Fractures, BoneNCT06400732
Post Market Evaluation of Clinical Safety and Performance of the Fitbone Transport and Lengthening System
An observational study of Fractures, Bone and Fractures, Closed, run by Orthofix Inc. at 9 sites in United States.
Trial summary
This is an open-label, prospective, observational, post-market, uncontrolled, multi-center study intended to evaluate the safety and clinical performance of the FITBONE Transport and Lengthening Nail when used according to the manufacturer's Instructions for Use. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Fractures, Bone, Fractures, Closed, Fractures, Open
- What is being tested?
- Fitbone Transport and Lengthening System
- Type of treatment
- Medical device
- How many people
- 1 participants
- Where
- 9 sitesUnited States
- Study dates
- 19 Nov 2024to 28 Feb 2026
- Phase
- Observational
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients who are indicated, as described in the Instructions for Use, for treatment with the Fitbone Transport and Lengthening System for correction of limb deformity.
Who may be able to join
- ≥ 18 years old
- Expressed willingness to participate in the study by signing and dating the informed consent form
- Has a segmental bone defect, or limb length defect of at least 2 mm up to ≤ 120 mm, considered suitable for correction with an intramedullary lengthening nail, as confirmed by radiographs.
Who cannot join
- Conditions that tend to retard healing such as blood supply limitations, peripheral vascular disease, or evidence of inadequate vascularity
- Poor bone quality that would prevent adequate fixation of the device
- Compromised capacity for healing
- Metal allergies and sensitivities
- Patients in which the implant would cross open, healthy epiphyseal growth plates
- Insufficient intramedullary space which would lead to cortical weakening or vascular damage during implantation
Show all 14Show fewer
- Body weight of > 100 kg
- No free access for proximal insertion of the intramedullary transport and lengthening nail (e.g., coxa valga)
- No reliable exclusion of bone infection
- Expected non-compliance, mentally ill patient or patient with clouded consciousness
- Pregnancy
- Pre-existing nerve palsies
- Bone defect larger than 120 mm
- Gustilo Open Fracture Classification Grade IIIB or IIIC
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
United States9 sites
Emory University School of Medicine / Grady Memorial Hospital
Atlanta, Georgia, 30303
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
The Research Foundation for SUNY
Buffalo, New York, 14203
University of Virginia Health
Charlottesville, Virginia, 22903
Nationwide Children's Hospital
Columbus, Ohio, 43215
Indiana University School of Medicine
Indianapolis, Indiana, 46202
Cedars Sanai Medical Center
Los Angeles, California, 90048
University California - Irvine
Orange, California, 92868
Gillette Children's Specialty Healthcare
Saint Paul, Minnesota, 55101
About this study
This is an open-label, prospective, observational, post-market, uncontrolled, multi-center study intended to evaluate the safety and clinical performance of the FITBONE Transport and Lengthening Nail when used according to the manufacturer's Instructions for Use. The FITBONE Transport \& Lengthening Nail is a variant of the FITBONE TAA Nail, which has been commercially available in the US since 2017. The clinical performance and safety of the medical device have been assessed based on mechanical and biomechanical tests and clinical data obtained from scientific publications on equivalent products. This study intends to prospectively obtain clinical safety and performance data on the device, as used according to the manufacturer's Instructions for Use, in the real-world clinical setting.
The data obtained from this study will also be used to provide additional clinical evidence to support product registrations, as required by various regulatory bodies outside the US.
Eligible participants will have been selected by their physician to be treated with the FITBONE Transport and Lengthening System as part of treatment for their condition or injury. All procedures will be according to the physician's standard care practices. There are no study-specific procedures or requirements for participants in this study.
Read the detailed description
This prospective, observational clinical study intends to actively collect clinical data related to the use of the FITBONE Transport and Lengthening System in a representative number of users and patients, observed in the short (<1yr) and medium (approximately 1 and 2 years) term after implantation of the device.
Co-Primary Endpoints:
Primary Safety Endpoint: Percentage of unplanned reoperation and/or revision surgery. Instances of re-operation and/or revision as categorized as "planned" or "unplanned" by the surgeon.
Primary Performance Endpoint: Percentage of achievement of planned length. Length of the planned transport (and lengthening when applicable) vs the actual overall length of the segment at the time of nail extraction.
Secondary Endpoints:
- Bone Healing: Radiographic evidence of healing of 3 out of 4 cortices
- Consolidation Index: Time to achieve bone healing (days)/ achieved length (cm)
- Distraction Index: Time of distraction (days)/ achieved length (cm)
- Nail Reliability: Ratio between the number of successfully completed lengthening treatments and the number of implanted lengthening devices
- Nail Accuracy: Ratio between the achieved length and the planned length
- Time to achieve transport and lengthening
- Loss of Range of Motion at full consolidation: degrees from baseline
- Nail Extraction complications/failures
- Patient-reported outcome measures
- Mobility measures
- Adverse events
Safety Endpoint:
The percentage of cases in which unplanned reoperations and/or revision surgery occurred.
