NCT05240872

Brief Summary

To explore effects of Autologous Blood Injection versus Platelet Rich plasma injection for treatment of chronic plantar fasciitis

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Mar 2020

Geographic Reach
1 country

1 active site

Status
completed

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

March 1, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2020

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 15, 2022

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

February 13, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 15, 2022

Completed
Last Updated

March 2, 2022

Status Verified

February 1, 2022

Enrollment Period

8 months

First QC Date

February 13, 2022

Last Update Submit

February 14, 2022

Conditions

Keywords

heel pain, platelet rich plasm, autologous blood injection

Outcome Measures

Primary Outcomes (3)

  • Changes in Visual Analogue Scale (VAS)

    Visual Analogue Scale 10 worst 0-1 best in terms of pain outcome

    0,1 st 3rd and 6th month; changes between time points will be assessed

  • Changes in American Orthopaedic Foot & Ankle Society (AOFAS ) Score

    American Orthopaedic Foot \& Ankle Society (AOFAS) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes Evaluation:0 worst 100 best

    0,1 st 3rd and 6th month; changes between time points will be assessed

  • Changes in Foot and Ankle Disability Index (FADI)

    Foot and Ankle Disability Index Evaluation:0 worst 100 best

    0,1 st 3rd and 6th month; changes between time points will be assessed

Study Arms (2)

Group A

ACTIVE COMPARATOR

Platelet Rich Plasm (PRP) injection group

Biological: PRP injection

Group B

ACTIVE COMPARATOR

Autologous Blood injection (ABI) group

Biological: ABI injection

Interventions

PRP injectionBIOLOGICAL

Plantar fascia injection therapy with PRP

Group A
ABI injectionBIOLOGICAL

ABI injection

Group B

Eligibility Criteria

Age40 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants who were diagnosed with chronic plantar fasciitis
  • Nonresponded to o conservative treatment (stretching exercises, nonsteroidal anti-inflammatory drugs, and heel pads) for at least 6 weeks
  • Patient should be able to understand the informed consent about type of treatment and blindness and randomization
  • Visual analog scale pain higher than 5 (on a 10-point visual analog scale)

You may not qualify if:

  • previous history of any type of local injection treatment for heel pain
  • history of surgery for heel pain, foot and ankle disorders, fractures
  • Associated pathology involving the lower limb such as
  • tarsal tunnel syndrome
  • effusion of the ankle indicating an intra-articular disease
  • Peroneal/Achilles/tibialis tendons pathology
  • any obvious deformity of foot and ankle,
  • Patients with systemic disorder like diabetes mellitus, ankylosing spondylitis rheumatoid arthritis, hematological disease, or gout
  • Pregnancy
  • Use of antiocoagulation -

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Atasehir Florence Nightingale Hospital

AtaÅŸehir, Istanbul, 34750, Turkey (TĂ¼rkiye)

Location

Related Publications (26)

  • Kalia RB, Singh V, Chowdhury N, Jain A, Singh SK, Das L. Role of Platelet Rich Plasma in Chronic Plantar Fasciitis: A Prospective Study. Indian J Orthop. 2020 Oct 6;55(Suppl 1):142-148. doi: 10.1007/s43465-020-00261-w. eCollection 2021 May.

    PMID: 34122767BACKGROUND
  • Latt LD, Jaffe DE, Tang Y, Taljanovic MS. Evaluation and Treatment of Chronic Plantar Fasciitis. Foot Ankle Orthop. 2020 Feb 13;5(1):2473011419896763. doi: 10.1177/2473011419896763. eCollection 2020 Jan.

    PMID: 35097359BACKGROUND
  • Bagcier F, Yilmaz N. The Impact of Extracorporeal Shock Wave Therapy and Dry Needling Combination on Pain and Functionality in the Patients Diagnosed with Plantar Fasciitis. J Foot Ankle Surg. 2020 Jul-Aug;59(4):689-693. doi: 10.1053/j.jfas.2019.09.038. Epub 2020 Apr 25.

