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Shoulder TendinopathyNUTRITENDONNCT06536582

Nutrition Impact on PRGF Treatment for Tendinopathy

An observational study of Shoulder Tendinopathy and Metabolic Alterations, run by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Given the close correlation reported in the literature between onset and progression of tendon pathology in subjects affected by the alteration of metabolic disorders such as obesity, diabetes mellitus and lipidic metabolic alterations, with the present study the association between the nutritional state, metabolic… Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Shoulder Tendinopathy, Metabolic Alterations
What is being tested?
Platelet rich growth factor injection (autologous product)
Type of treatment
Injection or infusion
How many people
52 participants
Where
1 siteItaly
Study dates
15 Feb 2024to 15 Feb 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Male and female patients, between 18 and 70 years old suffering from shoulder tendinopathy undergoing a conservative regenerative medicine procedure with autologous PRGF at the IRCCS Galeazzi-Sant'Ambrogio Hospital of Milan and participants at the observational study "Use of patients- Reported Outcome Measures (PROM), objective clinical assessments and biomolecular technologies for monitoring patients undergoing treatments regenerative medicine" [REGAIN] will be enrolled for this study. 46 patients will be needed: 1. 23 subjects with body mass index (BMI) between 18.5 and 25 therefore considered normal weight, who undergo treatment with PRGF; 2. 23 subjects with BMI values that exceed the considered range normal weight, therefore with BMI>25, who undergo the PRGF treatment.

Who may be able to join

  • Male and female
  • Age ≥18 years and ≤ 70 years
  • Patients presenting shoulder tendinopathy
  • Signing of the Informed Consent of the Regain observational study
  • Signature of informed consent of the present study.

Who cannot join

  • Pregnancy (ascertained by self-declaration), breastfeeding
  • Inability to follow the study protocol
  • Heart, kidney, oncological disease
  • Neuropsychiatric disease
  • Other conditions that, at the discretion of the investigator or physician, exclude enrollement

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site, 1 recruiting
  • I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio

    Milan, 20173

    Elena Cittera, 00390283502224, elena.cittera@grupposandonato.it

    Paola De Luca

    Recruiting

Other trials in Italy

About this study

Official title: Nutrition as a Risk Factor and Predictor of Treatment Outcome With Plasma Rich Growth Factors for Shoulder Tendinopathy

Given the close correlation reported in the literature between onset and progression of tendon pathology in subjects affected by the alteration of metabolic disorders such as obesity, diabetes mellitus and lipidic metabolic alterations, with the present study the association between the nutritional state, metabolic profile and clinical outcome of patients following treatment with blood-derived orthobiological for shoulder tendinopathies will be evaluated.

The primary aim of this study is to identify the proportion of tendinopatic patients responsive and non-responsive to treatment with "Platelet rich growth factors" PRGF at six months follow up and the correlation with their nutritional status.

Read the detailed description

This is a single-center, observational study with an additional procedure (extra blood sampling routine, food questionnaires, anthropometric measurements for the evaluation of nutritional status), prospective, uncontrolled.

Male and female patients, between 18 and 70 years old suffering from tendinopathy of the shoulder who undergo conservative regenerative medicine procedures with autologous PRGF material at the IRCCS Galeazzi-Sant'Ambrogio Hospital of Milan and participants in the observational study "Use of Patient- Reported Outcome Measures (PROMs), objective clinical assessments and biomolecular technologies for monitoring patients undergoing treatments regenerative medicine" [REGAIN] will be enrolled for this study.

46 patients will be needed:

  1. 23 subjects with body mass index (BMI) between 18.5 and 25 therefore considered normal weight, who undergo treatment with PRGF;
  2. 23 subjects with BMI values that exceed the considered range normal weight, therefore with BMI>25, who undergo the PRGF treatment.

The general aim of the present study is to evaluate the correlation between the nutritional status of patients, the characteristics of the orthobiological product used for the treatment of shoulder tendon pathology and clinical outcomes after one-step conservative regenerative medicine treatment with PRGF in order to identify the ideal nutritional conditions to obtain the best clinical outcome from this type of treatment.

The primary objective of this study is to identify the proportion of tendinopatic patients responsive and non-responsive to treatment with orthobiological "Platelet rich growth factors" PRGF at six month follow up and the correlation with their nutritional status. To this end, responsive patients and non-responsive will be identified on the basis of the results of the VAS, ASES, Quick Dash, SPADI, WOOS scores, and Work index.

