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Suture Anchor Comparison in Rotator Cuff Repairs

Primary Purpose

Rotator Cuff Injury

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Suture Anchor HEALOCOIL
Suture anchor Twinfix Ultra HA
Sponsored by
The Hawkins Foundation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rotator Cuff Injury focused on measuring Rotator cuff, Ossification, Suture anchors

Eligibility Criteria

35 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female, aged 35 to 75 years at the time of surgery.
  • Willing and able to give voluntary informed consent to participate in this investigation.
  • Full thickness tear of the rotator cuff
  • Tear requires repair within one year of initial diagnosis.
  • Tear must be anatomically repairable (must be able to get tendon back to the medial position on the footprint and at least back to the tuberosity).
  • Willing and able, in the opinion of the Investigator, to cooperate with study procedures, and willing to return to study site for all required post-operative study visits.

Exclusion Criteria:

  • Evidence of acute trauma including fracture or dislocation of the shoulder joint.
  • Chronic retraction.
  • Evidence of active infection, osteomyelitis, sepsis or distant infection, which could spread to the index joint.
  • Subject has had previous rotator cuff, arthroplasty or fracture procedures on the operative shoulder.
  • Subject has had acromioplasty or diagnostic arthroscopy on the operative shoulder within one (1) year prior to scheduled surgery date.
  • Evidence of osteomalacia or other metabolic bone disorder(s), which may impair bone or soft tissue function.
  • Evidence of other significant shoulder pathology including (Type II-IV lesion, Bankart lesion, Hill Sachs lesion).
  • Patient has grade 4 changes to articular cartilage in operative shoulder
  • Inflammatory arthropathies.
  • Significant muscle paralysis of the shoulder girdle.
  • Painful pathologies of the cervical spine.
  • Comminuted bone surface, which would compromise secure anchor fixation.
  • Non-surgical rotator cuff associated treatment, such as corticosteroid injection, within one (1) month prior to scheduled surgery date.
  • Participating in another investigational trial or ongoing study that would interfere with the assessment of the primary and secondary outcomes.
  • Female patient who is pregnant, nursing, or of childbearing potential while not practicing effective contraceptive methods.
  • Major psychiatric illness, developmental handicap or inability to read and understand the English language.
  • Major medical illness that would preclude undergoing surgery.
  • Known to be involved in any active injury litigation claims relating to the study shoulder.
  • Unwilling or unable to be assessed according to study protocol for two years following surgery.
  • Patient requires a concomitant SLAP repair procedure in operative shoulder.
  • Surgeon plans to use a Platelet Rich Plasma product or another therapy intended to augment healing of the rotator cuff in the study procedure.
  • Protocol specified surgical technique cannot be followed for this subject.
  • Rotator cuff repair will be done via open (as opposed to arthroscopic) procedure.
  • Any other reason (in the judgment of the investigator).

Sites / Locations

  • Steadman Hawkins Clinic of the Carolinas

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

HEALICOIL Regenesorb

Twinfix Ultra HA

Arm Description

Suture anchor for rotator cuff repair

Suture anchor for rotator cuff repair

Outcomes

Primary Outcome Measures

Ossification Quality Score (Bony Ingrowth Assessed Via CT)
The ossification quality score is an ordinal measure of quality of bone reabsorption that is divided into four progressive groups. Quality score 1 reflects "little or no bone ossification", Quality score 2 reflects "Some ossification; discontinuous or with a wide lucent rim", Quality score 3 reflects "Ossification with a thin lucent rim", and Quality score 4 reflects "Good ossification; border of tract vague". For this study, Quality scores 1 and 2 will be merged (defined as low quality ossification) as will Quality scores 3 and 4 (defined as high quality ossification). The proportion of suture anchors graded as having high quality ossification versus low quality ossification will be compared between the two groups to determine if there is a significant difference between Healicoil and Twinfix anchors in regards to quality of ossification.

