Clinical trial • Phase III • Musculoskeletal

PLATELET CONCENTRATE for Chronic omalgia|Rotator cuff tendinopathy

Phase III trial of PLATELET CONCENTRATE for Chronic omalgia|Rotator cuff tendinopathy.

Overview

Trial Therapeutic Area
Musculoskeletal
Trial Disease
Chronic omalgia|Rotator cuff tendinopathy
Trial Stage
Phase III
Drug Modality
Other|Small molecule

Key dates

Initial CTIS Submission Date
19-08-2025
First CTIS Authorization Date
20-10-2025

Trial design

Randomised, control arm: corticosteroid + physical exercise. comparator products: celestone cronodose (betamethasone acetate / betamethasone sodium phosphate) - max total 11.4 mg administered by infiltration; ropivacaïna altan 7.5 mg/ml solution for injection (ropivacaine hydrochloride) - max total 15 mg administered by infiltration. both comparator injections: two injections supplemented with personalised exercise programme. Phase III trial in Spain.

Randomised
Yes
Comparator
Control arm: corticosteroid + physical exercise. Comparator products: Celestone Cronodose (betamethasone acetate / betamethasone sodium phosphate) - max total 11.4 mg administered by infiltration; Ropivacaïna Altan 7.5 mg/ml solution for injection (ropivacaine hydrochloride) - max total 15 mg administered by infiltration. Both comparator injections: two injections supplemented with personalised exercise programme.
Target Sample Size
86
Trial Duration For Participant
365

Eligibility

Recruits 86 No vulnerable populations selected; inclusion criterion requires written informed consent: 'Patients who agree to participate in the study and sign the informed consent form.' Participants are adults (aged 35-75); no assent/parental consent procedures are described..

Pregnancy Exclusion
Pregnant women.
Vulnerable Population
No vulnerable populations selected; inclusion criterion requires written informed consent: 'Patients who agree to participate in the study and sign the informed consent form.' Participants are adults (aged 35-75); no assent/parental consent procedures are described.

Inclusion criteria

  • {"criterion_text":"-Patients aged between 35 and 75 years, both included."}
  • {"criterion_text":"-Presence of pain in the affected shoulder with an intensity ≥3 points out of 10 on the visual analogue scale (VAS), assessed during the screening visit."}
  • {"criterion_text":"-Body Mass Index (BMI) values between 20 and 27kg/m2, both values included."}
  • {"criterion_text":"-Confirmed diagnosis of chronic omalgia associated with rotator cuff tendinopathy, following an unfavourable response to the standard regimen of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) for 4-6 weeks."}
  • {"criterion_text":"-Patients who agree to participate in the study and sign the informed consent form."}

Exclusion criteria

  • {"criterion_text":"-Confirmed diagnosis of complete rotator cuff tendon rupture."}
  • {"criterion_text":"-Patients who are taking an investigational medicinal product or have participated in an investigational trial (with a licensed or unlicensed product) in the 30 days prior to randomisation."}
  • {"criterion_text":"-Patient with any physical, social, or psychological impairment that, in the opinion of the investigators, may affect the patient's participation in the trial or the validity of the data obtained from the patient's participation in the trial."}
  • {"criterion_text":"-Pregnant women."}
  • {"criterion_text":"-Breastfeeding women."}
  • {"criterion_text":"-Women of childbearing age* who are unable or unwilling to use contraceptive methods with a failure rate <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."}
  • {"criterion_text":"-Patients with systemic autoimmune rheumatic disease (connective tissue diseases and systemic necrotising vasculitis)."}
  • {"criterion_text":"-Poorly controlled diabetes mellitus, defined as glycosylated haemoglobin >9%."}
  • {"criterion_text":"-Patients with haematological disorders (thrombopathy, thrombopenia, anaemias with Hb<9 g/dl)."}
  • {"criterion_text":"-Patients undergoing immunosuppressive treatment."}
  • {"criterion_text":"-Patients under treatment with intramuscular corticosteroids in the 3 months prior to the first administration of the trial treatment."}
  • {"criterion_text":"-Patients on treatment with non-steroidal anti-inflammatory drugs (more than 10 consecutive days at usual doses), opioids or oral corticosteroids during the 15 days prior to study treatment."}
  • {"criterion_text":"-Patients with severe heart disease."}
  • {"criterion_text":"-Patients with active cancer or cancer diagnosed within the last 5 years."}

Endpoints

Primary endpoints

  • {"endpoint_text":"-The difference in functional improvement between the intervention group (PRP infiltration combined with physical exercise) and the control group (corticosteroid infiltration combined with physical exercise), measured by the absolute change in the Constant-Murley scale (CMS) score at 6 months post-treatment, compared to the baseline score (14). An increase ≥ 10 points in the CMS score (15), in the absence of serious treatment-related complications, is considered a therapeutic success.","definition_or_measurement_approach":"Absolute change in Constant-Murley scale (CMS) score at 6 months post-treatment versus baseline; therapeutic success defined as an increase ≥ 10 points in CMS in absence of serious treatment-related complications."}

Recruitment

Planned Sample Size
86
Recruitment Window Months
36
Consent Approach
Written informed consent required; inclusion criterion: 'Patients who agree to participate in the study and sign the informed consent form.' Subject information and informed consent form document is listed (for publication). Participants are adults (35-75); no assent or parental consent procedures described. Protocol translations available in Spanish.

Geography

Total Number Of Sites
2
Total Number Of Participants
86

Spain

Earliest CTIS Part Ii Submission Date
12-06-2025
Latest Decision Or Authorization Date
20-10-2025
Processing Time Days
130
Number Of Sites
2
Number Of Participants
86

Sites

Site Name
Hospital Universitario De Cruces
Department Name
Medicina fisica y Rehabilitación
Principal Investigator Name
JUAN IGNACIO REOYO DIEZ
Principal Investigator Email
uiceecc.regulatoria@bio-bizkaia.eus
Contact Person Name
JUAN IGNACIO REOYO DIEZ
Site Name
Hospital Universitario Basurto
Department Name
Cirugía Ortopédica y Traumatología.
Principal Investigator Name
Iñigo Cearra Guezuraga
Principal Investigator Email
uiceecc.regulatoria@bio-bizkaia.eus
Contact Person Name
Iñigo Cearra Guezuraga

Sponsor

Primary sponsor

Full Name
Asociacion Instituto De Investigacion Sanitaria Biobizkaia
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
PLATELET CONCENTRATE
Active Substance
PLATELET CONCENTRATE
Modality
Other
Routes Of Administration
INTRALESIONAL USE
Route
INTRALESIONAL USE
Authorisation Status
Not authorised (no marketing authorisation listed)
Frequency
Two injections (schedule: two PRP injections supplemented with personalised exercise)
Maximum Dose
6 ml
Investigational Product Name
Celestone Cronodose suspensión inyectable
Active Substance
BETAMETHASONE ACETATE, BETAMETHASONE SODIUM PHOSPHATE
Modality
Small molecule
Routes Of Administration
INFILTRATION
Route
INFILTRATION
Authorisation Status
Authorized (marketing authorisation ES 40.628)
Frequency
Two injections (control arm), combined with personalised exercise
Maximum Dose
11.4 mg
Investigational Product Name
Ropivacaína Altan 7,5 mg/ml solución inyectable EFG
Active Substance
ROPIVACAINE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
INFILTRATION
Route
INFILTRATION
Authorisation Status
Authorized (marketing authorisation ES 75.682)
Frequency
Two injections (control arm), combined with personalised exercise
Maximum Dose
15 mg

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