Bundang Rehabilitative Impact Study of the Elbow Epicondylitis

NCT ID: NCT02492945

Last Updated: 2017-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2016-10-31

Brief Summary

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This study is to assess the safety and effect of polydeoxyribonucleotide(PDRN) on the lateral epicondylitis with ultrasonography-guided injection of the PDRN or dextrose solution.

Condition: lateral epicondylitis

Intervention Drug: polydeoxyribonucleotide, PDRN Drug: dextrose solution, 15% as prolotherapy, active control

Phase 4

Study type: Interventional

Study design: Treatment, Parallel Assignment, Double Blind((Subject, intervention performer, Investigator, Outcomes Assessor), Randomized, Safety/Efficacy Study

Official Title: Safety and Effects of PDRN(polydeoxyribonucleotide) Injection in Patient with elbow epicondylitis in randomized double-blind active-control comparative study

Estimated Enrollment: 40

Detailed Description

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Detailed Description:

40 patients that meet the inclusion criteria on screening test are assigned to one of two groups(PDRN group or 15% dextrose active control group) by randomization. They take the three times of the ultrasonography-guided injections for four weeks(0,2,4 weeks) under double-blind. PDRN group take ultrasonography-guided 3ml PDRN injection for the lesion( tear or tendinosis about extensor carpi radialis brevis, extensor digitorum communis, radial collateral ligament ) of lateral epicondylitis for 4 weeks. Active control group takes the 15% dextrose solution, 3ml for same procedure. The main outcome variables are measured at 0, 6 weeks and 3 months after 1st injection as starting point and compared differences from baseline to 3 month as primary end points within each group or between both group. Polydeoxyribonucleotide is verified whether it has the safety and effect on lateral epicondylitis with comparing to prolotherapy.

Conditions

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Lateral Epicondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PDRN group

They take the three times of the ultrasonography-guided injections for four weeks(0,2,4 weeks) under double-blind. PDRN group take ultrasonography-guided 3ml-Rejuvinex injection for the lesion( tear or tendinosis about extensor carpi radialis brevis, extensor digitorum communis, radial collateral ligament ) of lateral epicondylitis for 4 weeks.

Group Type EXPERIMENTAL

3ml-Rejuvinex

Intervention Type DRUG

They take the three times of the ultrasonography-guided 3ml-Rejuvinex as a PDRN group for four weeks(0,2,4 weeks) under double-blind.

Dextrose group

They take the three times of the ultrasonography-guided injections for four weeks(0,2,4 weeks) under double-blind. Dextrose group as active control group takes the 3ml-15%-dextrose solution for same procedure: the lesion( tear or tendinosis about extensor carpi radialis brevis, extensor digitorum communis, radial collateral ligament ) of lateral epicondylitis for 4 weeks. This dextrose solution for common extensor tendons are used as prolotherapy.

Group Type ACTIVE_COMPARATOR

3ml-15%-dextrose solution

Intervention Type DRUG

They take the three times of the ultrasonography-guided 3ml-15%-dextrose solution injections as a Dextrose group for four weeks(0,2,4 weeks) under double-blind.

Interventions

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3ml-Rejuvinex

They take the three times of the ultrasonography-guided 3ml-Rejuvinex as a PDRN group for four weeks(0,2,4 weeks) under double-blind.

Intervention Type DRUG

3ml-15%-dextrose solution

They take the three times of the ultrasonography-guided 3ml-15%-dextrose solution injections as a Dextrose group for four weeks(0,2,4 weeks) under double-blind.

Intervention Type DRUG

Other Intervention Names

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PDRN (Polydeoxyribonucleotide) sodium 15% dextrose and 0.2% lidocaine solution, mixed, total 3ml as prolotherapy

Eligibility Criteria

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Inclusion Criteria

* provision of informed consent by patient
* adult men or women aged \> 18 and \< 65 years
* Patients had a clinical diagnosis of lateral epicondylitis based on local tenderness to palpation at lateral epicondyle and pain in that area elicited with active extension of the wrist in pronation and elbow extension
* History of pain \>3 months and \<2 years, failed each of the following conservative care modalities: relative rest, physical/occupational therapy, non-steroidal anti-inflammatorydrugs and two corticosteroid injections.
* Baseline elbow pain \> 50 mm/100 mm using a visual analog scale (VAS) with resisted active extension of the wrist in pronation and elbow extension
* All affected elbows were screened with radiography and all proved to be normal, except for some calcifications of the common extensor origin.
* documented sonographic diagnosis of common extensor tendinosis was based on tendon echogenicity, loss of the normal echotexture and tendon thickening. We also performed the sonographic assessment of the extensor carpi radialis brevis, extensor digitorum communis and radial collateral ligament; tendinosis defined as ill- or well-defined focal/generalized hypoechogenic swollen tendon with loss of normal fibrillary pattern and focal tear defined as well-defined anechoic cleft

Exclusion Criteria

* History of narcotic use for pain management \> 1 mo, narcotic abuse
* History of alcoholic abuse
* any recent febrile or infectious disease
* corticosteroid injection within the past 3 months
* Signs of other causes for lateral elbow pain (posterior interosseous nerve entrapment, fracture or osteochondral lesion)
* History of carpal tunnel syndrome, cervical radiculopathy or neurologic disorder
* Other chronic widespread pain syndromes
* History of bleeding disorder, anemia
* Systemic disorders such as diabetes, rheumatoid arthritis,or hepatitis
* Intolerance/allergy to local anesthetics or injection corticosteroids
* history of vasovagal shock
* Pregnancy/lactation
* history of any malignancy (including hematologic and non hematologic malignancies)
* Hypotension, systolic BP \<100mmHg, diastolic BP \< 60mmHg
* Systemic disorders such as diabetes, rheumatoid arthritis, or hepatitis, nephropathy, Hypothyroidism.
* History of receiving a PDRN injection at any site
* Allergic reaction or hypersensitivity for PDRN
* Workers compensation or worker using both upper extremities, especially elbow and hand for most labor activity
* history of acute elbow trauma (\<1 week)
* patients requiring antiplatelet medications for the treatment of heart attack, stroke, or other medical condition
* Previous surgery for elbow tendinosis or other disease at affected side
* Active bilateral elbow tendinosis within 4 weeks before randomization
* Tendon echogenicity, grade 0 and 4 were excluded; The degree of tendinosis is grade based on changes in tendon echotexture at sonographic assessment, Diagnostic ultrasound features for the RISEe
Minimum Eligible Age

19 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jae-Young Lim

Safety and Effects of PDRN(polydeoxyribonucleotide) Injection in Patient with elbow epicondylitis in randomized double-blind active-control comparative study

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hyun-Kyung Do

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Bundang Hospital

Jae-Young Lim

Role: STUDY_DIRECTOR

Seoul National University Bundang Hospital

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

References

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Other Identifiers

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B-1411/276-004

Identifier Type: -

Identifier Source: org_study_id

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