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Knee OsteoarthristisPhase 4PRP-PEPCNCT07491367

Pilot Exploration of Platelet Characterization of Platelet Rich Plasma Created by Two Different Systems

A Phase 4 study testing Platelet Rich Plasma, Emcyte PurePRP Supraphysiologic Concentrating System and APEX Biologix XCELL PRP System in people with Knee Osteoarthristis and Cartilage Damage, run by University of California, San Francisco at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The investigators would like to study the differences in the quality of Platelet Rich Plasma (PRP) between two different machines in those with knee osteoarthritis. Knee osteoarthritis means your cartilage has been worn down, and it affects your knee joint. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Platelet Rich Plasma, Emcyte PurePRP Supraphysiologic Concentrating System and APEX Biologix XCELL PRP System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
1 Sep 2026to Sep 2028
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Kellgren-Lawrence (KL) Grade 1-3 knee osteoarthritis
  • Symptoms of knee osteoarthritis for at least 3 months before presentation in one knee
  • Will be able to attend and perform physical therapy

Who cannot join

  • Received injection therapy for knee osteoarthritis in the past 6 months
  • Have severe arthritis diagnosed in ≥1 major joint by radiology criteria
  • History of septic arthritis
  • Underwent knee surgery for osteoarthritis or osteochondral defects within 1 year before randomization (e.g., autograft or allograft surgery)
  • Have had high tibial osteotomy, partial knee replacement, patellar resurfacing, total knee replacement, or have existing surgical hardware in the knee
  • Received a platelet-rich plasma injection elsewhere in the body within the past 3 months
Show all 12Show fewer
  • Have a platelet disorder or bleeding disorder
  • Have a rheumatologic disease, autoimmune disorder, immunocompromised status, or active history of cancer
  • Are taking chemotherapy, require regular prednisone, or require regular anti-inflammatory use
  • Are pregnant, breastfeeding, or unwilling to practice birth control during the study
  • If both knees have osteoarthritis and the other knee has KL score equal to or greater than 2.
  • Have uncontrolled illness, physical disability, or other contraindication to aerobic exercise training

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • University of California San Francisco

    San Francisco, California, 94158

    Joel Kopcow, 970-590-0314, joel.kopcow@ucsf.edu

    Anthony Luke, MD

    Recruiting

Other trials in United States

About this study

The investigators would like to study the differences in the quality of Platelet Rich Plasma (PRP) between two different machines in those with knee osteoarthritis. Knee osteoarthritis means your cartilage has been worn down, and it affects your knee joint. Both machines, the APEX Biologix XCELL PRP System and the Emcyte PurePRP Supraphysiologic Concentrating System, are FDA approved, commercially available, and makes PRP. The investigators will check if the platelets in the PRP have different amounts or work differently. The investigators will also assess participants symptoms after the injection and compare the two different preparation systems.

Being tested
Platelet Rich Plasma, Emcyte PurePRP Supraphysiologic Concentrating System, APEX Biologix XCELL PRP System

What participants receive

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

  • Platelet Rich PlasmaBiological

    The Platelet Rich Plasma (PRP) participants will receive in this study will be made by Emcyte PurePRP Supraphysiologic Concentrating System or the APEX Biologix XCELL PRP System.

  • Emcyte PurePRP Supraphysiologic Concentrating SystemDevice

    Platelet Rich Plasma (PRP) will be made by the Emcyte PurePRP Supraphysiologic Concentrating System.

  • APEX Biologix XCELL PRP SystemDevice

    Platelet Rich Plasma (PRP) will be made by APEX Biologix XCELL PRP System.

Study groups in NCT07491367
Study groupRoleWhat they receive
APEX Biologix XCELL PRP SystemActive comparatorParticipants in this group will receive Platelet Rich Plasma made by the APEX Biologix XCELL PRP System.
Receives: Biological: Platelet Rich Plasma; Device: APEX Biologix XCELL PRP System
Emcyte PurePRP Supraphysiologic Concentrating SystemActive comparatorParticipants in this group will receive Platelet Rich Plasma made by Emcyte PurePRP Supraphysiologic Concentrating System.
Receives: Biological: Platelet Rich Plasma; Device: Emcyte PurePRP Supraphysiologic Concentrating System

What is being measured

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

  1. Cellular composition and quantity using Horiba Cell counter

    Compare cellular composition and quantifying PRP products between EmCyte PurePRP versus APEX Biologix XCELL PRP manufacturing systems using a Horiba Cell counter.