    PMID: 32340838BACKGROUND
  • Landorf KB. Plantar heel pain and plantar fasciitis. BMJ Clin Evid. 2015 Nov 25;2015:1111.

    PMID: 26609884BACKGROUND
  • Stuber K, Kristmanson K. Conservative therapy for plantar fasciitis: a narrative review of randomized controlled trials. J Can Chiropr Assoc. 2006 Jun;50(2):118-33.

    PMID: 17549177BACKGROUND
  • Martin JE, Hosch JC, Goforth WP, Murff RT, Lynch DM, Odom RD. Mechanical treatment of plantar fasciitis. A prospective study. J Am Podiatr Med Assoc. 2001 Feb;91(2):55-62. doi: 10.7547/87507315-91-2-55.

    PMID: 11266478BACKGROUND
  • Kaya O, Hurel C, Gumussuyu G, Kose O. Bilateral calcaneal insufficiency fractures due to chronic carbamazepine use for trigeminal neuralgia: A case report. Niger J Clin Pract. 2020 Apr;23(4):574-576. doi: 10.4103/njcp.njcp_515_18.

    PMID: 32246668BACKGROUND
  • Gupta R, Malhotra A, Masih GD, Khanna T, Kaur H, Gupta P, Kashyap S. Comparing the Role of Different Treatment Modalities for Plantar Fasciitis: A Double Blind Randomized Controlled Trial. Indian J Orthop. 2020 Jan 20;54(1):31-37. doi: 10.1007/s43465-019-00038-w. eCollection 2020 Feb.

    PMID: 32257015BACKGROUND
  • Mahindra P, Yamin M, Selhi HS, Singla S, Soni A. Chronic Plantar Fasciitis: Effect of Platelet-Rich Plasma, Corticosteroid, and Placebo. Orthopedics. 2016 Mar-Apr;39(2):e285-9. doi: 10.3928/01477447-20160222-01. Epub 2016 Feb 25.

    PMID: 26913766BACKGROUND
  • Singh P, Madanipour S, Bhamra JS, Gill I. A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy. Int Orthop. 2017 Jun;41(6):1169-1181. doi: 10.1007/s00264-017-3470-x. Epub 2017 Apr 10.

    PMID: 28396927BACKGROUND
  • Jain SK, Suprashant K, Kumar S, Yadav A, Kearns SR. Comparison of Plantar Fasciitis Injected With Platelet-Rich Plasma vs Corticosteroids. Foot Ankle Int. 2018 Jul;39(7):780-786. doi: 10.1177/1071100718762406. Epub 2018 Mar 30.

    PMID: 29600719BACKGROUND
  • Yu T, Xia J, Li B, Zhou H, Yang Y, Yu G. Outcomes of platelet-rich plasma for plantar fasciopathy: a best-evidence synthesis. J Orthop Surg Res. 2020 Sep 21;15(1):432. doi: 10.1186/s13018-020-01783-7.

    PMID: 32958046BACKGROUND
  • Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, Weil LS Sr, Zlotoff HJ, Bouche R, Baker J; American College of Foot and Ankle Surgeons heel pain committee. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010 May-Jun;49(3 Suppl):S1-19. doi: 10.1053/j.jfas.2010.01.001.

    PMID: 20439021BACKGROUND
  • Shetty SH, Dhond A, Arora M, Deore S. Platelet-Rich Plasma Has Better Long-Term Results Than Corticosteroids or Placebo for Chronic Plantar Fasciitis: Randomized Control Trial. J Foot Ankle Surg. 2019 Jan;58(1):42-46. doi: 10.1053/j.jfas.2018.07.006. Epub 2018 Nov 15.

    PMID: 30448183BACKGROUND
  • Crawford F, Atkins D, Young P, Edwards J. Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial. Rheumatology (Oxford). 1999 Oct;38(10):974-7. doi: 10.1093/rheumatology/38.10.974.

