Musculoskeletal Diseases or ConditionsEarly Phase 1PROREGENNCT07434115
Orthobiological Therapies in Musculoskeletal Disorders
A Early Phase 1 study testing PRP injection, Bone Marrow Concentrate (BMAC) and Hyaluronic Acid (Viscosupplementation) in people with Musculoskeletal Diseases or Conditions, run by PROREGEN at 1 site in Brazil.
Trial summary
To evaluate the clinical and functional effects of using orthobiological therapies (hyaluronic acid, platelet-rich plasma, bone marrow aspirate, nanofat, among others) in the treatment of various musculoskeletal diseases in patients routinely treated at the Proregen Medical Clinic and its affiliates. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Musculoskeletal Diseases or Conditions
- What is being tested?
- PRP injection, Bone Marrow Concentrate (BMAC) and Hyaluronic Acid (Viscosupplementation)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 1 siteBrazil
- Study dates
- 16 Sep 2026to Jan 2030
- Phase
- Early Phase 1
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 or older;
- Clinical and/or radiological diagnosis of an eligible musculoskeletal condition;
- Formal clinical indication for treatment with orthobiological agents, according to routine care;
- Regular access to the WhatsApp application, ensuring the necessary communication for sending and receiving digital questionnaires and other study instructions;
- Ability to understand the study and sign the Informed Consent Form.
Who cannot join
- Medical contraindication to the use of orthobiologics (e.g., active infection, severe hematological diseases, active cancer);
- Recent use (≤3 months) of orthobiologic therapies in the same area to be treated;
- Pregnant or breastfeeding women;
- Cognitive or psychiatric diseases that prevent adequate clinical follow-up;
- Simultaneous participation in another interventional clinical study with the same therapeutic purpose.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Brazil1 site, 1 recruiting
- Recruiting
Clínica Proregen | Clínica Ortopédica em Bento | Dr. André Kruel
Bento Gonçalves, Rio Grande do Sul, 95700-066
Secretária responsável, 5437020302, contato@proregen.com.br
About this study
Official title: Clinical and Functional Evaluation of Orthobiological Therapies in Musculoskeletal Conditions
To evaluate the clinical and functional effects of using orthobiological therapies (hyaluronic acid, platelet-rich plasma, bone marrow aspirate, nanofat, among others) in the treatment of various musculoskeletal diseases in patients routinely treated at the Proregen Medical Clinic and its affiliates.
The sample will consist of adult patients (≥18 years), of both sexes, with different musculoskeletal diagnoses involving joints, tendons, ligaments, cartilage or bone, among others.
Read the detailed description
Orthobiological therapies, such as hyaluronic acid, platelet-rich plasma, bone marrow aspirate concentrate, and adipose tissue derivatives, have been widely used in the management of musculoskeletal pathologies, including tendinopathies, osteoarthritis, and delayed bone consolidation. However, scientific evidence is still limited by the heterogeneity of protocols, populations, and evaluation methods. This umbrella project aims to prospectively record and analyze the clinical and functional outcomes associated with the use of these therapies in patients treated according to institutional medical indications. Participants with different osteoarticular pathologies undergoing routine orthobiological treatment at the Proregen Medical Clinic and its affiliates will be included. The central hypotheses of the study are that orthobiological therapies present measurable clinical benefits in terms of pain, function, and quality of life in various osteoarticular indications; that the safety of these approaches is adequate when performed under defined clinical criteria; and that it is possible to identify patterns of greater efficacy according to the type of orthobiological agent, the pathology, and the follow-up time. As an expected conclusion, the study aims to generate real clinical data that can serve as a basis for derivative studies, in addition to contributing to the standardization and rationalization of the use of orthobiological therapies in orthopedic practice.
- Conditions
- Musculoskeletal Diseases or Conditions
- Being tested
- PRP injection, Bone Marrow Concentrate (BMAC), Hyaluronic Acid (Viscosupplementation), Nanofat
- Medical subject headings
- Musculoskeletal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PRP injectionBiological
Obtained by centrifuging blood, it concentrates platelets and growth factors for regeneration.
