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WithdrawnNCT05330689Updated Mar 26, 2024

How Does Platelet Dose Impact Clinical Outcomes After PRP Treatment?

A Phase 2 interventional study of PRP injection dose (<5 billion platelets) and PRP injection dose (between 5 and <10 billion platelets) in Osteoarthritis, Knee, sponsored by Vanderbilt University Medical Center. Withdrawn at 1 site in United States. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-03-26.

Sponsored by Vanderbilt University Medical Center · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Funding for study equipment
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to determine which platelet rich plasma (PRP) injection dosage provides the most improvement in a patient's knee pain level at 26 weeks post-injection.

Read the detailed description

Knee osteoarthritis (OA) is a chronic progressive disease affecting more than 20% of people older than 45 years. A myriad of different treatments have been proposed in the scientific literature, and current treatment options include conservative and surgical procedures in which the main objective is to relieve pain and improve function.

Conservative nonsurgical interventions include weight management, physical therapy, analgesics, nonsteroidal anti-inflammatory drugs (NSAIDS), corticosteroid and hyaluronic acid injections. Although these agents have been beneficial in the short term, there is a lack of evidence that such interventions alter the progression of OA. More recently, platelet-rich plasma (PRP), a biological therapy, has become an emerging treatment option to improve the status of the joint for patients with OA.

PRP is an autologous blood product that is injected into the knee joint, which contains an elevated concentration of platelets above that of whole blood. However, the optimal PRP preparation is still unknown. Studies are needed that investigate optimal platelet count and how that is related to clinical outcome.

This study is designed as a double-blind randomized controlled study, where enrolled subjects are randomized to one of five treatment groups (in blocks of 10):

  1. a total PRP injection dose of less than 5 billion platelets;
  2. a total PRP injection dose between 5 and \<10 billion platelets;
  3. a total PRP injection dose between 10 and \<20 billion platelets;
  4. a total PRP injection dose of >20 billion platelets; and
  5. a saline injection control

Each patient will be asked to complete a questionnaire at baseline, 6, 12, and 26 weeks.

After patients have completed all the study questionnaires, the Investigators will pull the results from the blood analysis, so that blood composition levels can be correlated with any pain improvements that are felt. The purpose of the study is to establish if there is a relationship between the injection dosage a patient receives and knee pain level (based on the pain scores from the self-reported questionnaire).

02

Conditions studied

  • Osteoarthritis, Knee

Keywords

  • Osteoarthritis
  • Osteoarthritis, Knee
  • Arthritis
  • Platelet rich plasma
03

In context

Osteoarthritis

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

Browse Osteoarthritis studies →

Lead sponsor

Vanderbilt University Medical Center is the lead sponsor of 824 studies on the registry; 164 are open to participants now.

Of its 122 completed or terminated interventional studies of FDA-regulated products, 91 (75%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 40-80 years of age
  • Previous diagnosis of unilateral, primary osteoarthritis of the knee
  • Knee pain; duration of symptoms > 4 weeks
  • K-L grade 0-4

Exclusion criteria

Exclusion Criteria:

  • Under 40 years of age; over 80 years of age
  • Bilateral knee pain
  • Duration of symptoms \< 4 weeks
  • NSAID or clopidogrel use in the last 7 days
  • High risk of a thrombotic event if discontinuing NSAID or clopidogrel for four weeks.
  • Steroid use in the last 6 weeks
  • Active diagnosis of leukopenia/anemia/thrombocytopenia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Sample group 1

    Sample of subjects with primary osteoarthritis of the knee

    Biological: PRP injection dose (<5 billion platelets)

  • Active comparator
    Sample group 2

    Sample of subjects with primary osteoarthritis of the knee

    Biological: PRP injection dose (between 5 and <10 billion platelets)

  • Active comparator
    Sample group 3

    Sample of subjects with primary osteoarthritis of the knee

    Biological: PRP injection dose (between 10 and <20 billion platelets)

  • Active comparator
    Sample group 4

    Sample of subjects with primary osteoarthritis of the knee

    Biological: PRP injection dose (20 billion or greater platelets)

  • Placebo comparator
    Sample group 5

    Sample of subjects with primary osteoarthritis of the knee

    Other: Saline injection control

Interventions

  • BiologicalPRP injection dose (<5 billion platelets)

    PRP injection with a dose of platelets that is less than 5 billion platelets

  • BiologicalPRP injection dose (between 5 and <10 billion platelets)

    PRP injection with a dose of platelets that is between 5 and \<10 billion platelets

  • BiologicalPRP injection dose (between 10 and <20 billion platelets)

    PRP injection with a dose of platelets that is between 10 and \<20 billion platelets

  • BiologicalPRP injection dose (20 billion or greater platelets)

    PRP injection with a dose of platelets that is 20 billion platelets or greater

  • OtherSaline injection control

    Saline control

06

What researchers measure

Primary outcomes

  1. Knee Injury and Osteoarthritis Outcome Score (KOOS)

    Patient reported outcome measure: Consists of 5 subscales, one of which is "Pain". A normalized score (100 indicating no pain and 0 indicating extreme pain) is calculated for this subscale.

    Time frame: Baseline to 26 weeks post injections

  2. Western Ontario and McMaster University's Osteoarthritis Index (WOMAC)

    Patient-reported outcome measure: The scores for each subscale are summed up, with a possible score range of 0-20 for Pain. Higher scores indicate worse pain.

    Time frame: Baseline to 26 weeks post injections

Secondary outcomes

  1. Visual Analog Scale (VAS)

    The Visual Analog Scale (VAS) is a unidimensional measure of pain intensity. The scale is most commonly anchored by "no pain " (score of 0) and "pain as bad as it could be" or "worst imaginable pain" (score of 10).

    Time frame: Baseline, 6 weeks, 12 weeks, 26 weeks post injections

07

Study locations

1 site
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
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 Mar 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05330689
Lead sponsor
Vanderbilt University Medical Center
Responsible party
Leon Scott (Assistant Professor, Vanderbilt University Medical Center) — Principal investigator
First posted
Apr 15, 2022
Start date
Mar 6, 2022
Primary completion
Sep 7, 2022
Completion
Sep 7, 2022
Last update
Mar 26, 2024

Study contacts

Leon Scott, MD
principal investigator · Vanderbilt University Medical Center

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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