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Patellar TendinopathyNCT04640337

Influence of Placebo on Intratissue Percutaneous Electrolysis in Patellar Tendinopathy

A study testing IPE applied, participants believe they are receiving IPE and IPE not applied, participants believe they are receiving IPE in people with Patellar Tendinopathy, run by University of Valencia at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The main aim of this study is to verify the influence of placebo on the effectiveness of Intratissue Percutaneous Electrolysis (IPE) in patients suffering from with chronic patellar tendinopathy (PT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Patellar Tendinopathy
What is being tested?
IPE applied, participants believe they are receiving IPE and IPE not applied, participants believe they are receiving IPE
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteSpain
Study dates
16 Oct 2020to 20 Mar 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years old or older
  • presenting the following signs and symptoms of patellar tendinopathy: pain when jumping, landing, running o changing direction, pain at the inferior pole of the patella, Victorian Institute of Sport Assessment-Patella (VISA-P) score <80, symptoms duration of at least 3 months.

Who cannot join

  • prior knee surgery
  • patients having received local corticosteroids injection in the tendon within the preceding 6 months
  • patients presenting any inflammatory disease, metabolic bone disease, type II diabetes, fibromyalgia, hypercholesterolemia, pregnancy or chemotherapy within the 3 months prior to the study.

Trial locations and contacts

1 site in 1 country.

Spain1 site, 1 recruiting
  • Mercè Balasch i Bernat

    Valencia, 46010

    Mercè B Balasch i Bernat, PhD, PT, 963983855 ext. 51225, merce.balasch@uv.es

    Mercè Balasch i Bernat, PhD

    Recruiting

Other trials in Spain

About this study

Official title: Influence of Placebo on Intratissue Percutaneous Electrolysis (IPE) Treatment in Patients With Patellar Tendinopathy

The main aim of this study is to verify the influence of placebo on the effectiveness of Intratissue Percutaneous Electrolysis (IPE) in patients suffering from with chronic patellar tendinopathy (PT).

The secondary aim is to investigate the possible influence of the IPE on pain perception and conditioned pain modulation (CPM) in patients with chronic PT.

Read the detailed description

The aim of this study is to investigate the influence of placebo on the effectiveness of Intratissue Percutaneous Electrolysis (IPE) in patients with chronic PT. For this purpose a randomized clinical trial will be carried out, with a sample of patients diagnosed of chronic PT based on signs, symptoms and clinical examination. Subjects will be randomly allocated to four different groups: group E1, IPE will be applied, participants will believe they are receiving IPE; group E2, IPE will be applied, participants will believe they are receiving placebo; group P1, IPE will not be applied, participants will believe they are receiving IPE; and group P2, IPE will not be applied, participants will believe they are receiving placebo.

IPE treatment will consist of a total of 3 sessions, with a time interval of one week between the 1st and 2nd sessions and 2 weeks between the 2nd and 3rd sessions.

To evaluate the effect of intervention, the subjects will be assessed at baseline (V0), one week after the end of the intervention (V1) and 3 weeks after the intervention (V2).

In V0, sociodemographic (sex, age, profession, height, body mass index (BMI), sport activity, hours of sport per week) and clinical data (associated pathologies, affected lower limb, dominant lower limb, duration of symptoms) will be registered. In each assessment time information regarding BMI, sports activity, hours of sport per week and location of pain will be obtained. Moreover, in all assessments participants were evaluated for four physical performance tests, pain and functional scales, ultrasound examination, pressure pain thresholds, conditioned pain modulation, and expectations questionnaires.

Being tested
IPE applied, participants believe they are receiving IPE, IPE applied, participants believe they are receiving placebo, IPE not applied, participants believe they are receiving IPE, IPE not applied, participants believe they are receiving placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IPE applied, participants believe they are receiving IPEOther

    Participants will receive a total of 3 sessions of IPE, with a time interval of one week between the 1st and 2nd session and 2 weeks between the 2nd and 3rd session. IPE will be applied following the standard protocol for PT. Participants will believe they are receiving IPE.

