Carpal Tunnel Syndrome Clinical Trial
Official title:
Utilizing Platelet-Rich Plasma as an Adjuvant to Carpal Tunnel Release for Severe Carpal Tunnel Syndrome
NCT number | NCT04811287 |
Other study ID # | 59044 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | October 15, 2021 |
Est. completion date | June 30, 2023 |
This study assesses the potential benefit of adjuvant platelet-rich plasma (PRP) with carpal tunnel release (CTR) for patients with severe carpal tunnel syndrome (CTS). CTR is a rather common procedure performed and seems to be quite effective for those with moderate CTS, but a number of patients with severe CTS do not have quite the same response post-CTR. The investigators will recruit patients who fall into the severe CTS category and compare CTR with and without adjuvant PRP to see if PRP can improve outcomes of this common surgery.
Status | Recruiting |
Enrollment | 46 |
Est. completion date | June 30, 2023 |
Est. primary completion date | March 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Adult age 18 years and up. 2. Diagnosed with severe CTS based on EMG/NCS, meaning those with evidence of axonal loss (absent or low amplitude median sensory nerve action potential and/or absent or low amplitude median motor nerve action potential and/or evidence of abnormal spontaneous activity, reduced recruitment, or motor unit action potential changes on needle EMG of median innervated muscles). Exclusion Criteria: 1. Younger than age 18 years (minor status). 2. Diagnosed with concomitant peripheral neuropathy. 3. Previous CTR on the affected side. 4. Have contraindications to PRP (platelet dysfunction syndrome, critical thrombocytopenia, hemodynamic instability, septicemia, local infection at site of procedure, consistent use of NSAIDs within 48 hours of procedure, steroid injection at treatment site within 1 month, systemic use of steroids within 2 weeks, tobacco use, recent fever or illness, or cancer). |
Country | Name | City | State |
---|---|---|---|
United States | Stanford University | Redwood City | California |
Lead Sponsor | Collaborator |
---|---|
Michael Fredericson, MD | Factor Medical |
United States,
Trull-Ahuir C, Sala D, Chismol-Abad J, Vila-Caballer M, Lisón JF. Efficacy of platelet-rich plasma as an adjuvant to surgical carpal ligament release: a prospective, randomized controlled clinical trial. Sci Rep. 2020 Feb 7;10(1):2085. doi: 10.1038/s41598 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Boston Carpal Tunnel Questionnaire | Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. | up to 1 month pre-op | |
Primary | Boston Carpal Tunnel Questionnaire | Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. | 3 months post-op | |
Primary | Boston Carpal Tunnel Questionnaire | Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. | 6 months post-op | |
Primary | Boston Carpal Tunnel Questionnaire | Patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. | 12 months post-op | |
Primary | Grip Strength | Measured with a dynamometer. | up to 1 month pre-op | |
Primary | Grip Strength | Measured with a dynamometer. | 12 months post-op | |
Secondary | Patient-Reported Outcomes Measurement Information System (PROMIS) | Computer adaptive test developed to improve precision and reduce question burden for upper extremity conditions such as carpal tunnel syndrome. | up to 1 month pre-op | |
Secondary | Patient-Reported Outcomes Measurement Information System (PROMIS) | Computer adaptive test developed to improve precision and reduce question burden for upper extremity conditions such as carpal tunnel syndrome. | 3 months post-op | |
Secondary | Patient-Reported Outcomes Measurement Information System (PROMIS) | Computer adaptive test developed to improve precision and reduce question burden for upper extremity conditions such as carpal tunnel syndrome. | 6 months post-op | |
Secondary | Patient-Reported Outcomes Measurement Information System (PROMIS) | Computer adaptive test developed to improve precision and reduce question burden for upper extremity conditions such as carpal tunnel syndrome. | 12 months post-op | |
Secondary | 2 Point Discrimination at Thumb | Minimal distance that the patient feels 2 separate points of touch. | up to 1 month pre-op | |
Secondary | 2 Point Discrimination at Thumb | Minimal distance that the patient feels 2 separate points of touch. | 12 months post-op | |
Secondary | 2 Point Discrimination at Index Finger | Minimal distance that the patient still feels 2 separate points of touch. | up to 1 month pre-op | |
Secondary | 2 Point Discrimination at Index Finger | Minimal distance that the patient still feels 2 separate points of touch. | 12 months post-op | |
Secondary | 2 Point Discrimination at Middle Finger | Minimal distance that the patient still feels 2 separate points of touch. | up to 1 month pre-op | |
Secondary | 2 Point Discrimination at Middle Finger | Minimal distance that the patient still feels 2 separate points of touch. | 12 months post-op | |
Secondary | Key Pinch | Measured with a pinch meter. | up to 1 month pre-op | |
Secondary | Key Pinch | Measured with a pinch meter. | 12 months post-op | |
Secondary | 3 Finger Pinch | Measured with a pinch meter. | up to 1 month pre-op | |
Secondary | 3 Finger Pinch | Measured with a pinch meter. | 12 months post-op | |
Secondary | Median Motor Latency | From EMG/NCS data. | up to 1 month pre-op | |
Secondary | Median Motor Latency | From EMG/NCS data. | 12 months post-op | |
Secondary | Median Motor Amplitude | From EMG/NCS data. | up to 1 month pre-op | |
Secondary | Median Motor Amplitude | From EMG/NCS data. | 12 months post-op | |
Secondary | Median Sensory Latency | From EMG/NCS data. | up to 1 month pre-op | |
Secondary | Median Sensory Latency | From EMG/NCS data. | 12 months post-op | |
Secondary | Median Sensory Amplitude | From EMG/NCS data. | up to 1 month pre-op | |
Secondary | Median Sensory Amplitude | From EMG/NCS data. | 12 months post-op | |
Secondary | EMG of Abductor Pollicis Brevis | From EMG/NCS data - looking at spontaneous activity. | up to 1 month pre-op | |
Secondary | EMG of Abductor Pollicis Brevis | From EMG/NCS data - looking at spontaneous activity. | 12 months post-op |
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