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CompletedNCT03323567Updated Jan 4, 2018

A Comparison of Collagen, Lidocaine and Saline, in Trigger Points in Masseter Muscle.

An Early Phase 1 interventional study of MD Muscle GUNA collagen and Lidocaine 2% Injectable Solution in Temporomandibular Disorder, sponsored by Medical University of Silesia. Completed at 1 site in Poland. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-01-04.

Sponsored by Medical University of Silesia · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

An intramusclular injection of three solutions were performed( collagen, lidocaine, saline) in musculoskeletal trigger points, in patients suffering from temporomandibular disorders(TMD). Best results were observed in collagen group: reduction of 59,2% sEMG activity of masseter muscles and 53,75% reduction of pain intensity in VAS scale.

Read the detailed description

Collagen is an important component, building myocytes and extracellular matrix of skeletal muscles. The novel treatment option for trigger point therapy and muscle regeneration in TMD patients are intramuscular collagen injections. The aim of the study was to evaluate the efficacy of intramuscular injections of Collagen MD Muscle(Guna) 2 ml, 2 ml of Lidocainum 2% without vasoconstrictor and 2 ml of Saline (0,9 % NaCl). 43 patients were enrolled to the study (17 male and 26 female, 40 +/- 3,8 years old). The masseter muscle activity was measured with sEMG Neurobit Optima 4 (Neurobit System). Visual Analogue Scale was used to determine pain intensity changes between follow-up visits in each group. Trigger points were localized with palpation of masseter muscle. Electromyographic activity of masseter muscle was measured before injections on each visit: 0, 7,14 days. In our analysis sEMG masseter muscle activity was significantly decreased: in collagen group 59,2%, in lidocainum group 39,3% and in saline group14%. Pain intensity reduction in VAS scale was 53,75% in collagen group, in lidocainum group 25% and in saline group 20,1%.

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Conditions studied

  • Temporomandibular Disorder

Keywords

  • TMD, collagen, intramuscular injection, trigger point
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In context

Temporomandibular Joint Disorders

591 studies on the registry are indexed under Temporomandibular Joint Disorders; 149 are open to participants now.

This study's enrollment of 43 is close to the median of 45 across 415 interventional studies indexed under Temporomandibular Joint Disorders.

Browse Temporomandibular Joint Disorders studies →

Lead sponsor

Medical University of Silesia is the lead sponsor of 115 studies on the registry; 26 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • sleep bruxism, DC/TMD myofascial pain, myofascial pain with referral

Exclusion criteria

Exclusion Criteria:

  • younger than 18years old, active orthodonctic treatment,neurological treatment, post radiotherapy, after head trauma within 2 years, patients with unsupported occlusal contacts, addicted to analgesic drugs, with the fear of needle
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Care provider)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    MD Muscle Collagen group

    Group with collagen intramuscular injections

    Drug: MD Muscle GUNA collagen

  • Experimental
    Lidocaine 2% group

    Group with 2% Lidocaine intramuscular injections

    Drug: Lidocaine 2% Injectable Solution

  • Placebo comparator
    Saline

    Group with 0,9% NaCl intramuscular injections

    Drug: Saline Solution, Hypertonic

Interventions

  • DrugMD Muscle GUNA collagen

    intramusclular injections of MD Muscle collagen

    Also known as: intramuscular MD Muscle collagen injection

  • intramuscular Lidocaine 2% injection

    Also known as: intramuscular Lidocaine 2% injection

  • DrugSaline Solution, Hypertonic

    intramuscular Saline injection

    Also known as: intramuscular Saline injection

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What researchers measure

Primary outcomes

  1. sEMG reduction of masseter muscle in TMD patients

    reduction of electromyograpic activity of masseter muscle

    Time frame: 14 days

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Study locations

1 site
  • Department of TMD and Orthodontics Silesian Medical University
    Zabrze, 41-800, Poland
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References and documents

Publications

  • Turo D, Otto P, Hossain M, Gebreab T, Armstrong K, Rosenberger WF, Shao H, Shah JP, Gerber LH, Sikdar S. Novel Use of Ultrasound Elastography to Quantify Muscle Tissue Changes After Dry Needling of Myofascial Trigger Points in Patients With Chronic Myofascial Pain. J Ultrasound Med. 2015 Dec;34(12):2149-61. doi: 10.7863/ultra.14.08033. Epub 2015 Oct 21. PubMed 26491094 ↗
  • Jarvholm U, Palmerud G, Styf J, Herberts P, Kadefors R. Intramuscular pressure in the supraspinatus muscle. J Orthop Res. 1988;6(2):230-8. doi: 10.1002/jor.1100060210. PubMed 3343629 ↗
  • Lehto M, Sims TJ, Bailey AJ. Skeletal muscle injury--molecular changes in the collagen during healing. Res Exp Med (Berl). 1985;185(2):95-106. doi: 10.1007/BF01854894. PubMed 3992061 ↗
  • Sorichter S, Mair J, Koller A, Gebert W, Rama D, Calzolari C, Artner-Dworzak E, Puschendorf B. Skeletal troponin I as a marker of exercise-induced muscle damage. J Appl Physiol (1985). 1997 Oct;83(4):1076-82. doi: 10.1152/jappl.1997.83.4.1076. PubMed 9338413 ↗
  • Cescon M, Gattazzo F, Chen P, Bonaldo P. Collagen VI at a glance. J Cell Sci. 2015 Oct 1;128(19):3525-31. doi: 10.1242/jcs.169748. Epub 2015 Sep 16. PubMed 26377767 ↗
  • Nitecka-Buchta A, Walczynska-Dragon K, Kempa WM, Baron S. Platelet-Rich Plasma Intramuscular Injections - Antinociceptive Therapy in Myofascial Pain Within Masseter Muscles in Temporomandibular Disorders Patients: A Pilot Study. Front Neurol. 2019 Mar 19;10:250. doi: 10.3389/fneur.2019.00250. eCollection 2019. PubMed 30941095 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03323567
Responsible party
Aleksandra Nitecka-Buchta (Principal Investigator D.M.D. PhD, Medical University of Silesia) — Principal investigator
First posted
Oct 27, 2017
Start date
Jan 10, 2016
Primary completion
Oct 4, 2017
Completion
Oct 12, 2017
Last update
Jan 4, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Lidocaine

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