The secondary objectives of the study will be:

  1. to Identify the proportion of responsive and non-responsive patients presenting shoulder tendinopathy to treatment with orthobiological "Platelet rich growth factors" PRGF at two and twelve months follow up and the correlation with their nutritional status. For this purpose, responsive and non-responsive patients will be identified on the basis of the results of the VAS, ASES, Quick Dash, SPADI scores, WOOS, and Work index.

Characterization of the PRGF product used for the treatment of each patient that will occur by qualitative and quantitative analysis of the content in extracellular vesicles, analysis of a panel of cytokines, chemokines and growth factors linked to inflammation and correlated to the state nutritional information of patients (e.g. resistin, P-selectin, interleukins etc.).

Being tested
Platelet rich growth factor injection (autologous product)
Keywords
nutritional status, responder and non-responder patients, orthobiologics, Platelet rich growth factors

What participants receive

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

  • Platelet rich growth factor injection (autologous product)Biological

    All patients will undergo two PRGF injections, one at recruitment and one 14 days after the first injection. The injection site will be the shoulder with tendinopathy.

Study groups in NCT06536582
Study groupRoleWhat they receive
Normal weight patients23 subjects with body mass index (BMI) between 18.5 and 25 therefore considered normal weight, who undergo treatment with PRGF.
Receives: Biological: Platelet rich growth factor injection (autologous product)
Over weight patients23 subjects with BMI values that exceed the considered range normal weight, therefore with BMI>25, who undergo the PRGF treatment
Receives: Biological: Platelet rich growth factor injection (autologous product)

What is being measured

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

  1. Responder and non-responder patient identification at 6 months follow-up.

    The primary objective of this study is to identify the proportion of responder and non-responder patients with shoulder tendinopathy to treatment with orthobiological "Platelet rich growth factors" PRGF at six month follow up. Responsive and non-responsive patients will be identified on the basis of the results of the VAS, ASES, Quick Dash, SPADI, WOOS scores, and Work index.

    Measured: 0-24 months

  2. Identification of nutritional status of responder and non-responder patients: complete blood count

    Complete blood count (cell number/dl)

    Measured: 0-24 months

  3. Identification of nutritional status of responder and non-responder patients: blood glucose

    Blood glucose (mg/dl)

    Measured: 0-24 months

  4. Identification of nutritional status of responder and non-responder patients: Hemoglobin A1C (HbA1c)

    Hemoglobin A1C (HbA1c): mmol/mol

    Measured: 0-24 months

  5. Identification of nutritional status of responder and non-responder patients: urea

    Urea: mg/dl

    Measured: 0-24 months

  6. Identification of nutritional status of responder and non-responder patients: creatinine

    Creatinine: mg/dl

    Measured: 0-24 months

  7. Identification of nutritional status of responder and non-responder patients: siderosis

    siderosis: ug/dl

    Measured: 0-24 months

  8. Identification of nutritional status of responder and non-responder patients: tryglicerides

    tryglicerides (mg/dl)

    Measured: 0-24 months

  9. Identification of nutritional status of responder and non-responder patients: cholesterol

    Cholesterol (mg/dl)

    Measured: 0-24 months

  10. Identification of nutritional status of responder and non-responder patients: Cholesterol HDL

    Cholesterol HDL (mg/dl)

    Measured: 0-24 months

  11. Identification of nutritional status of responder and non-responder patients: Glutamate-oxaloacetate transaminase

    Glutamate-oxaloacetate transaminase: (U/l)

    Measured: 0-24 months

  12. Identification of nutritional status of responder and non-responder patients: Glutamate-pyruvate transaminase

    Glutamate-pyruvate transaminase: (U/l)

    Measured: 0-24 months

  13. Identification of nutritional status of responder and non-responder patients: gamma GT

    Gamma GT: U/l

    Measured: 0-24 months

  14. Identification of nutritional status of responder and non-responder patients: calcium

    Calcium: mg/dl

    Measured: 0-24 months

  15. Identification of nutritional status of responder and non-responder patients: Vitamin D (25 OH)

    Vitamin D (25 OH): ng/ml

    Measured: 0-24 months

  16. Identification of nutritional status of responder and non-responder patients: ferritin

    Ferritin (ng/ml)

    Measured: 0-24 months

  17. Identification of nutritional status of responder and non-responder patients:

    C reactive protein: (mg/dl)

