Sammenligning af effektivitet mellem PL og PRP på knæartrose: et prospektivt, randomiseret, placebo-kontrolleret forsøg
Sammenligning af effektivitet mellem blodpladelysat og blodpladerigt plasma på knæartrose: et prospektivt, randomiseret, placebokontrolleret forsøg
This study will focus on grade I to III knee osteoarthritis by randomized controlled trials which comparing the effectiveness between placebo, autologous platelet rich plasma and autologous platelet lysate injections.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
The current methods for treating knee osteoarthritis include delaying the disease progression and joint replacement surgery. The usual treatment methods are mostly temporary, such as taking drug and hyaluronic acid injection. Therefore, finding the safe and effective methods will greatly reduce medical resource, medical expenses and surgery cost, etc., and restore the patient's quality of life. Platelet lysate is the product of complete activation from autologous platelet. It contains rich growth factors and cytokines such as PDGF, TGF-β, VEGF, EGF and IGF, etc. It can support cell growth and doesn't have any white blood cells in it. It is superior to the platelet rich plasma because of reducing the overall inflammatory response and pain of the patient during treatment.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: WU Chueh-Hung, MD, CIPS
- Telefonnummer: 66473 0223123456
- E-mail: nojred@gmail.com
Undersøgelse Kontakt Backup
- Navn: Wang Tyng-Guey, MD
- Telefonnummer: 67588 0223123456
- E-mail: tgw@ntu.edu.tw
Studiesteder
-
-
-
Taipei, Taiwan, 100
- Rekruttering
- National Taiwan University Hospital
-
Kontakt:
- Wu Chueh-hung, MD,CIPS
- Telefonnummer: 66473 0223123456
- E-mail: nojred@gmail.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- 50 to 80 years old
- Study Subjects must be willing to sign Informed Consent to participate in the study
- In the past month, at least seven consecutive days in the squat, standing, walking or going up and down the stairs, the most serious degree of visual analogy of the knee pain (Visual Analogue Scale) is greater than or equal to 40 (the most pain is 100, not painful is 0)
- Morning joint stiffness is less than 30 minutes
- X-ray:Grade 1-3 radiographic OA as defined by the K-L classification
Exclusion Criteria:
- Knee instability
- The knee joint is obviously deformed (> 5 degree valgus or varus deviation on X-ray)
- Clinical diagnosed as Pes tendinitis, Chondromalacia
- Taking NSAIDs or steroids (including oral and injection) within one week
- Using anticoagulant drugs for a long time
- Platelet count is less than 150,000 / UL, or coagulation disorders, prothrombin time (PT value) is less than 11 seconds or greater than 16 seconds
- Leukemia, sepsis, platelet dysfunction or other blood related diseases
- tumors, infections or the trauma before the same site
- Pregnancy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Placebo komparator: Saline injection
Sodium Chloride injection into the study knee joint every 4 weeks for a total of 3 injections |
5ml Placebo infusion of 0.9% Sodium Chloride |
|
Eksperimentel: PRP injection
PRP injection into the study knee joint every 4 weeks for a total of 3 injections |
Device: "Aeon" Acti-PRP 5ml autologous platelet rich plasma injection |
|
Eksperimentel: PL injection
PL injection into the study knee joint every 4 weeks for a total of 3 injections Platelet lysate is the product of nature activation from autologous platelet. |
Device: "Aeon" Acti-PRP 5ml autologous platelet lysate injection |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Pain score of the patient
Tidsramme: up to 24 weeks after surgery
|
Using Visual Analog Score (from 0 to 10, 0 indicate no pain and 10 indicate maximal pain) to evaluate pain of surgical wound of the patient |
up to 24 weeks after surgery
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Knee functional score
Tidsramme: up to 24 weeks after surgery
|
Using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) |
up to 24 weeks after surgery
|
|
X-ray
Tidsramme: up to 24 weeks after surgery
|
Knee X-ray image |
up to 24 weeks after surgery
|
|
Ultrasonic image
Tidsramme: up to 24 weeks after surgery
|
Ultrasonic-between thickness of the medial and lateral sides of the femoral condyle |
up to 24 weeks after surgery
|
|
adverse events
Tidsramme: up to 24 weeks after surgery
|
adverse events in clinical trial |
up to 24 weeks after surgery
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Wu Chueh-Hung, MD, CIPS, National Taiwan University Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 201803124RIPD
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