    Measured: Day 1

Secondary outcomes (5)
  1. Platelet Activation

    Compare platelet activation state, aggregation capacity, and transcriptome between PRP manufacturing systems.

    Measured: Day 1

  2. Patient Reported Outcomes: Western Ontario and McMaster Universities Arthritis Index (WOMAC)

    Link PRP characteristics to change from baseline in Pain, Stiffness, and Physical Function at 6 months as assessed by Western Ontario and McMaster Universities Arthritis Index (WOMAC).

    Measured: Enrollment to 6 months.

  3. Patient Reported Outcome: Short Form-12 Health Survey

    Link PRP characteristics to change from baseline in health and ability to complete usual activities at 6 months as assessed by Short Form-12 Health Survey, a health quality of life survey.

    Measured: Enrollment to 6 months

  4. Activity Monitor & PRP Characteristics

    Link PRP count and characteristics to change from baseline activity to 6 months as assessed by activity sensors.

    Measured: Enrollment to 6 months

  5. Patient Reported Outcomes: Visual Analog Scale

    Link PRP characteristics to change from baseline in Pain at 6 months as assessed by Visual Analog Scale (VAS).

    Measured: Enrollment to 6 months

Timeline

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

  1. First posted24 Mar 2026
  2. Study start1 Sep 2026 (estimated)
  3. Primary completionSep 2028 (estimated)
  4. Study completionSep 2028 (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 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07491367
Sponsor's protocol ID
25-45033
Acronym
PRP-PEPC
Status last verified
Aug 2026
First submitted
25 Feb 2026
Last updated
18 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Elgaddal N, Weeks JD. Yoga Among Adults Age 18 and Older: United States, 2022. NCHS Data Brief. 2024 Jun;(501):10.15620/cdc/156474. doi: 10.15620/cdc/156474.

    PubMed 39147377
  • Lana JFSD, Purita J, Paulus C, Huber SC, Rodrigues BL, Rodrigues AA, Santana MH, Madureira JL Jr, Malheiros Luzo AC, Belangero WD, Annichino-Bizzacchi JM. Contributions for classification of platelet rich plasma - proposal of a new classification: MARSPILL. Regen Med. 2017 Jul;12(5):565-574. doi: 10.2217/rme-2017-0042. Epub 2017 Jul 31.

    PubMed 28758836
  • Deshpande BR, Katz JN, Solomon DH, Yelin EH, Hunter DJ, Messier SP, Suter LG, Losina E. Number of Persons With Symptomatic Knee Osteoarthritis in the US: Impact of Race and Ethnicity, Age, Sex, and Obesity. Arthritis Care Res (Hoboken). 2016 Dec;68(12):1743-1750. doi: 10.1002/acr.22897. Epub 2016 Nov 3.

    PubMed 27014966
  • Leifer VP, Katz JN, Losina E. The burden of OA-health services and economics. Osteoarthritis Cartilage. 2022 Jan;30(1):10-16. doi: 10.1016/j.joca.2021.05.007. Epub 2021 May 20.

    PubMed 34023527
  • Zhao X, Shah D, Gandhi K, Wei W, Dwibedi N, Webster L, Sambamoorthi U. Clinical, humanistic, and economic burden of osteoarthritis among noninstitutionalized adults in the United States. Osteoarthritis Cartilage. 2019 Nov;27(11):1618-1626. doi: 10.1016/j.joca.2019.07.002. Epub 2019 Jul 9.

    PubMed 31299387
  • Jawanda H, Khan ZA, Warrier AA, Acuna AJ, Allahabadi S, Kaplan DJ, Ritz E, Jackson GR, Mameri ES, Batra A, Dornan G, Westrick J, Verma NN, Chahla J. Platelet-Rich Plasma, Bone Marrow Aspirate Concentrate, and Hyaluronic Acid Injections Outperform Corticosteroids in Pain and Function Scores at a Minimum of 6 Months as Intra-Articular Injections for Knee Osteoarthritis: A Systematic Review and Network Meta-analysis. Arthroscopy. 2024 May;40(5):1623-1636.e1. doi: 10.1016/j.arthro.2024.01.037. Epub 2024 Feb 7.

