Trial Outcomes & Findings for Treatment of the Rotator Cuff Disease With Platelet Rich Plasma Injection (NCT NCT01123889)

NCT ID: NCT01123889

Last Updated: 2014-02-11

Results Overview

Patients will be asked to fill out questionnaires to provide insight into how their condition is progressing, consisting of components of the American Shoulder and Elbow Surgeons (ASES) total score. The maximum score is 100, made up by pain and function components' sums. Only the total score is recorded, 100 being full normal function without pain, 0 being severe pain and no function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

6 weeks from initial injection of corticosteroid versus platelet rich plasma

Results posted on

2014-02-11

Participant Flow

Participant milestones

Participant milestones
Measure
Control
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Overall Study
STARTED
5
7
Overall Study
COMPLETED
2
6
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Overall Study
Lost to Follow-up
3
1

Baseline Characteristics

Treatment of the Rotator Cuff Disease With Platelet Rich Plasma Injection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=5 Participants
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
n=7 Participants
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
Age, Categorical
>=65 years
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Age, Continuous
59.2 years
STANDARD_DEVIATION 6.4 • n=93 Participants
59.3 years
STANDARD_DEVIATION 14.7 • n=4 Participants
59.25 years
STANDARD_DEVIATION 11.54 • n=27 Participants
Sex: Female, Male
Female
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Sex: Female, Male
Male
4 Participants
n=93 Participants
4 Participants
n=4 Participants
8 Participants
n=27 Participants
Region of Enrollment
United States
5 participants
n=93 Participants
7 participants
n=4 Participants
12 participants
n=27 Participants

PRIMARY outcome

Timeframe: 6 weeks from initial injection of corticosteroid versus platelet rich plasma

Patients will be asked to fill out questionnaires to provide insight into how their condition is progressing, consisting of components of the American Shoulder and Elbow Surgeons (ASES) total score. The maximum score is 100, made up by pain and function components' sums. Only the total score is recorded, 100 being full normal function without pain, 0 being severe pain and no function.

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
n=6 Participants
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Pain and Disability of the Shoulder Through Validated Questionnaires
81.6 units on a scale
Standard Deviation 9.4
70.0 units on a scale
Standard Deviation 13.7

PRIMARY outcome

Timeframe: 12 weeks from initial injection of corticosteroid versus platelet rich plasma

Patients will be asked to fill out questionnaires to provide insight into how their condition is progressing, consisting of components of the American Shoulder and Elbow Surgeons (ASES) total score. The maximum score is 100, made up by pain and function components' sums. Only the total score is recorded, 100 being full normal function without pain, 0 being severe pain and no function.

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
n=6 Participants
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Pain and Disability of the Shoulder Through Validated Questionnaires
41.6 units on a scale
Standard Deviation 4.7
86.1 units on a scale
Standard Deviation 17.1

PRIMARY outcome

Timeframe: 15 minutes prior to initial injection of corticosteroid versus platelet rich plasma

Patients will be asked to fill out questionnaires to provide insight into how their condition is progressing, consisting of components of the American Shoulder and Elbow Surgeons (ASES) total score. The maximum score is 100, made up by pain and function components' sums. Only the total score is recorded, 100 being full normal function without pain, 0 being severe pain and no function.

Outcome measures

Outcome measures
Measure
Control
n=2 Participants
corticosteroid injection into subacromial space corticosteroid injection : Under sterile conditions, patients will receive a 5cc injection consisting of 2cc 1% lidocaine, 2cc 0.5% ropivacaine, and 1cc kenalog corticosteroid (40mg/cc) into the subacromial space utilizing a posterior lateral approach. Patients will be observed for 10 min in clinic for any adverse reactions.
Experimental
n=6 Participants
patients will receive an injection of platelet rich plasma into the subacromial space platelet rich plasma injection : 45 ml of a patient's own blood will be collected via blood draw, maintaining sterile technique. This will then be spun down using a Magellan Autologous Platelet Separator System, yielding platelet rich plasma (PRP). Under sterile conditions, patients will receive a 5 cc PRP injection (consisting of their own PRP) with 1 cc of 1% lidocaine and 1 cc of 0.5% ropivacaine into the subacromial space, administered by an orthopedic surgeon. This will be done using a posterior lateral approach. The patient will be monitored for 10 minutes in clinic for adverse reactions.
Pain and Disability of the Shoulder Through Validated Questionnaires
35.0 units on a scale
Standard Deviation 18.9
43.9 units on a scale
Standard Deviation 7.4

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Experimental

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Liz Clarke

Loma Linda University Orthopaedic Surgery

Phone: 909-558-5592

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place