Secondary Outcome Measures

Number of Participants With a Rotator Cuff Re-tear
Repair failure rate (Defined as number of subjects with a re-tear) determined by ultrasound 6 months after surgery.
Visual Analogue Pain Scale
The Visual Analogue Pain Scale (VAS) measures the patient-reported level of pain at the two-year follow-up. The scale runs from 0 to 10, with "0" indicating no pain and "10" indicating extreme pain. The lower the VAS Pain level, the better the outcome in regards to level of pain.
Function at Two Years as Measured by Western Ontario Rotator Cuff Index (WORC), PENN Shoulder Score (PENN), Single Assessment Numeric Evaluation (SANE), and EuroQol-5D (EQ-5D)
Outcomes at Two Years on the following: Western Ontario Rotator Cuff Index (WORC): developed to help understand the particular signs, symptoms, and functional limitations associated with rotator cuff tendinopathy. The outcome is measured on a scale of 0 to 100, with 100 being the best outcome and 0 being the worst. PENN Shoulder Score (PENN): The PENN is a 100-point shoulder-specific self-report questionnaire evaluating pain, satisfaction, and shoulder function. The outcome is measured on a scale of 0 to 100, with 100 being the best outcome and 0 being the worst. Single Assessment Numeric Evaluation (SANE): A single question that asks "How would you rate your shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?" 0 indicates an abnormal shoulder, whereas 100% indicates a perfectly normal shoulder. Euroqol-5D (EQ-5D): The EQ-5D is a patient-reported overall health questionnaire, with 100 indicating "The best health you can imagine" and

Full Information

First Posted
September 10, 2014
Last Updated
January 11, 2021
Sponsor
The Hawkins Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT02350647
Brief Title
Suture Anchor Comparison in Rotator Cuff Repairs
Official Title
TWO-ARM, SINGLE BLIND, RANDOMIZED POST-MARKET STUDY ON THE USE OF HEALICOIL™ REGENESORB SUTURE ANCHOR IN THE REPAIR OF TEARS OF THE ROTATOR CUFF
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
March 2019 (Actual)
Study Completion Date
March 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Hawkins Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Patients will be randomized to receive HEALICOIL™ REGENESORB (the study anchor) or TWINFIX Ultra HA, a similar comparative product, for use in the repair of their shoulder injury. They will be asked to complete questionnaires throughout the study and will receive an MRI, CT and multiple ultrasound images. The MRIs and radiographs will be used to assess bony ingrowth at the repair site, and the ultrasound to assess repair success rate of the rotator cuff. The clinical and radiological outcomes will be compared between the study and control groups. It is hypothesized that there will be 85% high quality ossification at anchor site for HEALICOIL REGENESORB and 49.9% high quality ossification for TWINFIX Ultra HA at 24 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rotator Cuff Injury
Keywords
Rotator cuff, Ossification, Suture anchors

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HEALICOIL Regenesorb
Arm Type
Experimental
Arm Description
Suture anchor for rotator cuff repair
Arm Title
Twinfix Ultra HA
Arm Type
Active Comparator
Arm Description
Suture anchor for rotator cuff repair
Intervention Type
Device
Intervention Name(s)
Suture Anchor HEALOCOIL
Intervention Description
Rotator cuff tears will be repaired intraoperatively using suture anchors
Intervention Type
Device
Intervention Name(s)
Suture anchor Twinfix Ultra HA
Primary Outcome Measure Information:
Title
Ossification Quality Score (Bony Ingrowth Assessed Via CT)
Description
The ossification quality score is an ordinal measure of quality of bone reabsorption that is divided into four progressive groups. Quality score 1 reflects "little or no bone ossification", Quality score 2 reflects "Some ossification; discontinuous or with a wide lucent rim", Quality score 3 reflects "Ossification with a thin lucent rim", and Quality score 4 reflects "Good ossification; border of tract vague". For this study, Quality scores 1 and 2 will be merged (defined as low quality ossification) as will Quality scores 3 and 4 (defined as high quality ossification). The proportion of suture anchors graded as having high quality ossification versus low quality ossification will be compared between the two groups to determine if there is a significant difference between Healicoil and Twinfix anchors in regards to quality of ossification.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Number of Participants With a Rotator Cuff Re-tear
Description
Repair failure rate (Defined as number of subjects with a re-tear) determined by ultrasound 6 months after surgery.
Time Frame
6 months
Title
Visual Analogue Pain Scale
Description
The Visual Analogue Pain Scale (VAS) measures the patient-reported level of pain at the two-year follow-up. The scale runs from 0 to 10, with "0" indicating no pain and "10" indicating extreme pain. The lower the VAS Pain level, the better the outcome in regards to level of pain.
Time Frame
2 years
Title
Function at Two Years as Measured by Western Ontario Rotator Cuff Index (WORC), PENN Shoulder Score (PENN), Single Assessment Numeric Evaluation (SANE), and EuroQol-5D (EQ-5D)
Description
Outcomes at Two Years on the following: Western Ontario Rotator Cuff Index (WORC): developed to help understand the particular signs, symptoms, and functional limitations associated with rotator cuff tendinopathy. The outcome is measured on a scale of 0 to 100, with 100 being the best outcome and 0 being the worst. PENN Shoulder Score (PENN): The PENN is a 100-point shoulder-specific self-report questionnaire evaluating pain, satisfaction, and shoulder function. The outcome is measured on a scale of 0 to 100, with 100 being the best outcome and 0 being the worst. Single Assessment Numeric Evaluation (SANE): A single question that asks "How would you rate your shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?" 0 indicates an abnormal shoulder, whereas 100% indicates a perfectly normal shoulder. Euroqol-5D (EQ-5D): The EQ-5D is a patient-reported overall health questionnaire, with 100 indicating "The best health you can imagine" and
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, aged 35 to 75 years at the time of surgery. Willing and able to give voluntary informed consent to participate in this investigation. Full thickness tear of the rotator cuff Tear requires repair within one year of initial diagnosis. Tear must be anatomically repairable (must be able to get tendon back to the medial position on the footprint and at least back to the tuberosity). Willing and able, in the opinion of the Investigator, to cooperate with study procedures, and willing to return to study site for all required post-operative study visits. Exclusion Criteria: Evidence of acute trauma including fracture or dislocation of the shoulder joint. Chronic retraction. Evidence of active infection, osteomyelitis, sepsis or distant infection, which could spread to the index joint. Subject has had previous rotator cuff, arthroplasty or fracture procedures on the operative shoulder. Subject has had acromioplasty or diagnostic arthroscopy on the operative shoulder within one (1) year prior to scheduled surgery date. Evidence of osteomalacia or other metabolic bone disorder(s), which may impair bone or soft tissue function. Evidence of other significant shoulder pathology including (Type II-IV lesion, Bankart lesion, Hill Sachs lesion). Patient has grade 4 changes to articular cartilage in operative shoulder Inflammatory arthropathies. Significant muscle paralysis of the shoulder girdle. Painful pathologies of the cervical spine. Comminuted bone surface, which would compromise secure anchor fixation. Non-surgical rotator cuff associated treatment, such as corticosteroid injection, within one (1) month prior to scheduled surgery date. Participating in another investigational trial or ongoing study that would interfere with the assessment of the primary and secondary outcomes. Female patient who is pregnant, nursing, or of childbearing potential while not practicing effective contraceptive methods. Major psychiatric illness, developmental handicap or inability to read and understand the English language. Major medical illness that would preclude undergoing surgery. Known to be involved in any active injury litigation claims relating to the study shoulder. Unwilling or unable to be assessed according to study protocol for two years following surgery. Patient requires a concomitant SLAP repair procedure in operative shoulder. Surgeon plans to use a Platelet Rich Plasma product or another therapy intended to augment healing of the rotator cuff in the study procedure. Protocol specified surgical technique cannot be followed for this subject. Rotator cuff repair will be done via open (as opposed to arthroscopic) procedure. Any other reason (in the judgment of the investigator).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stefan Tolan, MD
Organizational Affiliation
Steadman Hawkins Clinic of the Carolinas - Greenville Health System
Official's Role
Principal Investigator
Facility Information:
Facility Name
Steadman Hawkins Clinic of the Carolinas
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States

12. IPD Sharing Statement

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Suture Anchor Comparison in Rotator Cuff Repairs

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