Bone Marrow Concentrate (BMAC)Biological
Bone marrow aspirate, rich in mesenchymal stem cells and progenitor cells for tissue repair.
Hyaluronic Acid (Viscosupplementation)Biological
Used for joint lubrication and cartilage protection, very common in osteoarthritis.
NanofatBiological
It is an even more refined and liquefied form of processed fat, used primarily for high-precision tissue repair.
| Study group | Role | What they receive |
|---|---|---|
| Use of orthobiological products in musculoskeletal conditions. | Experimental | After an evaluation by a medical professional, the patient will be advised on the best orthobiological treatment for their case. Receives: Biological: PRP injection; Biological: Bone Marrow Concentrate (BMAC); Biological: Hyaluronic Acid (Viscosupplementation); Biological: Nanofat |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain scale
Changes in pain scores six months after treatment with orthobiological materials.
The following scale will be used:
VAS - Visual Analog Scale (0 to 10 cm): The patient marks, with a line or dot, the location on the line that best represents the pain they are feeling at that moment. 0 cm → "no pain" / 10 cm → "worst pain imaginable".
Measured: From registration until six months, one year, and two years. Two years is the final follow-up period.
Joint function
Changes observed in joint function in patients who received orthobiological treatment after 6 months. The following scales will be used:
WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index): is a questionnaire specific to osteoarthritis, widely validated and used in clinical research. It assesses symptoms and functional impact of osteoarthritis. The WOMAC consists of 24 items, divided into 3 subscales:
Pain - 5 items Stiffness - 2 items Physical function - 17 items
Scoring is as follows:
0 = no pain
- = mild pain
- = moderate pain
- = severe pain
- = extreme pain
Total score for the pain subscale:
0 to 20 points
Measured: Assessment at six months, one year, and two years. The total follow-up period is two years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2026
- Study start16 Sep 2026
- Primary completionJan 2029 (estimated)
- Study completionJan 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Musculoskeletal Diseases or ConditionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Early Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- PROREGEN
- Sponsor type
- Research network
- Collaborators
- Centro Universitário Univates
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07434115
- Sponsor's protocol ID
- 8.064.745
- Other IDs
- Own financing
- Acronym
- PROREGEN
- Status last verified
- Sep 2026
- First submitted
- 28 Jan 2026
- Last updated
- 17 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: We cannot yet provide this information, as the study involves a larger team.
Publications
Winkler T, Geissler S, Maleitzke T, Perka C, Duda GN, Hildebrandt A. Advanced therapies in orthopaedics. EFORT Open Rev. 2024 Sep 2;9(9):837-844. doi: 10.1530/EOR-24-0084.
PubMed 39222330Bensa A, Previtali D, Sangiorgio A, Boffa A, Salerno M, Filardo G. PRP Injections for the Treatment of Knee Osteoarthritis: The Improvement Is Clinically Significant and Influenced by Platelet Concentration: A Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2025 Mar;53(3):745-754. doi: 10.1177/03635465241246524. Epub 2025 Jan 3.
PubMed 39751394Chu CR, Rodeo S, Bhutani N, Goodrich LR, Huard J, Irrgang J, LaPrade RF, Lattermann C, Lu Y, Mandelbaum B, Mao J, McIntyre L, Mishra A, Muschler GF, Piuzzi NS, Potter H, Spindler K, Tokish JM, Tuan R, Zaslav K, Maloney W. Optimizing Clinical Use of Biologics in Orthopaedic Surgery: Consensus Recommendations From the 2018 AAOS/NIH U-13 Conference. J Am Acad Orthop Surg. 2019 Jan 15;27(2):e50-e63. doi: 10.5435/JAAOS-D-18-00305.
