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Compress Compliant Pre-Stress SystemCompressNCT04740749

Longevity, Functional Status and Quality of Life of the Compress® Compliant Pre-Stress System

A study testing Compress Compliant Pre-Stress System in people with Compress Compliant Pre-Stress System and Malignant Bone Tumor, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.

Terminated

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

Official record
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Trial summary

In the treatment of malignant bone tumors, it may be necessary to remove large areas of the femur. To replace these large parts of missing bone, a prosthesis can be used. One innovative technology developed by Biomet is the Compress® Compliant Pre-Stress System (CPS; Zimmer-Biomet, Warsaw, USA). Read more about this study

Who is it for?
Ages 7 years and older
What is being tested?
Compress Compliant Pre-Stress System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteBelgium
Study dates
1 Sep 2021to 24 Aug 2023
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 7 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients are/will be operated from 26/08/1999 onwards in UZ Leuven
  • Implantation of the Compress Compliant Pre-Stress Device
  • Informed consent obtained
  • Patients are able to complete the questionnaires
  • Age: minimum 7 years old

Who cannot join

  • N/A

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • KU Leuven/UZLeuven

    Leuven, Vlaams-Brabant, 3000

Other trials in Belgium

About this study

Official title: Longevity, Functional Status and Quality of Life of the Compress® Compliant Pre-Stress System: a Prospective Study

In the treatment of malignant bone tumors, it may be necessary to remove large areas of the femur. To replace these large parts of missing bone, a prosthesis can be used. One innovative technology developed by Biomet is the Compress® Compliant Pre-Stress System (CPS; Zimmer-Biomet, Warsaw, USA). This fixation device uses compression, via a short traction bar, to stimulate osteointegration at the bone-prosthetic interface, promote hypertrophy of the loaded bone, and avoid stress bypass of the host bone around a stiff intramedullary stem. Young patients cured of tumors have a long life expectancy and a compelling need for prosthetic fixation that is equally durable. Good bone fixation is a prerequisite for implant longevity.

Although the initial results are encouraging, there is a need for additional mid- to long-term survival data from larger patient series showing longevity of the system, as well as reporting of functional outcome. Furthermore, to the best of our knowledge, no study examining the survival of the device using prospective data already exists. In addition, no studies were found examining the quality of life of the patients with the CPS system.

Read the detailed description

In the treatment of malignant bone tumors, it may be necessary to remove large areas of the femur. To replace these large parts of missing bone, a prosthesis can be used. One innovative technology developed by Biomet is the Compress® Compliant Pre-Stress System (CPS; Zimmer-Biomet, Warsaw, USA). This fixation device uses compression, via a short traction bar, to stimulate osteointegration at the bone-prosthetic interface, promote hypertrophy of the loaded bone, and avoid stress bypass of the host bone around a stiff intramedullary stem. Young patients cured of tumors have a long life expectancy and a compelling need for prosthetic fixation that is equally durable. Good bone fixation is a prerequisite for implant longevity. Since 1999, the CPS has been routinely placed on the orthopedics - UZ Leuven service and, as a result, more than 100 patients have been treated in this way. However, there are only few studies reporting on long-term performance of this system. In addition, limited data reporting functional outcome were found.

Although the initial results are encouraging, there is a need for additional mid- to long-term survival data from larger patient series showing longevity of the system, as well as reporting of functional outcome. Furthermore, to the best of our knowledge, no study examining the survival of the device using prospective data already exists. In addition, no studies were found examining the quality of life of the patients with the CPS system.

Being tested
Compress Compliant Pre-Stress System
Medical subject headings
Bone Neoplasms

What participants receive

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

  • Compress Compliant Pre-Stress SystemDevice

    Treatment of malignant femor tumors with the Compress Compliant Pre-Stress System

Study groups in NCT04740749
Study groupRoleWhat they receive
Prospective groupOtherPatients who have to undergone the implant surgery
Receives: Device: Compress Compliant Pre-Stress System
Retrospective groupOtherPatients that have already undergone the implant surgery
Receives: Device: Compress Compliant Pre-Stress System

What is being measured

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

  1. Compress device survival

    Revision will be used to determine implant survival. Revision will be defined as the explantation of any fixation mechanism: anchor plug, traction bar, spindle, sleeve, fixation pin

    Measured: 25 years

Secondary outcomes (5)
  1. Postoperative complications

    Clinical assessment of postoperative complications. Complications will be classified acoording to Henderson classification.

    Measured: 25 years

  2. Partial weight-bearing (crutches): duration

    Clinical assessment to determine duration of partial weight-bearing

    Measured: 25 years

  3. Radiography: signs of osseointegration

    Radiographic assessment

    Measured: 25 years

  4. EORTC Core Quality of Life questionnaire (QLQ-C30)

    To assess the quality of life

    Measured: 25 years

  5. Functional status

    Musculoskeletal Tumor Society scoring system (MSTS) is used to determine the the physical and mental health

    Measured: 25 years

Timeline

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

  1. First posted5 Feb 2021
  2. Study start1 Sep 2021
  3. Primary completion24 Aug 2023
  4. Study completion24 Aug 2023

Why it stopped: Masterthesis completed

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04740749
Sponsor's protocol ID
S64761
Acronym
Compress
Status last verified
Oct 2023
First submitted
1 Feb 2021
Last updated
1 Jul 2024
Results posted
No
Data monitoring committee
No
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 Compress Compliant Pre-Stress System in people with Compress Compliant Pre-Stress System and Malignant Bone Tumor, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.

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 1 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 1 Jul 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 Belgium. 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: Masterthesis completed). 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?

Compress device survival (time frame: 25 years). 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 1 Jul 2024.

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