The Combined Use of PRP with Lipoaspirate And/or Bone Marrow Aspirate in Osteoarthritis

NCT ID: NCT03984461

Last Updated: 2024-11-15

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-01

Study Completion Date

2027-12-31

Brief Summary

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To demonstrate the efficacy of the combined use of platelet-rich plasma (PRP) with lipoaspirate and/or bone marrow aspirate in osteoarthritis of major joints, and to compare the outcomes achieved using three combinations: PRP plus lipoaspirate, PRP plus bone marrow aspirate, and PRP plus both lipoaspirate and bone marrow aspirate.

Detailed Description

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The purpose of this study is to demonstrate the efficacy of the combined use of platelet-rich plasma (PRP) with lipoaspirate and/or bone marrow aspirate in osteoarthritis of major joints, and to compare the outcomes achieved using three combinations: PRP plus lipoaspirate, PRP plus bone marrow aspirate, and PRP plus both lipoaspirate and bone marrow aspirate.

A total of 240 participants will be randomly assigned to one of three treatment groups: Group A will receive PRP plus lipoaspirate, Group B will receive PRP plus bone marrow aspirate, and Group C will receive tri-partite therapy of PRP + lipoaspirate + bone marrow aspirate which allows for 80 in each group. The combination of biologic materials will be injected in to an arthritic joint.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Group A - PRP plus Lipoaspirate Group B - PRP plus Bone Marrow Aspirate Group C - PRP plus Lipoaspirate plus Bone Marrow Aspirate
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A - PRP plus Lipoaspirate

Equal proportions of PRP plus micronized adipose tissue (lipoaspirate). Total Volume varies by joint.

Group Type ACTIVE_COMPARATOR

Autologous cell therapy

Intervention Type BIOLOGICAL

Biologic material is harvested from the participant and re-injected into an osteoarthritic joint

Group B - PRP plus Bone Marrow Aspirate

Equal proportions of PRP plus bone marrow aspirate. Total Volume varies by joint.

Group Type ACTIVE_COMPARATOR

Autologous cell therapy

Intervention Type BIOLOGICAL

Biologic material is harvested from the participant and re-injected into an osteoarthritic joint

Group C - PRP plus Lipoaspirate plus Bone Marrow Aspirate

Equal proportions of PRP plus micronized adipose tissue (lipoaspirate) plus bone marrow aspirate. Total Volume varies by joint.

Group Type ACTIVE_COMPARATOR

Autologous cell therapy

Intervention Type BIOLOGICAL

Biologic material is harvested from the participant and re-injected into an osteoarthritic joint

Interventions

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Autologous cell therapy

Biologic material is harvested from the participant and re-injected into an osteoarthritic joint

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Capable of providing written informed consent and willing and able to adhere to all protocol requirements.
2. Male or female at least 19 years of age at the time of providing written informed consent.
3. Evidence of OsteoArthritis in a major joint requires recent (within one year) imaging, either by x-ray or MRI. Kellgren \& Lawrence Grades 1-3 are accepted for participation.

Exclusion Criteria

1. BMI \> 35
2. Arthroscopic surgery to the treatment joint within 12 months
3. Cortisone or HA injection within the last 3 months prior to stem cell injection
4. Inability to hold antiplatelet therapy according to treating provider prior to procedure
5. Kellgren \& Lawrence Grade 4 Osteoarthritis
6. Participants with a platelet count less than 100 x 109
7. Participants with a Hemoglobin less than 100 g/L
8. Participants who have an active Infection with fever and/or elevated white blood cell (WBC) count
9. Participants with an active Cancer diagnosis.
10. Participants with autoimmune disorders including rheumatoid arthritis and lupus.
11. Women who are pregnant will be excluded due to the possibility of fetal harm associated with x-rays. Should a participant become pregnant during the study, she will be withdrawn from further treatment and imaging, but can participate in symptom follow-up. Female participants of childbearing potential will be counseled at screening about contraception and encouraged to use birth control for the duration of the study.
12. Participants with allergies to lidocaine, heparin, or epinephrine.
Minimum Eligible Age

19 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Dr. Grant M. Pagdin

OTHER

Sponsor Role lead

Responsible Party

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Dr. Grant M. Pagdin

Qualified Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Stephen Rosenfeld, MD

Role: STUDY_CHAIR

Quorum Review IRB

Locations

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Pagdin Health

Kelowna, British Columbia, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Grant Pagdin, MD

Role: CONTACT

250-717-3200

Michelle Murtha, MScN

Role: CONTACT

250-717-3200

Facility Contacts

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Dr. G Pagdin, MD

Role: primary

2507173200 ext. 2507173200

Michelle Murtha, MScN

Role: backup

2507173200 ext. 2507173200

Other Identifiers

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OASC2015

Identifier Type: -

Identifier Source: org_study_id

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