ReNu™ vs. Corticosteroids for the Treatment of Plantar Fasciitis

Sponsor
NuTech Medical, Inc (Industry)
Overall Status
Unknown status
CT.gov ID
NCT02982226
Collaborator
MileStone Research Organization (Industry), Organogenesis (Industry)
150
6
2
55
25
0.5

Study Details

Study Description

Brief Summary

The objective of this clinical trial is to evaluate both the safety and efficacy of the ReNu™ injection on pain and inflammation in subjects diagnosed with plantar fasciitis as compared to a Corticosteroid Injection which is considered standard of care.

Condition or Disease Intervention/Treatment Phase
  • Other: ReNu Injection
  • Other: Corticosteroid Injection
N/A

Detailed Description

This is a two (2) arm evaluation in 150 subjects with plantar fasciitis. Patients will be treated with ReNu™(study treatment) or Corticosteroids (control).

At each follow-up visit, concomitant medications and adverse events shall be collected from each subject, and each subject shall complete following questionnaires:

  • AOFAS Ankle-Hindfoot Score (AOFAS-AHS)

  • Visual Analog Score (VAS)

  • Single Answer Numeric Evaluation (SANE)

  • Subject Satisfaction Score (at the 6 Month Follow Ups ONLY)

The subjects will be assessed at Baseline (pre-injection) using these scales and again at all subsequent study follow-up visits.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
150 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
A Comparative Study of Injectable Human Amniotic Allograft (ReNu™) Versus Corticosteroids for Plantar Fasciitis: A Prospective, Randomized, Blinded Study
Actual Study Start Date :
Sep 1, 2016
Anticipated Primary Completion Date :
Apr 1, 2021
Anticipated Study Completion Date :
Apr 1, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: ReNu Injection

Plantar Fascia injection with ReNu. ReNu is an allograft tissue composed of particularized amniotic membrane and cell from the amniotic fluid.

Other: ReNu Injection
ReNu is an allograft tissue composed of particularized amniotic membrane and cell from the amniotic fluid.

Active Comparator: Corticosteroid Injection

Plantar Fascia injection with Corticosteroids.

Other: Corticosteroid Injection
Corticosteroids are considered a standard of care for treatment of Plantar Fasciitis

Outcome Measures

Primary Outcome Measures

  1. Change in AOFAS score from baseline [6 months]

Secondary Outcome Measures

  1. Change in VAS pain score from baseline [6 months]

  2. Change in SANE function score from baseline [6 months]

  3. Return to Normal Function between treatment groups [6 months]

    Assessed using questionnaire by the Principal Investigator (PI)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Ages 18 to 75 inclusive

  2. BMI less than 40

  3. Actively practicing a contraception method, abstinent, surgically sterile, or post-menopausal (defined as no menses for a minimum of 12 months)

  4. Reporting heel pain of >6 on a verbally administered 1-10 pain scale where 1 is no pain and 10 is extreme pain

  5. Diagnosed with plantar fasciitis in either foot

  6. Completed a minimum of two months of conservative, non-injection treatment/therapies (i.e., activity modification, icing, NSAIDs, orthotics, physical therapy, etc.)

Exclusion Criteria

  1. Prior surgery on the affected foot

  2. Prior injection treatment for plantar fasciitis within the past 6 months with steroids or tissue engineered materials just in the site seeking treatment

  3. Clinical signs and symptoms of infection of foot in question

  4. Evidence of significant neurological disease of either foot

  5. Non-ambulatory

  6. Presence of comorbidities that can be confused with or can exacerbate the condition including, but not limited to the following:

  • Calcaneal stress fracture

  • Nerve entrapment syndrome, such as Baxter's Nerve Entrapment or Tarsal Tunnel Syndrome

  • Plantar Fascial rupture

  • Systemic disorders associated with enthesiopathy, i.e., Gout, Reiter's syndrome, rheumatoid arthritis, etc.

  • Achilles tendonitis

  • Fat Pad Atrophy

  • Fibromyalgia

  • Diabetic Neuropathy

  1. Pregnant, pregnant within the past six (6) months, breast feeding and/or desire to become pregnant during the course of the study, as verified by urine pregnancy test within one week prior to injection.

  2. Has taken NSAID medication within the past 14 days, or other pain medication in the past day

  3. History of more than two (2) weeks treatment with immuno-suppressants, including systemic corticosteroids or cytotoxic chemotherapy within one month prior to initial screening, or has receive such medications during the screening period, or are anticipated to require such medications during the course of the study.

  4. Taking any investigational drug(s) or therapeutic device(s) within 30 days preceding screening

  5. History of radiation therapy of the affected foot

  6. Known history of having Acquired Immunodeficiency Syndrome (AIDS) or HIV

  7. Involved in a Worker's Compensation Claim of any kind

  8. Unable to understand the objectives of the trial

  9. Presence of any condition(s) which, in the opinion of the investigator, would compromise the subject's ability to complete this study

  10. Having a known history of poor adherence with medical treatment.

  11. Express an unwillingness to receive human allograft tissue

Contacts and Locations

Locations

Site City State Country Postal Code
1 Advanced Orthopedics Denver Colorado United States 80230
2 Orlando Food and Ankle Clinic Orlando Florida United States 32806
3 The Iowa Clinic Foot and Ankle Surgery West Des Moines Iowa United States 50266
4 Lower Extremity Institute of Research & Therapy (LEIRT) Poland Ohio United States 44514
5 Geisinger Danville Pennsylvania United States
6 The Vancouvover Clinic Vancouver Washington United States 98686

Sponsors and Collaborators

  • NuTech Medical, Inc
  • MileStone Research Organization
  • Organogenesis

Investigators

  • Principal Investigator: Alan Ng, DPM, FACFAS, Advanced Orthopedics

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
NuTech Medical, Inc
ClinicalTrials.gov Identifier:
NCT02982226
Other Study ID Numbers:
  • RD-2015-08-05
First Posted:
Dec 5, 2016
Last Update Posted:
Apr 21, 2020
Last Verified:
Apr 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Keywords provided by NuTech Medical, Inc
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 21, 2020