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Stromal Vascular Fraction (SVF) Injection in the Treatment of Patellar Tendinopathy

Primary Purpose

Patellar Tendinitis, Tendinopathy, Patellar Tendinopathy

Status
Active
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Stromal Vascular Fraction injection
Sponsored by
Istituto Ortopedico Rizzoli
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Patellar Tendinitis focused on measuring stromal vascular fraction, patellar tendinopathy, injection

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Ultrasound or MRI signs of patellar tendon pathology

Exclusion Criteria:

  • BMI > 30
  • Patients suffering from: rheumatic diseases, diabetes, infectious processes, epilepsy, severe osteoporosis
  • Patients undergoing intra-tendon infiltration of another substance within the previous 6 months;
  • Patients who had patellar tendon surgery within the previous 12 months;
  • Immunodepression
  • On going systemic inflammatory diseases (stabilized outcomes of such diseases are not considered absolute contraindications).

Sites / Locations

  • Istituto Ortopedico Rizzoli

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Stromal Vascular Fraction injection

Arm Description

intra- and peri-tendon ultrasound-guided injection of Stromal Vascular Fraction

Outcomes

Primary Outcome Measures

Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire
VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0

Secondary Outcome Measures

Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire
VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0
EuroQol Visual Analogue Scale (EQ-VAS)
EQ-VAS, which asks patients to indicate their overall health on a vertical visual analogue scale, ranging from "worst possible" to "best possible" health.
EQ-5D(EuroQol)
the EQ-5D profile, asks patients to classify their health based on self-assessed levels of problems ("no", "some", "extreme") on five dimensions.
Visual Analog Scale - VAS
Analogue scale represented by a line of 10 cm length, ranging from "absence of pain" to "the worst imaginable pain "
Tegner score
Tegner's activity scale classifies the activity according to work and sports activities on a scale from 0 to 10. Zero represents disability because of knee problems and 10 represents soccer a national or international level.
MRI evaluation
MRI performing and evaluation
ultrasound
ultrasound performing and thickness evaluation of the tendon

Full Information

First Posted
February 12, 2021
Last Updated
April 18, 2023
Sponsor
Istituto Ortopedico Rizzoli
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1. Study Identification

Unique Protocol Identification Number
NCT04753853
Brief Title
Stromal Vascular Fraction (SVF) Injection in the Treatment of Patellar Tendinopathy
Official Title
Effect of Infiltrative Treatment of Stromal Vascular Fraction in Patellar Tendinopathy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 1, 2021 (Actual)
Primary Completion Date
February 10, 2022 (Actual)
Study Completion Date
July 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Istituto Ortopedico Rizzoli

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of the study is the evaluation of clinical and radiological results after the treatment of patellar tendinopathy through the injection of autologous ultrasound-guided, intra- and peri-tendon stromal vascular fraction.
Detailed Description
After being informed about the study and potential risks, all patients giving written informed consent will be treated according to the study protocol. Every patients will undergo to a single peri- and intra- tendon injection with Autologous Stromal Vascula Fraction (SVF). At baseline and at every follow-ups patients will be evaluated clinically and radiologically. In particular, clinical evaluation and questionnaires will be performed at baseline, 1, 3, 6, 12 and 24 months visits, Ultrasound will be performed at baseline, 6 and 12 months visits. MRI will be performed at baseline and 6 months visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellar Tendinitis, Tendinopathy, Patellar Tendinopathy
Keywords
stromal vascular fraction, patellar tendinopathy, injection

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Interventional Pilot study
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Stromal Vascular Fraction injection
Arm Type
Experimental
Arm Description
intra- and peri-tendon ultrasound-guided injection of Stromal Vascular Fraction
Intervention Type
Procedure
Intervention Name(s)
Stromal Vascular Fraction injection
Intervention Description
intra- and peri-tendon ultrasound-guided injection of Stromal Vascular Fraction
Primary Outcome Measure Information:
Title
Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire
Description
VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire
Description
VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0
Time Frame
Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)
Title
EuroQol Visual Analogue Scale (EQ-VAS)
Description
EQ-VAS, which asks patients to indicate their overall health on a vertical visual analogue scale, ranging from "worst possible" to "best possible" health.
Time Frame
Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)
Title
EQ-5D(EuroQol)
Description
the EQ-5D profile, asks patients to classify their health based on self-assessed levels of problems ("no", "some", "extreme") on five dimensions.
Time Frame
Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)
Title
Visual Analog Scale - VAS
Description
Analogue scale represented by a line of 10 cm length, ranging from "absence of pain" to "the worst imaginable pain "
Time Frame
Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)
Title
Tegner score
Description
Tegner's activity scale classifies the activity according to work and sports activities on a scale from 0 to 10. Zero represents disability because of knee problems and 10 represents soccer a national or international level.
Time Frame
Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)
Title
MRI evaluation
Description
MRI performing and evaluation
Time Frame
baseline and 6 month
Title
ultrasound
Description
ultrasound performing and thickness evaluation of the tendon
Time Frame
baseline, 6 and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ultrasound or MRI signs of patellar tendon pathology Exclusion Criteria: BMI > 30 Patients suffering from: rheumatic diseases, diabetes, infectious processes, epilepsy, severe osteoporosis Patients undergoing intra-tendon infiltration of another substance within the previous 6 months; Patients who had patellar tendon surgery within the previous 12 months; Immunodepression On going systemic inflammatory diseases (stabilized outcomes of such diseases are not considered absolute contraindications).
Facility Information:
Facility Name
Istituto Ortopedico Rizzoli
City
Bologna
ZIP/Postal Code
40124
Country
Italy

12. IPD Sharing Statement

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Stromal Vascular Fraction (SVF) Injection in the Treatment of Patellar Tendinopathy

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