    PubMed 38331363
  • Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of Platelet-Rich Plasma in the Treatment of Knee Osteoarthritis: A Meta-analysis of Randomized Controlled Trials. Arthroscopy. 2017 Mar;33(3):659-670.e1. doi: 10.1016/j.arthro.2016.09.024. Epub 2016 Dec 22.

    PubMed 28012636
  • Moussa M, Lajeunesse D, Hilal G, El Atat O, Haykal G, Serhal R, Chalhoub A, Khalil C, Alaaeddine N. Platelet rich plasma (PRP) induces chondroprotection via increasing autophagy, anti-inflammatory markers, and decreasing apoptosis in human osteoarthritic cartilage. Exp Cell Res. 2017 Mar 1;352(1):146-156. doi: 10.1016/j.yexcr.2017.02.012. Epub 2017 Feb 13.

    PubMed 28202394
  • Sundman EA, Cole BJ, Karas V, Della Valle C, Tetreault MW, Mohammed HO, Fortier LA. The anti-inflammatory and matrix restorative mechanisms of platelet-rich plasma in osteoarthritis. Am J Sports Med. 2014 Jan;42(1):35-41. doi: 10.1177/0363546513507766. Epub 2013 Nov 5.

    PubMed 24192391
  • Mishra A, Tummala P, King A, Lee B, Kraus M, Tse V, Jacobs CR. Buffered platelet-rich plasma enhances mesenchymal stem cell proliferation and chondrogenic differentiation. Tissue Eng Part C Methods. 2009 Sep;15(3):431-5. doi: 10.1089/ten.tec.2008.0534.

    PubMed 19216642
  • Pavlovic V, Ciric M, Jovanovic V, Stojanovic P. Platelet Rich Plasma: a short overview of certain bioactive components. Open Med (Wars). 2016 Aug 12;11(1):242-247. doi: 10.1515/med-2016-0048. eCollection 2016.

    PubMed 28352802
  • Beitia M, Delgado D, Mercader J, Sanchez P, Lopez de Dicastillo L, Sanchez M. Action of Platelet-Rich Plasma on In Vitro Cellular Bioactivity: More than Platelets. Int J Mol Sci. 2023 Mar 10;24(6):5367. doi: 10.3390/ijms24065367.

    PubMed 36982439
  • Mariani E, Pulsatelli L, Cattini L, Dolzani P, Assirelli E, Cenacchi A, Di Martino A, Arciola CR, Filardo G. Pure Platelet and Leukocyte-Platelet-Rich Plasma for Regenerative Medicine in Orthopedics-Time- and Preparation-Dependent Release of Growth Factors and Effects on Synovial Fibroblasts: A Comparative Analysis. Int J Mol Sci. 2023 Jan 12;24(2):1512. doi: 10.3390/ijms24021512.

    PubMed 36675025
  • Oudelaar BW, Peerbooms JC, Huis In 't Veld R, Vochteloo AJH. Concentrations of Blood Components in Commercial Platelet-Rich Plasma Separation Systems: A Review of the Literature. Am J Sports Med. 2019 Feb;47(2):479-487. doi: 10.1177/0363546517746112. Epub 2018 Jan 16.

    PubMed 29337592
  • Berrigan WA, Bailowitz Z, Park A, Reddy A, Liu R, Lansdown D. A Greater Platelet Dose May Yield Better Clinical Outcomes for Platelet-Rich Plasma in the Treatment of Knee Osteoarthritis: A Systematic Review. Arthroscopy. 2025 Mar;41(3):809-817.e2. doi: 10.1016/j.arthro.2024.03.018. Epub 2024 Mar 19.

    PubMed 38513880

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Platelet Rich Plasma, Emcyte PurePRP Supraphysiologic Concentrating System and APEX Biologix XCELL PRP System in people with Knee Osteoarthristis and Cartilage Damage, run by University of California, San Francisco at 1 site in United States.

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 3 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 18 Aug 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 United States. 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. 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?

Contact Joel Kopcow (970-590-0314, joel.kopcow@ucsf.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cellular composition and quantity using Horiba Cell counter (time frame: Day 1). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07491367, which also lists 27 linked publications.

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 18 Aug 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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