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Treatment of Partial-Thickness Rotator Cuff Tears (REGEN PUB 2018)

Primary Purpose

Arthroscopic Surgical Treatment of High-grade (>50%) Partialthickness

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
REGENETEN™ Bioinductive Implant
Arthroscopic repair of the high-grade (>50%) partialthickness
Sponsored by
Smith & Nephew, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Arthroscopic Surgical Treatment of High-grade (>50%) Partialthickness focused on measuring REGENETEN, REGENETEN Bioinductive Implant, highgrade partial thickness tear, rotator cuff tear, rotator cuff repair

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Patients will be considered qualified for enrollment if they meet the following criteria:

  1. Male or female ≥18 years
  2. High-grade (>50% tendon thickness) partial-thickness tear
  3. Failed conservative medical management of the tendon tear defined as:

    1. Four (4) to six (6) weeks of formal physical therapy or guided home exercises
    2. Activity modification
    3. Shoulder injection at the discretion of the surgeon
  4. Able to comply with the post-operative physiotherapy and follow-up schedule
  5. Able to speak and read English Provide written informed consent

Exclusion Criteria:

Any one (1) of the following criteria will disqualify a patient from participation in the study:

  1. Prior shoulder surgery on index shoulder within 12 months of enrollment
  2. Failed primary rotator cuff surgery of the index shoulder
  3. On steroids within 1 month of enrollment
  4. Metastatic disease
  5. Concomitant surgeries for bone defects requiring bone implantation (Latarjet procedures) or for superior labral tear from anterior to posterior (SLAP)
  6. Concomitant biceps tenodesis
  7. Rheumatoid arthritis
  8. Advanced osteoarthritis
  9. Fatty infiltration of the index shoulder rotator cuff muscle ≥ Grade 3
  10. Chronic pain disorders (i.e., fibromyalgia)
  11. History of insulin dependent diabetes
  12. History of heavy smoking (> 1 pack per day) within 6 months of enrollment
  13. Currently involved in any injury litigation or workers compensation claims
  14. Hypersensitivity to bovine-derived materials Medical or physical condition that, in the opinion of the Investigator, would preclude safe participation in the study

Sites / Locations

  • University of Florida Orthopaedics and Sports Medicine
  • Baptist Health
  • Harbin Clinic
  • University of Kentucky
  • Ochsner Health Center
  • Anne Arundel Medical Center/Luminis Health
  • Syracuse Orthopedic Specialist
  • Columbia University
  • Orthopedic Associates of SW Ohio
  • Texas Orthopedic Specialists

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

REGENETEN™ Bioinductive Implant

Arthroscopic repair of the high-grade (>50%) partialthickness

Arm Description

Surgical treatment of partial-thickness rotator cuff tears with the REGENETEN Bioinductive Implant system.

Surgical treatment of partial-thickness rotator cuff tears using standard techniques.

Outcomes

Primary Outcome Measures

ASES (American Shoulder and Elbow Surgeons) score tear using standard surgical techniques.

Secondary Outcome Measures

ASES score
Single Assessment Numeric Value (SANE) score
ASES Visual Analog Scale (VAS) pain score
ASES score
SANE score
ASES VAS pain score
Shoulder Stiffness Visual Analog Scale (VAS) score
Stiffness in the participant's index shoulder will be assessed using the shoulder stiffness VAS. The VAS is a continuous scale comprised of a horizontal line 100 millimeters (mm) in length, anchored by 2 verbal descriptors, one for each symptom extreme: No Stiffness (0 mm) and Extreme Stiffness (100 mm). The VAS stiffness rating will be recorded pre-operatively, weekly from 1 week to 3 months post-surgery, and at 6 and 12 months post-surgery.
Cumulative opioid use to treat the index shoulder
Cumulative non-opioid prescription medication use to treat the index shoulder
Duration of shoulder immobilization
Time to return to activities of daily living (ADLs) o Return to work by work type (sedentary; laborer) o Return to driving o Return to sports
Incidence of progression to full-thickness tear
Incidence of progression to full-thickness tear
Incidence of revision surgery (index shoulder; all causes)
Aggregate health care utilization costs
Operating room time (index surgery)
Number of steroid injections
Number of unscheduled clinic visits
Number of for-cause imaging procedures

