The Value of Platelet-Rich Plasma in Chronic Midportion Achilles Tendinopathy: a Double-blind Randomized Clinical Trial
PRICT
2 other identifiers
interventional
81
1 country
1
Brief Summary
The study will be a double-blind randomized single-center clinical trial comparing 3 treatment groups with chronic midportion Achilles tendinopathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Aug 2008
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2008
CompletedFirst Submitted
Initial submission to the registry
September 25, 2008
CompletedFirst Posted
Study publicly available on registry
September 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2009
CompletedMay 18, 2017
May 1, 2017
6 months
September 25, 2008
May 17, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
VISA-A Score
6, 12, 24 and 52 weeks
Secondary Outcomes (5)
Ultrasonographic Tissue Characterization
6,12, 24 and 52 weeks
Complications
Anytime
Power doppler sound
6, 12, 24 and 52 weeks
Patient satisfaction
6, 12, 24 and 52 weeks
Return to sport
6, 12, 24 and 52 weeks
Study Arms (2)
1
EXPERIMENTALCombination of eccentric exercises and injection of PRP
2
PLACEBO COMPARATORCombination of eccentric exercises and physiological saline injection
Interventions
Eligibility Criteria
You may qualify if:
- Clinical diagnosis "chronic midportion Achilles tendinopathy"
- Age 18-70 years
You may not qualify if:
- Clinical suspicion of insertional disorders (pain at the site of the insertion of the Achilles tendon on the calcaneum)
- Clinical suspicion of an Achilles tendon rupture (Thompson test abnormal and palpabel "gap")
- Clinical suspicion of plantar flexor tenosynovitis (posteromedial pain when the toes are plantar flexed against resistance)
- Clinical suspicion of n.suralis pathology (sensitive disorder in the area of the sural nerve)
- Clinical suspicion of peroneal subluxation (visible luxation of the mm. Peroneï spot in combination with localized pain)
- Suspicion of internal disorders: spondylarthropathy, gout, hyperlipidemia, Rheumatoid Arthritis and sarcoidosis.
- Condition that prevents the patients from executing an active exercise programme
- Patient has already performed eccentric exercises, according to the schedule of Alfredson et al (12 weeks)
- Patient has already received an injection of PRP for this injury
- Patient does not wish, for whatever reason, to undergo one of the two treatments
- Known presence of a pregnancy
- Condition of the Achilles tendon caused by medications (arising in relation to moment of intake), such as quinolones and statins
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Zimmer Biometlead
- Erasmus Medical Centercollaborator
Study Sites (1)
Erasmus Medical Center
Rotterdam, Netherlands
Related Publications (2)
Lagas IF, Tol JL, Weir A, de Jonge S, van Veldhoven PLJ, Bierma-Zeinstra SMA, Verhaar JAN, de Vos RJ. One fifth of patients with Achilles tendinopathy have symptoms after 10 years: A prospective cohort study. J Sports Sci. 2022 Nov;40(22):2475-2483. doi: 10.1080/02640414.2022.2163537. Epub 2023 Jan 8.
PMID: 36617848DERIVEDde Vos RJ, Weir A, van Schie HT, Bierma-Zeinstra SM, Verhaar JA, Weinans H, Tol JL. Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA. 2010 Jan 13;303(2):144-9. doi: 10.1001/jama.2009.1986.
PMID: 20068208DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
RJ De Vos, MD
Erasmus Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2008
First Posted
September 29, 2008
Study Start
August 1, 2008
Primary Completion
February 1, 2009
Study Completion
August 1, 2009
Last Updated
May 18, 2017
Record last verified: 2017-05