  • IPE applied, participants believe they are receiving placeboOther

    Participants will receive a total of 3 sessions of IPE, with a time interval of one week between the 1st and 2nd session and 2 weeks between the 2nd and 3rd session. IPE will be applied following the standard protocol for PT. Subjects will be led to belie

  • IPE not applied, participants believe they are receiving IPEOther

    Participants will receive a total of 3 sessions of IPE-placebo, with a time interval of one week between the 1st and 2nd session and 2 weeks between the 2nd and 3rd session. The needle will be inserted under the skin but the current will not be passing th

  • IPE not applied, participants believe they are receiving placeboOther

    Participants will receive a total of 3 sessions of IPE-placebo, with a time interval of one week between the 1st and 2nd session and 2 weeks between the 2nd and 3rd session. The needle will be inserted under the skin, subjects will be led to believe that the intensity of the current is below the threshold necessary to cause changes in the tissue.

Study groups in NCT04640337
Study groupRoleWhat they receive
Group E1: IPE applied, participants believe they are receiving IPE.ExperimentalIPE will be applied following the standard protocol for PT. Participants will believe they are receiving IPE.
Receives: Other: IPE applied, participants believe they are receiving IPE
Group E2: IPE applied, participants believe they are receiving placebo.Placebo comparatorIPE will be applied following the standard protocol for PT. Subjects will be led to believe that the intensity of the current is below the threshold necessary to cause changes in the tissue.
Receives: Other: IPE applied, participants believe they are receiving placebo
Group P1: IPE not applied, participants believe they are receiving IPE.Placebo comparatorThe needle will be inserted under the skin but the current will not be passing through. The subjects will see a shame video on the ultrasound screen so they will believe that the IPE is being performed.
Receives: Other: IPE not applied, participants believe they are receiving IPE
Group P2: IPE not applied, participants believe they are receiving placebo.Placebo comparatorThe needle will be inserted under the skin, subjects will be led to believe that the intensity of the current is below the threshold necessary to cause changes in the tissue.
Receives: Other: IPE not applied, participants believe they are receiving placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain intensity

    Knee pain intensity reported by the patient will be assessed using a 100-mm visual analogue scale (VAS, 0-100, 0=minimum score, 100=maximum score). Higher values represent a better outcome (less pain).

    Measured: Baseline

  2. Pain intensity

    Knee pain intensity reported by the patient will be assessed using a 100-mm visual analogue scale (VAS, 0-100, 0=minimum score, 100=maximum score). Higher values represent a better outcome (less pain).

    Measured: One week post-intervention

  3. Pain intensity

    Knee pain intensity reported by the patient will be assessed using a 100-mm visual analogue scale (VAS, 0-100, 0=minimum score, 100=maximum score). Higher values represent a better outcome (less pain).

    Measured: Three weeks post-intervention

  4. Patellar tendon function

    Victorian Institute of Sport Assessment-Patellar Tendon (VISA-P, 0-100, 0=minimum score, 100=maximum score) will aso be used to evaluate function of the patellar tendon. A score between 80-100 points is considered as the optimal outcome.

    Measured: Baseline

  5. Patellar tendon function

    Victorian Institute of Sport Assessment-Patellar Tendon (VISA-P, 0-100, 0=minimum score, 100=maximum score) will aso be used to evaluate function of the patellar tendon. A score between 80-100 points is considered as the optimal outcome.

    Measured: One week post-intervention

  6. Patellar tendon function

    Victorian Institute of Sport Assessment-Patellar Tendon (VISA-P, 0-100, 0=minimum score, 100=maximum score) will aso be used to evaluate function of the patellar tendon. A score between 80-100 points is considered as the optimal outcome.

    Measured: Three weeks post-intervention

  7. Physical performance of the knee

    Physical performance of the knee will be assessed by the Single Leg Decline squat (SLDS), which consists of performing a squat with one leg on a decline board with an angle of 25º.

    Measured: Baseline

  8. Physical performance of the knee

    Physical performance of the knee will be assessed by the Single Leg Decline squat (SLDS), which consists of performing a squat with one leg on a decline board with an angle of 25º.

    Measured: One week post-intervention

  9. Physical performance of the knee

    Physical performance of the knee will be assessed by the Single Leg Decline squat (SLDS), which consists of performing a squat with one leg on a decline board with an angle of 25º.

    Measured: Three weeks post-intervention

  10. Cross-sectional area (CSA) of the patellar tendon

    CSA at rest, with a knee flexion of 20º, will be measured by ultrasonography.

    Measured: Baseline

  11. Cross-sectional area (CSA) of the patellar tendon

    CSA at rest, with a knee flexion of 20º, will be measured by ultrasonography.