    PMID: 10534548BACKGROUND
  • Tsai WC, Hsu CC, Chen CP, Chen MJ, Yu TY, Chen YJ. Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound. 2006 Jan;34(1):12-6. doi: 10.1002/jcu.20177.

    PMID: 16353228BACKGROUND
  • Tatli YZ, Kapasi S. The real risks of steroid injection for plantar fasciitis, with a review of conservative therapies. Curr Rev Musculoskelet Med. 2009 Mar;2(1):3-9. doi: 10.1007/s12178-008-9036-1. Epub 2008 Sep 19.

    PMID: 19468912BACKGROUND
  • Arnoczky SP, Sheibani-Rad S. The basic science of platelet-rich plasma (PRP): what clinicians need to know. Sports Med Arthrosc Rev. 2013 Dec;21(4):180-5. doi: 10.1097/JSA.0b013e3182999712.

    PMID: 24212364BACKGROUND
  • Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA. Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med. 2009 Nov;37(11):2259-72. doi: 10.1177/0363546509349921.

    PMID: 19875361BACKGROUND
  • Hall MP, Band PA, Meislin RJ, Jazrawi LM, Cardone DA. Platelet-rich plasma: current concepts and application in sports medicine. J Am Acad Orthop Surg. 2009 Oct;17(10):602-8. doi: 10.5435/00124635-200910000-00002.

    PMID: 19794217BACKGROUND
  • Ragab EM, Othman AM. Platelets rich plasma for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg. 2012 Aug;132(8):1065-70. doi: 10.1007/s00402-012-1505-8. Epub 2012 May 4.

    PMID: 22555761BACKGROUND
  • Martinelli N, Marinozzi A, Carni S, Trovato U, Bianchi A, Denaro V. Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop. 2013 May;37(5):839-42. doi: 10.1007/s00264-012-1741-0. Epub 2012 Dec 19.

    PMID: 23250352BACKGROUND
  • Wheeler PC, Dudson C. Similar Benefits Seen After Radial Extracorporeal Shockwave Therapy or Autologous Blood Injection in Patients With Chronic Plantar Fasciitis-A Retrospective Cohort Study. Clin J Sport Med. 2022 Mar 1;32(2):e107-e115. doi: 10.1097/JSM.0000000000000930.

    PMID: 34267064BACKGROUND
  • Lee TG, Ahmad TS. Intralesional autologous blood injection compared to corticosteroid injection for treatment of chronic plantar fasciitis. A prospective, randomized, controlled trial. Foot Ankle Int. 2007 Sep;28(9):984-90. doi: 10.3113/FAI.2007.0984.

    PMID: 17880872BACKGROUND
  • Karimzadeh A, Raeissadat SA, Erfani Fam S, Sedighipour L, Babaei-Ghazani A. Autologous whole blood versus corticosteroid local injection in treatment of plantar fasciitis: A randomized, controlled multicenter clinical trial. Clin Rheumatol. 2017 Mar;36(3):661-669. doi: 10.1007/s10067-016-3484-6. Epub 2016 Dec 12.

    PMID: 27957618BACKGROUND
  • Tsikopoulos K, Tsikopoulos A, Natsis K. Autologous whole blood or corticosteroid injections for the treatment of epicondylopathy and plantar fasciopathy? A systematic review and meta-analysis of randomized controlled trials. Phys Ther Sport. 2016 Nov;22:114-122. doi: 10.1016/j.ptsp.2016.02.002. Epub 2016 Feb 24.

    PMID: 27085490BACKGROUND

Study Officials

  • Celalettin Bildik, MD

    Istanbul Atasehir Florence Nightingale Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Orthopaedics and Traumatology Specialist

Study Record Dates

First Submitted

February 13, 2022

First Posted

February 15, 2022

Study Start

March 1, 2020

Primary Completion

October 30, 2020

Study Completion

January 15, 2022

Last Updated

March 2, 2022

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will share

According to permission of Institutional Review of Board and Ethical Committee; Participating demographics, outcome measures may be shared

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
After acceptance to publish
Access Criteria
permission of Institutional Review of Board and Ethical Committee

Locations