Platelet Poor Plasma vs Corticosteroids for Musculoskeletal Injuries

Age: < 65
Sex: Any
Trial Phase: Phase 4
Sponsor: Andrews Research & Education Foundation
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines two treatments for thigh muscle injuries in athletes, aiming to determine which helps players return to the game faster: corticosteroid injections or platelet-poor plasma (PPP) injections. It is ideal for young athletes with a recently confirmed thigh muscle injury. Participants should not have had recent injections or require surgery for their injury. As a Phase 4 trial, the treatments are already FDA-approved and proven effective, and this research seeks to understand how they can benefit more patients.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What is the safety track record for these treatments?

A previous study showed promising results for platelet-poor plasma (PPP) in treating muscle injuries. Reports suggest that PPP may aid recovery and has been used safely by athletes without serious side effects. Notably, these cases reported no serious adverse events or infections.

Corticosteroids, commonly used to reduce inflammation, are well-known and FDA-approved for various conditions. They are generally well-tolerated, though some people may experience side effects like increased appetite, mood changes, or trouble sleeping.

Both treatments have demonstrated safety for use in humans. However, individual reactions can vary with any treatment.12345

Why are researchers enthusiastic about this study treatment?

Unlike standard treatments for musculoskeletal injuries, which often involve corticosteroid injections to reduce inflammation and pain, platelet poor plasma (PPP) therapy is an innovative approach that aims to utilize the body's own healing mechanisms. Researchers are excited about PPP because it involves injecting plasma derived from the patient's own blood, minus the platelets, which is believed to promote tissue healing and regeneration without the potential side effects of steroids. This method could offer a more natural and potentially safer alternative, particularly for individuals who may not respond well to traditional corticosteroid treatments.

What evidence suggests that this trial's treatments could be effective for thigh muscle injuries?

This trial will compare the effectiveness of corticosteroid injections and platelet-poor plasma (PPP) for musculoskeletal injuries. Studies have shown that corticosteroid injections effectively reduce swelling and pain in muscle injuries. Athletes have used this treatment successfully for many years to return to sports more quickly. In contrast, PPP is a newer treatment under investigation in this trial. Some reports suggest that PPP might aid in healing and muscle repair. However, less information is available about PPP compared to corticosteroids. Both treatments show promise, but corticosteroids have a longer history of use.16789

Are You a Good Fit for This Trial?

This trial is for people aged 15 to 30 who play sports and have a confirmed thigh muscle injury.

Inclusion Criteria

I am between 15 and 30 years old.
* Participant in a sport (and)
* Confirmed thigh muscle injury

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either ultrasound guided intramuscular corticosteroid injections or platelet-poor plasma (PPP) injections for thigh muscle injuries

Immediate post-procedure
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness, including VAS Pain Scale assessments at multiple time points

Up to 1 year
Multiple visits (in-person and virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Corticosteroid
  • Platelet Poor Plasma

Trial Overview

The study compares two treatments for thigh muscle injuries: injections of corticosteroids versus platelet-poor plasma (PPP), both given with ultrasound guidance. The main goal is to see which helps athletes return to play faster.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Platelet Poor PlasmaExperimental Treatment1 Intervention
Group II: Corticosteroid InjectionActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Andrews Research & Education Foundation

Lead Sponsor

Trials
19
Recruited
870+

Citations

Platelet-Poor Plasma for Muscle Injuries: A Review of ... - PMC

Regarding PPP, several case reports have documented its use for muscle injuries, showing promising outcomes in athletes. The first documented ...

The Use of Platelet-Rich Plasma (PRP) and ...

Hamilton et al. Platelet-rich plasma does not enhance return to play in hamstring injuries: a randomised controlled trial. Br J Sports Med.

Update on the Use of Platelet-Rich Plasma Injections in ... - PMC

Six studies examined PRP in acute soft tissue injuries, with 2 of these reporting significant improvements in recovery time for hamstring ...

Comparison of Platelet-Rich Plasma Properties Used in ...

The study suggested that a total PLT count exceeding 10 Bl may improve clinical outcomes, particularly in knee OA. However, the same study noted ...

Platelet-Poor Plasma for Muscle Injuries

CONCLUSION: While both PRP and PPP offer biological advantages, PPP may present a favorable profile for muscle regeneration due to its ability ...

Platelet-Rich Plasma in Acute Muscle Injuries - PMC - NIH

PRP demonstrated a favorable safety profile for the treatment of muscle injury. No serious adverse events or infections were reported in either review. These ...

Platelet-Poor Plasma for Muscle Injuries: A Review of ...

Clinically, PPP has been explored as a treatment for muscle injuries, with some reports suggesting it may facilitate recovery and reduce ...

Efficacy and Safety of Platelet-Rich Plasma in Knee ...

The synthesized data consistently demonstrate that PRP offers superior outcomes in pain reduction and functional recovery compared with HA and placebo ...

A Systematic Review and Statistical Fragility Index-Based ...

PRP injections do not increase re-injury and complication rates compared to control in acute muscle injury patients. Similar content being ...