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Lateral EpicondylitisPhase 2NCT01746420

Phase II Study of the Effects of rhPDGF-BB Injection on Lateral Epicondylitis

A Phase 2 study testing rhPDGF-BB Injection in people with Lateral Epicondylitis, run by BioMimetic Therapeutics at 6 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether recombinant human platelet-derived growth factor (rhPDGF-BB) Injection is effective in the treatment of lateral epicondylitis (tennis elbow). Read more about this study

Who is it for?
Ages 21 to 80 years
Conditions the study is for
Lateral Epicondylitis
What is being tested?
rhPDGF-BB Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
6 sitesUnited States
Study dates
12 Dec 2012to 21 Oct 2014
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has signed the Institutional Review Board (IRB) approved Informed Consent Form specific to this study prior to enrollment
  • Subject has a clinical diagnosis of lateral epicondylitis
  • Subject's symptoms can be reproduced with resisted supination or wrist dorsiflexion
  • Subject's symptoms have persisted for at least 3 months despite conservative treatment that includes one or combinations of:
  • Physical therapy
  • Splinting
Show all 10Show fewer
  • Nonsteroidal antiinflammatory drug (NSAID)
  • Corticosteroid injection
  • Subject is independent, ambulatory, and can comply with all post-injection evaluations and visits
  • Subject is 21-80 years of age and considered to be skeletally mature

Who cannot join

  • Subject has undergone previous corticosteroid injection therapy to the effected elbow in less than three months prior to enrollment
  • Subject has received previous Platelet Rich Plasma (PRP) injection to the affected elbow
  • Subject is deemed to require a corticosteroid injection into the affected elbow during the course of the study
  • Subject uses chronic medications known to affect the skeleton (e.g. glucocorticoid usage >10mg/day)
  • Subject has undergone surgical intervention to the affected elbow for the treatment of lateral epicondylitis
  • Subject has a positive medical history of any of the following:
Show all 23Show fewer
  • medial epicondylitis
  • radial tunnel syndrome
  • carpal tunnel syndrome
  • septic or gouty arthritis
  • cervical radiculopathy
  • trauma to the affected elbow within the past 6 weeks
  • neuromuscular or musculoskeletal deficiency, which limits the ability to perform functional measurement (e.g. grip strength test)
  • Subject currently has an acute infection at the injection site
  • Subject has tested positive or been treated for a malignancy in the past or is suspected of having a malignancy or are currently undergoing radio- or chemotherapy treatment for a malignancy anywhere in the body, whether adjacent to or distant from the proposed rhPDGF-BB Injection treatment site
  • Subject is physically or mentally compromised (e.g. currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.) to the extent that the Investigator judges the subject to be unable or unlikely to remain compliant
  • Subject has an allergy to yeast-derived products
  • Subject has received an investigational therapy or approved therapy for investigational use within 30 days of injection procedure or during the follow-up phase of this study
  • Subject is a prisoner, or is known or suspected to be transient
  • Subject's condition represents a worker's compensation case
  • Subject is currently involved in a health-related litigation procedure
  • Subject has documented evidence of a history (e.g. liver testing) of drug/alcohol abuse within the 12 months prior to screening for study entry
  • Subject is pregnant, or able to become pregnant but not practicing a medically-accepted form of birth control, and/or intending to become pregnant during this study period

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Coastal Orthopedics & Sports Medicine

    Bradenton, Florida, 34209

  • OrthoCarolina

    Charlotte, North Carolina, 28207

  • NEA Baptist Clinic

    Jonesboro, Arkansas, 72401

  • Arizona Research Center

    Phoenix, Arizona, 85023

  • Foundation for Orthopaedic Research and Education

    Tampa, Florida, 33637

  • Tucson Orthopaedic Institute

    Tucson, Arizona, 85712

Other trials in United States

About this study

Official title: A Phase II Randomized, Single Ascending Dose, Double-blinded, Placebo Controlled, Multi-center Study of the Effects of rhPDGF-BB Injection on Lateral Epicondylitis

The purpose of this study is to determine whether recombinant human platelet-derived growth factor (rhPDGF-BB) Injection is effective in the treatment of lateral epicondylitis (tennis elbow).

Read the detailed description

Methodology: Randomized, single ascending dose, double-blinded, placebo controlled, multi-center study

Study Center(s): 6

Number of Subjects: 100

Diagnosis and Main Inclusion Criteria: Lateral epicondylitis; male and female subjects 21 -80 years of age

Study Drug, Dose, Regimen:

Dose A: sodium acetate buffer alone - placebo control Dose B: sodium acetate buffer + 0.45 mg rhPDGF-BB Dose C: sodium acetate buffer + 0.75 mg rhPDGF-BB Dose D: sodium acetate buffer + 1.5 mg rhPDGF-BB Dose E: sodium acetate buffer + 3.0 mg rhPDGF-BB

Duration and Route of Administration: Single administration dose by injection into the extensor carpi radialis brevis (ECRB)

