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GLOBAL ICON Stemless Shoulder System Post Market Clinical Follow Up Study (Global ICON)

Primary Purpose

Osteoarthritis, Post Traumatic Arthritis

Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Global ICON
Sponsored by
DePuy Orthopaedics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis

Eligibility Criteria

21 Years - 79 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Severely painful and/or severely disabled Non-Inflammatory Degenerative Joint Disease (NIDJD) resulting from osteoarthritis (OA) or post traumatic arthritis Patient is willing and able to complete the required post-operative schedule Patient has provided written Informed Consent to participate

Exclusion Criteria:

Subjects under the age of 21 or over the age of 80 on the day of consent Subjects who have not reached skeletal maturity, regardless of age Inadequate bone stock in the proximal humerus or glenoid fossa for supporting the GLOBAL ICON stemless humeral components Bone that is too soft or porous to support the implant or that is too hard or brittle to allow for proper bone preparation and fixation, i.e osteoporosis or sclerotic bone, where there could be considerable migration of the prosthesis and/or a chance of fracture of the humerus or glenoid Fractures of the proximal humerus that could compromise the fixation of the GLOBAL ICON stemless humeral components Subjects who have undergone previous treatment on the study shoulder that may compromise fixation of the GLOBAL ICON stemless humeral components Revision of a failed hemi, total or reverse shoulder arthroplasty Active local or systemic infection Absent, irreparable or nonfunctional rotator cuff or other essential muscles Subject is receiving, or is scheduled to receive, treatment that the Investigator considers could affect bone quality, such as chemotherapy or high dose corticosteroids Subjects who, at the point of enrolment, already have a GLOBAL ICON shoulder replacement or are scheduled to receive, a contralateral shoulder replacement device Subjects who are known to be pregnant or breastfeeding Subjects who are known drug or alcohol abusers or with psychological disorders that could affect follow-up care or treatment outcomes Subjects with a known medical condition that the Investigator believes would impact the study outcomes (including, but not limited to osteomyelitis, Paget's disease, neuropathies such as Charcot's disease, metastatic or neoplastic disorders) Known polyethylene and/or metal sensitivity or allergy

Sites / Locations

  • Kingston General Hospital
  • Vulpius Klinik
  • Orthopädische Klinik der Medizinischen Hochschule Hannover im Diakovere Annastift
  • Sportklinik Ravensburg
  • Treant Hospital
  • Groene Hart Ziekenhuis
  • Tergooi Hospital
  • Woodend Hospital
  • The Royal Bournemouth Hospital
  • North Bristol NHS Trust
  • James Cook University Hospital
  • City Hospital

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Global ICON

Arm Description

The study device is the GLOBAL ICON stemless humeral component, consisting of the Anchor Plate and Humeral Head.

Outcomes

Primary Outcome Measures

Composite success, comprised of radiographs, Constant-Murley, no revisions or serious adverse events.
The primary endpoint in this study is a composite success endpoint at 24 months post-operative, where an individual study subject is deemed to be a composite success if each of the following criteria is met at the 24 month follow-up visit: Radiographs indicate that there is no continuous radiolucent line around the GLOBAL ICON stemless humeral component The Adjusted Constant-Murley score is greater than 85 No GLOBAL ICON humeral component has been removed for any reason There have been no device related serious adverse events

Secondary Outcome Measures

Adjusted Constant-Murley Score
Oxford Shoulder Score
EQ-VAS (subscore of EQ-5D-5L)
Radiographic evidence of aseptic loosening of the GLOBAL ICON stemless humeral component
GLOBAL ICON stemless humeral component survivorship
Overall survivorship of the GLOBAL ICON stemless humeral component where a subject is deemed to be surviving if no components have been removed for any reason.
EQ-5D-5L Scores by dimension

Full Information

First Posted
May 18, 2017
Last Updated
October 9, 2023
Sponsor
DePuy Orthopaedics
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1. Study Identification