- Conditions
- Fractures, Bone, Fractures, Closed, Fractures, Open, Fracture of Femur, Fracture Nonunion, Fracture of Tibia
- Being tested
- Fitbone Transport and Lengthening System
- Keywords
- Limb Lengthening, Limb Deformity Correction, Bone Transport
- Medical subject headings
- Fractures, Bone, Fractures, Closed, Fractures, Open, Femoral Fractures, Fractures, Ununited, Tibial Fractures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fitbone Transport and Lengthening SystemDevice
Also called Fitbone Transport Nail
Implantation of the intramedullary Fitbone Transport Nail and subsequent bone segment transport and, optionally, lengthening.
| Study group | Role | What they receive |
|---|---|---|
| Treatment Group | Participants treated for a limb defect with the Fitbone Transport and Lengthening System Receives: Device: Fitbone Transport and Lengthening System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety - Percentage of unplanned reoperation and/or revision surgery.
Instances of re-operation and/or revision as categorized as "planned" or "unplanned" by the surgeon. Specifically, adverse events consisting of re-operation/revision surgery deemed to be related to the device or procedure will be tabulated and the incidence will be determined by dividing this by the total number of patients treated (expressed as %).
Measured: 1 year post-operative
Performance - Percentage of achievement of planned lengthening. Length of the planned transport (and lengthening when applicable) vs the actual overall length of the segment at the time of nail extraction.
Incidence of participants in which successful attainment of target lengthening/distraction was obtained. Specifically, the outcome measure will be based on the difference between the physician's pre-specified target length/distraction to be obtained and the actual lengthening/distraction obtained following treatment. The physician will make a determination if this difference is acceptable for each subject. The incidence of successful lengthening will be determined by the number of clinical acceptable results divided by the total number of patients treated (expressed as %).
Measured: 1 year post-operative
Secondary outcomes (10)
Effectiveness - Bone Healing
Radiographic evidence of healing of 3 out of 4 cortices
Measured: 1 year and 2 years post-operative
Effectiveness - Consolidation Index
Time to achieve bone healing (days)/ achieved length (cm)
Measured: 1 year and 2 years post-operative
Effectiveness - Distraction Index
Time of distraction (days)/ achieved length (cm)
Measured: 1 year post-operative
Effectiveness - Nail Reliability
Ratio between the achieved length and the planned length
Measured: 1 year post-operative
Effectiveness -Time to Transport and Lengthening
Time to achieve transport and lengthening
Measured: 1 year post-operative
Effectiveness - Range of Motion
Loss of Range of Motion at full consolidation; degrees from baseline
Measured: 1 year and 2 years post-operative
Safety -Nail Extraction
Nail extraction complications/failures
Measured: 1 year post-operative
Effectiveness - Patient Reported Outcome Measures (PROMs)
Improvement in PROMS scores (Pain, Quality of Life) obtained per standard of care
Measured: 1 year and 2 years post-operative
Effectiveness - Mobility Measures
Improvement in gait analysis
Measured: approximately 2 years post-operative
Safety - Adverse Events
Evaluation and classification of all adverse events including device-related, procedure-related and serious adverse events.
Measured: Index surgery through study completion; approximately 2 years post-operative
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2024
- Study start19 Nov 2024
- Primary completion28 Feb 2026
- Study completion28 Feb 2026
Why it stopped: Business decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Fractures, BoneStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1 participants (actual)
Sponsor and investigators
- Lead sponsor
- Orthofix Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jay Erturan, MD, JD, Study director, Orthofix Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06400732
- Sponsor's protocol ID
- CIP-FBBT-23
- Status last verified
- Mar 2026
- First submitted
- 29 Apr 2024
- Last updated
- 2 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post Market Evaluation of Clinical Safety and Performance of the Fitbone Transport and Lengthening System
- ClinicalTrials.gov ID
- NCT06400732
- Acronym / sponsor ID
- CIP-FBBT-23
- Conditions
- Fractures, Bone, Fractures, Closed, Fractures, Open, Fracture of Femur, Fracture Nonunion, Fracture of Tibia
- Keywords
- Limb Lengthening, Limb Deformity Correction, Bone Transport
- Study type
- Observational
- Recruitment status
- TerminatedReason stopped: Business decision
- Enrolment
- 1 participants (actual)
- Lead sponsor
- Orthofix Inc.Industry (pharma, biotech, devices)
- Study start
- 19 Nov 2024 (actual)
- Primary completion
- 28 Feb 2026 (actual)
- Study completion
- 28 Feb 2026 (actual)
- First posted
- 6 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, prospective, observational, post-market, uncontrolled, multi-center study intended to evaluate the safety and clinical performance of the FITBONE Transport and Lengthening Nail when used according to the manufacturer's Instructions for Use. The FITBONE Transport \& Lengthening Nail is a variant of the FITBONE TAA Nail, which has been commercially available in the US since 2017. The clinical performance and safety of the medical device have been assessed based on mechanical and biomechanical tests and clinical data obtained from scientific publications on equivalent products. This study intends to prospectively obtain clinical safety and performance data on the device, as used according to the manufacturer's Instructions for Use, in the real-world clinical setting.
The data obtained from this study will also be used to provide additional clinical evidence to support product registrations, as required by various regulatory bodies outside the US.