    Measured: One week post-intervention

  12. Cross-sectional area (CSA) of the patellar tendon

    CSA at rest, with a knee flexion of 20º, will be measured by ultrasonography.

    Measured: Three weeks post-intervention

  13. Presence of neovascularity of the patellar tendon

    The presence (yes/no) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: Baseline

  14. Presence of neovascularity of the patellar tendon

    The presence (yes/no) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: One week post-intervention

  15. Presence of neovascularity of the patellar tendon

    The presence (yes/no) and amount (0=no vascularity, 1=low fow, 2=mild flow, 3=high flow) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: Three weeks post-intervention

  16. Amount of neovascularity of the patellar tendon

    The amount (0=no vascularity, 1=low fow, 2=mild flow, 3=high flow) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: Baseline

  17. Amount of neovascularity of the patellar tendon

    The amount (0=no vascularity, 1=low fow, 2=mild flow, 3=high flow) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: One week post-intervention

  18. Amount of neovascularity of the patellar tendon

    The amount (0=no vascularity, 1=low fow, 2=mild flow, 3=high flow) of neovascularity of the patellar tendon will be measured by ultrasonography.

    Measured: Three weeks post-intervention

Secondary outcomes (11)
  1. Pressure Pain Thresholds (PPT)

    PPTs will be recorded using an electronic algometer at the ipsilateral (affected) patellar tendon, the contralateral patellar tendon and the ipsilateral upper trapezius. Higher values represent a better outcome.

    Measured: Baseline

  2. Pressure Pain Thresholds (PPT)

    PPTs will be recorded using an electronic algometer at the ipsilateral (affected) patellar tendon, the contralateral patellar tendon and the ipsilateral upper trapezius. Higher values represent a better outcome.

    Measured: One week post-intervention

  3. Pressure Pain Thresholds (PPT)

    PPTs will be recorded using an electronic algometer at the ipsilateral (affected) patellar tendon, the contralateral patellar tendon and the ipsilateral upper trapezius. Higher values represent a better outcome.

    Measured: Three weeks post-intervention

  4. Conditioned pain modulation (CPM)

    CPM will be tested using the upper extremity submaximal effort tourniquet test.

    Measured: Baseline

  5. Conditioned pain modulation (CPM)

    CPM will be tested using the upper extremity submaximal effort tourniquet test.

    Measured: One week post-intervention

  6. Conditioned pain modulation (CPM)

    CPM will be tested using the upper extremity submaximal effort tourniquet test.

    Measured: Three weeks post-intervention

  7. Patients' expectations

    Patients' expectations with the treatment will be registered using an add-hoc questionnaire consisting of 2 questions: "What do you think will be the intensity of your pain when this intervention takes effect?" (NPRS, 0-10, 10 severe pain, 0=no pain) and "Do you expect to have more pain, less pain or the same intensity of pain after treatment?" (more pain, less pain, same pain).

    Measured: Baseline

  8. Self-perceived change with the treatment

    Participants' will rate the results/outcomes obtained with the treatment by the Global rating of change scale (GROC) ((-7)-(+7), -7= very great deal worse, +7= very great deal better).

    Measured: One week post-intervention

  9. Self-perceived change with the treatment

    Participants' will rate the results/outcomes obtained with the treatment by the Global rating of change scale (GROC) ((-7)-(+7), -7= very great deal worse, +7= very great deal better).

    Measured: Three weeks post-intervention

  10. Self-perceived pain after treatment

    Self-perceived pain after treatment will be assessed by the question "What do you think your pain is like now (after treatment): more pain, less pain or the same pain intensity compared to before treatment?" (more pain, less pain, same pain).

    Measured: One week post-intervention

  11. Self-perceived pain after treatment

    Self-perceived pain after treatment will be assessed by the question "What do you think your pain is like now (after treatment): more pain, less pain or the same pain intensity compared to before treatment?" (more pain, less pain, same pain).

    Measured: Three weeks post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Nov 2020
  2. Study start16 Oct 2020
  3. Primary completion20 Dec 2023 (estimated)
  4. Study completion20 Mar 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04640337
Sponsor's protocol ID
1264955
Status last verified
May 2023
First submitted
10 Nov 2020
Last updated
9 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing IPE applied, participants believe they are receiving IPE and IPE not applied, participants believe they are receiving IPE in people with Patellar Tendinopathy, run by University of Valencia at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 9 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain intensity (time frame: Baseline). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 May 2023.

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