TendinopathyPhase 4NCT05603468
Effect of PRP vs Corticosteroid in Rotator Cuff Tendinopathy Subtypes in Arthroscopic Repair
A Phase 4 study testing platelet rich plasma, Corticosteroid and Normal saline in people with Tendinopathy, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.
Trial summary
Prospective, multicenter, randomized, single-blinded, parallel group,placebo-controlled,three-group establishment of specific treatment regimen for subtypes of tendinopathy Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Tendinopathy
- What is being tested?
- platelet rich plasma, Corticosteroid and Normal saline
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 387 participants
- Where
- 1 siteChina
- Study dates
- 15 Dec 2022to 31 Dec 2027
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Rotator cuff tears were diagnosis by magnetic resonance imaging or arthroscopy
- Surgical intervention of rotator cuff tears was proposed.
- Simple full-layer tear of supraspinatus tendon.
- Patients give informed consent, and sign the informed consent form, and the process must meet the requirements of GCP
Who cannot join
- Patients with rotator cuff injuries involving infraspinatus, subscapularis, and teres minor tendon injuries
- Patients platelet concentration is lower than 100×109
- Patients have other shoulder diseases, including osteoarthritis, cervical spondylosis, etc.patients have inflammatory diseases, including rheumatoid arthritis, fibromyalgia, rheumatic polymyalgia, etc.patients have received injection treatment within 3 months.
- Patients have participated in clinical trials or are conducting other clinical trials within 3 months before screening.
- Patients have severe primary cardiovascular disease, lung disease, endocrine and metabolic disease or serious diseases that affect their survival, such as tumor or AIDS, the researchers believe that it is not suitable to be selected.
- Patients have severe liver, kidney and hematological lesions, such as kidney function exceeding the upper limit of normal value and liver function exceeding 2 times the upper limit of normal value.
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- Patients have viral hepatitis, infectious diseases, severe abnormalities in blood coagulation and other diseases that the researchers consider unsuitable for surgery.
- Women who are pregnant or lactating, or who plan to conceive during follow-up, those who are positive for human chorionic gonadotropin before sampling; menstrual women should wait for surgery after the end of menstruation.
- Patients have severe neurological and mental disorders.
- Patients suspect or do have a history of alcohol or drug abuse.
- Patients have height body mass index (BMI) > 30.
- Patients have tendon disease caused by systemic immune or other diseases, and patients with diseases or symptoms that may affect pain or function scores.
- Patients have coagulation disorders caused by any other acute or chronic disease.
- MRI detection of contraindications. Include, but are not limited to: installation of pacemakers, defibrillators, cardiac stents, artificial heart valves, metal clips after aneurysm surgery, drug infusion devices implanted in the body, any electronic devices implanted in the body (nerve stimulators, bone growth stimulators), endovascular embolization steel rings, filters, ECG recording monitors, metal sutures, shrapnel or iron particles in the body, fixation of steel plates and nails after fracture surgery, Cochlear implant, middle ear graft, intraocular metal foreign body, etc. Claustrophobia, critically ill patients, etc.
- Refer to the April 2008 edition of the Law of the people's Republic of China on the Protection of disabled Persons, patients belong to the subjects of legal disabled persons
- Other situations in which the researchers judged that the subjects were not suitable to participate.
Trial locations and contacts
1 site in 1 country.
China1 site
2nd Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310058
About this study
Official title: Effect of Platelet-Rich Plasma vs Corticosteroid Injection in Distinct Rotator Cuff Tendinopathy Subtypes in Arthroscopic Repair: a Multicenter, Three-group, Randomized Controlled Trial
Prospective, multicenter, randomized, single-blinded, parallel group,placebo-controlled,three-group establishment of specific treatment regimen for subtypes of tendinopathy
Read the detailed description
This clinical trial uses machine learning to match molecular and clinical features,so as to establish a "rapid recognition system of tendinopathy subtypes" and compares the clinical effects of corticosteroid,platelet rich plasma or placebo on different subtypes of tendinopathy.
- Conditions
- Tendinopathy
- Being tested
- platelet rich plasma, Corticosteroid, Normal saline
- Keywords
- Tendinopathy, Platelet Rich Plasma
- Medical subject headings
- Tendinopathy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
platelet rich plasmaDrug
Platelet rich plasma group: after the surgery of rotator arthroscopic rotator cuff repair, 3ml PRP (LongTai Biological Company) was injected into the rotator cuff tear under the rotator arthroscope for a time. PRP production process: before anesthesia, 20ml arterial blood was drawn and injected into the PRP tube. The blood was fully oscillated in the tube, and then placed in a centrifuge with 1500g for 9min to remove excess plasma and make 5ml PRP. 3ml is used for injection and 2ml is used for quality control.
CorticosteroidDrug
Corticosteroid group: after the surgery of rotator cuff repair under arthroscopy, 1mL prednisone (MSD) + 2mL sodium hyaluronate (biochemical Industry Co., Ltd.) was injected under arthroscopy.
