study.
- Patients with severe heart disease.
- Patients with active cancer or cancer diagnosed in the last 5 years.
- Patients who are taking a drug in clinical trials or have participated in any clinical trial (with an authorized or unauthorized product) in the 30 days prior to randomization.
- Patients with any physical, social, or psychological condition that, in the opinion of the investigators, may affect the patient's participation in the trial or the validity of the data obtained from their participation in it.
- Pregnant women.
- Breastfeeding women.
- Women of childbearing age* who are unable or unwilling to use contraceptive methods with a failure rate of <1% per year (bilateral tubal ligation, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices, and copper intrauterine devices) during the four-week treatment period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: platelet-rich plasma
Two procedures are considered for obtaining an equivalent PRP formulation, with the aim of establishing a contingency plan for possible situations such as a shortage of specific materials (extraction tubes) or the unavailability of a dedicated clean room for preparation under open circuit conditions.
PRP produced in-house, following the open technique, is prepared in a laminar flow cabinet within an environment that complies with the standards of asepsis and Good Manufacturing Practices required for this type of preparation.
|
Two procedures are considered for obtaining an equivalent PRP formulation, with the aim of establishing a contingency plan for possible situations such as a shortage of specific materials (extraction tubes) or the unavailability of a dedicated clean room for preparation under open circuit conditions.
PRP produced in-house, following the open technique, is prepared in a laminar flow cabinet within an environment that complies with the standards of asepsis and Good Manufacturing Practices required for this type of preparation.
|
|
Active Comparator: betamethasone + ropivacaine
The control treatment consists of a mixture of 2 cc of betamethasone and 2 cc of ropivacaine.
|
consists of a mixture of 2 cc of betamethasone and 2 cc of ropivacaine.
To prepare it, 2 cc of betamethasone will be extracted from an ampoule of injectable solution using a sterile syringe (without attaching the needle) and mixed with 2 cc of ropivacaine.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
functional improvement between the intervention group and the control group measured by the absolute change in the Constant-Murley scale score
Time Frame: 36 months
|
Evaluate the efficacy of two PRP injections versus two injections of betamethasone with ropivacaine, both combined with a personalized exercise program, in the treatment of chronic shoulder pain secondary to rotator cuff tendinopathy.
|
36 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Chronic Pain
- Organic Chemicals
- Polycyclic Compounds
- Anilides
- Amides
- Aniline Compounds
- Amines
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Steroids, Fluorinated
- Pregnadienetriols
- Ropivacaine
- Betamethasone
Other Study ID Numbers
Other Study ID Numbers
- SHIELD-PRP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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