Effect of Nonsteroidal Anti-Inflammatory Drug Restriction on the Efficacy of Platelet-Rich Plasma in Knee Osteoarthritis
- Sponsor
- Federal University of São Paulo
- Study ID
- NCT07766330
- Status
- Not Yet Recruiting
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Conditions
- Osteoarthritis, Knee
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 80 Years
- Healthy Volunteers
- Not accepted
Interventions
- Leukocyte-Rich Platelet-Rich Plasma — BIOLOGICALA single 12 mL intra-articular injection of autologous leukocyte-rich platelet-rich plasma, prepared from 54 mL of peripheral venous blood using a standardized single-centrifugation protocol without anticoagulants or exogenous activators. The injection will be performed using a lateral suprapatellar approach under ultrasound guidance.
- ibuprofen — DRUGIbuprofen 400 mg oral capsules administered every eight hours for five consecutive days, starting immediately after the platelet-rich plasma injection. Capsules will be visually identical to the acetaminophen capsules.
- Acetaminophen — DRUGAcetaminophen 500 mg oral capsules administered every eight hours for five consecutive days, starting immediately after the platelet-rich plasma injection. Capsules will be visually identical to the ibuprofen capsules.
Study Details
The goal of this randomized clinical trial is to learn whether taking ibuprofen, a nonsteroidal anti-inflammatory drug, after a platelet-rich plasma (PRP) injection changes pain relief and knee function in adults with knee osteoarthritis. The main questions it aims to answer are: Does ibuprofen change the improvement in knee pain six months after a PRP injection compared with acetaminophen? Does ibuprofen change knee function or the need for additional pain medicine during follow-up? Researchers will compare PRP followed by ibuprofen with PRP followed by acetaminophen. Participants will receive one ultrasound-guided PRP injection and take the assigned medication every eight hours for five days. They will complete assessments of pain, knee function, additional pain medicine use, and safety. Participants and the physician performing the injection will not know which medication was assigned.
Key Dates
- First listed
- Aug 14, 2026
- Start date
- Oct 1, 2026
- Status verified
- Aug 2026
- Primary completion
- Jun 30, 2028
- Completion
- Oct 31, 2028
Study Design
- Enrollment
- 90 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Platelet-Rich Plasma Plus IbuprofenParticipants will receive a single ultrasound-guided intra-articular injection of leukocyte-rich platelet-rich plasma, followed by ibuprofen 400 mg orally every eight hours for five consecutive days.
- Active Comparator: Platelet-Rich Plasma Plus AcetaminophenParticipants will receive a single ultrasound-guided intra-articular injection of leukocyte-rich platelet-rich plasma, followed by acetaminophen 500 mg orally every eight hours for five consecutive days.
Primary Outcome Measure
Change From Baseline in Knee Pain Measured by a Visual Analog Scale [ Time Frame: Baseline and 6 months after the intervention ]
Central Contacts
- Guilherme Moury Fernandes, MD+55 11 3385-4343
- Monique Ribas Scherer, MD+55 11 3385-4343
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