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
- Contact Person Email
- uiceecc.regulatoria@bio-bizkaia.eus
- 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
- Contact Person Email
- uiceecc.regulatoria@bio-bizkaia.eus
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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