The Efficacy and Safety of Pulsed Radiofrequency Combined With Platelet-rich Plasma for Infraorbital Neuralgia

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorBeijing Tiantan Hospital

About this trial

This is a multicenter, prospective, observational, propensity score matching, cohort, and assessor-blinded study designed to compare the effectiveness and safety of PRP injections combined with PRF treatment with PRF alone in patients with IONa who are responded poorly to conventional therapies and are reluctant to receive destructive therapies for seeking a better minimally invasive treatment strategy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 18 to 75 years;

Paroxysmal or persistent stabbing pain in the distribution area of the infraorbital nerve and positive response to diagnostic block (1 ml of 2% lidocaine) prior to treatment;

NRS score≥7;

Scheduled for PRF treatment for IONa;

Disqualifiers

Platelet count <105*109/L, ongoing anticoagulation therapy or antiplatelets treatment, coagulation disorders or bleeding disorders;

Severe cardiopulmonary or hepatorenal dysfunction;

Infection at the puncture site; .

Neuralgia secondary to tissue damage around the infraorbital foramen from causes such as maxillary sinusitis or tumor;

Trial population

Power Analysis and Sample Size (PASS) V.15.0 software (NCSS Corporation, Kaysville, UT, USA) is used to compute the sample size. The results indicate that a study with a power of 80% and two-sided statistical significance level (alpha) of 0.05 would require 64 participants each group. Considering 10% loss to follow-up and an additional 40% loss after propensity score matching, the total sample size of this study will be 237 patients. And we are planning to enroll 240 patients totally considering the convenience of sample collection and statistics

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • No interventions

    Other intervention

    It is a observational study to investigate the efficacy and safety of PRP combined PRF on IONa compared to PRF alone.

Treatment groups

240 Participants
are divided into 2 treatment groups
Group A: PRP+PRF1 intervention
Group B: PRF alone1 intervention

Trial outcomes

Primary outcomes

1

The 1-year response rate

cases responding to treatment/total number of cases\*100%

Time frame
12-month period

Secondary outcomes

1

Response rate

cases responding to treatment/total number of cases\*100%

Time frame
at 1 day, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months after operation
2

Dosage of carbamazepine

dosage of carbamazepine

Time frame
at 1 day, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months after operation
3

Numeric rating scale (NRS) score of pain

0 representing no pain and 10 representing the most severe pain imaginable

Time frame
at 1 day, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months after operation
4

Patients' quality of life (QOL)

evaluated by 12-item short-form health survey (SF-12) scores,Response categories vary from 2 to 6 and can be transformed to scale scores ranging from 0 ('the worst') to 100 ('the best')

Time frame
at 1 day, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months after operation

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Beijing Tiantan Hospital

Lead sponsor

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Collaborator

Qinghai People's Hospital

Collaborator