Full Information

First Posted
November 6, 2018
Last Updated
October 18, 2023
Sponsor
Smith & Nephew, Inc.
Collaborators
Global Research Solutions, Medical Metrics Diagnostics, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT03734536
Brief Title
Treatment of Partial-Thickness Rotator Cuff Tears
Acronym
REGEN PUB 2018
Official Title
Prospective Multi-center Study Comparing REGENETEN in Lieu of Standard Arthroscopic Repair of High-grade (>50%) Partial-thickness Tears
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Terminated
Why Stopped
Business reasons not related to patient safety
Study Start Date
December 3, 2018 (Actual)
Primary Completion Date
September 11, 2023 (Actual)
Study Completion Date
September 11, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Smith & Nephew, Inc.
Collaborators
Global Research Solutions, Medical Metrics Diagnostics, Inc

4. Oversight

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

5. Study Description

Brief Summary
Demonstrate that REGENETEN is superior to standard repair techniques when surgically treating high-grade (>50%) partial-thickness tears because REGENETEN preserves more of the native tendon footprint resulting in less postoperative pain and faster recovery.
Detailed Description
The objective of this study is to demonstrate arthroscopic surgical treatment of high-grade (>50%) partial-thickness tears using REGENETEN yields statistically superior patient post-operative recovery outcomes, faster return to activities of daily living, and less health care utilization versus standard surgical repair techniques.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Arthroscopic Surgical Treatment of High-grade (>50%) Partialthickness
Keywords
REGENETEN, REGENETEN Bioinductive Implant, highgrade partial thickness tear, rotator cuff tear, rotator cuff repair

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
118 (Actual)

