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NCT06160427 | RECRUITING | Tendinopathy


Connective Tissue Matrix for Rotator Cuff Tendinopathy
Sponsor:

Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)

Information provided by (Responsible Party):

Patrick Demeo, MD

Brief Summary:

The purpose of this research study is to determine if the effectiveness of a single injection of CTM Boost in the treatment of patients with rotator cuff tendinopathy (RCT) is as effective as a single injection of platelet rich plasma (PRP) in reducing the symptoms of RCT.

Condition or disease

Tendinopathy

Shoulder Pain

Rotator Cuff Tendinitis

Rotator Cuff Tendinosis

Intervention/treatment

CTM Boost

PRP

Phase

PHASE4

Detailed Description:

Rotator cuff tendinopathy (RCT), is a chronic degenerative process which causes both shoulder pain as well as limited range of motion. It is currently estimated that approximately 5% of RCT is being managed surgically, which highlights the importance of effective non-operative treatment strategies. The advent of platelet rich plasma (PRP), a sample of blood drawn from a patient and concentrated to include mainly platelets and potent inflammatory mediators which promote healing, has shown promise as another treatment modality when injected at the site of tendon damage. Placenta-derived decellularized connective tissue matrix (CTM) may represent an alternative therapy for RCT. Placenta-derived biologics can be administered as an injection and have been shown to promote tenocyte proliferation and to reduce inflammation in vitro, thus potentially accelerating and enhancing tendon healing. This study is being conducted to determine if injection of CTM Boost is non-inferior to injection of PRP with regard to pain and function at Month 6 post-injection in patients with rotator cuff tendinopathy.

Study Type : INTERVENTIONAL
Estimated Enrollment : 92 participants
Masking : TRIPLE
Masking Description : Participants will be randomized to one of the two arms by unblinded research personnel. Unblinded key study personnel will prepare the injection of either CTM Boost or PRP using an opaque sleeve to obscure the contents of the injection. Both patients and investigators will be blinded to treatment arm. Each participant will undergo an antecubital blood draw of 60 milliliers (mL). Staff will wait about 20 minutes after the blood draw to injection time. This will be done to maintain blinding due to the 17 minutes it takes for the system to produce PRP. For patients in the CTM arm, the PRP blood draw serves as a placebo draw and the specimen will be discarded afterwards, in order to maintain blinding
Primary Purpose : TREATMENT
Official Title : Connective Tissue Matrix (CTM) for Rotator Cuff Tendinopathy: A Randomized Controlled Trial
Actual Study Start Date : 2023-12-04
Estimated Primary Completion Date : 2027-01-15
Estimated Study Completion Date : 2028-01-15

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years to 80 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Patients aged 18-80 years old with rotator cuff tendinopathy
  • * A PRP or CTM-type injection was determined by the clinician to be the proper medical treatment course and patient is willing to undergo the injection
Exclusion Criteria
  • * Patients with adhesive capsulitis
  • * Patients with acromio-clavicular joint impingement, retracted tears, significant labral lesions or significant glenohumeral arthrosis
  • * Patients with joint instability
  • * History of shoulder surgery or corticosteroid injection in the past 3 months
  • * Patients with any medical conditions that affect healing, such as end-stage renal disease or uncontrolled diabetes

Connective Tissue Matrix for Rotator Cuff Tendinopathy

Location Details

NCT06160427


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Locations


RECRUITING

United States, Pennsylvania

Allegheny Health Network Allegheny General Hospital

Pittsburgh, Pennsylvania, United States, 15212

RECRUITING

United States, Pennsylvania

Allegheny Health Network Federal North Medical Office Building

Pittsburgh, Pennsylvania, United States, 15212

RECRUITING

United States, Pennsylvania

AHN Wexford Health & Wellness Pavilion

Wexford, Pennsylvania, United States, 15090

RECRUITING

United States, Pennsylvania

AHN Wexford Hospital

Wexford, Pennsylvania, United States, 15090

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