Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12612000383864
Ethics application status
Not yet submitted
Date submitted
2/04/2012
Date registered
4/04/2012
Date last updated
4/04/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
A prospective pilot study investigating the effect of Autologous Tenocyte Implantation on gluteal tendinopathy
Query!
Scientific title
Patients with gluteal tendinopathy who undergo autologous tenocyte implantation will have improved clinical and radiological outcomes at 3,6,12 and 24 months post injection
Query!
Secondary ID [1]
280269
0
Nil
Query!
Universal Trial Number (UTN)
U1111-1129-6878
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Gluteal Tendinopathy
286216
0
Query!
Condition category
Condition code
Musculoskeletal
286432
286432
0
0
Query!
Other muscular and skeletal disorders
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Autologous tenocyte implantation is a two stage process:
The ATI Tendon Biopsy
The tendon biopsy is performed by a consultant radiologist. Under local anaesthetic and with suitable aseptic precautions a small piece of patella tendon will be harvested with a trucut needle. The biopsy is very small and will not cause significant problems to the integrity of the patella tendon. The biopsy will be placed in carrier medium and transported to the Orthocell facility. Orthocell has licencensed authorisation for the manufacture, storage and release for supple of Autologous Tenocytes by the Australian Therapeutic Goods Administration within the Department of Health and Aging.
The tenocytes are cultured for 5-6 weeks. A vial of cultured tenocytes contains 2 million cultured cells.
Autologous Tenocyte Implantation
The second stage of treatment is implantation. This will also be performed at Perth Radiological Clinic by a Consultant radiologist. An ultrasound probe will be used to locate the diseased area of gluteal tendons. A needle will then be placed under ultrasound control into the tendon, and the tenocytes injected. This is an outpatient procedure and therefore the patient will go home the same day.
Both procedures are performed just once and there are no current plans for repeat treatments
Query!
Intervention code [1]
284619
0
Treatment: Other
Query!
Comparator / control treatment
This is a pilot study, therefore there is no control group
Query!
Control group
Uncontrolled
Query!
Outcomes
Primary outcome [1]
286875
0
Visual analogue pain scores
Query!
Assessment method [1]
286875
0
Query!
Timepoint [1]
286875
0
3,6, 12 and 24 months
Query!
Primary outcome [2]
286876
0
Oxford Hip scores
The Oxford hip score is a validated self reported questionnaire that measures symptoms arising from the hip joint. It consists of 12 questions that are have responses scored from 1 to 5. For example: How would you describe the pain you usually have from your hip?
Query!
Assessment method [2]
286876
0
Query!
Timepoint [2]
286876
0
3, 6, 12 and 24 months
Query!
Primary outcome [3]
286877
0
SF-36
The improvement in physical health and mental health as measured by the SF-36 health survey.
Query!
Assessment method [3]
286877
0
Query!
Timepoint [3]
286877
0
3,6, 12 and 24 months
Query!
Secondary outcome [1]
296884
0
MRI scan
The changes in appearance of the gluteal tendons on MRI scan following tenocyte injection. The scans will be reported by an independent radiologist.
Query!
Assessment method [1]
296884
0
Query!
Timepoint [1]
296884
0
6 months
Query!
Eligibility
Key inclusion criteria
Gluteal tendinopathy, with or without partial tears.
Failure of normal conservative treatments
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
65
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
Yes
Query!
Key exclusion criteria
Previous surgery
Full thickness gluteal tendon tears
Hip osteoarthritis
Active infection
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Non-randomised trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Query!
Other design features
Query!
Phase
Not Applicable
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Not yet recruiting
Query!
Date of first participant enrolment
Anticipated
1/05/2012
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
20
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
285032
0
Commercial sector/Industry
Query!
Name [1]
285032
0
Orthocell
Query!
Address [1]
285032
0
Building 191 Murdoch University
South St
Murdoch
Perth
WA 6150
Query!
Country [1]
285032
0
Australia
Query!
Primary sponsor type
Commercial sector/Industry
Query!
Name
Orthocell
Query!
Address
Building 191 Murdoch University
South St
Murdoch
Perth
WA 6150
Query!
Country
Australia
Query!
Secondary sponsor category [1]
283896
0
None
Query!