Duration of Follow-up: 24 weeks (6 months) post-operative follow-up

Being tested
rhPDGF-BB Injection, Placebo
Keywords
elbow
Medical subject headings
Tennis Elbow

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rhPDGF-BB InjectionDrug

    Comparison of placebo control (0 mg rhPDGF-BB) and different dosages (0.45, 0.75, 1.5, and 3.0 mg) of rhPDGF-BB Injection administered through a one-time injection

  • PlaceboDrug

    sodium acetate buffer (0 mg rhPDGF-BB)

Study groups in NCT01746420
Study groupRoleWhat they receive
Placebo ControlPlacebo comparatorDose A - sodium acetate buffer (0 mg rhPDGF-BB)
Receives: Drug: Placebo
0.45 mg rhPDGF-BBExperimentalDose B - sodium acetate buffer + 0.45 mg rhPDGF-BB
Receives: Drug: rhPDGF-BB Injection
0.75 mg rhPDGF-BBExperimentalDose C - sodium acetate buffer + 0.75 mg rhPDGF-BB
Receives: Drug: rhPDGF-BB Injection
1.5 mg rhPDGF-BBExperimentalDose D - sodium acetate buffer + 1.5 mg rhPDGF-BB
Receives: Drug: rhPDGF-BB Injection
3.0 mg rhPDGF-BBExperimentalDose E - sodium acetate buffer + 3.0 mg rhPDGF-BB
Receives: Drug: rhPDGF-BB Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Elbow Pain Assessments (VAS), Treated Subjects

    Subjects were asked to report current pain level at the fusion site on a 100 mm Visual Analog Scale (with 0 being no pain and 100 being worst pain imaginable).

    Measured: Baseline, 2, 4, 8, 12, and 24 weeks

  2. Disabilities of the Arm, Shoulder and Hand (DASH), Treated Subjects

    The disabilities of the arm, shoulder and hand (DASH) questionnaire is a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100.

    Measured: Baseline, 4, 8, 12, and 24 weeks

  3. Total Score Patient Rated Tennis Elbow Evaluation (PRTEE), All Treated Subjects

    The Pain and disability measured by the Patient Rated Tennis Elbow Evaluation (PRTEE) is a 15-item questionnaire designed to measure forearm pain and disability in patients with lateral epicondylitis (also known as "tennis elbow"). The PRTEE allows patients to rate their levels of tennis elbow pain and disability from 0 to 10, and consists of 2 subscales:

    1. PAIN subscale (0 = no pain, 10 = worst imaginable) -Pain - 5 items
    2. FUNCTION subscale (0 = no difficulty, 10 = unable to do)
    • Specific activities - 6 items
    • Usual activities - 4 items

    In addition to the individual subscale scores, a total score can be computed on a scale of 100 (0 = no disability), where pain and functional problems are weighted equally

    Measured: Baseline, 4, 8, 12, and 24 weeks

  4. Grip Strength Test, All Treated Subjects

    Grip strength testing will be performed to evaluate changes in the strength and sincerity of effort as a result of treatment for lateral epicondylitis. Testing will be performed to assess the pain-free grip strength (performing the test until discomfort is felt) and maximum grip strength (performing the test to the maximum of their ability). The test will be performed while the patient is standing with the elbow in full extension, as this position has been used to assess grip strength in patients with lateral epicondylitis. A Jamar Plus+ Digital Hand Dynamometer with the grip in the second position will be used because the second position has been assumed to be the most reliable and consistent position. Patients will be asked to perform three repetitions of each test (pain-free and maximum) at each study interval and the mean score will be calculated and used for analysis.

    Measured: Baseline, 4, 8, 12, and 24 weeks

  5. Maximum Grip Strength, Treated Subjects

    A higher grip strength score indicates an improvement. A positive change from baseline indicates an improvement. Grip strength testing will be performed to evaluate changes in the strength and sincerity of effort as a result of treatment for lateral epicondylitis. Testing will be performed to assess the pain-free grip strength (performing the test until discomfort is felt) and maximum grip strength (performing the test to the maximum of their ability). The test will be performed while the patient is standing with the elbow in full extension, as this position has been used to assess grip strength in patients with lateral epicondylitis. A Jamar Plus+ Digital Hand Dynamometer with the grip in the second position will be used because the second position has been assumed to be the most reliable and consistent position. Patients will be asked to perform three repetitions of each test (pain-free and maximum) at each study interval and the mean score will be calculated and used for analysis.

    Measured: Baseline, 4, 8, 12, and 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2012 (estimated)
  2. Study start12 Dec 2012
  3. Primary completion21 Oct 2014
  4. Study completion21 Oct 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01746420
Sponsor's protocol ID
BMTI-2010-02
Status last verified
Jun 2019
First submitted
7 Dec 2012
Last updated
2 Jul 2019
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing rhPDGF-BB Injection in people with Lateral Epicondylitis, run by BioMimetic Therapeutics at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Elbow Pain Assessments (VAS), Treated Subjects (time frame: Baseline, 2, 4, 8, 12, and 24 weeks). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2019.

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