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Mitigation of Major Hip Injury Due to Fall With a Smart Belt

Primary Purpose

Hip Injuries, Fractures, Hip, Fall Injury

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Tango Belt
Sponsored by
ActiveProtective Technologies, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hip Injuries focused on measuring Fall risk, Fall injury, Major hip injury, Hip fracture

Eligibility Criteria

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

Inclusion Criteria:

  1. Age 65 years or older;
  2. Have experienced a fall-related fracture after age 50 -OR- Have experienced one or more falls in the 12-months prior to consent and have a diagnosis of osteoporosis, osteopenia, or prescribed osteoporosis medication.
  3. Independently or with staff or caregiver assistance, able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) or walk or move between locations (use of an assistive device such as a walker is acceptable);
  4. Have a waist circumference between 29 - 50 inches (63.5 - 127 cm);
  5. Able to comply with required study procedures and follow-up schedule as determined by the Study Investigator;
  6. Are under the care of the Investigational organization;
  7. Provides consent or their legally authorized representative provides consent on subject's behalf

Exclusion Criteria:

  1. Age 64 years or less;
  2. Participation in a different clinical investigation that can conflict with this clinical study as determined by the Study Investigator and approved by the Sponsor;
  3. Total dependence on staff or caregiver assistance to be able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) and walk and move between locations;
  4. Use of other devices or interventions outside of SOC (Standard of care) for fall risk management during study participation without Sponsor approval;
  5. Unable to comply with required study procedures and follow-up schedule as determined by the Study Investigator;
  6. Does not provide consent, or legally authorized representative does not provide consent

Sites / Locations

  • Revere Court of Sacramento
  • Holy Redeemer Health System
  • Foulkeways at Gwynedd
  • Country Meadows Hershey
  • Meadowood Senior Living
  • Camilla Hall
  • Chandler Hall Health Services
  • The Heritage of Green Hills
  • Country Meadows Wyomissing
  • Country Meadows of York-South

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Intervention Group

Control Group

Arm Description

The intervention group will be assigned a Tango Belt to be worn around the waist for up to 24 hours a day (removed for bathing, charging of device and upon request) for 6 months. The Tango Belt (the "Device") is a wearable belt designed to enable safer mobility of geriatric individuals (≥ 65 years of age) at risk for fall injury by mitigating major hip injuries due to falls by deploying an airbag around the hips upon sensing a serious hip-impacting fall-in-progress to protect the hips from ground impact forces.

The the clinical site's electronic medical record (EMR) database will be reviewed determine their long-term care patient population's initial eligibility for meeting the study inclusion criteria beginning at the time frame 6 months prior to the institutional review board (IRB) approval date. Subjects eligible for the control group must meet the requirements of the inclusion and exclusion criteria except for the waist circumference and need for consent. Eligible subjects' electronic health records will be mined for the baseline, midpoint, and final study metrics.

Outcomes

Primary Outcome Measures

Major hip injuries due to fall
The proportion of major hip injuries due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.

Secondary Outcome Measures

Number of hip fractures due to fall
The number of hip fractures due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Number of emergency department visits due to fall
The number of emergency department visits due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Number of hospitalizations due to fall
The number of admissions to a hospital due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.

Full Information

First Posted
January 29, 2022
Last Updated
October 9, 2023
Sponsor
ActiveProtective Technologies, Inc
Collaborators
Avania
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1. Study Identification

Unique Protocol Identification Number
NCT05245097
Brief Title
Mitigation of Major Hip Injury Due to Fall With a Smart Belt
Official Title
Mitigation of Major Hip Injury Due to Fall in an At-Risk, Older Adult Population With a Wearable Smart Belt
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 29, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
January 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ActiveProtective Technologies, Inc
Collaborators
Avania

