Rotator Cuff Augmentation With Human Dermal Allograft Versus Bovine Collagen Xenograft Patch: A Randomized Controlled Trial (HDA v Regen)
Clinical and Cost Effectiveness of Rotator Cuff Augmentation With Human Dermal Allograft Versus Bovine Collagen Xenograft Patch: a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Randomized controlled trial comparing human dermal allograft with bovine collagen xenograft in rotator cuff repair.
Subjects will be randomized intraoperatively after confirmation of inclusion criteria.
Subjects will be followed-up at 3 weeks, 3 months, 6 months, 12 months and 24 months post-operatively.
Primary outcome is Western Ontario Rotator Cuff Index (WORC) at 12 months. Additional outcomes include American Shoulder and Elbow Surgeons questionnaire (ASES), Single Numeric Evaluation (SANE) score, EuroQoL (5 domains) score (a quality of life score), and Visual Analogue Scale, healing rate as determined by Magnetic Resonance Imaging (MRI) scan at 12 months post surgery. To determine the cost utility, data will be collected on the cumulative cost for the total episode of care up to 12 months post surgery inclusive of surgical costs, implant costs, outpatient costs, and medication costs. Quality-Adjusted Life Years (QALYs) gained will be calculated using the mean total cost and the quality of life score (EQ-5D) improvement from pre-operative to 12 months post surgery.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Kristie More, MSc
- Phone Number: 14032208954
- Email: kristie.more@ucalgary.ca
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
>18 years
- fully reparable full thickness rotator cuff tear whereby the treating surgeon feels a graft augment is needed to enhance healing
Exclusion Criteria:
- tears where only a partial repair is achieved
- significant glenohumeral joint arthropathy (Hamada grade 2 and above)
- irreparable rotator cuff tears
- patients unable or unwilling to consent or comply with study questionnaires
- patients with upper limb neurological deficits affecting the ipsilateral limb
- workers compensation cases
- cases involving litigation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HDA
Human dermal allograft (LifeNet Health Arthroflex graft)
|
Arthroscopic rotator cuff repair augmented with graft.
|
|
Active Comparator: Regeneten
Bovine collagen patch xenograft (Smith & Nephew Regeneten)
|
Arthroscopic rotator cuff repair augmented with graft.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Western Ontario Rotator Cuff Index (WORC)
Time Frame: 12 mos post-op
|
rotator cuff quality of life outcome questionnaire
|
12 mos post-op
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Western Ontario Rotator Cuff Index (WORC)
Time Frame: pre-op, 3 mos, 6 mos, 24 mos post-op
|
rotator cuff quality of life outcome questionnaire
|
pre-op, 3 mos, 6 mos, 24 mos post-op
|
|
Single Assessment Numeric Evaluation (SANE)
Time Frame: pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
numeric score indicating shoulder assessment
|
pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
|
EuroQOL5D
Time Frame: pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
general health assessment score
|
pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
|
Shoulder pain assessed by visual analog scale (VAS)
Time Frame: pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
assessment of shoulder pain
|
pre-op, 3mos, 6mos, 12mos, 24mos post-op
|
|
Anatomic healing
Time Frame: 12mos post-op
|
anatomic healing as assessed via MRI
|
12mos post-op
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REB23-0276
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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