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Glenohumeral OsteoarthritisPoly vs hybridNCT07520721

Poly vs Hybrid Glenoid in Stemless aTSA

A study testing Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoid and Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoid in people with Glenohumeral Osteoarthritis, run by Spaarne Gasthuis at 1 site in Netherlands.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Participants are randomized 1:1 to receive either a cemented all-polyethylene pegged glenoid or a hybrid trabecular titanium-pegged glenoid during anatomic total shoulder arthroplasty. Multicentre, stratified block randomization with variable block sizes; patient- and assessor-blinded. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glenohumeral Osteoarthritis
What is being tested?
Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoid and Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoid
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
94 participants
Where
1 siteNetherlands
Study dates
30 Jun 2025to Dec 2036
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • -
  • In order to be eligible to participate in this study, a subject must meet all of the following criteria:
  • Both genders;
  • Age 18 years old;
  • Life expectancy over 5 years;
  • Patient has symptomatic shoulder osteoarthritis for more than 1 year and is submitted to previous conservative non-surgical treatments;
Show all 11Show fewer
  • Patient is requiring primary unilateral or staged bilateral anatomic arthroplasty based on physical examination, medical history and X ray examination. (In cases where bilateral aTSA's are indicated, the patient will be included for the second aTSA again when the patient meets the inclusion criteria);
  • Good bone quality evaluated by the investigator on the basis of a risk factors analysis and the intraoperative estimation;
  • A diagnosis in the target shoulder of osteoarthritis; according to the classification of Walch, the glenoid should be a type A1, A2 or B1. Retroversion should not exceed 15 degrees.
  • Patient is willing and able to complete scheduled follow-up evaluations as described in the Informed Consent;
  • Patient has participated in the Informed Consent process and has signed the Informed Consent form previously approved by the Ethics Committee.

Who cannot join

  • Patient requiring revision shoulder arthroplasty;
  • Osteoporosis with a history of non-traumatic fractures;
  • Steroid injections within the previous 6 months;
  • Contralateral shoulder replacement within the previous 3 months;
  • Meta-epiphyseal bony defect (including large cysts);
  • Significant proven or suspicious infection of the target shoulder or any serious infectious disease
Show all 18Show fewer
  • Significant neurological or musculoskeletal disorders that may compromise functional recovery;
  • Known or suspicious hypersensitivity to the metal or other materials of the implant;
  • Unwillingness or inability (i.e. alcoholism, infirmity) to comply with rehabilitation and to return for follow-up visits and any psychiatric illness that would prevent comprehension of the details and nature of the study;
  • Any systemic disease which may affect outcome.
  • Active or metastatic neoplastic disease
  • Chemotherapy and/or radiotherapy within the last 6 months
  • Previous organ transplant
  • Participation in any clinical research study that may interfere with this study
  • A current or prior DSM-5 diagnosis of schizophrenia, delusional disorder, schizoaffective disorder, psychotic disorder or bipolar disorder.
  • Current substance use disorder (excluding nicotine/tabacco use disorder) or moderate or severe alcohol use disorder.
  • Imminent suicide risk.
  • Any other psychiatric condition that renders the individual unsuitable for the study according to the study physicians judgment

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Netherlands1 site, 1 recruiting
  • Spaarne Gasthuis

    Hoofddorp, North Holland, 2134 TM

    Arthur van Noort, Md, PHD, +31 6 30693570, AvanNoort@spaarnegasthuis.nl

    Artin Akchi Masjediy, Bsc, +31 6 42045899, Aakchimasjediy@spaarnegasthuis.nl

    Recruiting

Other trials in Netherlands

About this study

Official title: A Randomised, Multicentre, Prospective, Non-inferiority Clinical Study Analysing Outcomes of a Cemented Pegged Polyethylene Glenoid Component Versus a Hybrid Polyethylene and Trabecular Titanium Glenoid Component in Patients With Osteoarthritis Treated With an Anatomical SMR Stemless Shoulder Arthroplasty

Participants are randomized 1:1 to receive either a cemented all-polyethylene pegged glenoid or a hybrid trabecular titanium-pegged glenoid during anatomic total shoulder arthroplasty. Multicentre, stratified block randomization with variable block sizes; patient- and assessor-blinded.

