Clinical trial • Not applicable • Musculoskeletal

PLATELET CONCENTRATE for Lateral epicondylitis (tennis elbow)

Not applicable trial of PLATELET CONCENTRATE for Lateral epicondylitis (tennis elbow).

Overview

Trial Therapeutic Area
Musculoskeletal
Trial Disease
Lateral epicondylitis (tennis elbow)
Trial Stage
Not applicable
Drug Modality
Other

Key dates

Initial CTIS Submission Date
30-10-2024
First CTIS Authorization Date
20-11-2024

Trial design

Randomised, arthroscopic resection (surgical intervention) versus sarc (cytokine-rich autologous serum). sarc treatment: 2 infiltrations at an interval of 14 to 21 days; if only a single infiltration is performed for medical reasons the subject is considered withdrawn from treatment. (no drug doses specified.)-controlled Not applicable trial across 3 sites in Spain.

Randomised
Yes
Comparator
Arthroscopic resection (surgical intervention) versus SARC (cytokine-rich autologous serum). SARC treatment: 2 infiltrations at an interval of 14 to 21 days; if only a single infiltration is performed for medical reasons the subject is considered withdrawn from treatment. (No drug doses specified.)
Target Sample Size
86
Trial Duration For Participant
730

Eligibility

Recruits 86 Vulnerable population not selected. Participants must be over 18 years and have the ability to understand study information and provide informed consent; consent must be signed. No assent or guardian consent procedures described..

Pregnancy Exclusion
Pregnancy or breastfeeding.
Vulnerable Population
Vulnerable population not selected. Participants must be over 18 years and have the ability to understand study information and provide informed consent; consent must be signed. No assent or guardian consent procedures described.

Inclusion criteria

  • {"criterion_text":"- Over 18 years"}
  • {"criterion_text":"- Patients who present persistent pain (VAS > 5) at the level of lateral epicondyle of at least 3 months’ duration."}
  • {"criterion_text":"- Patients with a confirmed diagnosis of chronic lateral epicondylitis with some complementary diagnostic test such as ECO or MRI."}
  • {"criterion_text":"- Availability to be able to follow up on the protocol of the study up to 24 months."}
  • {"criterion_text":"- Patients with the ability to understand the study information and give informed consent."}
  • {"criterion_text":"- Patients who sign the informed consent."}
  • {"criterion_text":"- Normal hematological parameters."}

Exclusion criteria

  • {"criterion_text":"- Local infection present."}
  • {"criterion_text":"- Coagulation deficiency or abnormalities."}
  • {"criterion_text":"- Thrombocytopenia."}
  • {"criterion_text":"- Treatment with anticoagulants."}
  • {"criterion_text":"- Difficulty understanding and following study procedures."}
  • {"criterion_text":"- Participation in a clinical trial with medications."}
  • {"criterion_text":"- Patients who have received treatment with infiltrations of corticosteroids in the same area in the last 4 months."}
  • {"criterion_text":"- Patients who have received treatment with growth factors, PRP, cytokines or new pharmacological treatments in it area in the last 12 months."}
  • {"criterion_text":"- Pregnancy or breastfeeding."}
  • {"criterion_text":"- Neoplastic Disease."}
  • {"criterion_text":"- Patients undergoing treatment with immunosuppressants (medical assessment)."}
  • {"criterion_text":"- Patients undergoing arthroscopic surgery of the same elbow."}
  • {"criterion_text":"- Active liver disease."}
  • {"criterion_text":"- States of immunosuppression or immunodeficiencies."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- In the case of the group of patients treated with SARC, the treatment consists of 2 infiltrations at an interval of 14 to 21 days. If, due to medical criteria, the researcher decides to perform a single infiltration, will consider that the subject has been withdrawn from treatment. However, it will carry out the same monitoring and control visits as for the rest of the patients.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Unexpected systemic infections or infections in the infiltration zone or fever related to suspected infection.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Anaphylactic shock or other serious toxicities related to the treatment. Treatment will be restarted at the discretion of the investigators.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Edema in the treated area not associated with infiltration. It will restart the treatment according to the investigators' criteria.","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
86
Recruitment Window Months
36
Consent Approach
Participants are adults (over 18) and must be able to understand study information and sign informed consent. A Subject Information and Informed Consent Form document is listed (L1_SIS and ICF main). Translations to Spanish are provided in trial materials.

Geography

Total Number Of Sites
3
Total Number Of Participants
86

Spain

Earliest CTIS Part Ii Submission Date
14-11-2024
Latest Decision Or Authorization Date
20-11-2024
Processing Time Days
6
Number Of Sites
3
Number Of Participants
86

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Orthopedic surgery and traumatology
Principal Investigator Name
Ana María Carreño
Principal Investigator Email
acarreno@clinic.cat
Contact Person Name
Ana María Carreño
Contact Person Email
acarreno@clinic.cat
Site Name
Parc Tauli Hospital Universitari
Department Name
Orthopedic surgery and traumatology
Principal Investigator Name
Francesc Acerboni
Principal Investigator Email
facerbonif@gmail.com
Contact Person Name
Francesc Acerboni
Contact Person Email
facerbonif@gmail.com
Site Name
Vall D Hebron Institute Of Oncology
Department Name
Traumatology
Principal Investigator Name
Ignacio Esteban
Principal Investigator Email
iestebanfeliu@gmail.com
Contact Person Name
Ignacio Esteban
Contact Person Email
iestebanfeliu@gmail.com

Sponsor

Primary sponsor

Full Name
Parc Tauli Hospital Universitari
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
PLATELET CONCENTRATE
Active Substance
PLATELET CONCENTRATE
Modality
Other
Routes Of Administration
Infiltration
Route
Infiltration
Authorisation Status
No marketing authorisation (marketingAuthNumber '-') - used as investigational product in trial
Frequency
2 infiltrations, 14 to 21 days apart (per protocol description for SARC)
Maximum Dose
Max daily: 5 ml; max total: 10 ml

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