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RecruitingNCT03984461Updated Nov 15, 2024

The Combined Use of PRP with Lipoaspirate And/or Bone Marrow Aspirate in Osteoarthritis

A Phase 2 interventional study of Autologous cell therapy in Osteoarthritis, sponsored by Dr. Grant M. Pagdin. Recruiting at 1 site in Canada. Open to participants aged 19 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Dr. Grant M. Pagdin · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2020; still recruiting 6 years 1 month later.
Phase
Phase 2
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
19 Years to 79 Years
Sex
All
01

Study summary

To demonstrate the efficacy of the combined use of platelet-rich plasma (PRP) with lipoaspirate and/or bone marrow aspirate in osteoarthritis of major joints, and to compare the outcomes achieved using three combinations: PRP plus lipoaspirate, PRP plus bone marrow aspirate, and PRP plus both lipoaspirate and bone marrow aspirate.

Read the detailed description

The purpose of this study is to demonstrate the efficacy of the combined use of platelet-rich plasma (PRP) with lipoaspirate and/or bone marrow aspirate in osteoarthritis of major joints, and to compare the outcomes achieved using three combinations: PRP plus lipoaspirate, PRP plus bone marrow aspirate, and PRP plus both lipoaspirate and bone marrow aspirate.

A total of 240 participants will be randomly assigned to one of three treatment groups: Group A will receive PRP plus lipoaspirate, Group B will receive PRP plus bone marrow aspirate, and Group C will receive tri-partite therapy of PRP + lipoaspirate + bone marrow aspirate which allows for 80 in each group. The combination of biologic materials will be injected in to an arthritic joint.

02

Conditions studied

  • Osteoarthritis

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Keywords

  • Osteoarthritis
  • Platelet Rich Plasma (PRP)
  • Micronized Lipoaspirate (MAT)
  • Bone Marrow Aspirate (BMA)
03

In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's planned enrollment of 240 is above the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

This is the only study on the registry with Dr. Grant M. Pagdin as lead sponsor.

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

04

Who can participate

Ages eligible
19 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Capable of providing written informed consent and willing and able to adhere to all protocol requirements.
  2. Male or female at least 19 years of age at the time of providing written informed consent.
  3. Evidence of OsteoArthritis in a major joint requires recent (within one year) imaging, either by x-ray or MRI. Kellgren \& Lawrence Grades 1-3 are accepted for participation.

Exclusion criteria

Exclusion Criteria:

  1. BMI > 35
  2. Arthroscopic surgery to the treatment joint within 12 months
  3. Cortisone or HA injection within the last 3 months prior to stem cell injection
  4. Inability to hold antiplatelet therapy according to treating provider prior to procedure
  5. Kellgren \& Lawrence Grade 4 Osteoarthritis
  6. Participants with a platelet count less than 100 x 109
  7. Participants with a Hemoglobin less than 100 g/L
  8. Participants who have an active Infection with fever and/or elevated white blood cell (WBC) count
  9. Participants with an active Cancer diagnosis.
  10. Participants with autoimmune disorders including rheumatoid arthritis and lupus.
  11. Women who are pregnant will be excluded due to the possibility of fetal harm associated with x-rays. Should a participant become pregnant during the study, she will be withdrawn from further treatment and imaging, but can participate in symptom follow-up. Female participants of childbearing potential will be counseled at screening about contraception and encouraged to use birth control for the duration of the study.
  12. Participants with allergies to lidocaine, heparin, or epinephrine.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Active comparator
    Group A - PRP plus Lipoaspirate

    Equal proportions of PRP plus micronized adipose tissue (lipoaspirate). Total Volume varies by joint.

    Biological: Autologous cell therapy

  • Active comparator
    Group B - PRP plus Bone Marrow Aspirate

    Equal proportions of PRP plus bone marrow aspirate. Total Volume varies by joint.

    Biological: Autologous cell therapy

  • Active comparator
    Group C - PRP plus Lipoaspirate plus Bone Marrow Aspirate

    Equal proportions of PRP plus micronized adipose tissue (lipoaspirate) plus bone marrow aspirate. Total Volume varies by joint.