Unique Protocol Identification Number
NCT03168672
Brief Title
GLOBAL ICON Stemless Shoulder System Post Market Clinical Follow Up Study
Acronym
Global ICON
Official Title
GLOBAL ICON Stemless Shoulder System Post Market Clinical Follow Up Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 18, 2017 (Actual)
Primary Completion Date
December 13, 2021 (Actual)
Study Completion Date
September 18, 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DePuy Orthopaedics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Post Market Clinical Follow Up (PMCF) study to monitor the safety and performance of the GLOBAL ICON stemless humeral component. The data gathered will be used to support post market surveillance of the device, and may potentially be used for additional market access purposes.
Detailed Description
This study will be multi-centre and non-comparative. Subjects will be recruited and followed up at similar intervals to reflect the standard clinical practice and intended population for wider use of the device. 157 non-randomised subjects will be recruited from approximately 15 sites. A maximum of 30 subjects may be recruited from one site. More than one implanting surgeon may recruit subjects at each site as a designated sub-Investigator. The primary objective of this PMCF study is to confirm device survivorship of the GLOBAL ICON stemless humeral component at 24 months post-operative. The secondary objectives include the evaluation of clinical performance, radiographic performance and safety outcomes at 3, 12, 24, 60 and 120 months post-operatively. Tertiary endpoints in the study will include a mean change from baseline for the Adjusted Constant-Murley Score, the Oxford Shoulder Score, the EQ-5D-5L dimension score and EQ-VAS scores. Radiographic evidence of aseptic loosening and periprosthetic fracture survivorship of the GLOBAL ICON stemless humeral component will be assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Post Traumatic Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
172 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Global ICON
Arm Type
Other
Arm Description
The study device is the GLOBAL ICON stemless humeral component, consisting of the Anchor Plate and Humeral Head.
Intervention Type
Device
Intervention Name(s)
Global ICON
Intervention Description
The study device is the GLOBAL ICON stemless humeral component, consisting of the Anchor Plate and Humeral Head.
Primary Outcome Measure Information:
Title
Composite success, comprised of radiographs, Constant-Murley, no revisions or serious adverse events.
Description
The primary endpoint in this study is a composite success endpoint at 24 months post-operative, where an individual study subject is deemed to be a composite success if each of the following criteria is met at the 24 month follow-up visit: Radiographs indicate that there is no continuous radiolucent line around the GLOBAL ICON stemless humeral component The Adjusted Constant-Murley score is greater than 85 No GLOBAL ICON humeral component has been removed for any reason There have been no device related serious adverse events
Time Frame
24 months
Secondary Outcome Measure Information:
Title
Adjusted Constant-Murley Score
Time Frame
baseline and 3, 12, 24, 60 and 120 months post-operative
Title
Oxford Shoulder Score
Time Frame
baseline and 3, 12, 24, 60 and 120 months post-operative
Title
EQ-VAS (subscore of EQ-5D-5L)
Time Frame
baseline and 3, 12, 24, 60, and 120 months post-operative
Title
Radiographic evidence of aseptic loosening of the GLOBAL ICON stemless humeral component
Time Frame
immediate post-operative and 3, 12, 24, 60 and 120 months post-operative
Title
GLOBAL ICON stemless humeral component survivorship
Description
Overall survivorship of the GLOBAL ICON stemless humeral component where a subject is deemed to be surviving if no components have been removed for any reason.
Time Frame
24, 60 and 120 months post-operative
Title
EQ-5D-5L Scores by dimension
Time Frame
baseline and 3, 12, 24, 60, and 120 months post-operative
Other Pre-specified Outcome Measures:
Title
Adjusted Constant-Murley Score
Description
Mean change from baseline for the specified follow up time points
Time Frame
3, 12, 24, 60 and 120 months post-operative
Title
Oxford Shoulder Score
Description
Mean change from baseline for the specified time points.
Time Frame
3, 12, 24, 60 and 120 months post-operative
Title
EQ-5D-5L dimension score
Description
Mean change from baseline for the specified time points
