- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01883063
Distal Radius Fracture - Treatment Comparison
April 12, 2015 updated by: Sonoma Orthopedic Products, Inc.
PATIENT OUTCOME COMPARISON OF INTRAMEDULLARY LOCKED NAILING VERSUS NONOPERATIVE MANAGEMENT OF EXTRA-ARTICULAR AND MINIMALLY DISPLACED INTRA-ARTICULAR DISTAL RADIUS FRACTURES IN THE ELDERLY
This is a prospective multi-site study.
Subjects with distal radius fractures will be enrolled.
Subjects will be treated surgically with a Sonoma WRx™ device or managed non-operatively with a splint or cast.
Subjects will be enrolled in each group according to physician's standard of care (either casting/splinting or surgery) for distal radius fractures.
Subjects will be enrolled based on the study's inclusion/exclusion criteria with a final qualifying decision made by a group of three independent adjudicators.
The final qualifying review should allow for similar patient groups within each arm of the study due to the variability that can arise in fracture classification.
Review by the adjudicators should be completed within 1 week.
Study Overview
Status
Terminated
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
9
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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Illinois
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Winfield, Illinois, United States, 60190
- Cadence Health
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Missouri
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Columbia, Missouri, United States, 65211
- University of Missouri
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Texas
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Fort Worth, Texas, United States, 76107
- John Peter Smith Hospital
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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
65 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Closed extra-articular distal radius fracture or a minimally displaced intra-articular fracture
- Fracture classified as an AO/OTA A2, A3, C1 or C2 with or without an ulnar styloid fracture
- Must be treated within the first 14 days of injury,
- Male or female greater than or equal to 65 years of age.
- Able to understand the requirements of the study, provide a written informed consent and comply with the study protocol
- Ability to understand and provide written authorization for use and disclosure of personal health information
- Fracture that can be treated closed with or without closed reduction
Exclusion Criteria:
- Concomitant contralateral or ipsilateral upper extremity fractures
- Ipsilateral ulna (excluding styloid) fracture
- Open fracture
- Previous ipsilateral distal radius fracture in the 2 years prior to enrollment with deformity
- Unstable distal radioulnar joint after fracture fixation
- Fractures where the transverse fracture line is less than 10mm from the distal radius joint surface
- Artery or Nerve injury secondary to fracture
- History of alcoholism
- Currently on chemotherapy or radiation therapy
- Currently on worker's compensation
- Rheumatoid arthritis or other inflammatory arthropathies.
- History of chronic pain issues or psychiatric disorder that precludes reliable follow-up.
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: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: WRx™ Intramedullary Nail
Patients in this arm of the study will be treated with a minimally invasive WRx™ Intramedullary Nail for their wrist fracture.
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Patients will be treated for distal radius fractures surgically with a WRx™ Intramedullary Nail
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Active Comparator: Non surgical treatment (Cast)
Patients in this arm of the study will be treated with a cast for their wrist fracture.
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Patients will be treated for distal radius fractures non surgically with a cast or splint
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Composite Patient Outcomes Over Time
Time Frame: Data will be collected at 2, 6, 12, 26, 52 weeks
|
Patient outcomes will be measured with the DASH, PRWE and a patient questionnaire.
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Data will be collected at 2, 6, 12, 26, 52 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Composite Functional Outcomes Over Time
Time Frame: Data will be collected at 2, 6, 12, 26, 52 weeks
|
Measurements of range of motion, strength and fracture healing will be used to determine functional outcomes.
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Data will be collected at 2, 6, 12, 26, 52 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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
July 1, 2013
Primary Completion (Actual)
December 1, 2014
Study Completion (Actual)
December 1, 2014
Study Registration Dates
First Submitted
June 14, 2013
First Submitted That Met QC Criteria
June 18, 2013
First Posted (Estimate)
June 21, 2013
Study Record Updates
Last Update Posted (Estimate)
April 14, 2015
Last Update Submitted That Met QC Criteria
April 12, 2015
Last Verified
April 1, 2015
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- WRx-001
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.
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