ClinicalTrials.gg
RecruitingNCT06681051Updated Nov 3, 2026

Effectiveness and Safety of OSTENIL® TENDON in the Treatment of Pain and Restricted Mobility in Tendon Disorders

An observational study in Tendinopathy, sponsored by TRB Chemedica AG. Recruiting at 6 sites in Germany. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by TRB Chemedica AG · Observational

From the registry’s dates

  • Started Nov 2024; still recruiting 1 year 11 months later.
Updated Nov 3, 2026Site recruiting status changedPrimary completion moved+1 moreGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
84
Ages
18 Years to 99 Years
Sex
All
01

Study summary

PMCF study to further substantiate the effectiveness and safety of OSTENIL® TENDON in the overall as well as indication-specific treatment of pain and restricted mobility in four different tendon disorders (patella tendon, peroneal tendon, medial epicondylus humeri and iliotibial band) in a real-life clinical setting when used according to the instructions for use.

02

Conditions studied

  • Tendinopathy

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Keywords

  • tendinopathy
  • hyaluronan
  • tendon
  • hyaluronic acid
03

In context

Tendinopathy

397 studies on the registry are indexed under Tendinopathy; 77 are open to participants now.

This study's planned enrollment of 84 is above the median of 61 across 50 observational studies indexed under Tendinopathy.

Browse Tendinopathy studies →

Lead sponsor

TRB Chemedica AG is the lead sponsor of 13 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients over 18 years of age with symptomatic tendinopathy (patella tendon, peroneal tendon, medial epicondylus humeri or iliotibial band) and a recommendation for OSTENIL® TENDON treatment.

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

  • Patient aged between 18 and 99 years
  • Diagnosis of symptomatic tendinopathy (patella tendon, peroneal tendon, medial epicondylus humeri or iliotibial band)
  • Physician's recommendation to use OSTENIL® TENDON prior to recruitment
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Presence of any or precautionary condition listed in the instructions for use, i.e.,

    • Ascertained to any of the OSTENIL® TENDON constituents
    • Known pregnancy or breast feeding
    • Acute trauma
  • Use of the following treatments (the given time intervals refer to the date of inclusion):

    • Local* OSTENIL® TENDON or other hyaluronic acid (HA) treatment within the last 6 months
    • Local* -rich plasma (PRP) treatment within the last 3 months
    • Local* treatment (without time restriction)
    • Local* extracorporeal shock wave therapy (ESWT) within the last 4 weeks
    • Local* phytotherapy (e.g., Traumeel®) within the last 4 weeks
    • Local* surgical intervention (without time restriction)
    • Systemic corticosteroid treatment within the last 4 weeks
    • Repeated use of non-steroidal anti-inflammatory drugs (NSAID) and/or other analgesics within the last week
    • Physiotherapy (therapeutic exercises and physical therapy), ortheses, transcutaneous electrical nerve stimulation (TENS) or acupuncture within the last week
  • Diagnosis of chronic inflammatory disease (e.g. rheumatoid arthritis, Bechterew disease, Crohn's disease, etc.) prior to inclusion
  • Participation in a clinical investigation within the last 6 months
  • Vulnerable patient (individual who is unable to fully understand all aspects of the study that are relevant to the decision to participate, or who could be manipulated or unduly influenced as a result of a compromised position, expectation of benefits or fear of retaliatory response [including persons needing legally designated representatives, illiterate persons or persons with insufficient knowledge of local language])

(* local refers to the treatment of the study-relevant tendon)

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
84 participants (estimated)
Patient registry
No

Groups and cohorts

  • OSTENIL® TENDON

    2 injections of sodium hayluronate 2 % (40 milligrams (mg) / 2.0 millilitres (ml)) in weekly interval.

    Device: OSTENIL® TENDON

Interventions

  • DeviceOSTENIL® TENDON

    OSTENIL® TENDON is a CE-certified viscoelastic solution intended for peritendinous or intrasheath injection, containing 2 % sodium hyaluronate from fermentation.

06

What researchers measure

Primary outcomes

  1. Change of pain intensity 3 months after end of treatment compared to baseline (visual analogue scale)

    Evaluation of pain intensity by the patient on a 100 mm visual analogue scale. 100 mm equals the worst pain.

    Time frame: Baseline compared to week 12 after the end of treatment.

Secondary outcomes

  1. Change of Upper -/ Lower Extremity Functional Scale compared to baseline

    Indication specific patient questionnaire to assess effectiveness of treatment on a 5-point Likert scale (range: 0 = extreme difficulty to perform activity to 4 = no difficulty).

    Time frame: Baseline compared to week 1 as well as weeks 4, 12 and 24 after the end of treatment.

  2. Change of pain intensity compared to baseline (visual analogue scale)

    Evaluation of pain intensity by the patient on a 100 mm visual analogue scale. 100 mm equals the worst pain.

    Time frame: Baseline compared to week 1 as well as weeks 4 and 24 after the end of treatment.

