CTRI Number |
CTRI/2021/03/032450 [Registered on: 31/03/2021] Trial Registered Prospectively |
Last Modified On: |
27/03/2021 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Biological |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
A Study to asses the effectiveness of platelet rich plasma injection by intra-articular or
rotator interval methods for management of periarthritis shoulder |
Scientific Title of Study
|
A Randomised controlled trial to asses the efficacy of USG-guided platelet rich plasma injection by intra-articular vs rotator interval methods for management of periarthritis shoulder |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Shubham Rahul Rai |
Designation |
PG Resident Anaesthesia |
Affiliation |
Lady hardinge Medical College |
Address |
Department of Anaesthesiology,Lady Hardinge Medical College Central DELHI 110001 India
Central DELHI 110001 India |
Phone |
9818270302 |
Fax |
|
Email |
raishubhamrahul@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Nitin Hayaran |
Designation |
Professor |
Affiliation |
Lady hardinge Medical College |
Address |
Department of Anaesthesiology,Lady Hardinge Medical College Central DELHI 110001 India
Central DELHI 110001 India |
Phone |
9315175494 |
Fax |
|
Email |
nhayaran97@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Shubham Rahul Rai |
Designation |
PG Resident Anaesthesia |
Affiliation |
Lady hardinge Medical College |
Address |
Department of Anaesthesiology,Lady Hardinge Medical College Central DELHI 110001 India
Central DELHI 110001 India |
Phone |
9818270302 |
Fax |
|
Email |
raishubhamrahul@gmail.com |
|
Source of Monetary or Material Support
|
Departmnent of Anaesthesiology, Lady hardinge medical college |
|
Primary Sponsor
|
Name |
Lady Hardinge Medical College |
Address |
Shaheed bhagat singh marg New Delhi
|
Type of Sponsor |
Government medical college |
|
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 Shubham Rahul Rai |
Lady Hardinge Medical College |
Departments of Anaesthesiology and Obstetrics, Lady Hardinge Medical College,Shaheed Bhagat Singh Marg,New Delhi Central DELHI Central DELHI |
9818270302
raishubhamrahul@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Ethics Committee for Human Research |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: M255||Pain in joint, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Intra-articular method |
Under Usg-guidance,3-4 ml of freshly prepared Platelet Rich Plasma will be injected intraarticularly. |
Intervention |
Rotator Interval method |
Under USG-guidance,3-4 ml of freshly prepared Platelet Rich Plasma will be injected by rotator interval method.
|
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
1.Adults(>18years) with chronic shoulder pain for > 6 months
2.Average Numerical Pain Rating Scale (NRS) > 4 |
|
ExclusionCriteria |
Details |
1.Any steroid injection within last 8 weeks.
2.Patients having coagulopathies, skin infection over shoulder area and allergy to local anesthetics.
3.Any shoulder surgery or arthroscopy of the affected shoulder within the past one year. |
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Not Applicable |
Primary Outcome
|
Outcome |
TimePoints |
Shoulder Pain and Disability Index (SPADI) at 0,1st and 3rd month in both the groups. |
0,1st and 3rd month |
|
Secondary Outcome
|
Outcome |
TimePoints |
1.Mean Numerical Pain Rating Scale(NRS) score at 0,1st and 3rd month follow-up in both the groups.
2.Proportion of patients with Post injection complications (infection or hematoma) at the site of injection in both the therapies. |
0,1st and 3rd month |
|
Target Sample Size
|
Total Sample Size="66" Sample Size from India="66"
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
|
N/A |
Date of First Enrollment (India)
|
02/04/2021 |
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="4" Days="5" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
RESULTS WILL BE PUBLISHED IN A SCIENTIFIC JOURNAL |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Shoulder pain is the 3rd leading cause of musculoskeletal pain after backpain and neck pain. Peri arthritis (PA), adhesive capsulitis, Rotator Cuff Tendinopathy (RCT), Acromioclavicular joint arthritis, Glenohumeral Osteoarthritis, inflammatory arthritis are some of the common causes of shoulder pain. Periarthritis shoulder/Frozen shoulder is a common condition resulting in insidious onset pain and global restriction of motion at the shoulder joint. Peak incidence between 46 and 64 years of age, with females more often affected.There is inflammation, thickening and contracture of the joint capsule as well as soft tissue fibrosis and inflammation of the rotator interval, capsule and ligaments. Painful stiffness of the shoulder can adversely affect activities of daily living and consequently impair quality of life.The typical natural history is of gradual resolution of symptoms over 1 to 3 year period and between 20% to 50% of patients may go on to develop long-lasting symptoms. A plethora of treatment options have been recommended which include benign neglect, oral corticosteroids, intra articular injection of corticosteroids, hyalouronic acid and platelet rich plasma(PRP), physical therapy exercises, deep heat modalities, manipulation under anaesthesia, hydro dilation, arthroscopic release. PRP has emerged as a new technology which is believed to stimulate revascularisation of soft tissue and increase the concentration of growth factors to improve and accelerate tendon healing. |