    Measured: 0-24 months

  18. Identification of nutritional status of responder and non-responder patients: thyroid stimulating hormone (TSH)

    thyroid stimulating hormone (TSH): uIU/ml

    Measured: 0-24 months

  19. Identification of nutritional status of responder and non-responder patients: Insulin

    Insulin: uU/ml

    Measured: 0-24 months

  20. Identification of nutritional status of responder and non-responder patients: Folates

    Folates (ng/ml)

    Measured: 0-24 months

  21. Identification of nutritional status of responder and non-responder patients: vitamin B 12

    Vitamin B 12 (pg/ml)

    Measured: 0-24 months

  22. Anthropometric measurement: weight

    weight (kg) measurement

    Measured: 0-24 months

  23. Anthropometric measurement: height

    height (m) measurement

    Measured: 0-24 months

  24. Anthropometric measurement: waist circumference

    waist circumference (cm) measurement

    Measured: 0-24 months

  25. Anthropometric measurement: arm circumference measurements

    arm circumference measurements (cm)

    Measured: 0-24 months

  26. Anthropometric measurement: biceps folds measurement

    biceps folds measurement (mm)

    Measured: 0-24 months

  27. Anthropometric measurement: triceps folds measurement

    triceps folds measurement (mm)

    Measured: 0-24 months

  28. Anthropometric measurement: subscapular folds measurement

    subscapular folds measurement (mm)

    Measured: 0-24 months

  29. Anthropometric measurement: suprailiac folds measurement

    suprailiac folds measurement (mm)

    Measured: 0-24 months

Secondary outcomes (8)
  1. Responder and non-responder patient identification at 2 months follow-up.

    The secondary objectives of the study will be:

    to Identify the proportion of patients with shoulder tendinopathy responsive and non-responsive to treatment with orthobiological "Platelet rich growth factors" PRGF at two months follow up. For this purpose, responsive and non-responsive patients will be identified on the basis of the results of the VAS, ASES, Quick Dash, SPADI scores, WOOS, and Work index.

    Measured: 2-26 months

  2. Responder and non-responder patient identification at 12 months follow-up.

    The secondary objectives of the study will be:

    to Identify the proportion of patients with shoulder tendinopathy responsive and non-responsive to treatment with orthobiological "Platelet rich growth factors" PRGF at twelve months follow up. For this purpose, responsive and non-responsive patients will be identified on the basis of the results of the VAS, ASES, Quick Dash, SPADI scores, WOOS, and Work index.

    Measured: 12-36 months

  3. The Platelet rich growth factors "PRGF" product used for the treatment of each patient will be characterizated: extracellular vesicles count

    extracellular vesicles count: number/ml

    Measured: 24-26 months

  4. The PRGF product used for the treatment of each patient will be characterizated: extracellular vesicles marker quantification

    Identification of extracellular vesicles markers: Arbitrary Fluorescence Unit

    Measured: 24-26 months

  5. The PRGF product used for the treatment of each patient will be characterizated- quantitative analysis of cytokines: CXCL8

    Quantitative analysis of cytokines (CXCL8): pg/ml

    Measured: 24-26 months

  6. The PRGF product used for the treatment of each patient will be characterizated- quantitative analysis of growth factors: G-CSF

    Quantitative analysis of growth factors: G-CSF (pg/ml)

    Measured: 24-26 months

  7. The PRGF product used for the treatment of each patient will be characterizated- quantitative analysis of resistin

    Quantitative analysis of resistin: pg/ml

    Measured: 24-26 months

  8. The PRGF product used for the treatment of each patient will be characterizated- quantitative analysis of P-selectin

    Quantitative analysis of P-selectin: pg/ml

    Measured: 24-26 months

Timeline

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

  1. First posted5 Aug 2024
  2. Study start15 Feb 2024
  3. Primary completion15 Aug 2026 (estimated)
  4. Study completion15 Feb 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
52 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06536582
Sponsor's protocol ID
NUTRITENDON
Other IDs
5xmille 2021CUPC43C2200237000, L1054 Ricerca corrente
Acronym
NUTRITENDON
Status last verified
Jul 2024
First submitted
19 Mar 2024
Last updated
5 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Shoulder Tendinopathy and Metabolic Alterations, run by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio at 1 site in Italy.

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 5 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 5 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Paola De Luca, PhD (+39 3921385179, deluca.paola@grupposandonato.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Responder and non-responder patient identification at 6 months follow-up. (time frame: 0-24 months). The study lists 29 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 5 Aug 2024.

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