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RecruitingNCT05196503NeuroPRFUpdated Jun 8, 2026

Efficacy of an Intraoperative Periradicular Application of Platelet Rich Fibrin (PRF) on the Intensity of Residual Post-surgical Neuropathic Pain After a Surgery for Disc Herniation

A Phase 3 interventional study of Treatment in Neuropathic Pain and Chronic Postsurgical Pain, sponsored by University Hospital, Strasbourg, France. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by University Hospital, Strasbourg, France · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2022; still recruiting 4 years 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The prevalence of post-surgical lumbar neuropathic radiculopathy is approximately 30%. Poor response to the treatments recommended for neuropathic pain, namely antidepressants and/or gabapentinoids, requires the development of new techniques to prevent this chronic pain. Certain well-tolerated techniques, such as the administration of plasma enriched with platelets and fibrin (PRF), are increasingly used in regenerative medicine for their anti-inflammatory and analgesic properties. Thus, a periradicular intraoperative application of PRF may have an analgesic effect on the intensity of residual postsurgical neuropathic pain after disc herniation surgery.

Read the detailed description

A superiority study, phase III, prospective, single-center, randomized in parallel groups and conducted in a single-blind manner, with evaluation by a blind outcome assessor. Patients will be randomized to one of two treatment groups: Experimental group (surgery and periradicular administration of PRF) or Control group (reference treatment, surgery alone).

02

Conditions studied

  • Neuropathic Pain
  • Chronic Postsurgical Pain

Keywords

  • Neuropathic pain
  • Chronic postsurgical pain prevention
  • Intraoperative platelet rich fibrin
  • Disc herniation surgery
03

In context

Neuralgia

1,287 studies on the registry are indexed under Neuralgia; 256 are open to participants now.

This study's planned enrollment of 60 is above the median of 52 across 973 interventional studies indexed under Neuralgia.

Browse Neuralgia studies →

Lead sponsor

University Hospital, Strasbourg, France is the lead sponsor of 966 studies on the registry; 342 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient, male or female, >18 years old at the time of signing informed consent;
  • Patient for whom a diagnosis of radiculopathy on lumbar disc herniation has been made, and for whom surgery has been scheduled in the Neurosurgery department;
  • Patient affiliated to a social security health insurance scheme;
  • Patient able to understand the objectives and risks of research and to give informed, dated and signed consent;
  • Patient having been informed of the results of the prior medical examination;
  • Women of childbearing age provided that a negative blood pregnancy test is recorded at the inclusion visit and effective contraception used throughout the study.

Exclusion criteria

Exclusion criteria:

  • Patient with a history of lumbar spinal surgery (multiple herniated discs, herniated disc other than lumbar);
  • Patient with HIV, active cancer, HBV, HCV (verified by interview);
  • Patient on long-term systemic corticosteroid therapy;
  • Patient with an ASA score > 3 during the consultation with the anesthesiologist;
  • Inability to give the patient informed information (patient in an emergency or life-threatening situation, difficulties in understanding);
  • Patient in exclusion period (determined by a previous or ongoing study);
  • Subject under safeguard of justice;
  • Subject under curatorship;
  • Pregnancy;
  • Breastfeeding.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Experimental group

    Surgery for disc herniation and intraoperative periradicular administration of PRF

    Biological: Treatment

  • Active comparator
    Control group

    Surgery for disc herniation alone (i.e. reference treatment).

    Biological: Treatment

Interventions

  • BiologicalTreatment

    Experimental product: product derived from autologous blood, obtained after centrifugation. Treatment modalities: intraoperative periradicular administration of autologous PRF.

06

What researchers measure

Primary outcomes

  1. Assess the effectiveness of periricular intraoperative application of Platelet- and Fibrin-enriched plasma (PRF) on the intensity of residual neuropathic pain postoperatively with primary herniated disc surgery.

    Average intensity, over 24 hours, of a sequellar radicular neuropathic painy an EVA and affirmed by a DN4 score greater than or equal to 4

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Les Hôpitaux Universitaires
    Strasbourg, Bas-Rhin 67091, France
    • Eric SALVAT · Contact · eric.salvat@chru-strasbourg.fr · +33 3 88 12 85 02
    • Daniel TIMBOLSCHI IONUT · Sub investigator
    • Lauriane JOGANAH · Sub investigator
    • André MULLER · Sub investigator
    • Yohann BOHREN · Sub investigator
    • François PROUST · Sub investigator
    • Hugo Andres COCA · Sub investigator
    Recruiting
08

References and documents

Publications

  • Todeschi J, Dannhoff G, Coca AH, Timbolschi DI, Proust F, Lefebvre F, Lelievre V, Poisbeau P, Vallat L, Salvat E, Bohren Y. Effect of an intraoperative periradicular application of platelet-rich fibrin (PRF) on residual post-surgical neuropathic pain after disc herniation surgery: study protocol for NeuroPRF, a randomized controlled trial. Trials. 2023 Jun 19;24(1):418. doi: 10.1186/s13063-023-07420-y. PubMed 37337269 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, 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
NCT05196503
Lead sponsor
University Hospital, Strasbourg, France
Responsible party
Sponsor
First posted
Jan 19, 2022
Start date
Feb 23, 2022
Primary completion
Feb 23, 2022
Completion
Jan 2028 (estimated)
Last update
Jun 8, 2026

Study contacts

Erci SALVAT
Contact
eric.salvat@chru-strasbourg.fr
+33 3 88 12 85 02

Oversight

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

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