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Trial registered on ANZCTR
Registration number
ACTRN12625000243415p
Ethics application status
Not yet submitted
Date submitted
11/02/2025
Date registered
3/04/2025
Date last updated
3/04/2025
Date data sharing statement initially provided
3/04/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Investigation of growth hormone for knee and ankle arthritis.
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Scientific title
Investigation of Ultrasound Guided Intra-Articular Injection of Growth Hormone and Platelet-Rich Plasma on Joint Health in Adults with Ankle/Knee arthritis Resistant to Treatment
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Secondary ID [1]
313907
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None
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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:
Ankle Arthritis
336599
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Knee Arthritis
336733
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Condition category
Condition code
Musculoskeletal
333104
333104
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intra-articular injection of growth hormone and platelet-rich plasma (PRP) within the knee and ankle. International Non-Proprietary name is somatropin, or recombinant human growth hormone. One dosage is a 10 IU intra-articular injection of somatropin and 10mL of PRP.
Total of 3 injections of somatropin and PRP conjunct. The patient will receive the injection on either ankle or knee joint, guided by an ultrasound to accurately get the joint. Injection of the somatropin and PRP will happen concurrently, with the injections spaced 7 to 16 days apart. This trial will occur within a private surgical clinic with the intervention administered by the Orthopaedic Surgeon. A session attendance checklist using a practice management software, Clinic to Cloud, will monitor the adherence to the intervention.
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Intervention code [1]
330500
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Treatment: Drugs
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
340640
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Ankle Functionality and quality of life assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) Scale.
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Assessment method [1]
340640
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The AOFAS scale combines both subjective (patient-reported) and objective (clinician-observed) measurements. Each item within the subscales is assigned a numerical score. The scores are then summed to produce a total score, which reflects the overall condition of the foot and ankle. These subscales consist of pain, function, and alignment.
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Timepoint [1]
340640
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Baseline, 3, and 6 Months (primary timepoint) following final injection
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Primary outcome [2]
340794
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Knee Functionality and quality of life assessed using the American Knee Society (AKS) Score.
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Assessment method [2]
340794
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The AKS scale combines both subjective (patient-reported) and objective (clinician-observed) measurements. Each item within the subscales is assigned a numerical score. The scores are then summed to produce a total score, which reflects the overall condition of the knee. These subscales consist of pain, function, and alignment.
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Timepoint [2]
340794
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Baseline, 3, and 6 Months (primary timepoint) following final injection
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Secondary outcome [1]
444690
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Level of Human Growth Hormone (hGH) in bloodstream after injection.
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Assessment method [1]
444690
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Blood test to check level of hGH in blood.
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Timepoint [1]
444690
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Before injection, 2 hours after each of three injections
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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.
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 ( 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
Single group
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Measurement of movement and pain by using the use of the AOFAS scale and AKS scale supported by studies using similar indexes.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
7/06/2025
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Actual
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Date of last participant enrolment
Anticipated
5/07/2025
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Actual
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Date of last data collection
Anticipated
6/09/2026
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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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Funding & Sponsors
Funding source category [1]
318380
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Commercial sector/Industry
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Name [1]
318380
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Integrant Pty Ltd
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Address [1]
318380
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Country [1]
318380
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Integrant Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
320782
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None
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Name [1]
320782
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None
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Address [1]
320782
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Country [1]
320782
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
317012
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Bellberry Human Research Ethics Committee A
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Ethics committee address [1]
317012
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https://bellberry.com.au/
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Ethics committee country [1]
317012
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Australia
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Date submitted for ethics approval [1]
317012
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19/05/2025
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Approval date [1]
317012
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Ethics approval number [1]
317012
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Summary
Brief summary
The purpose of the study is to investigate the intra-articular injection of growth hormone in combination with a carrier for arthritis in the knee and ankle. The hypothesis of the study is the intra-articular injection of growth hormone will increase healing of arthritic or injured joints when compared to standard treatment. The patients are to be referred by their GP to be recruited to the private surgical clinic. The pain and mobility of the joints will be measured by using the American Orthopaedic Foot and Ankle Society (AOFAS) and American Knee Society (AKS) indexes to test the mobility of the ankle and knee respectively.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
139730
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Prof Gordon Slater
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Address
139730
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Dr Gordon Slater: Orthopaedic Surgeon, 5 Ward Avenue, Potts Point, 2011, NSW
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Country
139730
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Australia
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Phone
139730
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+61 412 621 732
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Fax
139730
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Email
139730
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[email protected]
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Contact person for public queries
Name
139731
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Zadane Bachmid
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Address
139731
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Integrant Pty Ltd, 5 Ward Avenue, Potts Point, 2011, NSW
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Country
139731
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Australia
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Phone
139731
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+61 408 028 609
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Fax
139731
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Email
139731
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[email protected]
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Contact person for scientific queries
Name
139732
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Zadane Bachmid
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Address
139732
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Integrant Pty Ltd, 5 Ward Avenue, Potts Point, 2011, NSW
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Country
139732
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Australia
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Phone
139732
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+61 408 028 609
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Fax
139732
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Email
139732
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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