Time Frame
3, 12, 24, 60 and 120 months post-operative
Title
Radiographic evidence of aseptic loosening
Description
Radiographic evidence of aseptic loosening of the GLOBAL ICON stemless humeral component that does not arise as a result of intraoperative error, from a traumatic event or inappropriate subject behaviour
Time Frame
immediate post-operative, 3, 12, 24, 60 and 120 months
Title
Periprosthetic fracture survivorship
Description
Periprosthetic fracture survivorship of the GLOBAL ICON stemless humeral component where a subject is deemed to be surviving following no radiographic evidence of periprosthetic fracture arising as a result of intraoperative error, traumatic event or inappropriate subject behaviour
Time Frame
24, 60 and 120 months post operative
Title
EQ-VAS score (subscore of EQ-5D-5L)
Description
Mean change from baseline for the specified time points
Time Frame
3, 12, 24, 60 and 120 months post-operative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Severely painful and/or severely disabled Non-Inflammatory Degenerative Joint Disease (NIDJD) resulting from osteoarthritis (OA) or post traumatic arthritis Patient is willing and able to complete the required post-operative schedule Patient has provided written Informed Consent to participate Exclusion Criteria: Subjects under the age of 21 or over the age of 80 on the day of consent Subjects who have not reached skeletal maturity, regardless of age Inadequate bone stock in the proximal humerus or glenoid fossa for supporting the GLOBAL ICON stemless humeral components Bone that is too soft or porous to support the implant or that is too hard or brittle to allow for proper bone preparation and fixation, i.e osteoporosis or sclerotic bone, where there could be considerable migration of the prosthesis and/or a chance of fracture of the humerus or glenoid Fractures of the proximal humerus that could compromise the fixation of the GLOBAL ICON stemless humeral components Subjects who have undergone previous treatment on the study shoulder that may compromise fixation of the GLOBAL ICON stemless humeral components Revision of a failed hemi, total or reverse shoulder arthroplasty Active local or systemic infection Absent, irreparable or nonfunctional rotator cuff or other essential muscles Subject is receiving, or is scheduled to receive, treatment that the Investigator considers could affect bone quality, such as chemotherapy or high dose corticosteroids Subjects who, at the point of enrolment, already have a GLOBAL ICON shoulder replacement or are scheduled to receive, a contralateral shoulder replacement device Subjects who are known to be pregnant or breastfeeding Subjects who are known drug or alcohol abusers or with psychological disorders that could affect follow-up care or treatment outcomes Subjects with a known medical condition that the Investigator believes would impact the study outcomes (including, but not limited to osteomyelitis, Paget's disease, neuropathies such as Charcot's disease, metastatic or neoplastic disorders) Known polyethylene and/or metal sensitivity or allergy
Facility Information:
Facility Name
Kingston General Hospital
City
Kingston
ZIP/Postal Code
K7L 2V7
Country
Canada
Facility Name
Vulpius Klinik
City
Bad Rappenau
ZIP/Postal Code
74906
Country
Germany
Facility Name
Orthopädische Klinik der Medizinischen Hochschule Hannover im Diakovere Annastift
City
Hannover
ZIP/Postal Code
30625
Country
Germany
Facility Name
Sportklinik Ravensburg
City
Ravensburg
ZIP/Postal Code
88214
Country
Germany
Facility Name
Treant Hospital
City
Emmen
ZIP/Postal Code
NL-7824AA
Country
Netherlands
Facility Name
Groene Hart Ziekenhuis
City
Gouda
ZIP/Postal Code
2803 HH
Country
Netherlands
Facility Name
Tergooi Hospital
City
Hilversum
Country
Netherlands
Facility Name
Woodend Hospital
City
Aberdeen
ZIP/Postal Code
AB252ZB
Country
United Kingdom
Facility Name
The Royal Bournemouth Hospital
City
Bournemouth
ZIP/Postal Code
BH7 7DW
Country
United Kingdom
Facility Name
North Bristol NHS Trust
City
Bristol
ZIP/Postal Code
BS10 5NB
Country
United Kingdom
Facility Name
James Cook University Hospital
City
Middlesbrough
ZIP/Postal Code
TS4 3BW
Country
United Kingdom
Facility Name
City Hospital
City
Nottingham
ZIP/Postal Code
NG5 1PB
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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GLOBAL ICON Stemless Shoulder System Post Market Clinical Follow Up Study

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