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Trial registered on ANZCTR
Registration number
ACTRN12620000802909
Ethics application status
Approved
Date submitted
13/04/2020
Date registered
10/08/2020
Date last updated
10/08/2020
Date data sharing statement initially provided
10/08/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Analysis of Patient Outcomes following Platelet Rich Plasma Treatment
for Joint Osteoarthritis
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Scientific title
Analysis of Patient Outcomes following Platelet Rich Plasma Treatment
for Joint Osteoarthritis
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Secondary ID [1]
300994
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthiritis
317037
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Musculoskeletal pain
317038
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Condition category
Condition code
Musculoskeletal
315199
315199
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0
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Osteoarthritis
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Musculoskeletal
315200
315200
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The observational study assessed the effectivenes of Platelet Rich Plasma (PRP) on Non-specific Ankle Pain and Knee Osteoarthritis. Pain levels was assessed from baseline (before PRP injection) to 2-3 months after final PRP treatment. This data was collected retrospectively.
In order to prepare a single injection of PRP with supra-physiological platelet concentrations of up to three times normal, 17 mL of blood was collected from the patient’s cubital vein using a 21 G needle to a blood collection tube containing 1 mL of acid citrate, trisodium citrate-22.0g/L and citric acid-8.0g/L. Thus, two PRP tubes were produced, each containing 8.5 mL of blood. the buffy coat and plasma layers (PRP) were collected from the patient’s PRP tubes via an 18 G needle, into a single syringe. The volume of PRP in the syringe ranged from 7-8 mL.
Knee- 7-8ml PRP injection, average of 4 treatments across 6 weeks
Ankle joint- 7-8ml PRP injection, average of 4 treatments across 6 weeks
Ankle Ligament- 5ml PRP injection, average of 3 treatments across 4 weeks
The PRP treatment was administered by a number of general practitioners specialising in musculoskeletal conditions who have been trained in PRP treatment. Administeration was conducted at a number of medical clinics. Pain assessment was carried out 2-3 months following PRP administration.
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Intervention code [1]
317320
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Pain, assessed by the visual analogue scale consists of an 11 point scale with 0 being 'no pain at all' and 10 being ‘worst imaginable pain.’
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Assessment method [1]
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Timepoint [1]
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Baseline (before PRP injection) and within 2-3 months following the participant’s final PRP treatment. The date of the final PRP treatment was noted for each participant and was used as a guide to determine when the 2-3 month follow up would happen.
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Secondary outcome [1]
382006
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Pain was the main outcome measure, no secondary measures
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Assessment method [1]
382006
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Timepoint [1]
382006
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None
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Eligibility
Key inclusion criteria
• Were 18 years and over of age.
• They received PRP treatment for pain and/or loss of function due to knee OA.
• They received PRP treatment for pain and/or loss of function due to pes anserine bursitis.
• They received PRP treatment for pain and/or loss of function due to ankle osteoarthritis.
• They received PRP treatment for pain and/or loss of function due to an anterior talofibular ligament sprain.
• They received PRP treatment for pain and/or loss of function due to an anterior talofibular ligament tear.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Were under 18 years of age.
• Were immuno-compromised.
• Had a current malignancy.
• Had a current or recent joint infection.
• Had taken non-steroidal anti-inflammatory drugs 2 days before treatment or corticosteroids during the three weeks before treatment.
• Were pregnant or breastfeeding.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
A repeated measures t-test of variance was conducted to assess pain score differences between the baseline visit and approximately 10 weeks following the final visit. An analysis of covariance (ANCOVA) was conducted to determine whether there was a difference in the change in pain between knee and ankle treatments. This analysis was used to control for potential continuous confounder variables such as the number of treatments. Potential confounding variables were assessed using the correlation regression analyses generated in the ANCOVA, with covariates included in the ANCOVA only if they had a significant effect (p < 0.05) on the VAS pain scores.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
7/06/2018
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Date of last participant enrolment
Anticipated
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Actual
7/06/2018
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Date of last data collection
Anticipated
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Actual
7/06/2019
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Sample size
Target
1078
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Accrual to date
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Final
1078
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
29989
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3144 - Malvern
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Funding & Sponsors
Funding source category [1]
305440
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Other
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Name [1]
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surecell Medical Clinic
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Address [1]
305440
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1291 Malvern Road, Malvern VIC 3144
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Country [1]
305440
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Australia
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Primary sponsor type
Other
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Name
Surecell Medical Clinic
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Address
1291 Malvern Road, Malvern VIC 3144
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
305837
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Address [1]
305837
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Country [1]
305837
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305758
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National Institute of Integrative Medicine Human Research Ethics Committee
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Ethics committee address [1]
305758
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21 Burwood rd, Hawthorn, Victoria, 3122
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Ethics committee country [1]
305758
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Australia
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Date submitted for ethics approval [1]
305758
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07/06/2018
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Approval date [1]
305758
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07/06/2018
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Ethics approval number [1]
305758
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0046E_2018
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Summary
Brief summary
Platelet Rich Plasma (PRP) is a preparation of autologous plasma enriched with a platelet concentration above that normally contained in whole blood. PRP can be used to treat orthopaedic conditions including osteoarthritis, bursitis, muscle strain, tendinitis, and tendinosis. The aim of the present study was to compare the response of knees and ankles following platelet rich plasma (PRP) treatment. It was hypothesised that the application of PRP treatment to non-specific ankle pain cases would result in a significant reduction in self-reported pain.
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Trial website
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Trial related presentations / publications
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Public notes
The participants consented to have their collected data analysed for research purposes. Ethics approval was obtained to analyse the collected study data retrospectively which is when data collection commenced.
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Contacts
Principal investigator
Name
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Mr Nikolaj Travica
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Address
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National Institute of Integrative Medicine (NIIM), 21 Burwood rd, Hawthorn Victoria, 3122
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Country
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Australia
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Phone
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+61 3 9912 9544
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nikolaj Travica
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Address
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National Institute of Integrative Medicine (NIIM), 21 Burwood rd, Hawthorn Victoria, 3122
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Country
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Australia
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Phone
101495
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+61 3 9912 9544
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Fax
101495
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Email
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[email protected]
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Contact person for scientific queries
Name
101496
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Nikolaj Travica
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Address
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National Institute of Integrative Medicine (NIIM), 21 Burwood rd, Hawthorn Victoria, 3122
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Country
101496
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Australia
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Phone
101496
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+61 3 9912 9544
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Fax
101496
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Email
101496
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
7609
Study protocol
379609-(Uploaded-13-04-2020-22-18-23)-Study-related document.docx
7610
Ethical approval
379609-(Uploaded-13-04-2020-22-19-05)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF