Phase II Study of the Effects of rhPDGF-BB Injection on Lateral Epicondylitis

Inclusion Criteria:

1. Subject has signed the Institutional Review Board (IRB) approved Informed Consent
Form specific to this study prior to enrollment

2. Subject has a clinical diagnosis of lateral epicondylitis

3. Subject's symptoms can be reproduced with resisted supination or wrist dorsiflexion

4. Subject's symptoms have persisted for at least 3 months despite conservative
treatment that includes one or combinations of:

1. Physical therapy

2. Splinting

3. Nonsteroidal antiinflammatory drug (NSAID)

4. Corticosteroid injection

5. Subject is independent, ambulatory, and can comply with all post-injection
evaluations and visits

6. Subject is 21-80 years of age and considered to be skeletally mature

Exclusion Criteria:

1. Subject has undergone previous corticosteroid injection therapy to the effected elbow
in less than three months prior to enrollment

2. Subject has received previous Platelet Rich Plasma (PRP) injection to the affected
elbow

3. Subject is deemed to require a corticosteroid injection into the affected elbow
during the course of the study

4. Subject uses chronic medications known to affect the skeleton (e.g. glucocorticoid
usage >10mg/day)

5. Subject has undergone surgical intervention to the affected elbow for the treatment
of lateral epicondylitis

6. Subject has a positive medical history of any of the following:

1. medial epicondylitis

2. radial tunnel syndrome

3. carpal tunnel syndrome

4. septic or gouty arthritis

5. cervical radiculopathy

6. trauma to the affected elbow within the past 6 weeks

7. neuromuscular or musculoskeletal deficiency, which limits the ability to perform
functional measurement (e.g. grip strength test)

7. Subject currently has an acute infection at the injection site

8. Subject has tested positive or been treated for a malignancy in the past or is
suspected of having a malignancy or are currently undergoing radio- or chemotherapy
treatment for a malignancy anywhere in the body, whether adjacent to or distant from
the proposed rhPDGF-BB Injection treatment site

9. Subject is physically or mentally compromised (e.g. currently being treated for a
psychiatric disorder, senile dementia, Alzheimer's disease, etc.) to the extent that
the Investigator judges the subject to be unable or unlikely to remain compliant

10. Subject has an allergy to yeast-derived products

11. Subject has received an investigational therapy or approved therapy for
investigational use within 30 days of injection procedure or during the follow-up
phase of this study

12. Subject is a prisoner, or is known or suspected to be transient

13. Subject's condition represents a worker's compensation case

14. Subject is currently involved in a health-related litigation procedure

15. Subject has documented evidence of a history (e.g. liver testing) of drug/alcohol
abuse within the 12 months prior to screening for study entry

16. Subject is pregnant, or able to become pregnant but not practicing a
medically-accepted form of birth control, and/or intending to become pregnant during
this study period