PubMed 30300216
Study at a glance
From the registry record, last updated by the sponsor on 17 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical and Functional Evaluation of Orthobiological Therapies in Musculoskeletal Conditions
- ClinicalTrials.gov ID
- NCT07434115
- Acronym / sponsor ID
- PROREGEN / 8.064.745
- Conditions
- Musculoskeletal Diseases or Conditions
- Phase
- Early Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- PROREGENResearch network
- Collaborators
- Centro Universitário Univates
- Study start
- 16 Sep 2026 (actual)
- Primary completion
- Jan 2029 (estimated)
- Study completion
- Jan 2030 (estimated)
- First posted
- 25 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the clinical and functional effects of using orthobiological therapies (hyaluronic acid, platelet-rich plasma, bone marrow aspirate, nanofat, among others) in the treatment of various musculoskeletal diseases in patients routinely treated at the Proregen Medical Clinic and its affiliates.
The sample will consist of adult patients (≥18 years), of both sexes, with different musculoskeletal diagnoses involving joints, tendons, ligaments, cartilage or bone, among others.
Detailed description
Orthobiological therapies, such as hyaluronic acid, platelet-rich plasma, bone marrow aspirate concentrate, and adipose tissue derivatives, have been widely used in the management of musculoskeletal pathologies, including tendinopathies, osteoarthritis, and delayed bone consolidation. However, scientific evidence is still limited by the heterogeneity of protocols, populations, and evaluation methods. This umbrella project aims to prospectively record and analyze the clinical and functional outcomes associated with the use of these therapies in patients treated according to institutional medical indications. Participants with different osteoarticular pathologies undergoing routine orthobiological treatment at the Proregen Medical Clinic and its affiliates will be included. The central hypotheses of the study are that orthobiological therapies present measurable clinical benefits in terms of pain, function, and quality of life in various osteoarticular indications; that the safety of these approaches is adequate when performed under defined clinical criteria; and that it is possible to identify patterns of greater efficacy according to the type of orthobiological agent, the pathology, and the follow-up time. As an expected conclusion, the study aims to generate real clinical data that can serve as a basis for derivative studies, in addition to contributing to the standardization and rationalization of the use of orthobiological therapies in orthopedic practice.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Use of orthobiological products in musculoskeletal conditions. | Experimental | Biological: PRP injection, Biological: Bone Marrow Concentrate (BMAC), Biological: Hyaluronic Acid (Viscosupplementation), Biological: NanofatAfter an evaluation by a medical professional, the patient will be advised on the best orthobiological treatment for their case. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age 18 or older;
- Clinical and/or radiological diagnosis of an eligible musculoskeletal condition;
- Formal clinical indication for treatment with orthobiological agents, according to routine care;
- Regular access to the WhatsApp application, ensuring the necessary communication for sending and receiving digital questionnaires and other study instructions;
- Ability to understand the study and sign the Informed Consent Form.
Key exclusion criteria (5 listed)
- Medical contraindication to the use of orthobiologics (e.g., active infection, severe hematological diseases, active cancer);
- Recent use (≤3 months) of orthobiologic therapies in the same area to be treated;
- Pregnant or breastfeeding women;
- Cognitive or psychiatric diseases that prevent adequate clinical follow-up;
- Simultaneous participation in another interventional clinical study with the same therapeutic purpose.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PRP injectionObtained by centrifuging blood, it concentrates platelets and growth factors for regeneration. | Biological | Use of orthobiological products in musculoskeletal conditions. |
| Bone Marrow Concentrate (BMAC)Bone marrow aspirate, rich in mesenchymal stem cells and progenitor cells for tissue repair. | Biological | Use of orthobiological products in musculoskeletal conditions. |
| Hyaluronic Acid (Viscosupplementation)Used for joint lubrication and cartilage protection, very common in osteoarthritis. | Biological | Use of orthobiological products in musculoskeletal conditions. |
| NanofatIt is an even more refined and liquefied form of processed fat, used primarily for high-precision tissue repair. | Biological | Use of orthobiological products in musculoskeletal conditions. |
Primary outcome
Pain scale
Time frame: From registration until six months, one year, and two years. Two years is the final follow-up period.