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes

5. Study Description

Brief Summary
Multi-center, comparative, non-significant risk adaptive study with retrospective controls. After providing informed consent and being screened for eligibility, intervention subjects will be prescribed and provided an appropriately sized Tango Belt. The subject must demonstrate a minimum of 64% adherence to the use of the Tango Belt within 14 days of initiation to fully enroll in the study. Upon demonstration of at least minimum adherence, the subject will be provided the Tango Belt to wear continuously for at least 6 months, except during bathing, device charging, and as deemed by clinical staff. The study will investigate the safety and effectiveness of the Tango Belt with the primary and secondary endpoints being taken every 3 months and at the end of the study run time from the electronic medical record. Additionally, ancillary endpoints on adverse events and device performance will be gathered.
Detailed Description
This is a multi-center, comparative, adaptive, non-significant risk clinical trial conducted in the United States to assess the safety and efficacy of the Tango Belt within senior care settings. Effectiveness of the Tango Belt will be determined by analysis of evidence for the Tango Belt as an adjunctive intervention to the standard-of-care (SOC) to mitigate major hip injuries from falls in an older adult population at-risk for fall injury as the primary endpoint. Performance of the Tango Belt to mitigate fall injuries that result in hip fracture, emergency room visits, and hospitalizations will be secondary endpoints. The performance of the device is determined by the comparison of the proportion of fall-related major hip injuries in the intervention group as compared to the proportion of fall-related major hip injuries in a retrospective control group utilizing only SOC. SOC utilization will be verified for each clinical site enrolled. An adaptive trial design will be utilized to allow an initial efficacy target to be evaluated at 6 months; if the initial target is not met, then a second cohort of sites and subjects will be enrolled for an additional 6 months to allow a lower efficacy target to be evaluated. Safety of the device will be determined by analysis of adverse events as an ancillary endpoint.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hip Injuries, Fractures, Hip, Fall Injury, Fall Risk, Osteoporosis, Osteoporosis Risk
Keywords
Fall risk, Fall injury, Major hip injury, Hip fracture

