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Phase II Study of the Effects of rhPDGF-BB Injection on Lateral Epicondylitis

B

BioMimetic Therapeutics

Status and phase

Completed
Phase 2

Conditions

Lateral Epicondylitis

Treatments

Drug: Placebo
Drug: rhPDGF-BB Injection

Study type

Interventional

Funder types

Industry

Identifiers

NCT01746420
BMTI-2010-02

Details and patient eligibility

About

The purpose of this study is to determine whether recombinant human platelet-derived growth factor (rhPDGF-BB) Injection is effective in the treatment of lateral epicondylitis (tennis elbow).

Full description

Methodology: Randomized, single ascending dose, double-blinded, placebo controlled, multi-center study

Study Center(s): 6

Number of Subjects: 100

Diagnosis and Main Inclusion Criteria: Lateral epicondylitis; male and female subjects 21 -80 years of age

Study Drug, Dose, Regimen:

Dose A: sodium acetate buffer alone - placebo control Dose B: sodium acetate buffer + 0.45 mg rhPDGF-BB Dose C: sodium acetate buffer + 0.75 mg rhPDGF-BB Dose D: sodium acetate buffer + 1.5 mg rhPDGF-BB Dose E: sodium acetate buffer + 3.0 mg rhPDGF-BB

Duration and Route of Administration: Single administration dose by injection into the extensor carpi radialis brevis (ECRB)

Duration of Follow-up: 24 weeks (6 months) post-operative follow-up

Enrollment

100 patients

Sex

All

Ages

21 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Subject has signed the Institutional Review Board (IRB) approved Informed Consent Form specific to this study prior to enrollment

  2. Subject has a clinical diagnosis of lateral epicondylitis

  3. Subject's symptoms can be reproduced with resisted supination or wrist dorsiflexion

  4. Subject's symptoms have persisted for at least 3 months despite conservative treatment that includes one or combinations of:

    1. Physical therapy
    2. Splinting
    3. Nonsteroidal antiinflammatory drug (NSAID)
    4. Corticosteroid injection
  5. Subject is independent, ambulatory, and can comply with all post-injection evaluations and visits

  6. Subject is 21-80 years of age and considered to be skeletally mature

Exclusion criteria

  1. Subject has undergone previous corticosteroid injection therapy to the effected elbow in less than three months prior to enrollment

  2. Subject has received previous Platelet Rich Plasma (PRP) injection to the affected elbow

  3. Subject is deemed to require a corticosteroid injection into the affected elbow during the course of the study

  4. Subject uses chronic medications known to affect the skeleton (e.g. glucocorticoid usage >10mg/day)

  5. Subject has undergone surgical intervention to the affected elbow for the treatment of lateral epicondylitis

  6. Subject has a positive medical history of any of the following:

    1. medial epicondylitis
    2. radial tunnel syndrome
    3. carpal tunnel syndrome
    4. septic or gouty arthritis
    5. cervical radiculopathy
    6. trauma to the affected elbow within the past 6 weeks
    7. neuromuscular or musculoskeletal deficiency, which limits the ability to perform functional measurement (e.g. grip strength test)
  7. Subject currently has an acute infection at the injection site

  8. Subject has tested positive or been treated for a malignancy in the past or is suspected of having a malignancy or are currently undergoing radio- or chemotherapy treatment for a malignancy anywhere in the body, whether adjacent to or distant from the proposed rhPDGF-BB Injection treatment site

  9. Subject is physically or mentally compromised (e.g. currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.) to the extent that the Investigator judges the subject to be unable or unlikely to remain compliant

  10. Subject has an allergy to yeast-derived products

  11. Subject has received an investigational therapy or approved therapy for investigational use within 30 days of injection procedure or during the follow-up phase of this study

  12. Subject is a prisoner, or is known or suspected to be transient

  13. Subject's condition represents a worker's compensation case

  14. Subject is currently involved in a health-related litigation procedure

  15. Subject has documented evidence of a history (e.g. liver testing) of drug/alcohol abuse within the 12 months prior to screening for study entry

  16. Subject is pregnant, or able to become pregnant but not practicing a medically-accepted form of birth control, and/or intending to become pregnant during this study period

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

100 participants in 5 patient groups, including a placebo group

Placebo Control
Placebo Comparator group
Description:
Dose A - sodium acetate buffer (0 mg rhPDGF-BB)
Treatment:
Drug: Placebo
0.45 mg rhPDGF-BB
Experimental group
Description:
Dose B - sodium acetate buffer + 0.45 mg rhPDGF-BB
Treatment:
Drug: rhPDGF-BB Injection
0.75 mg rhPDGF-BB
Experimental group
Description:
Dose C - sodium acetate buffer + 0.75 mg rhPDGF-BB
Treatment:
Drug: rhPDGF-BB Injection
1.5 mg rhPDGF-BB
Experimental group
Description:
Dose D - sodium acetate buffer + 1.5 mg rhPDGF-BB
Treatment:
Drug: rhPDGF-BB Injection
3.0 mg rhPDGF-BB
Experimental group
Description:
Dose E - sodium acetate buffer + 3.0 mg rhPDGF-BB
Treatment:
Drug: rhPDGF-BB Injection

Trial contacts and locations

7

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Data sourced from clinicaltrials.gov

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