Eligible participants will have been selected by their physician to be treated with the FITBONE Transport and Lengthening System as part of treatment for their condition or injury. All procedures will be according to the physician's standard care practices. There are no study-specific procedures or requirements for participants in this study.
Detailed description
This prospective, observational clinical study intends to actively collect clinical data related to the use of the FITBONE Transport and Lengthening System in a representative number of users and patients, observed in the short (<1yr) and medium (approximately 1 and 2 years) term after implantation of the device.
Co-Primary Endpoints:
Primary Safety Endpoint: Percentage of unplanned reoperation and/or revision surgery. Instances of re-operation and/or revision as categorized as "planned" or "unplanned" by the surgeon.
Primary Performance Endpoint: Percentage of achievement of planned length. Length of the planned transport (and lengthening when applicable) vs the actual overall length of the segment at the time of nail extraction.
Secondary Endpoints:
- Bone Healing: Radiographic evidence of healing of 3 out of 4 cortices
- Consolidation Index: Time to achieve bone healing (days)/ achieved length (cm)
- Distraction Index: Time of distraction (days)/ achieved length (cm)
- Nail Reliability: Ratio between the number of successfully completed lengthening treatments and the number of implanted lengthening devices
- Nail Accuracy: Ratio between the achieved length and the planned length
- Time to achieve transport and lengthening
- Loss of Range of Motion at full consolidation: degrees from baseline
- Nail Extraction complications/failures
- Patient-reported outcome measures
- Mobility measures
- Adverse events
Safety Endpoint:
The percentage of cases in which unplanned reoperations and/or revision surgery occurred.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Treatment Group | – | Device: Fitbone Transport and Lengthening SystemParticipants treated for a limb defect with the Fitbone Transport and Lengthening System |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients who are indicated, as described in the Instructions for Use, for treatment with the Fitbone Transport and Lengthening System for correction of limb deformity.
Key inclusion criteria (3 listed)
- ≥ 18 years old
- Expressed willingness to participate in the study by signing and dating the informed consent form
- Has a segmental bone defect, or limb length defect of at least 2 mm up to ≤ 120 mm, considered suitable for correction with an intramedullary lengthening nail, as confirmed by radiographs.
Key exclusion criteria (14 listed)
- Conditions that tend to retard healing such as blood supply limitations, peripheral vascular disease, or evidence of inadequate vascularity
- Poor bone quality that would prevent adequate fixation of the device
- Compromised capacity for healing
- Metal allergies and sensitivities
- Patients in which the implant would cross open, healthy epiphyseal growth plates
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Fitbone Transport and Lengthening SystemAlso: Fitbone Transport NailImplantation of the intramedullary Fitbone Transport Nail and subsequent bone segment transport and, optionally, lengthening. | Device | Treatment Group |
Primary outcome
Safety - Percentage of unplanned reoperation and/or revision surgery.
Time frame: 1 year post-operative
Instances of re-operation and/or revision as categorized as "planned" or "unplanned" by the surgeon. Specifically, adverse events consisting of re-operation/revision surgery deemed to be related to the device or procedure will be tabulated and the incidence will be determined by dividing this by the total number of patients treated (expressed as %).
Performance - Percentage of achievement of planned lengthening. Length of the planned transport (and lengthening when applicable) vs the actual overall length of the segment at the time of nail extraction.
Time frame: 1 year post-operative
Incidence of participants in which successful attainment of target lengthening/distraction was obtained. Specifically, the outcome measure will be based on the difference between the physician's pre-specified target length/distraction to be obtained and the actual lengthening/distraction obtained following treatment. The physician will make a determination if this difference is acceptable for each subject. The incidence of successful lengthening will be determined by the number of clinical acceptable results divided by the total number of patients treated (expressed as %).
10 secondary outcomes
Effectiveness - Bone Healing
Time frame: 1 year and 2 years post-operative
Effectiveness - Consolidation Index
Time frame: 1 year and 2 years post-operative
Effectiveness - Distraction Index
Time frame: 1 year post-operative
Effectiveness - Nail Reliability
Time frame: 1 year post-operative
Effectiveness -Time to Transport and Lengthening
Time frame: 1 year post-operative
Effectiveness - Range of Motion
Time frame: 1 year and 2 years post-operative
Safety -Nail Extraction
Time frame: 1 year post-operative
Effectiveness - Patient Reported Outcome Measures (PROMs)
Time frame: 1 year and 2 years post-operative
Effectiveness - Mobility Measures
Time frame: approximately 2 years post-operative
Safety - Adverse Events
Time frame: Index surgery through study completion; approximately 2 years post-operative
Results and safety
The study was stopped early (reason given: Business decision). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jay Erturan, MD, JD study director
Orthofix Inc.
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Fractures, Bone and Fractures, Closed, run by Orthofix Inc. at 9 sites in United States.
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 3 inclusion and 14 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 2 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in United States. 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: Business decision). 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?
Safety - Percentage of unplanned reoperation and/or revision surgery. (time frame: 1 year post-operative). The study lists 2 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 2 Apr 2026.