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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06907121
Registration number
NCT06907121
Ethics application status
Date submitted
26/03/2025
Date registered
2/04/2025
Date last updated
2/04/2025
Titles & IDs
Public title
Investigation of Growth Hormone and Platelet-Rich Plasma on Joint Health
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Scientific title
Investigation of Intra-Articular Growth Hormone and Platelet-Rich Plasma on Joint Health in Adults with Knee and Ankle Arthritis Resistant to Treatment
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Secondary ID [1]
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INT-2025-02-12
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Arthritis Ankle
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Arthritis Knee
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Inflammatory and Immune System
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Rheumatoid arthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Intra-Articular Injection of Growth Hormone and Platelet-Rich Plasma
Experimental: Treatment of Ankle Arthritis - Injection of 10 iu of Somatropin and Platelet-Rich Plasma conjunct via intra-articular injection of the arthritic ankle. This will be administered with a 7-16 day buffer period between each injection. There will be three total injections for the study.
Experimental: Treatment of Knee Arthritis - Injection of 10 iu of Somatropin and Platelet-Rich Plasma conjunct via intra-articular injection of the arthritic knee. This will be administered with a 7-16 day buffer period between each injection. There will be three total injections for the study.
Treatment: Drugs: Intra-Articular Injection of Growth Hormone and Platelet-Rich Plasma
Intervention will be an intra-articular injection of 10 units of HGH and 10 mL PRP conjunct. Three total injections/placements of HGH spaced 7 to 16 days apart on either the effected ankle or knee joint guided by ultrasound.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Ankle mobility and functionality test with AOFAS scale
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Assessment method [1]
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The AOFAS (American Orthopaedic Foot and Ankle Society) scale is a widely used outcome measure for ankle and hindfoot conditions, including ankle arthritis, assessing pain, function, and alignment, with scores ranging from 0 to 100, where higher scores indicate better function.
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Timepoint [1]
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Baseline, 3-months after final injection, 6-months after final injection
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Primary outcome [2]
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Knee mobility and functionality test with AKS scale
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Assessment method [2]
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The AKS is a validated instrument used to assess patient outcomes after surgical knee interventions, evaluating both the knee joint itself (Knee Score) and functional ability (Function Score).
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Timepoint [2]
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Baseline, 3-months after final injection, 6-months after final injection
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Secondary outcome [1]
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MRI Imaging of the affected arthritic joint
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Assessment method [1]
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The MRI scans will be evaluated by a radiologist blinded to the treatment allocation to assess changes in: Cartilage volume and thickness, Synovial inflammation (e.g., synovitis), Bone marrow edema, Osteophyte formation, Other structural changes relevant to arthritis progression
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Timepoint [1]
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Baseline, 6-months after final injection
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Secondary outcome [2]
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Blood test for hormone
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Assessment method [2]
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Blood tests to check for growth hormone within the blood system.
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Timepoint [2]
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Baseline, 2 hours after each injection
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Eligibility
Key inclusion criteria
* Ankle/Knee arthritis resistant to treatment in GP clinic setting.
* Significant Ankle/Knee cartilage injury can be shown on MRI scan or weight bearing X-Ray within 6 months of study application.
* Able to give informed consent to participation in a clinical trial.
* Able to commit to attending clinic for follow up.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* A known hypersensitivity to any of the components of the product.
* Cancer diagnosis or suspicion.
* Resected or active tumor.
* Skeletally immature (<18 years of age or no radiographic evidence of closure of epiphyses).
* Pregnancy.
* Active infection at the injection site.
* Open soft tissue injury.
* Metabolic disorders known to adversely affect the skeleton (e.g. renal osteodystrophy or hypercalcemia), other than primary osteoporosis or diabetes.
* Over 70 years of age
* Unstable joint or maligned joint > 5%
* No cartilage detected in the joint (bone on bone in medical imaging)
* Unable to give informed consent.
* Unable to commit to attend clinic for follow up.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/06/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2027
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Dr Gordon Slater: Orthopaedic Surgeon - Potts Point
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Recruitment postcode(s) [1]
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2011 - Potts Point
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Integrant Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Technology, Sydney
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This clinical study will evaluate the efficacy of intra-articular (IA) injection of growth hormone (HGH) and platelet-rich plasma (PRP) in adults with knee and ankle arthritis resistant to conventional treatment. The study, sponsored by Integrant Pty Ltd and led by Prof. Gordon Slater, aims to determine whether IA HGH injections can enhance cartilage regeneration and joint healing. The study will recruit 60 patients who will receive three IA injections of HGH and PRP spaced 7-16 days of each other. Outcomes will be assessed using AOFAS and AKS scoring systems at 3- and 6-months post-treatment. The study hypothesizes that HGH will increase healing of arthritic or injured joints compared to standard treatment, potentially providing a non-surgical alternative for patients with treatment-resistant arthritis.
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Trial website
https://clinicaltrials.gov/study/NCT06907121
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Gordon L Slater, Professor
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Address
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Integrant Pty Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Gordon L Slater, Prof
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Address
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Country
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Phone
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+61 418 721 380
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06907121
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