Changes in pain scores six months after treatment with orthobiological materials. The following scale will be used: VAS - Visual Analog Scale (0 to 10 cm): The patient marks, with a line or dot, the location on the line that best represents the pain they are feeling at that moment. 0 cm → "no pain" / 10 cm → "worst pain imaginable".
Joint function
Time frame: Assessment at six months, one year, and two years. The total follow-up period is two years.
Changes observed in joint function in patients who received orthobiological treatment after 6 months. The following scales will be used: WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index): is a questionnaire specific to osteoarthritis, widely validated and used in clinical research. It assesses symptoms and functional impact of osteoarthritis. The WOMAC consists of 24 items, divided into 3 subscales: Pain - 5 items Stiffness - 2 items Physical function - 17 items Scoring is as follows: 0 = no pain 1. = mild pain 2. = moderate pain 3. = severe pain 4. = extreme pain Total score for the pain subscale: 0 to 20 points
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Sep 2026.
- Background: PubMed 39222330Winkler T, Geissler S, Maleitzke T, Perka C, Duda GN, Hildebrandt A. Advanced therapies in orthopaedics. EFORT Open Rev. 2024 Sep 2;9(9):837-844. doi: 10.1530/EOR-24-0084.
- Background: PubMed 39751394Bensa A, Previtali D, Sangiorgio A, Boffa A, Salerno M, Filardo G. PRP Injections for the Treatment of Knee Osteoarthritis: The Improvement Is Clinically Significant and Influenced by Platelet Concentration: A Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2025 Mar;53(3):745-754. doi: 10.1177/03635465241246524. Epub 2025 Jan 3.
- Background: PubMed 30300216Chu CR, Rodeo S, Bhutani N, Goodrich LR, Huard J, Irrgang J, LaPrade RF, Lattermann C, Lu Y, Mandelbaum B, Mao J, McIntyre L, Mishra A, Muschler GF, Piuzzi NS, Potter H, Spindler K, Tokish JM, Tuan R, Zaslav K, Maloney W. Optimizing Clinical Use of Biologics in Orthopaedic Surgery: Consensus Recommendations From the 2018 AAOS/NIH U-13 Conference. J Am Acad Orthop Surg. 2019 Jan 15;27(2):e50-e63. doi: 10.5435/JAAOS-D-18-00305.
- The WHO emphasizes the need for studies with rigorous methodology and ethical principles to validate the safety and efficacy of new therapies. The use of orthobiologics is encouraged only when based on solid evidence of efficacy.Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided. We cannot yet provide this information, as the study involves a larger team.
Related trials for Musculoskeletal Diseases or Conditions
Recruiting
ITPB 1 vs 3 in VATS
Musculoskeletal Diseases or Conditions
Recruiting
Minimum Effective Local Anesthetic Volume for Ultrasound Guided Superior Trunk Block
Musculoskeletal Diseases or Conditions
RecruitingPhase 4
Prospective RCT Lidocaine & Levobupivacaine on Block Dynamics After Subparaneural Popliteal Sciatic Nerve Block
Musculoskeletal Diseases or Conditions
Recruiting
Sensorimotor Block Dynamics and Hemidiaphragmatic Palsy: Selective Trunk Block vs Supraclavicular Brachial Plexus Block
Musculoskeletal Diseases or Conditions
RecruitingPhase 3
A Study to Learn About Study Medicine Called Berobenatide in Adults With Knee Pain and Overweight or Obesity (VESPER-OA 1)
Obesity, Overweight
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Early Phase 1 study testing PRP injection, Bone Marrow Concentrate (BMAC) and Hyaluronic Acid (Viscosupplementation) in people with Musculoskeletal Diseases or Conditions, run by PROREGEN at 1 site in Brazil.
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 17 Sep 2026. 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 Brazil. 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.
What does this phase mean?
Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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 Gabriela D Daiprai (51995342193, gdaiprai@universo.univates.br), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain scale (time frame: From registration until six months, one year, and two years. Two years is the final follow-up period.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07434115, which also lists 3 linked publications.
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 17 Sep 2026.