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Rotator Cuff TearsNCT04701268

Hemiverse Shoulder Prosthesis

A study testing Device: Hemiverse in people with Rotator Cuff Tears and Hemiarthroplasty, run by 41Hemiverse AG at 1 site in Switzerland.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This clinical trial investigates the safety and the preliminary clinical benefit of the hemiverse shoulder prosthesis. Implantation of this newly developed hemi-prosthesis is intended for patients who do not qualify for a regular reverse or hemi-prosthesis due to severe medical conditions, poor bone stock or critical… Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Rotator Cuff Tears, Hemiarthroplasty
What is being tested?
Device: Hemiverse
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteSwitzerland
Study dates
15 Jul 2021to 24 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged ≥40 years
  • Cuff failure with associated shoulder destruction which would be suited for hemiarthoplasty
  • Shoulder joint destruction in which known alternatives would constitute either a high patient risk or a high functional failure risk.
  • Shoulder destruction for which reverse total shoulder replacement would be a high risk for medical reasons (longer operation, more blood loss) or for advanced glenoid bone destruction
  • Written informed consent

Who cannot join

  • Systemic contraindication according to internal medical and anesthesiological standards (e.g. Renal disease, Cardiopulmonary Disease, Heart Disease, Medication including Anticoagulation, Poorly controlled diabetes mellitus, Immunosuppressive drugs etc)
  • Neuroarthropathy
  • Moderate to severe motor axillary nerve dysfunction
  • Moderate to severe destruction of deltoid muscle
  • Fracture of the scapular spine or displaced fracture of the basis of the acromion
  • Fracture of the base of the coracoid
Show all 10Show fewer
  • Destruction of more than superior one third of the humeral shaft
  • Chronic inflammatory diseases,which the PI estimates contribute to a higher risk of surgery complications
  • Inability to cooperate with postoperative regimen or to understand the trial information
  • Impaired judgement

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Kantonsspital St. Gallen, Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates

    Sankt Gallen, Canton of St. Gallen, 9007

Other trials in Switzerland

About this study

Official title: Pilot Study - Hemiverse Shoulder Prosthesis

This clinical trial investigates the safety and the preliminary clinical benefit of the hemiverse shoulder prosthesis. Implantation of this newly developed hemi-prosthesis is intended for patients who do not qualify for a regular reverse or hemi-prosthesis due to severe medical conditions, poor bone stock or critical status of the rotator cuff. The expected benefit is, that patients will have a minimally invasive surgical procedure, only addressing the humeral shaft, however with the biomechanical advantage of a total reverse shoulder prosthesis, meaning, that with a minimally invasive surgery a comparable result as with a regular total shoulder prosthesis is accomplished. Patients will be closely monitored within the study protocol for 24 months and thereafter in regular interval as with a normal prosthetic follow-up.

Read the detailed description

This clinical trial investigates the safety and the preliminary clinical benefit of the hemiverse shoulder prosthesis. Implantation of this newly developed hemi-prosthesis is intended for patients who do not qualify for a regular reverse or hemi-prosthesis due to severe medical conditions, poor bone stock or critical status of the rotator cuff.

To evaluate the clinical condition of the patient a clinical examination including evaluation of the

  • Constant-Murley score,
  • Subject shoulder value and
  • visual analogue scale are performed before inclusion and during the regular follow-ups. To evaluate the bone stock and the musculature a conventional radiological status and a computed tomography of the shoulder will be performed.

Surgical procedure:

A delto-pectoral approach is preferred. The incision starts immediately lateral to the coracoid tip and extends to the insertion of the deltoid on the Humerus. The subscapularis tendon is exposed and detached from the humerus. The humeral head is exposed and dislocated from the joint using an oscillating saw the humeral head is resected. The shaft is prepared to receive a regular humeral stem which is definitely implanted with 0° retroversion. A trial implant is inserted and reduced into the joint. Free mobility of the joint is tested and the stability of the implant documented. According to the trial implants the definite implant is assembled and implanted. After reduction of the implant the subscapularis tendon is reattached to the humerus using transosseous sutures. Regular closure of the incision is performed.