8. Arms, Groups, and Interventions

Arm Title
REGENETEN™ Bioinductive Implant
Arm Type
Other
Arm Description
Surgical treatment of partial-thickness rotator cuff tears with the REGENETEN Bioinductive Implant system.
Arm Title
Arthroscopic repair of the high-grade (>50%) partialthickness
Arm Type
Other
Arm Description
Surgical treatment of partial-thickness rotator cuff tears using standard techniques.
Intervention Type
Device
Intervention Name(s)
REGENETEN™ Bioinductive Implant
Intervention Description
The REGENETEN™ Bioinductive Implant is a bioabsorbable device that provides a layer of collagen over injured tendons.
Intervention Type
Device
Intervention Name(s)
Arthroscopic repair of the high-grade (>50%) partialthickness
Intervention Description
Surgical treatment of partial-thickness rotator cuff tears using standard techniques.
Primary Outcome Measure Information:
Title
ASES (American Shoulder and Elbow Surgeons) score tear using standard surgical techniques.
Time Frame
at 3 months following index surgery
Secondary Outcome Measure Information:
Title
ASES score
Time Frame
over initial 3 months following index surgery
Title
Single Assessment Numeric Value (SANE) score
Time Frame
over initial 3 months following index surgery
Title
ASES Visual Analog Scale (VAS) pain score
Time Frame
over initial 3 months following index surgery
Title
ASES score
Time Frame
at 6, 12, 18 and 24 months following index surgery
Title
SANE score
Time Frame
at 6, 12, 18 and 24 months following index surgery
Title
ASES VAS pain score
Time Frame
at 6, 12, 18 and 24 months following index surgery
Title
Shoulder Stiffness Visual Analog Scale (VAS) score
Description
Stiffness in the participant's index shoulder will be assessed using the shoulder stiffness VAS. The VAS is a continuous scale comprised of a horizontal line 100 millimeters (mm) in length, anchored by 2 verbal descriptors, one for each symptom extreme: No Stiffness (0 mm) and Extreme Stiffness (100 mm). The VAS stiffness rating will be recorded pre-operatively, weekly from 1 week to 3 months post-surgery, and at 6 and 12 months post-surgery.
Time Frame
over 12 months following index surgery
Title
Cumulative opioid use to treat the index shoulder
Time Frame
over 12 months following index surgery
Title
Cumulative non-opioid prescription medication use to treat the index shoulder
Time Frame
over 12 months following index surgery
Title
Duration of shoulder immobilization
Time Frame
following index surgery
Title
Time to return to activities of daily living (ADLs) o Return to work by work type (sedentary; laborer) o Return to driving o Return to sports
Time Frame
following index surgery
Title
Incidence of progression to full-thickness tear
Time Frame
within 12 months following index surgery
Title
Incidence of progression to full-thickness tear
Time Frame
within 24 months following index surgery
Title
Incidence of revision surgery (index shoulder; all causes)
Time Frame
within 24 months following index surgery
Title
Aggregate health care utilization costs
Time Frame
over 12 months following index surgery
Title
Operating room time (index surgery)
Time Frame
Intra-operative
Title
Number of steroid injections
Time Frame
over 12 months following index surgery
Title
Number of unscheduled clinic visits
Time Frame
over 12 months following index surgery
Title
Number of for-cause imaging procedures
Time Frame
over 12 months following index surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients will be considered qualified for enrollment if they meet the following criteria: Male or female ≥18 years High-grade (>50% tendon thickness) partial-thickness tear Failed conservative medical management of the tendon tear defined as: Four (4) to six (6) weeks of formal physical therapy or guided home exercises Activity modification Shoulder injection at the discretion of the surgeon Able to comply with the post-operative physiotherapy and follow-up schedule Able to speak and read English Provide written informed consent Exclusion Criteria: Any one (1) of the following criteria will disqualify a patient from participation in the study: Prior shoulder surgery on index shoulder within 12 months of enrollment Failed primary rotator cuff surgery of the index shoulder On steroids within 1 month of enrollment Metastatic disease Concomitant surgeries for bone defects requiring bone implantation (Latarjet procedures) or for superior labral tear from anterior to posterior (SLAP) Concomitant biceps tenodesis Rheumatoid arthritis Advanced osteoarthritis Fatty infiltration of the index shoulder rotator cuff muscle ≥ Grade 3 Chronic pain disorders (i.e., fibromyalgia) History of insulin dependent diabetes History of heavy smoking (> 1 pack per day) within 6 months of enrollment Currently involved in any injury litigation or workers compensation claims Hypersensitivity to bovine-derived materials Medical or physical condition that, in the opinion of the Investigator, would preclude safe participation in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Howard Harris
Organizational Affiliation
Texas Orthopedic Specialists
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Florida Orthopaedics and Sports Medicine
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Baptist Health
City
Jacksonville Beach
State/Province
Florida
ZIP/Postal Code
32250
Country
United States
Facility Name
Harbin Clinic
City
Rome
State/Province
Georgia
ZIP/Postal Code
30165
Country
United States
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40506
Country
United States
Facility Name
Ochsner Health Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121
Country
United States
Facility Name
Anne Arundel Medical Center/Luminis Health
City
Annapolis
State/Province
Maryland
ZIP/Postal Code
21401
Country
United States
Facility Name
Syracuse Orthopedic Specialist
City
DeWitt
State/Province
New York
ZIP/Postal Code
13214
Country
United States
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Orthopedic Associates of SW Ohio
City
Centerville
State/Province
Ohio
ZIP/Postal Code
45459
Country
United States
Facility Name
Texas Orthopedic Specialists
City
Bedford
State/Province
Texas
ZIP/Postal Code
76021
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Treatment of Partial-Thickness Rotator Cuff Tears

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