Normal salineDrug
Normal saline
| Study group | Role | What they receive |
|---|---|---|
| Platelet Rich Plasma group | Experimental | patients rejected with platelet rich plasma Receives: Drug: platelet rich plasma |
| Corticosteroid group | Active comparator | patients rejected with corticosteroid Receives: Drug: Corticosteroid |
| Normal saline group | Placebo comparator | patients rejected with normal saline Receives: Drug: Normal saline |
What is being measured
The primary outcome is the main question the study is designed to answer.
Oxford Shoulder Score (OSS)
The Oxford Shoulder Score (OSS) consists of 12 questions with five options each. The light to heavy lines were assigned 1, 2, 3, 4 and 5 points respectively. So the total score is between 12 and 60. A score of 12 represents perfectly normal shoulder function and a score of 60 represents the most severe difficulty in shoulder function.
Measured: 6months after surgery
Secondary outcomes (12)
Oxford Shoulder Score (OSS)
The Oxford Shoulder Score (OSS) consists of 12 questions with five options each. The light to heavy lines were assigned 1, 2, 3, 4 and 5 points respectively. So the total score is between 12 and 60. A score of 12 represents perfectly
Measured: 3 months, 1year, and 2years after surgery
Constant-Mulery score(CMS)
The Constant-Mulery score mainly includes 8 aspects related to your shoulder in the past 4 weeks.
The proportion of subjective and objective components in the Constant-Mulery score is 35 points/65 points. A total of 100 points.The subjective part of the score includes the score of pain degree and the score of impact on daily life. 35 points in total.The objective part of the score includes the score of shoulder range of motion and strength. 65 points in total.
Measured: 3 months, 6months, 1year, and 2years after surgery
Fear-avoidance belief questionnaire(FABQ)
The FABQ is a self-assessment scale with 16 options. Each option has 0~6 points and 7 grades (from extremely disagreeable to extremely agreed). "0" means completely disagreed, "6" means completely agreed, and "1~5" means not sure. The higher the score, the more inclined to fully agree.
Measured: 3 months, 6months, 1year, and 2years after surgery
Insomnia Severity Index(ISI)
The scale is a simple tool for screening insomnia, including 7 items, which are used to evaluate the nature and symptoms of sleep disorders of subjects.
Measured: 3 months, 6months, 1year, and 2years after surgery
Hospital Anxiety and Depression Scale(HADS)
HADS is a self-assessment scale, including two subscales, HADS-A and HADS-D, with a total of 14 items, including 7 items for anxiety (A) and 7 items for depression (D). Each item is scored at four levels according to the frequency of symptoms in the past month. Each item is scored at 0-3 points in four levels. The higher the score, the more serious the anxiety or depression.
Measured: 3 months, 6months, 1year, and 2years after surgery
SF-36
SF-36 is a concise health questionnaire developed by the Boston Institute of Health, which is widely used in the measurement of the quality of life of the general population, the evaluation of clinical trials and the evaluation of health policies. SF-36 is used to assess physiological function, physiological function, physical pain, general health, energy, social function, emotional function and mental health, which are classified into "physical health" and "mental health"
Measured: 3 months, 6months, 1year, and 2years after surgery
Visual analogue scale(VAS)
Draw a 10cm horizontal line on the paper. One end of the line is "0", indicating no pain; the other end is "10", indicating severe pain; The middle represents different degrees of pain; Let the patient draw a mark on the horizontal line according to their feelings to indicate the degree of pain.
Measured: 3 months, 6months, 1year, and 2years after surgery
range of motion
Measure the patient's flexion, abduction, internal rotation and external rotation angle
Measured: 3 months, 6months, 1year, and 2years after surgery
muscle strength
Use dynamometer to evaluate patient's forward bending, abduction, external rotation and internal rotation strength.
Measured: 3 months, 6months, 1year, and 2years after surgery
retear rate
Proportion of the total number of people with retearing after arthroscopic rotator cuff repair
Measured: 3 months, 6months, 1year, and 2years after surgery
Acromiohumeral distance
Measurement of acromiohumeral distance based on x-ray
Measured: 3 months, 6months, 1year, and 2years after surgery
Signal to noise ratio of tendon in MRI
Measurement of Signal to Noise Ratio of Tendon in MRI based on software
Measured: 3 months, 6months, 1year, and 2years after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2022
- Study start15 Dec 2022
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for TendinopathyStudies of the same condition, open and under way.