  3. Change of patient-reported outcome measures (PROM)

    Patient questionnaire to assess the following aspects (100 mm visual analogue scale; 100 mm equals a worse outcome): pain, global and tendon-associated quality of life, daily activities, clinical global impression, mobility and satisfaction with treatment (note: not assessed at baseline)

    Time frame: Baseline (except satifaction with treatment), week 1 and weeks 4, 12 and 24 after the end of treatment.

  4. Change of investigator-reported outcome measures

    Investigator inquiry to record the perception of the physician of the following aspects (100 mm visual analogue scale; 100 mm equals a worse outcome): clinical global impression regarding the clinical severity of the tendinopathy and satisfaction with the treatment (note: not assessed at baseline)

    Time frame: Baseline (except satisfaction with treatment), week 1 and weeks 4, 12 and 24 after the end of treatment.

  5. Degree of tendinopathy

    Evaluation of tendinopathy symptoms by the patient by rating tendon pain in the context of a patient-defined task that usually elicits pain (4 stages; 4 equals a worse outcome)

    Time frame: Baseline, week 1 and weeks 4, 12 and 24 after the end of treatment

  6. Incidence of Adverse Events with (possible/probable) causal relationship with the device or application procedure

    Time frame: Up to week 24 after the end of treatment.

  7. Incidence of Serious Adverse Events with (possible/probable) causal relationship with the device or application procedure

    Time frame: Up to week 24 after the end of treatment.

  8. Incidence of (Presumably) serious incidents

    Time frame: Up to week 24 after the end of treatment.

  9. Incidence of Device Deficiencies

    Time frame: Up to week 24 after the end of treatment.

07

Study locations

1 of 6 sites recruiting
  • Orthopädische Gemeinschaftspraxis ÜBAG
    Berlin, State of Berlin 14195, Germany
    Completed

    Not enrolling at this site.

  • Orthopädisches Versorgungszentrum und Interdisziplinäres Schmerzzentrum Zehlendorf
    Berlin, State of Berlin 14195, Germany
    Recruiting
  • ATOS MVZ meviva Berlin
    Berlin, 10627, Germany
    Completed

    Not enrolling at this site.

  • Orthopädie am Kiesteich
    Berlin, 13589, Germany
    Completed

    Not enrolling at this site.

  • Gemeinschaftspraxis Dr. Bierke
    Berlin, 14197, Germany
    Completed

    Not enrolling at this site.

  • Orthopädische Praxis Dr. Fischer
    Potsdam, 14482, Germany
    Completed

    Not enrolling at this site.

08

References and documents

Individual participant data

Plan to share: No — Proprietary company data will not be shared externally.

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
2 sites changed recruiting status (2 now completed)
Show 2 sites
  • Orthopädische Gemeinschaftspraxis ÜBAG · Berlin, GermanyRecruiting→Completed
  • Orthopädie am Kiesteich · Berlin, GermanyRecruiting→Completed
across 2 updates, Oct 6, 2026 – Nov 3, 2026
Primary completion
Oct 2026→Oct 2027
Nov 3, 2026
Study completion
Oct 2026→Oct 2027
Nov 3, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Orthopädische Gemeinschaftspraxis ÜBAG · Berlin, GermanyContact removed f•••@klufmoeller.de · •••7430Contact removed (no phone or email listed)
  • Orthopädie am Kiesteich · Berlin, GermanyContact removed i•••@orthopaedie-am-kiesteich.de · •••3900Contact removed (no phone or email listed)
across 2 updates, Oct 6, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    2 sites changed recruiting status (2 now completed)
    Show 2 sites
    • Orthopädische Gemeinschaftspraxis ÜBAG · Berlin, GermanyActive, not recruiting→Completed
    • Orthopädie am Kiesteich · Berlin, GermanyRecruiting→Completed
    Primary completion Oct 2026→Oct 2027
    Study completion Oct 2026→Oct 2027
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Orthopädie am Kiesteich · Berlin, GermanyContact removed i•••@orthopaedie-am-kiesteich.de · •••3900Contact removed (no phone or email listed)
    + 1 other change: verification date
  2. Oct 6, 2026
    Orthopädische Gemeinschaftspraxis ÜBAG is now Active, not recruiting
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Orthopädische Gemeinschaftspraxis ÜBAG · Berlin, GermanyContact removed f•••@klufmoeller.de · •••7430Contact removed (no phone or email listed)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06681051
Lead sponsor
TRB Chemedica AG
Responsible party
Sponsor
First posted
Nov 8, 2024
Start date
Nov 25, 2024
Primary completion
Oct 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Nov 3, 2026

Study contacts

Raphaela Geiger
Contact
geiger@trbchemedica.de
+49 89-461483-27
Veronika Mussack, Dr.
Contact
mussack@trbchemedica.de
+49 89-461483-43
Olaf Neubert, Dr. med.
principal investigator · Orthopädie am Kiesteich

Oversight

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

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