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This study will focus on grade I to III knee osteoarthritis by randomized controlled trials which comparing the effectiveness between placebo, autologous platelet rich plasma and autologous platelet lysate injections.
The current methods for treating knee osteoarthritis include delaying the disease progression and joint replacement surgery. The usual treatment methods are mostly temporary, such as taking drug and hyaluronic acid injection. Therefore, finding the safe and effective methods will greatly reduce medical resource, medical expenses and surgery cost, etc., and restore the patient's quality of life. Platelet lysate is the product of complete activation from autologous platelet. It contains rich growth factors and cytokines such as PDGF, TGF-β, VEGF, EGF and IGF, etc. It can support cell growth and doesn't have any white blood cells in it. It is superior to the platelet rich plasma because of reducing the overall inflammatory response and pain of the patient during treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Saline injection | Placebo Comparator | Sodium Chloride injection into the study knee joint every 4 weeks for a total of 3 injections |
|
| PRP injection | Experimental | PRP injection into the study knee joint every 4 weeks for a total of 3 injections |
|
| PL injection | Experimental | PL injection into the study knee joint every 4 weeks for a total of 3 injections Platelet lysate is the product of nature activation from autologous platelet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saline injection | Other | 5ml Placebo infusion of 0.9% Sodium Chloride |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score of the patient | Using Visual Analog Score (from 0 to 10, 0 indicate no pain and 10 indicate maximal pain) to evaluate pain of surgical wound of the patient | up to 24 weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Knee functional score | Using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | up to 24 weeks after surgery |
| X-ray | Knee X-ray image |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| WU Chueh-Hung, MD, CIPS | Contact | 0223123456 | 66473 | nojred@gmail.com |
| Wang Tyng-Guey, MD | Contact | 0223123456 | 67588 | tgw@ntu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Wu Chueh-Hung, MD, CIPS | National Taiwan University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | 100 | Taiwan |
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| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| PRP injection |
| Biological |
Device: "Aeon" Acti-PRP 5ml autologous platelet rich plasma injection |
|
| PL injection | Biological | Device: "Aeon" Acti-PRP 5ml autologous platelet lysate injection |
|
| up to 24 weeks after surgery |
| Ultrasonic image | Ultrasonic-between thickness of the medial and lateral sides of the femoral condyle | up to 24 weeks after surgery |
| adverse events | adverse events in clinical trial | up to 24 weeks after surgery |
| D017670 |
| Sodium Compounds |