    Biological: Autologous cell therapy

Interventions

  • BiologicalAutologous cell therapy

    Biologic material is harvested from the participant and re-injected into an osteoarthritic joint

06

What researchers measure

Primary outcomes

  1. Changes from baseline through to end of study for the Visual Analogue Scale (VAS).

    Visual analogue scales (VAS) are psychometric measuring instruments designed to document the characteristics of disease-related symptom severity in individual patients and use this to achieve a rapid (statistically measurable and reproducible) classification of symptom severity. This scale measures ranges from 0 whereby the patient has no discomfort or distress to 10 where the patient has agonizing pain and is in unbearable distress. (0 - None, 1, 2 - Annoying, 3, 4 - Uncomfortable, 5, 6 - Dreadful, 7, 8 - Horrible, 9, 10 - Agonizing). The patient can place an x anywhere on the continuum between 0-10 based on their level of discomfort . We will then measure the scale using a ruler to the tenth of a point. The VAS scale will be completed at each visits 2-7. Comparisons will be made from baseline to end of study to determine the overall improvement.

    Time frame: The VAS will be measured at baseline (week 1) through to the end of the study (week 104). To test for improvement, comparisons to baseline will be made at 6 months (week 26,) 12 months (week 52) and 24 months (week 104).

  2. Changes from baseline through to the end of study for the Short Form 12 item version 2 (SF12-v2)

    The SF-12 is a validated and widely used twelve question health survey used to assess health related quality of life from the patients perspective. The SF12-v2 items are scored so that a higher score means a better health. For example, the functioning items are scored so that a higher score represents better functioning, whereby pain items scored so that a high score indicates freedom from pain. The SF12-v2 will be completed at each visits 2-7. Comparisons will be made from baseline to end of study to determine the overall improvement.

    Time frame: The SF12-v2 will be measured at baseline (week 1) through to the end of the study (week 104). To test for improvement, comparisons to baseline will be made at 6 months (week 26,) 12 months (week 52) and 24 months (week 104).

Secondary outcomes

  1. Comparison to evaluate the degree of change among treatment arms (Group A, Group B and Group C) from baseline visit through to end of study.

    To evaluate the variations among the three treatment arms (lipoapirate \[group A\], bone marrow aspirate \[group B\], and lipoasiprate and bone marrow aspirate \[group c\] we will use the overall average of the VAS for each group. It is the investigator's hypothesis that we anticipate that group c might have a superior outcome to either group A or group B.

    Time frame: The VAS will be measured at baseline (week 1) through to the end of the study (week 104). To test for improvement, comparisons to baseline will be made at 6 months (week 26,) 12 months (week 52) and 24 months (week 104).

  2. Comparison to evaluate the degree of change among treatment arms (Group A, Group B and Group C) baseline visit through to end of study.

    To evaluate the variations among the three treatment arms (lipoapirate \[group A\], bone marrow aspirate \[group B\], and lipoasiprate and bone marrow aspirate \[group c\] we will use the overall average of the SF12-v2 for each group. It is our hypothesis that we anticipate that group c might have a superior outcome to either group A or group B.

    Time frame: The SF12-v2 will be measured at baseline (week 1) through to the end of the study (week 104). To test for improvement, comparisons to baseline will be made at 6 months (week 26,) 12 months (week 52) and 24 months (week 104).

  3. Flow cytometry

    Numbers and viability of stem cells

    Time frame: Visit 2 (Week 1) Samples are collected at visit 2 (week 1) and sent away for analysis by a university. The results will be received from the university prior to end for overall data analysis.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03984461
Lead sponsor
Dr. Grant M. Pagdin
Responsible party
Dr. Grant M. Pagdin (Qualified Investigator, Pagdin Health) — Sponsor-investigator
First posted
Jun 13, 2019
Start date
Sep 1, 2020
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Nov 15, 2024

Study contacts

Grant Pagdin, MD
Contact
info@pagdinhealth.com
250-717-3200
Michelle Murtha, MScN
Contact
michelle@pagdinhealth.com
250-717-3200
Stephen Rosenfeld, MD
study chair · Quorum Review IRB

Oversight

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

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