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CTRI Number  CTRI/2025/02/079931 [Registered on: 04/02/2025] Trial Registered Prospectively
Last Modified On: 11/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Comparison Of Effect Of Intraarticular Growth Factor Concentrate Injection And Intraarticular Normal Saline Injection in Knee Osteoarthritis. 
Scientific Title of Study   The Effect Of Intraarticular Growth Factor Concentrate Injection In Knee Osteoarthritis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Amit Saraf 
Designation  Professor 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of Orthopaedics, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Moradabad Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9780029750  
Fax    
Email  amitsaraf_75@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Saraf 
Designation  Professor 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of Orthopaedics, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Moradabad Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9780029750  
Fax    
Email  amitsaraf_75@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amit Saraf 
Designation  Professor 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of Orthopaedics, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Moradabad Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9780029750  
Fax    
Email  amitsaraf_75@yahoo.com  
 
Source of Monetary or Material Support  
Teerthanker Mahaveer Medical College and Research Centre, Delhi road,Moradabad 244001 , Uttar Pradesh,India 
 
Primary Sponsor  
Name  Teerthankar Mahaveer Medical College and Research Centre 
Address  Teerthanker Mahaveer Medical College and Research Centre, N.H.-24, Delhi Road, Moradabad - 244001, Uttar Pradesh 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sahil Shah  Teerthankar MahaveerMedical college and research centre  Room no - 407, Department of Orthopaedics, Teerthankar Mahaveer Medical College and Research Centre, NH24 Delhi Road, Bagadpur, Moradabad,Moradabad Moradabad UTTAR PRADESH
Moradabad
UTTAR PRADESH 
9879476883

sahilbshah711@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Teerthankar Mahaveer University- Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intraarticular Injection of Growth Factor Concentrate  Patients will be recruited from the OPD after applying ACR criteria & KL Grade Il and III on X-RAY KNEE AP/LAT (STANDING) and applying inclusion and exclusion criteria. After which Baseline VAS, WOMAC, Ser. Coll2-1NO2, X-Ray, MRI study {WORMS} wiil be done then USG-guided 1st Intraarticular injection of Growth Factor Concentrate will be given. After 1 month VAS, WOMAC will be taken and USG-guided 2nd Intraarticular injection of Growth Factor Concentrate will be given. After 6 month VAS, WOMAC will be taken and VAS, WOMAC, Ser. Coll2-1N02, X-Ray, MRI study {WORMS} will be taken after 9 months to study the effect. 
Comparator Agent  Intraarticular Injection of Normal Saline  Patients will be recruited from the OPD after applying ACR criteria & KL Grade Il and III on X-RAY KNEE AP/LAT (STANDING) and applying inclusion and exclusion criteria. After which Baseline VAS, WOMAC, Ser. Coll2-1NO2, X-Ray, MRI study {WORMS} wiil be done then USG-guided 1st Intraarticular injection of Normal Saline will be given. After 1 month VAS, WOMAC will be taken and USG-guided 2nd Intraarticular injection of Normal Saline will be given. After 6 month VAS, WOMAC will be taken and VAS, WOMAC, Ser. Coll2-1N02, X-Ray, MRI study {WORMS} will be taken after 9 months to study the effect. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patient of either age group Diagnosed with Osteoarthritis Knee as per American College of Rheumatology (ACR) 2019 criteria. Among the above patients who are diagnosed with Grade II and III Osteoarthritis of the knee joint according to the Kellgren-Lawrence scale are selected. 
 
ExclusionCriteria 
Details  1.Any known malignancy
2.Gouty Arthritis /inflammatory arthritis, Secondary Osteoarthritis
3.Active knee infection.
4.Disorders of Bleeding
5.Uncontrolled Diabetes Mellitus
6.Ligamentous instability of knee (MRI DIAGNOSED) 
7.Contraindication to MRI
8.Any history of previous intraarticular steroid injection 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.To assess and compare the functional outcome in patients of Knee Osteoarthritis before each GFC/NS injection and at 6 months and at 9 months and study their effect.
2.To assess and compare the Radiological outcome with the help of WORMS score and X-Ray in patients of Knee Osteoarthritis and observe the changes at the end of 9 months. 
1,2,6 and 9 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.To assess and compare the cartilage degeneration with the help of Biochemical marker Serum Coll2-1NO2 levels at the final follow-up and compared to the baseline serum levels to analyse the effects of both GFC and NS on its level in the body.  1,2,6 and 9 months 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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 4 
Date of First Enrollment (India)   15/02/2025 
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="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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
Modification(s)  

Patients will be recruited from the OPD after applying ACR criteria & KL Grade II and III on X-RAY KNEE AP/LAT (STANDING) and applying inclusion and exclusion criteria;.
Randomization will be done via a computer-generated random sequence and patient will be divided into 2 groups (Group A-GFC; Group B-NS)
VAS, WOMAC, Ser. Coll2-1NO2, X-Ray, MRI study{WORMS} Before 1stGFC/NS(Baseline) Intraarticular injection
Then USG-guided 1st Intraarticular injection of GFC/NS will be given
After 1 month VAS , WOMAC will be taken and USG-guided 2nd GFC/NS Intraarticular injection will be given
After 6 month VAS , WOMAC will be taken
VAS , WOMAC , Ser. Coll2-1NO2 , X-Ray , MRI study{WORMS} will be taken after 9 months to study the effect


 
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