Platelet Rich Plasma Injection vs Percutaneous Tenotomy for Common Extensor Tendinopathy

Lateral Epicondylitis (Tennis Elbow) Clinical Trial

Official title:

Comparison of Leukocyte-rich Platelet Rich Plasma Injection to Percutaneous Tenotomy in the Treatment of Chronic Common Extensor Tendinopathy

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT04384809
• Other study ID #: STUDY20200165
• Status: Withdrawn
• Phase: Phase 4
• Start date: January 1, 2023
• Est. completion date: May 1, 2023

Study information

• Verified date: November 2022
• Source: University Hospitals Cleveland Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a randomized control trial comparing the use of leukocyte rich platelet rich plasma injections to percutaneous tenotomy for the treatment of chronic common extensor tendinopathy.

Description:

This is a randomized control trial comparing the use of leukocyte rich platelet rich plasma injections to percutaneous tenotomy for the treatment of chronic common extensor tendinopathy. Patients with a history of common extensor tendinopathy for greater than 3 months, refractory to conservative treatments, are randomized into one of two groups: injection with leukocyte rich platelet rich plasma or percutaneous tenotomy with the Tenex system. Both groups of patients are followed up in clinic at 1 week, 2 weeks, 6 weeks, 3 months, 6 months, and 1 year following the procedure to examine levels of pain or complications following both procedures.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: May 1, 2023
• Est. primary completion date: May 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 89 Years

Eligibility

Inclusion Criteria:

• At least 3 months of lateral elbow pain

• Subjectively failed trial of physical therapy and counterbracing

• Identifiable pathology on ultrasound (one or more of the following: thickened or disorganized tendon origin, microtearing, edema, neovascularization

Exclusion Criteria:

• Steroid injection within the last 3 months

• Previous surgery for common extensor tendinopathy

• Current treatment with analgesics

• Pregnant, non-English speaking, or illiterate individuals

• History of anemia

• History of bleeding disorder

• Anticoagulant use

• History of cervical radiculopathy

• Hemoglobin less than 11 grams per deciliter

• Hematocrit less than 33%

• Platelet count outside of normal range of 150-400 x 1000 microliter

Related Conditions & MeSH terms

• Lateral Epicondylitis (Tennis Elbow)
• Tendinopathy
• Tennis Elbow

Intervention

Biological:
• Leukocyte rich platelet rich plasma
Leukocyte rich platelet rich plasma will be obtained and prepared from a peripheral artery of the subject and then will be injected in the common extensor tendon

Device:
• Percutaneous Tenotomy
Patients will undergo percutaneous tenotomy of the common extensor tendon using the Tenex tenotomy device

Locations

Country	Name	City	State
United States	University Hospitals Cleveland Medical Center	Cleveland	Ohio

Sponsors (1)

Lead Sponsor	Collaborator
University Hospitals Cleveland Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in pain: visual analogue scale	Change in pain will be measured using a 10 point visual analogue scale where 0 represents no pain and 10 indicates the worst pain possible.	up to 12 months post-procedure
Primary	Change in function	Change in function will be measured using the Oxford Elbow score using a 48 point scale where a score of 0 indicates severe functional impairment and a score of 48 indicates no functional impairment	up to 12 months post-procedure