Being tested
Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoid, Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoid
Keywords
Osteoarthritis, Shoulder Joint, Arthroplasty, Replacement, Shoulder, Shoulder Prosthesis, Prostheses and Implants, Prosthesis Fixation, Prosthesis Failure, Prosthesis Loosening, Bone Cements, Polyethylene, Titanium, Osseointegration, Radiography
Medical subject headings
Osteoarthritis, Prosthesis Failure

What participants receive

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

  • Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoidProcedure or surgery

    Also called Cemented polyethylene glenoid component

    Stemless anatomic total shoulder arthroplasty (SMR system) with a cemented pegged all-polyethylene glenoid (standard fixation concept).

  • Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoidProcedure or surgery

    Stemless anatomic total shoulder arthroplasty (SMR system) with a hybrid polyethylene glenoid: porous trabecular titanium central peg intended for bone ingrowth plus cemented peripheral pegs.

Study groups in NCT07520721
Study groupRoleWhat they receive
Standard cemented all-polyethylene pegged glenoidActive comparatorAnatomic total shoulder arthroplasty (SMR stemless) with a cemented all-polyethylene pegged glenoid.
Receives: Procedure: Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoid
Hybrid trabecular titanium central-peg glenoidExperimentalHybrid trabecular titanium central-peg glenoid
Receives: Procedure: Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoid

What is being measured

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

  1. Constant-Murley Score (shoulder function)

    Clinical shoulder function assessed with the Constant-Murley Score (absolute and age/sex-adjusted) comparing hybrid versus standard glenoid fixation after anatomic total shoulder arthroplasty.

    The Constant-Murley Score ranges from 0 to 100 points, with 0 indicating the worst outcome and 100 indicating the best shoulder function.

    Measured: Preoperatively, 3 months; 1, 2, 5, 7, and 10 years postoperatively.

Secondary outcomes (10)
  1. Shoulder range of motion

    Active shoulder range of motion (e.g., forward flexion, abduction, external/internal rotation) assessed clinically to compare recovery between glenoid groups.

    Measured: Preoperatively, 3 months; 1, 2, 5, 7, and 10 years postoperatively.

  2. Oxford Shoulder Score questionnaire

    Patient-reported shoulder pain and function measured with the Oxford Shoulder Score, comparing both glenoid fixation concepts. The Oxford Shoulder Score ranges from 0 to 48 points, with higher scores indicating a better outcome / better shoulder function. This is inferred from the 12-item questionnaire with 5 response options per item shown in the uploaded form.

    Measured: Preoperatively; 3 months; 1, 2, 5, 7, and 10 years postoperatively.

  3. Hospital Anxiety subscale questionnaire

    Anxiety symptoms assessed with the Hospital Anxiety and Depression Scale - Anxiety subscale (HADS-D), a 7-item subscale of the full questionnaire.

    The Hospital Anxiety and Depression Scale is generally interpreted per subscale rather than as a single total score. The Anxiety and Depression subscales are assessed separately, each ranging from 0 to 21 points, with higher scores indicating more symptoms and therefore a worse outcome.

    Measured: Preoperatively; 3 months; 1, 2, 5, 7, and 10 years postoperatively.

  4. Hospital Depression subscale questionnaire

    Depressive symptoms assessed with the Hospital Anxiety and Depression Scale - Depression subscale (HADS-D), a 7-item subscale of the full questionnaire.

    The Hospital Anxiety and Depression Scale is generally interpreted per subscale rather than as a single total score. The Anxiety and Depression subscales are assessed separately, each ranging from 0 to 21 points, with higher scores indicating more symptoms and therefore a worse outcome.

    Measured: Preoperatively; 3 months; 1, 2, 5, 7, and 10 years postoperatively.

  5. Subjective Shoulder Value Scale

    Patient-rated shoulder function as a percentage of normal (0-100%), comparing treatment arms. The Subjective Shoulder Value ranges from 0% to 100%, with higher percentages indicating better perceived shoulder function.

    Measured: Preoperatively; 3 months; 1, 2, 5, 7, and 10 years postoperatively.

  6. Health-related quality of life - EuroQol-5D descriptive system

    Health-related quality of life assessed with the EuroQol-5D descriptive system, which includes five domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each domain is rated on a 5-level scale ranging from no problems to extreme problems. The combination of responses across the five domains is used to generate one overall health-state profile rather than a simple summed total score.

    Measured: Preoperatively; 3 months, 1, 2, 5, 7, and 10 years postoperatively.

