- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00667849
Trial to Evaluate UltraSound in the Treatment of Tibial Fractures (TRUST)
November 4, 2015 updated by: Bioventus LLC
The purpose of this study is to determine the effect of low-intensity, pulsed ultrasound on tibial fractures treated with intramedullary nailing.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
A randomized, placebo controlled, clinical trial to evaluate the safety and efficacy of low-intensity, pulsed ultrasound, applied to tibial fractures treated with intramedullary nailing.
Study Type
Interventional
Enrollment (Actual)
501
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Alberta
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Calgary, Alberta, Canada, T2N 2T9
- Foothills Medical Centre
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Vancouver Coastal Health
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Nova Scotia
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Halifax, Nova Scotia, Canada
- QE II Health Sciences Centre
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-
-
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California
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San Francisco, California, United States, 94110
- San Francisco General/Dept of Orthopedic Surgery
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Florida
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Tampa, Florida, United States, 33606
- Florida Orthopedic Institute
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Indiana
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Indianapolis, Indiana, United States, 46202
- OrthoIndy
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Kentucky
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Lexington, Kentucky, United States, 50436
- University of Kentucky
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Maine
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Bangor, Maine, United States, 04401
- Eastern Maine Medical Center
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Missouri
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Columbia, Missouri, United States, 65212
- University of Missouri
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New York
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New York, New York, United States, 10065
- Insall Scott Kelly Institute
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Temple University Hospital
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Philadelphia, Pennsylvania, United States, 19107
- Rothman Institute
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South Carolina
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Greenville, South Carolina, United States, 29605
- Greenville Hospital System
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Texas
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Fort Worth, Texas, United States, 76104
- Orthopedic Specialtiy Associates
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West Virginia
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Morgantown, West Virginia, United States, 26506
- West Virginia University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Males and females age 18 years or older
- Have an open or closed tibial fracture amenable to intramedullary nail fixation
Exclusion Criteria:
- Tibial fracture associated with a vascular injury requiring repair
- Pilon fractures
- Tibial fractures that extend into the joint and require reduction
- Pathologic fractures • Bilateral tibial fractures
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Exogen 4000+
Single arm, Exogen 4000+
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Low-intensity pulsed ultrasound (LIPUS)
Other Names:
|
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Sham Comparator: Sham
Single arm, sham (identical device with the exception of administration of ultrasound).
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sham device identical to active device with the exception of administration of ultrasound
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in the SF-36 Physical Component Summary (PCS) Score of the Short Form-36 (SF-36)
Time Frame: Over 365 days
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Assessments at baseline and 6 post baseline time points/ mixed effects repeated measure single point estimate.
Range= -100 worst, 0 best
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Over 365 days
|
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Time (Days) to Radiographic Healing of Tibial Fractures
Time Frame: over 365 days
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Days from randomization to day of x-ray assessed healed or, if not healed, day of premature withdrawal/study termination or day 365 (end of study visit)/ Kaplan-Meier
|
over 365 days
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Treatment Compliance
Time Frame: Treatment period: Days from randomization to day of x-ray assessed healed or, if not heal, day of premature withdrawal/study termination or day 365 (end of study visit)
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The percent of subjects who used the device greater than or equal to 18 minutes per day over 80% of the days in their treatment period.
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Treatment period: Days from randomization to day of x-ray assessed healed or, if not heal, day of premature withdrawal/study termination or day 365 (end of study visit)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Findakli F, Busse JW, Schemitsch EH, Lonn E, Farrokhyar F, Bhandari M; the TRUST Investigators. Smoking, Obesity, and Disability Benefits or Litigation Are Not Associated with Clinically Important Reductions in Physical Functioning After Intramedullary Nailing of Tibial Shaft Fractures: A Retrospective Cohort Study. Clin Orthop Relat Res. 2021 Apr 1;479(4):805-813. doi: 10.1097/CORR.0000000000001573.
- TRUST Investigators writing group, Busse JW, Bhandari M, Einhorn TA, Schemitsch E, Heckman JD, Tornetta P 3rd, Leung KS, Heels-Ansdell D, Makosso-Kallyth S, Della Rocca GJ, Jones CB, Guyatt GH. Re-evaluation of low intensity pulsed ultrasound in treatment of tibial fractures (TRUST): randomized clinical trial. BMJ. 2016 Oct 25;355:i5351. doi: 10.1136/bmj.i5351.
- Busse JW, Bhandari M, Einhorn TA, Heckman JD, Leung KS, Schemitsch E, Tornetta P 3rd, Walter SD, Guyatt GH. Trial to re-evaluate ultrasound in the treatment of tibial fractures (TRUST): a multicenter randomized pilot study. Trials. 2014 Jun 4;15:206. doi: 10.1186/1745-6215-15-206.
- Dijkman BG, Busse JW, Walter SD, Bhandari M; TRUST Investigators. The impact of clinical data on the evaluation of tibial fracture healing. Trials. 2011 Nov 3;12:237. doi: 10.1186/1745-6215-12-237.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2008
Primary Completion (Actual)
December 1, 2012
Study Completion (Actual)
December 1, 2012
Study Registration Dates
First Submitted
April 21, 2008
First Submitted That Met QC Criteria
April 24, 2008
First Posted (Estimate)
April 28, 2008
Study Record Updates
Last Update Posted (Estimate)
December 8, 2015
Last Update Submitted That Met QC Criteria
November 4, 2015
Last Verified
November 1, 2015
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EX-TIB-0907
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.