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Platelet Gel in Systemic Sclerosis
This study is currently recruiting participants.
Verified by Università Politecnica delle Marche, April 2007
Sponsored by: Università Politecnica delle Marche
Information provided by: Università Politecnica delle Marche
ClinicalTrials.gov Identifier: NCT00463125
  Purpose
  • Systemic sclerosis (scleroderma; SSc) is a connective tissue disease characterized by a progressive fibrosis of the skin and visceral organs.
  • A diffuse cutaneous microvascular damage occurs in 30-50% of patients, often leading to digital ulcers development, responsible for pain, functional disability, disfiguring scars, digital bony reabsorption, infection and osteomyelitis.
  • Although the availability of drugs as i.v. prostacyclin analogs, oral vasodilating agents, oral phosphodiesterase-5 inhibitors, oral endothelin receptor blockers has improved the prognosis, digital ulcers are frequently refractory to the medical treatment.
  • Preliminary data seems to demonstrate a pivotal role played by some growth factors (PDGF, TGF beta 1-2, IGF) in the process of ulcers healing: tissue regeneration and re-epithelization. Alpha-granules in the platelets store these factors in significant amount.
  • Recently, the application of a gel rich in platelets, prepared from donors’ plasma taken by apheresis, seems to be beneficial to enhance pressure and vascular ulcers healing.
  • On the basis of these considerations we expect that application of a platelet gel, combined with advanced dressing and conventional medical therapy, makes a more rapid healing of digital ulcers in patients with systemic sclerosis. We decided to conduct a double blind RCT to test this hypothesis

Condition Intervention Phase
Scleroderma, Systemic
Drug: Platelet Gel
Phase II
Phase III

MedlinePlus related topics: Scleroderma
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Platelet Gel for Digital Ulcers in Patients With SSc: a Randomized Controlled Trial

Further study details as provided by Università Politecnica delle Marche:

Primary Outcome Measures:
  • Time from diagnosis to complete ulcer healing
  • Rate of ulcers healed during the follow up period (10 weeks)

Secondary Outcome Measures:
  • Rate of ulcers healed during the follow up period (10 weeks)
  • Pain evaluation (VAS scale)
  • Rate of complications

Estimated Enrollment: 40
Study Start Date: March 2007
Estimated Study Completion Date: March 2008
  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Digital ulcers (NPUAP stage≥2) in patients with SSc (ACR criteria)
  • Current medical treatment with intravenous prostanoids
  • Availability to come to our centre for weekly ulcer assessment and medication
  • Capacity to give informed consent

Exclusion Criteria:

  • Clinical evidence of skin infection
  • Current treatment with Bosentan or Sildenafil
  • Presence of necrotic material occluding the wound bed.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00463125

Contacts
Contact: Armando Gabrielli, MD, professor 0712206104 ext 0039 a.gabrielli@univpm.it
Contact: Giovanni Pomponio, MD 0715964205 ext 0039 g.pomponio@ao-umbertoprimo.marche.it

Locations
Italy
Università politecnica delle marche Recruiting
Ancona, Italy, 60020
Contact: Armando Gabrielli, MD, professor     0712206104 ext 0039     a.gabrielli@univpm.it    
Contact: Giovanni Pomponio, MD     0715964205 ext 0039     G.pomponio@ao-umbertoprimo.marche.it    
Sponsors and Collaborators
Università Politecnica delle Marche
Investigators
Study Director: Armando Gabrielli, MD, professor Università Politecnica delle Marche
  More Information

Study ID Numbers: UPM13746IC
Study First Received: April 19, 2007
Last Updated: April 19, 2007
ClinicalTrials.gov Identifier: NCT00463125  
Health Authority: Italy: The Italian Medicines Agency

Keywords provided by Università Politecnica delle Marche:
Scleroderma, systemic
therapeutic
platelet gel

Study placed in the following topic categories:
Skin Diseases
Ulcer
Connective Tissue Diseases
Sclerosis
Scleroderma, Systemic

ClinicalTrials.gov processed this record on January 16, 2009