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
The intervention group will be assigned a Tango Belt to be worn around the waist for up to 24 hours a day (removed for bathing, charging of device and upon request) for 6 months. The Tango Belt (the "Device") is a wearable belt designed to enable safer mobility of geriatric individuals (≥ 65 years of age) at risk for fall injury by mitigating major hip injuries due to falls by deploying an airbag around the hips upon sensing a serious hip-impacting fall-in-progress to protect the hips from ground impact forces.
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
The the clinical site's electronic medical record (EMR) database will be reviewed determine their long-term care patient population's initial eligibility for meeting the study inclusion criteria beginning at the time frame 6 months prior to the institutional review board (IRB) approval date. Subjects eligible for the control group must meet the requirements of the inclusion and exclusion criteria except for the waist circumference and need for consent. Eligible subjects' electronic health records will be mined for the baseline, midpoint, and final study metrics.
Intervention Type
Device
Intervention Name(s)
Tango Belt
Intervention Description
The Tango Belt is a patient-contacting electronic device made out of medical grade plastics and biocompatible fabrics worn around the waist. The Tango Belt contains a fall-in-progress detection algorithm which can detect a serious hip-impacting fall-in-progress using built-in sensors and deploy an automotive-grade cold-gas airbag to protect the hips from ground impact forces. When connected to Wi-Fi, the Tango Belt can send automated fall and impact alerts to caregivers and Healthcare Providers (HCPs) while recording motion and event data, which can then be analyzed for usage-based metrics viewable via a companion mobile app and/or desktop app. Alerts are sent in the form of short message service (SMS) texts and emails to alert recipients designated in the mobile or desktop Companion App. The Tango Belt can also detect non-serious hip-impacting or non-hip impacting falls in which the wearer may have incurred a minor injury (i.e., not a major hip injury) and/or may be unable to get up.
Primary Outcome Measure Information:
Title
Major hip injuries due to fall
Description
The proportion of major hip injuries due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Number of hip fractures due to fall
Description
The number of hip fractures due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Time Frame
6 months
Title
Number of emergency department visits due to fall
Description
The number of emergency department visits due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Time Frame
6 months
Title
Number of hospitalizations due to fall
Description
The number of admissions to a hospital due to fall in the subjects receiving SOC as compared to subjects receiving SOC plus the Tango Belt.
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
Number and severity of Adverse Events
Time Frame
6 months
Title
Number of major injuries due to fall
Time Frame
6 months
Title
Rate of fall occurence
Time Frame
6 months
Title
Device wear adherence
Description
Adherence to wearing of the study device in days/month
Time Frame
6 months
Title
Device wear compliance
Description
Compliance to wearing of the study device in hours/day average
Time Frame
6 months
Title
Accuracy of device fall discrimination
Description
Device discrimination of serious hip-impacting vs. non-serious hip and non-hip impacting falls
Time Frame
6 months
Title
Accuracy of study device airbag deployment
Time Frame
6 months
Title
Balance confidence score changes
Description
Short version of the Falls Efficacy Scale International (where applicable) to offer level of balance confidence as defined by the scale (range from 7 (no concern about falling) to 28 (severe concern about falling).
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 65 years or older; Have experienced a fall-related fracture after age 50 -OR- Have experienced one or more falls in the 12-months prior to consent and have a diagnosis of osteoporosis, osteopenia, or prescribed osteoporosis medication. Independently or with staff or caregiver assistance, able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) or walk or move between locations (use of an assistive device such as a walker is acceptable); Have a waist circumference between 29 - 50 inches (63.5 - 127 cm); Able to comply with required study procedures and follow-up schedule as determined by the Study Investigator; Are under the care of the Investigational organization; Provides consent or their legally authorized representative provides consent on subject's behalf Exclusion Criteria: Age 64 years or less; Participation in a different clinical investigation that can conflict with this clinical study as determined by the Study Investigator and approved by the Sponsor; Total dependence on staff or caregiver assistance to be able to transfer between surfaces (e.g., to or from a bed, chair, wheelchair, toilet, standing position) and walk and move between locations; Use of other devices or interventions outside of SOC (Standard of care) for fall risk management during study participation without Sponsor approval; Unable to comply with required study procedures and follow-up schedule as determined by the Study Investigator; Does not provide consent, or legally authorized representative does not provide consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Stefanacci, DO, MGH,MBA, AGSF, CMD
Organizational Affiliation
ActiveProtective Technologies, Inc
Official's Role
Principal Investigator
Facility Information:
Facility Name
Revere Court of Sacramento
City
Sacramento
State/Province
California
ZIP/Postal Code
95831
Country
United States
Facility Name
Holy Redeemer Health System
City
Bensalem
State/Province
Pennsylvania
ZIP/Postal Code