- More trials run by Second Affiliated Hospital, Zhejiang University, School of MedicineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 387 participants (estimated)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05603468
- Sponsor's protocol ID
- 2022-0833
- Status last verified
- Jan 2026
- First submitted
- 25 Oct 2022
- Last updated
- 9 Feb 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Platelet-Rich Plasma vs Corticosteroid Injection in Distinct Rotator Cuff Tendinopathy Subtypes in Arthroscopic Repair: a Multicenter, Three-group, Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05603468
- Acronym / sponsor ID
- 2022-0833
- Conditions
- Tendinopathy
- Keywords
- Tendinopathy, Platelet Rich Plasma
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 387 participants (estimated)
- Lead sponsor
- Second Affiliated Hospital, Zhejiang University, School of MedicineUniversity, hospital or other
- Study start
- 15 Dec 2022 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 2 Nov 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Prospective, multicenter, randomized, single-blinded, parallel group,placebo-controlled,three-group establishment of specific treatment regimen for subtypes of tendinopathy
Detailed description
This clinical trial uses machine learning to match molecular and clinical features,so as to establish a "rapid recognition system of tendinopathy subtypes" and compares the clinical effects of corticosteroid,platelet rich plasma or placebo on different subtypes of tendinopathy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Platelet Rich Plasma group | Experimental | Drug: platelet rich plasmapatients rejected with platelet rich plasma |
| Corticosteroid group | Active comparator | Drug: Corticosteroidpatients rejected with corticosteroid |
| Normal saline group | Placebo comparator | Drug: Normal salinepatients rejected with normal saline |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Rotator cuff tears were diagnosis by magnetic resonance imaging or arthroscopy
- Surgical intervention of rotator cuff tears was proposed.
- Simple full-layer tear of supraspinatus tendon.
- Patients give informed consent, and sign the informed consent form, and the process must meet the requirements of GCP
Key exclusion criteria (16 listed)
- Patients with rotator cuff injuries involving infraspinatus, subscapularis, and teres minor tendon injuries
- Patients platelet concentration is lower than 100×109
- Patients have other shoulder diseases, including osteoarthritis, cervical spondylosis, etc.patients have inflammatory diseases, including rheumatoid arthritis, fibromyalgia, rheumatic polymyalgia, etc.patients have received injection treatment within 3 months.
- Patients have participated in clinical trials or are conducting other clinical trials within 3 months before screening.
- Patients have severe primary cardiovascular disease, lung disease, endocrine and metabolic disease or serious diseases that affect their survival, such as tumor or AIDS, the researchers believe that it is not suitable to be selected.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| platelet rich plasmaPlatelet rich plasma group: after the surgery of rotator arthroscopic rotator cuff repair, 3ml PRP (LongTai Biological Company) was injected into the rotator cuff tear under the rotator arthroscope for a time. PRP production process: before anesthesia, 20ml arterial blood was drawn and injected into the PRP tube. The blood was fully oscillated in the tube, and then placed in a centrifuge with 1500g for 9min to remove excess plasma and make 5ml PRP. 3ml is used for injection and 2ml is used for quality control. | Drug | Platelet Rich Plasma group |
| CorticosteroidCorticosteroid group: after the surgery of rotator cuff repair under arthroscopy, 1mL prednisone (MSD) + 2mL sodium hyaluronate (biochemical Industry Co., Ltd.) was injected under arthroscopy. | Drug | Corticosteroid group |
| Normal salineNormal saline | Drug | Normal saline group |
Primary outcome
Oxford Shoulder Score (OSS)
Time frame: 6months after surgery
The Oxford Shoulder Score (OSS) consists of 12 questions with five options each. The light to heavy lines were assigned 1, 2, 3, 4 and 5 points respectively. So the total score is between 12 and 60. A score of 12 represents perfectly normal shoulder function and a score of 60 represents the most severe difficulty in shoulder function.
12 secondary outcomes
Oxford Shoulder Score (OSS)
Time frame: 3 months, 1year, and 2years after surgery
Constant-Mulery score(CMS)
Time frame: 3 months, 6months, 1year, and 2years after surgery
Fear-avoidance belief questionnaire(FABQ)
Time frame: 3 months, 6months, 1year, and 2years after surgery
Insomnia Severity Index(ISI)
Time frame: 3 months, 6months, 1year, and 2years after surgery
Hospital Anxiety and Depression Scale(HADS)
Time frame: 3 months, 6months, 1year, and 2years after surgery
SF-36
Time frame: 3 months, 6months, 1year, and 2years after surgery
Visual analogue scale(VAS)
Time frame: 3 months, 6months, 1year, and 2years after surgery
range of motion
Time frame: 3 months, 6months, 1year, and 2years after surgery
muscle strength
Time frame: 3 months, 6months, 1year, and 2years after surgery
retear rate
Time frame: 3 months, 6months, 1year, and 2years after surgery
Acromiohumeral distance
Time frame: 3 months, 6months, 1year, and 2years after surgery
Signal to noise ratio of tendon in MRI
Time frame: 3 months, 6months, 1year, and 2years after surgery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Feb 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing platelet rich plasma, Corticosteroid and Normal saline in people with Tendinopathy, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.
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 4 inclusion and 16 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: under way, not looking for participants, as of the sponsor's last update on 9 Feb 2026. 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 China. 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.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Oxford Shoulder Score (OSS) (time frame: 6months after surgery). 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 Feb 2026.