Name [1]
283896
0
Query!
Address [1]
283896
0
Query!
Country [1]
283896
0
Query!
Ethics approval
Ethics application status
Not yet submitted
Query!
Ethics committee name [1]
287038
0
Query!
Ethics committee address [1]
287038
0
Query!
Ethics committee country [1]
287038
0
Query!
Date submitted for ethics approval [1]
287038
0
16/04/2012
Query!
Approval date [1]
287038
0
Query!
Ethics approval number [1]
287038
0
Query!
Summary
Brief summary
Tendons and Tendinopathy Tendons are the tough fibrous bands of tissue that connect our muscles to bony prominences on the human skeleton. They are extremely strong and allow muscles to work to allow movement and stability of the human body. Tendinopathy is degeneration of healthy tendons and is sometimes called tendonitis or tendinosis. It is usually caused by microtears within the tendon and a decrease in tendon repair cells. GTPS and Gluteal tendinopathy Greater trochanteric pain syndrome (GTPS) is a common condition that typically affects females in the 40-60 year age bracket. Patients complain of pain felt over the outer aspect of the hip. The condition was previously labelled trochanteric bursitis however modern imaging techniques and better understanding has revealed that a common cause of GTPS is tendinopathy or tears of the gluteal tendons around the hip. The reported incidence is 1.8 patients per 1000 per year. Current treatments Currently, initial treatments centre around non-steroidal anti-inflamatory drugs, physical therapy and weight loss. The next stage of treatment is often corticosteroid injections into the gluteal bursa. These may be targeted under xray control, or blind. Steroid injections often give short term relief of symptoms, for 6 to 12 weeks but relapse of symptoms is common. At present, common treatment methods have proven relatively ineffective. Tendinopathy Tendinopathy is also common in other areas of the body such as the achilles tendon, patella tendon, rotator cuff and tendons around the elbow that give rise to tennis elbow. Studies have shown that the process in these diseased tendons is similar. There are micro-tears in and around the tendon that lead to a decrease in tendon repair cells. Given that examination of tendinopathic tendons has revealed cell death there has been recent interest in developing cell technology to potentially aid repair and regeneration. The precursors to tendon cells can be harvested from normal tendons and grown in a laboratory. They can then be injected into diseased tendons. Preliminary animal studies have shown that this treatment can improve tendon remodelling, collagen content and tensile strength. Clinical pilot trials in human tendons for lateral epicondylitis (tennis elbow) have demonstrated safety and efficacy of the techninque, as well improved clinical and radiological outcomes. At present, there is a clinical trial being conducted into the injection of autologous tenocytes for achilles tendinopathy. (http://clinicaltrials.gov/ct2/show/NCT01343836) ATI therapy Autologous tenocyte implantation (ATI) is a new tissue engineering technique that involves an initial biopsy of healthy tendon cells. This is usually taken from the patella tendon. A very small piece of tendon is taken with a needle and then the cells within are cultured and grown over a period of 5-6 weeks in the Orthocell laboratory. The cells are then injected back into the injured tendon under ultrasound guidance. This delivers around 2 million tenocyte cells directly to the area of degenerate tendon. Given the promising work in animal studies and clinical studies in human tendons, we propose a pilot study to investigate the use of ATI in gluteal tendinopathy.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
34015
0
Query!
Address
34015
0
Query!
Country
34015
0
Query!
Phone
34015
0
Query!
Fax
34015
0
Query!
Email
34015
0
Query!
Contact person for public queries
Name
17262
0
Thomas Bucher
Query!
Address
17262
0
Perth Orthopaedic and Sports Medicine Centre
31 Outram St
West Perth
WA 6005
Query!
Country
17262
0
Australia
Query!
Phone
17262
0
+61892124200
Query!
Fax
17262
0
Query!
Email
17262
0
[email protected]
Query!
Contact person for scientific queries
Name
8190
0
Thomas Bucher
Query!
Address
8190
0
Perth Orthopaedic and Sports Medicine Centre
31 Outram St
West Perth
WA 6005
Query!
Country
8190
0
Australia
Query!
Phone
8190
0
+61892124200
Query!
Fax
8190
0
Query!
Email
8190
0
[email protected]
Query!
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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF