Status:

TERMINATED

Investigating Orthobiologics After PRP and Photobiomodulation for Knee Osteoarthritis

Lead Sponsor:

Musculoskeletal Injury Rehabilitation Research for Operational Readiness

Collaborating Sponsors:

The Geneva Foundation

Conditions:

Knee Osteoarthritis

Eligibility:

All Genders

18-64 years

Phase:

NA

Brief Summary

This research assesses the effects that Photobiomodulation Therapy (PBMT) has on Intra-articular administered Plasma-Rich Platelet (PRP) injections for Knee Osteoarthritis (KOA) treatment through eval...

Detailed Description

Post Traumatic Knee Osteoarthritis (PTOA) is a degenerative joint disease resulting in the loss of cartilage due to wear and tear or by an uncharacteristic force applied to the knee. This disease appe...

Eligibility Criteria

Inclusion

  • DEERS Eligible
  • Between 18-64 (Inclusive)
  • Civilian
  • Contractor
  • Active Duty Service Member
  • Knee Osteoarthritis diagnosis
  • a) at least 3 of the following:
  • \>50 years old
  • Morning stiffness \< 30 minutes
  • Crepitus on active movements
  • Tenderness of the bony margins of the joint
  • Bony enlargement
  • No palpable warmth
  • Fluent in speaking and reading English
  • Ability to commit to study intervention and follow-up
  • Willing to avoid prohibited treatments while enrolled in the study (NSAIDs/COX-2 inhibitors and ASAs for 5 days prior to and 2 weeks following study injection or beginning of treatment, and oral steroids, steroid injections, and viscos supplementation)
  • Radiographic evidence of knee osteoarthritis as assessed by Kellgren-Lawrence grade 1 or higher

Exclusion

  • Current participation in other research studies for knee OA
  • Previous enrollment for contralateral knee
  • Hx of arthroscopic surgery on the study knee within the past year
  • Hx of arthroplasty on the study knee
  • Received dry needling within the past 4 weeks
  • Received prolotherapy (e.g. CSI or PRP injection), within past month
  • Recent (within the last 3 months) lower extremity injury (e.g., ankle sprain, meniscus tear or sprain, etc.) that required professional medical attention, and occurred in the ipsilateral extremity of the study knee
  • Confounding, coexisting pathology suspected to be the primary source of their pain \[e.g., acute meniscal tear (with mechanical symptoms), ligamentous changes (with clinical instability) or hemarthrosis\]
  • Current or chronic sciatica (lumbosacral radiculopathy) resulting in chronic or intermittent lower extremity pain, numbness, or tingling
  • Diagnosis of neuropathy affecting sensation to pain
  • Diagnosis of inflammatory arthropathy
  • Diagnosis of fibromyalgia or chronic fatigue syndrome
  • Hx of adverse reaction to PRP injection (either documented in the medical record or shared by the patient during screening)
  • Tattoo in treatment area
  • Diagnosis of porphyria (light induced allergy) or photosensitive eczema
  • Current use of medications associated with sensitivity to heat or light (e.g., amiodarone, chlorpromazine, doxycycline, hydrochlorothiazide, nalidixic acid, naproxen, piroxicam, tetracycline, thioridazine, voriconazole)
  • Current use of pacemaker
  • Hx of underlying cardiac disease
  • Diagnosis of autoimmune disease
  • Albinism
  • Current pregnancy or plans to become pregnant during intervention period
  • Hx of memory problems, dementia, and/or impaired decision-making ability
  • Any other serious medical conditions(s) that might preclude optimal outcome and/or interfere with participation (e.g.), intra-articular sepsis, bacteremia, fracture, joint instability, rheumatoid arthritis, osteoporosis, cancer, coagulopathy, etc.)

Key Trial Info

Start Date :

October 13 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 10 2024

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT06122116

Start Date

October 13 2023

End Date

October 10 2024

Last Update

November 8 2024

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Madigan Army Medical Center

Tacoma, Washington, United States, 98431