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CompletedNCT01788683Updated Dec 21, 2022

Regenexx™ SD Versus Exercise Therapy for Rotator Cuff Tears

An interventional study of Regenexx SD and Exercise Therapy in Rotator Cuff Tear, sponsored by Regenexx, LLC. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-12-21.

Sponsored by Regenexx, LLC · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
51
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective of this study is to compare the improvement in subject-reported clinical outcomes, for Regenexx SD treatment vs. Exercise Therapy of non-retracted supraspinatus tendon tears, from baseline to 3 months, with continued evaluation of efficacy and durability up to 24 months.

Secondary objectives include evaluation of US evidence of tendon repair; incidence of post-operative complications, adverse events, re-injections, and surgical intervention; change in pain score and use of pain medications.

Read the detailed description

Prospective, randomized, controlled to include 34 subjects treated with Regenexx SD and 17 subjects treated with Exercise Therapy alone (2:1 randomization).

Subjects will have a non-retracted supraspinatus tendon tear comprising at least one half the tendon thickness in the anterior-posterior and/or superior-inferior planes as evidenced with positive diagnostic imaging such as arthrogram, ultrasound and/or MR.

Subjects will be enrolled within 60 days prior to Regenexx-SD injection or initiation of exercise therapy and take part in follow-up visits for two years following treatment. A preoperative visit will occur at the time of enrollment; follow-up visits will occur at the clinical site at 6 weeks, 3 months, 6 months, 12 months, and 24 months post injection.

The primary endpoint analysis will be conducted once all subjects reach the 3 month endpoint. At that point, subjects enrolled in the Exercise Therapy group will be given the option of crossing over to the Regenexx SD treatment groups. Subjects will continue to be followed through the 2 year endpoint with data analysis performed at the 1 year and 2 year time points.

Subjects will complete the study following the 2 year follow-up visit.

02

Conditions studied

  • Rotator Cuff Tear

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Keywords

  • Rotator Cuff
  • Rotator Cuff Tear
  • Supraspinatus Tear
03

In context

Rotator Cuff Injuries

734 studies on the registry are indexed under Rotator Cuff Injuries; 161 are open to participants now.

This study's enrollment of 51 is below the median of 60 across 538 interventional studies indexed under Rotator Cuff Injuries.

Browse Rotator Cuff Injuries studies →

Lead sponsor

Regenexx, LLC is the lead sponsor of 15 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Physical examination consistent with Rotator Cuff tear
  • Unremitting pain in the affected shoulder for at least 3 months
  • Significant functional disability related to pain, lack of strength, or other shoulder symptoms
  • Positive diagnostic imaging, which may include arthrogram, ultrasound and/or MR, on the affected shoulder indicating a non-retracted supraspinatus tendon tear comprising at least one half the tendon thickness in the anterior-posterior and/or superior-inferior planes
  • Reasonable movement of the non-treated arm, defined as a shoulder elevation of equal or more than 90°, and able to perform (post-injection) exercises
  • Is independent, ambulatory, and can comply with all post-operative evaluations and visits

Exclusion criteria

Exclusion Criteria:

  • A massive rotator cuff tear as demonstrated by Grade 3 or less muscle strength on testing internal and external rotation of the affected shoulder
  • Previous surgery to the affected shoulder
  • Concomitant tears of biceps tendons
  • Grade 2 or greater SLAP tear
  • Type 3 acromion
  • Significant bone spur in subacromial space
  • Inflammatory or auto-immune based joint diseases or other upper extremity pathology (e.g., rheumatoid arthritis, systemic lupus erythematosus, psoriatic arthritis, polymyalgia, polymyositis, gout pseudogout)
  • Quinolone or Statin induced myopathy/ tendinopathy
  • Kellgren-Lawrence grade 2 or greater glenohumeral osteoarthritis
  • Adhesive capsulitis (mild or severe)
  • Symptomatic cervical spine pathology (e.g. radicular cervical pain)
  • Severe neurogenic inflammation of the cutaneous nerves about the shoulder
  • Shoulder instability requiring surgical stabilization
  • Contraindications for MRI
  • Tested positive or has been treated for a malignancy in the past or is suspected of having a malignancy or is currently undergoing radiation or chemotherapy treatment for a malignancy anywhere in the body, whether adjacent to or distant from the proposed injection site
  • Condition represents a worker's compensation case
  • Currently involved in a health-related litigation procedure
  • Is pregnant
  • Bleeding disorders
  • Currently taking anticoagulant or immunosuppressive medication
  • Use of chronic opioid
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
51 participants (actual)

Study arms

  • Active comparator
    Regenexx SD

    Bone Marrow Aspirate Concentrate injected under imaging guidance into the area of the damaged tendon.

    Procedure: Regenexx SD

  • Active comparator
    Exercise Therapy

    Subjects will be instructed in a set of appropriate rotator cuff strengthening exercises and given an instructional hand-out to take home.

    Other: Exercise Therapy

Interventions

  • ProcedureRegenexx SD

    stem cell treatment

  • OtherExercise Therapy

    exercise therapy control

06

What researchers measure

Primary outcomes

  1. DASH Score Change from Baseline

    The primary endpoint for this study is the difference between treatment groups in the within patient mean change from baseline to 3 months in Disabilities of the Arm Shoulder and Hand (DASH) scores.

    Time frame: Change from Baseline to 3 months

Secondary outcomes

  1. Mean Pain Scales

    Difference between treatment groups in mean 0-10 pain scales at each follow-up timepoint

    Time frame: 3, 6, 12 and 24 months

  2. MRI evidence of tendon repair

    Comparison between groups of MRI evidence of tendon repair at 12 months

    Time frame: 12 months

  3. Mean DASH scores

    Difference between treatment groups in mean Disabilities of Arm Shoulder and Hand (DASH) scores at 6, 12 and 24 months.

    Time frame: 6, 12 and 24 months

  4. Incidence of Complications and Adverse Events

    Incidence and time to resolution of post-operative complications and adverse events between treatment groups.

    Time frame: 24 months

  5. Incidence of re-injection and surgical revision

    Incidence of and time to re-injection and surgical revision between treatment groups.

    Time frame: 24 months

07

Study locations

1 site
  • Centeno-Schultz Clinic
    Broomfield, Colorado 80021, United States
08

References and documents

Publications

  • Centeno C, Fausel Z, Stemper I, Azuike U, Dodson E. A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis. Stem Cells Int. 2020 Jan 30;2020:5962354. doi: 10.1155/2020/5962354. eCollection 2020. PubMed 32399045 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01788683
Lead sponsor
Regenexx, LLC
Responsible party
Sponsor
First posted
Feb 11, 2013
Start date
Feb 2013
Primary completion
Aug 28, 2020
Completion
Jul 28, 2022
Last update
Dec 21, 2022

Study contacts

Christopher Centeno, MD
principal investigator · Centeno-Schultz Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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