After-care:

Immediately post operatively a anteroposterior radiograph is performed. For the first two post-operative weeks the arm is immobilised in a sling and external rotation is allowed until 0° and flexion until 90° in internal rotation. Thereafter gradual increase of active mobility is allowed until the weeks post operatively, when full load bearing of the arm is allowed. Regular follow-up visits include evaluation of the Constant-Murley score, Subject shoulder value and visual analogue scale. Additionally conventional radiographic status (anteroposterior lateral and axillary view) are performed post-operatively on day 1 or 2, week 6, 4.5 months, 6 months, 1 year and 2 years.

Being tested
Device: Hemiverse
Keywords
total shoulder, failure, salvage, Rotator Cuff Injuries, Rupture, Wounds and Injuries, Shoulder Injuries, Tendon Injuries, hemiverse
Medical subject headings
Rotator Cuff Injuries, Rupture, Wounds and Injuries, Shoulder Injuries, Tendon Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Device: HemiverseOther

    Implantation of the hemiverse shoulder prothesis

Study groups in NCT04701268
Study groupRoleWhat they receive
Intervention/treatmentExperimentalImplantation of the Hemiverse Shoulder Prothesis
Receives: Other: Device: Hemiverse

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  2. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at day 7

  3. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at week 6

  4. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  5. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at month 6

  6. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at month 12

  7. Adverse Event: Occurence of a fracture

    Fracture of the humerus, the scapula and/or the clavicle (yes/no).

    Measured: Assessments will take place after implantation at month 24

  8. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  9. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at day 7

  10. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at week 6

  11. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  12. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 6

  13. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 12

  14. Adverse Event: Occurence of an infection

    Infection at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 24

  15. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  16. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at day 7

  17. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at week 6

  18. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  19. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 6

  20. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 12

  21. Adverse Event: Occurence of a hematoma

    Presence of a hematoma at the implantation site (yes/no).

    Measured: Assessments will take place after implantation at month 24

  22. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  23. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at day 7

  24. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at week 6

  25. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  26. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at month 6

  27. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at month 12

  28. Adverse Event: Occurence of nerve damage

    Nerve damage (yes/no).

    Measured: Assessments will take place after implantation at month 24

  29. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  30. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at day 7

  31. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at week 6

  32. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  33. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at month 6

  34. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at month 12

  35. Adverse Event: Occurence of implant dislocation

    Dislocation of the implant (yes/no).

    Measured: Assessments will take place after implantation at month 24

  36. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at day 1 or 2

  37. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at day 7

  38. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at week 6

  39. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at month 4.5

  40. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at month 6

  41. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at month 12

  42. Adverse Event: Occurence of pulmonary embolism

    Pulmonary embolism (yes/no).

    Measured: Assessments will take place after implantation at month 24

Secondary outcomes (3)
  1. Change of pain using a visual analogue scale: 0-100, 0=no pain 100=maximal imaginable pain

    Highest pain level within last 25 hours will be recorded on a visual analogue scale

    Measured: Assessment will take place at screening and the day before implantation and week 6, month 4.5, month 6, month 12 and month 24

  2. Change of active range of motion

    Active range of motion of the patient will be measured using a handheld goniometer for active elevation, abduction, external rotation and internal rotation

    Measured: Assessment will take place at screening and the day before implantation and week 6, month 4.5, month 6, month 12 and month 24

  3. Change of strength of abduction

    isometric strength of abduction will be measured at 90 degrees scapular abduction using a validated device

    Measured: Assessment will take place at screening and the day before implantation and week 6, month 4.5, month 6, month 12 and month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jan 2021
  2. Study start15 Jul 2021
  3. Primary completion24 Jun 2024
  4. Study completion24 Jun 2024

Why it stopped: Decision Sponsor

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04701268
Sponsor's protocol ID
41H01
Status last verified
Oct 2023
First submitted
15 Dec 2020
Last updated
27 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Device: Hemiverse in people with Rotator Cuff Tears and Hemiarthroplasty, run by 41Hemiverse AG at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 27 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Decision Sponsor). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Event: Occurence of a fracture (time frame: Assessments will take place after implantation at day 1 or 2). The study lists 42 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2024.

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