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临床试验/NCT07692737
NCT07692737尚未招募不适用

A Randomized Controlled Trial Comparing Intra-Periarticular Lumbar Facet Platelet-Rich Plasma Injection Versus Medial Branch Radiofrequency Ablation for Chronic Lumbar Facet-Mediated Pain

The New England Baptist Hospital0 个研究点目标入组 30 人开始时间: 2026年6月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
30
主要终点
Numeric Rating Scale on Pain Level

研究概览

简要总结

The first clinical research effort under this initiative is a pilot randomized controlled trial comparing intra-periarticular lumbar facet platelet-rich plasma (PRP) injection to standard-of-care medial branch radiofrequency ablation (RFA) for chronic lumbar facet-mediated pain.

The study is designed to:

  • Use contemporary best-practice techniques for both treatment arms
  • Minimize incremental risk beyond standard care
  • Generate feasibility, safety, and preliminary comparative effectiveness data
  • Inform future definitive trials and potential program expansion

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adults with chronic lumbar back pain suspected to be facet-mediated
  • ≥80% pain relief following two diagnostic medial branch blocks
  • Ability to provide informed consent
  • Ability to complete patient-reported outcome measures

排除标准

  • Active radiculopathy or alternate dominant spinal pain generator
  • Prior lumbar fusion at target level
  • Active systemic infection or local infection at injection site
  • Thrombocytopenia, less than 100,000/uL
  • Anemia, Hemoglobin less than 10 g/dL
  • Pregnancy
  • Inability to complete follow-up assessments

结局指标

主要结局

Numeric Rating Scale on Pain Level

时间窗: 4 months post-treatment

Range: 0-10 Higher score means more painful.

次要结局

  • Numeric Rating Scale on Pain Level(1 month post-treatment)
  • Oswestry Disability Index(1 Month post-procedure)
  • Patient Global Impression of Change(1 month post-procedure)
  • Oswestry Disability Index(4 months post-procedure)
  • Patient Global Impression of Change(4 months post-procedure)
  • Numeric Rating Scale on Pain Level(6 months post-treatment)
  • Oswestry Disability Index(6 months post-procedure)
  • Patient Global Impression of Change(6 months post-procedure)
  • Numeric Rating Scale on Pain Level(12 months post-treatment)
  • Oswestry Disability Index(12 months post-procedure)
  • Patient Global Impression of Change(12 months post-procedure)

研究者

发起方
The New England Baptist Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Andrew Lederman

Chief of Physiatry and Interventional Pain Physician

The New England Baptist Hospital

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