| CTRI Number |
CTRI/2025/07/090021 [Registered on: 02/07/2025] Trial Registered Prospectively |
| Last Modified On: |
30/06/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Biological |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Comparing Growth factor concentrates with platelet rich plasma in conditions of Plantar Fasciitis that doesn’t resolve by non invasive managements |
|
Scientific Title of Study
|
Comparative study between Growth Factor Concentrate, Platelet Rich Plasma and placebo on the pain and Function in patients with chronic plantar fasciitis in a tertiary care centre ; A triple blinded Randomised Control trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Ananthakrishna J |
| Designation |
Junior Resident |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Room no 711, hostel no 18 , AIIMS Masjid moth campus, AIIMS New Delhi Room no 19, Department of PM&R , teaching block AIIMS 110029 South DELHI 110029 India |
| Phone |
7902859071 |
| Fax |
|
| Email |
kazhak5108akj@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Ananthakrishna J |
| Designation |
Junior Resident |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Room no 711, hostel no 18 , AIIMS Masjid moth campus, AIIMS New Delhi Room no 19, Department of PM&R , teaching block AIIMS 110029 South DELHI 110029 India |
| Phone |
7902859071 |
| Fax |
|
| Email |
kazhak5108akj@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Ananthakrishna J |
| Designation |
Junior Resident |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Room no 711, hostel no 18 , AIIMS Masjid moth campus, AIIMS New Delhi Room no 19, Department of PM&R , teaching block AIIMS 110029 South DELHI 110029 India |
| Phone |
7902859071 |
| Fax |
|
| Email |
kazhak5108akj@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
PG Research grant |
| Address |
Research Section , 1st floor near CMET AIIMS New Delhi |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Ananthakrishna J |
AIIMS Delhi |
Room no 19 ,Dept of PM&R
Ground floor teaching block South DELHI |
7902859071
kazhak5108akj@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTE ETHICS COMMITTEE FOR POST GRADUATE RESEARCH ALL INDIA INSTITUTE OF MEDICAL SCIENCES |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M722||Plantar fascial fibromatosis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Injection Growth factor concentrate |
Injection autologous Growth factor concentrate will be injected using a peppering technique, involving 3-4 penetrations of the fascia but only a single skin portal |
| Comparator Agent |
Normal saline (placebo) |
Injection of 1.5ml of 3% normal saline will be injected using a peppering technique, involving 3-4 penetrations of the fascia but only a single skin portal |
| Intervention |
Platelet Rich Plasma |
Injection of 1.5 ml of autologous PRP will be injected using a peppering technique, involving 3-4 penetrations of the fascia but only a single skin portal. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
75.00 Year(s) |
| Gender |
Both |
| Details |
Patient with unilateral or bilateral heel pain diagnosed to have Chronic Plantar fasciitis using either of the two following diagnostic criterias 2.1) Clinical criteria 1) Patients describing heel pain that is worse in the morning or after a period of inactivity.
2)Patients complaining of heel pain initially lessens out and then gradually increasing towards the end of day.
3)Patient has a local point tenderness near the origin of the plantar fascia at the medial tuberosity of the calcaneum.
2.2) USG criteria: Ultrasound examination showing plantar fascia thickness greater than or equal to 4 mm or
difference in plantar fascia thickness greater than or equal to 1 mm in symptomatic heel in comparison to
asymptomatic heel at inferior border of the calcaneus.
3. Patient have significant pain(VAS score greater than 3) even after conservative managements for more than 3 weeks.
4. In bilateral cases, foot with more clinical severity will be taken into the study.
5. Patient has to be literate (able to read and understand) in either English or Hindi language |
|
| ExclusionCriteria |
| Details |
Received local steroid injection within 6 months.
2. History of anemia (Hb lesser than 10g/dL) or bleeding disorders.
3. Previous surgery for plantar fasciitis.
4. Achilles tendon pathology.
5. Diagnosed case of local malignancy.
6. Diagnosed case of rheumatological diseases.
7. Patients on anticoagulation therapy.
8. Diagnosis of vascular insufficiency or neuropathy related heel pain (radiculopathy, tarsal tunnel syndrome) and other causes of heel pain.
9. Any local trauma or infection.
10. Anatomical deformities of foot like pes planus and pes cavus.
11. Patient with uncontrolled diabetes and hypertension.
12. Patient not willing for the participation in the study |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant, Investigator and Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| The primary outcome measure will be the difference in pain from the baseline in VAS scales assessed at 2 weeks, 4 weeks, 8 weeks and 12 weeks from the date of intervention |
The primary outcome measure will be the difference in pain from the baseline in VAS scales assessed at 2 weeks, 4 weeks, 8 weeks and 12 weeks from the date of intervention |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 1) Difference in pain and functional limitation from the baseline in the Foot function Index scale to be analyzed at 2 weeks, 4 weeks, 8 weeks and 12 weeks from the date of intervention |
1) Difference in pain and functional limitation from the baseline in the Foot function Index scale to be analyzed at 2 weeks, 4 weeks, 8 weeks and 12 weeks from the date of intervention |
| 2) The difference in plantar fascia thickness from the baseline measured using ultrasound calipers at 12 weeks post intervention. |
2) The difference in plantar fascia thickness from the baseline measured using ultrasound calipers at 12 weeks post intervention. |
|
|
Target Sample Size
|
Total Sample Size="45" Sample Size from India="45"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
15/07/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study will be done in AIIMS on an Outpatient basis and won’t be recruiting people from any other centres. This study would involve multiple follow up visits at 2,4,8,12 weeks after the injections too. |