19020
Country
United States
Facility Name
Foulkeways at Gwynedd
City
Gwynedd
State/Province
Pennsylvania
ZIP/Postal Code
19436
Country
United States
Facility Name
Country Meadows Hershey
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
Meadowood Senior Living
City
Lansdale
State/Province
Pennsylvania
ZIP/Postal Code
19446
Country
United States
Facility Name
Camilla Hall
City
Malvern
State/Province
Pennsylvania
ZIP/Postal Code
19355
Country
United States
Facility Name
Chandler Hall Health Services
City
Newtown
State/Province
Pennsylvania
ZIP/Postal Code
18940
Country
United States
Facility Name
The Heritage of Green Hills
City
Shillington
State/Province
Pennsylvania
ZIP/Postal Code
19607
Country
United States
Facility Name
Country Meadows Wyomissing
City
Wyomissing
State/Province
Pennsylvania
ZIP/Postal Code
19610
Country
United States
Facility Name
Country Meadows of York-South
City
York
State/Province
Pennsylvania
ZIP/Postal Code
17403
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
Citation
CDC Facts About Falls. (2021, August 6). Centers for Disease Control and Prevention. https://www.cdc.gov/falls/facts.html
Results Reference
background
PubMed Identifier
27656914
Citation
Bergen G, Stevens MR, Burns ER. Falls and Fall Injuries Among Adults Aged >/=65 Years - United States, 2014. MMWR Morb Mortal Wkly Rep. 2016 Sep 23;65(37):993-998. doi: 10.15585/mmwr.mm6537a2.
Results Reference
background
PubMed Identifier
29512120
Citation
Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. 2018 Apr;66(4):693-698. doi: 10.1111/jgs.15304. Epub 2018 Mar 7.
Results Reference
background
PubMed Identifier
21226685
Citation
Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011 Jan;59(1):148-57. doi: 10.1111/j.1532-5415.2010.03234.x.
Results Reference
background
Citation
CDC STEADI - Older Adult Fall Prevention, Resource Algorithm for Fall Risk Screening, Assessment, and Intervention. 2019. Centers for Disease Control and Prevention. www.cdc.gov/steadi.
Results Reference
background
PubMed Identifier
22464055
Citation
Stefanacci RG, Haimowitz D. Stand by me--preventing falls. Geriatr Nurs. 2012 Mar-Apr;33(2):134-6. doi: 10.1016/j.gerinurse.2012.02.003. No abstract available.
Results Reference
background
PubMed Identifier
11087879
Citation
Kannus P, Parkkari J, Niemi S, Pasanen M, Palvanen M, Jarvinen M, Vuori I. Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med. 2000 Nov 23;343(21):1506-13. doi: 10.1056/NEJM200011233432101.
Results Reference
background
PubMed Identifier
16513687
Citation
Parker MJ, Gillespie WJ, Gillespie LD. Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review. BMJ. 2006 Mar 11;332(7541):571-4. doi: 10.1136/bmj.38753.375324.7C. Epub 2006 Mar 2.
Results Reference
background
Citation
Bulat T, Powell-Cope G, Rubenstein L. Perceived Barriers and Facilitators for the Use of External Hip Protectors. Gerontological Journal. June 2004, Vol 3, No1.
Results Reference
background
PubMed Identifier
16296684
Citation
Parkkari J, Heikkila J, Kannus IP. Acceptability and compliance with wearing energy-shunting hip protectors: a 6-month prospective follow-up in a Finnish nursing home. Age Ageing. 1998 Mar;27(2):225-9. doi: 10.1093/ageing/27.2.225.
Results Reference
background
PubMed Identifier
32644982
Citation
Moreland B, Kakara R, Henry A. Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged >/=65 Years - United States, 2012-2018. MMWR Morb Mortal Wkly Rep. 2020 Jul 10;69(27):875-881. doi: 10.15585/mmwr.mm6927a5.
Results Reference
background
PubMed Identifier
32640131
Citation
Bhasin S, Gill TM, Reuben DB, Latham NK, Ganz DA, Greene EJ, Dziura J, Basaria S, Gurwitz JH, Dykes PC, McMahon S, Storer TW, Gazarian P, Miller ME, Travison TG, Esserman D, Carnie MB, Goehring L, Fagan M, Greenspan SL, Alexander N, Wiggins J, Ko F, Siu AL, Volpi E, Wu AW, Rich J, Waring SC, Wallace RB, Casteel C, Resnick NM, Magaziner J, Charpentier P, Lu C, Araujo K, Rajeevan H, Meng C, Allore H, Brawley BF, Eder R, McGloin JM, Skokos EA, Duncan PW, Baker D, Boult C, Correa-de-Araujo R, Peduzzi P; STRIDE Trial Investigators. A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries. N Engl J Med. 2020 Jul 9;383(2):129-140. doi: 10.1056/NEJMoa2002183.
Results Reference
background
PubMed Identifier
33037632
Citation
Gill TM, Bhasin S, Reuben DB, Latham NK, Araujo K, Ganz DA, Boult C, Wu AW, Magaziner J, Alexander N, Wallace RB, Miller ME, Travison TG, Greenspan SL, Gurwitz JH, Rich J, Volpi E, Waring SC, Manini TM, Min LC, Teresi J, Dykes PC, McMahon S, McGloin JM, Skokos EA, Charpentier P, Basaria S, Duncan PW, Storer TW, Gazarian P, Allore HG, Dziura J, Esserman D, Carnie MB, Hanson C, Ko F, Resnick NM, Wiggins J, Lu C, Meng C, Goehring L, Fagan M, Correa-de-Araujo R, Casteel C, Peduzzi P, Greene EJ. Effect of a Multifactorial Fall Injury Prevention Intervention on Patient Well-Being: The STRIDE Study. J Am Geriatr Soc. 2021 Jan;69(1):173-179. doi: 10.1111/jgs.16854. Epub 2020 Oct 9.
Results Reference
background
PubMed Identifier
32402136
Citation
Yang Y, Komisar V, Shishov N, Lo B, Korall AM, Feldman F, Robinovitch SN. The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults: A Cohort Study of Video-Captured Falls in Long-Term Care. J Bone Miner Res. 2020 Oct;35(10):1914-1922. doi: 10.1002/jbmr.4048. Epub 2020 Jul 6.
Results Reference
background
Citation
Quigley P, Singhatat W, Tarbert R. Technology Innovation to Protect Hips from Fall-Related Fracture. 2019, Phys Med Rehabil Res. Vol 4. 104. DOI: 10.15761/PMRR.1000205
Results Reference
background
Citation
Tarbert R, Singhatat W. Skilled Nursing Resident Adherence with Wearable Technology to Offer Safer Mobility and Decreased Fall Injuries. 2020. Journal of Pat Safety and Risk Man. DOI: 10.1177/2516043520979193
Results Reference
background

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Mitigation of Major Hip Injury Due to Fall With a Smart Belt

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