  7. Health-related quality of life - EuroQol-5D Visual Analogue Scal

    Generic quality-of-life measured with the EQ-5D to compare overall health status between study arms.The EQ-5D visual analogue scale ranges from 0 to 100, with higher scores indicating better self-rated health.

    Measured: Preoperatively; 3 months, 1, 2, 5, 7, and 10 years postoperatively.

  8. Work-Related Questionnaire for Upper Extremity Disorders

    Work limitations related to upper-extremity function assessed with the WRFQ-UE. The WorkQ-up consists of 17 items scored from 0 to 5 (or marked not applicable), resulting in a total score range of 0 to 85 if all items are applicable, with higher scores indicating more difficulty at work and therefore a worse outcome.

    Measured: Preoperatively, 6 weeks, 3 months, 6 months, 1, 2, 5, 7, and 10 years postoperatively.

  9. Work Ability (single-item Work Ability Score) numeric scale

    Self-rated work ability assessed with a single-item Work Ability Score to evaluate work capacity over time. The Work Ability Score ranges from 0 to 10 points, with higher scores indicating better work ability and therefore a better outcome.

    Measured: Preoperatively, 6 weeks, 3 months, 6 months, 1, 2, 5, 7, and 10 years postoperatively.

  10. Implant survival (radiographic loosening endpoint)

    Time-to-event implant survival where failure is defined as radiographic loosening and/or revision as specified in the protocol; compared between arms.

    Measured: Up to 10 years postoperatively.

Timeline

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

  1. First posted9 Apr 2026
  2. Study start30 Jun 2025
  3. Primary completion30 Jul 2035 (estimated)
  4. Study completionDec 2036 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
94 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07520721
Sponsor's protocol ID
NL83282.018.23
Other IDs
2023.0616
Acronym
Poly vs hybrid
Status last verified
Apr 2026
First submitted
2 Mar 2026
Last updated
9 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: De-identified IPD will not be shared because the protocol does not include an IPD-sharing plan and participant data are handled as coded personal data under GDPR/AVG with access restricted to authorized study personnel; any data transfer is limited to protocol-defined purposes (e.g., publication support).

Publications

  • Sheikhzadeh A, Wertli MM, Weiner SS, Rasmussen-Barr E, Weiser S. Do psychological factors affect outcomes in musculoskeletal shoulder disorders? A systematic review. BMC Musculoskelet Disord. 2021 Jun 19;22(1):560. doi: 10.1186/s12891-021-04359-6.

    PubMed 34147071
  • Lazarus MD, Jensen KL, Southworth C, Matsen FA 3rd. The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am. 2002 Jul;84(7):1174-82. doi: 10.2106/00004623-200207000-00013.

    PubMed 12107318
  • Youderian AR, Ricchetti ET, Drews M, Iannotti JP. Determination of humeral head size in anatomic shoulder replacement for glenohumeral osteoarthritis. J Shoulder Elbow Surg. 2014 Jul;23(7):955-63. doi: 10.1016/j.jse.2013.09.005. Epub 2013 Dec 8.

    PubMed 24321169
  • Beck S, Martin RJ, Patsalis T, Burggraf M, Busch A, Landgraeber S, Alexander W. Determination of humeral inclination in stemless shoulder arthroplasty using plain radiographs. Orthop Rev (Pavia). 2019 Dec 2;11(4):8194. doi: 10.4081/or.2019.8194. eCollection 2019 Dec 2.

    PubMed 31897278
  • Werthel JD, Boux de Casson F, Burdin V, Athwal GS, Favard L, Chaoui J, Walch G. CT-based volumetric assessment of rotator cuff muscle in shoulder arthroplasty preoperative planning. Bone Jt Open. 2021 Jul;2(7):552-561. doi: 10.1302/2633-1462.27.BJO-2021-0081.R1.

    PubMed 34315280
  • Bercik MJ, Kruse K 2nd, Yalizis M, Gauci MO, Chaoui J, Walch G. A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg. 2016 Oct;25(10):1601-6. doi: 10.1016/j.jse.2016.03.010. Epub 2016 Jun 6.

    PubMed 27282738
  • Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty. 1999 Sep;14(6):756-60. doi: 10.1016/s0883-5403(99)90232-2.

    PubMed 10512449
  • Levin JM, Rodriguez K, Polascik BA, Zeng S, Warren E Jr, Rechenmacher A, Helmkamp J, Goltz DE, Wickman J, Klifto CS, Lassiter TE, Anakwenze O. Simple preoperative radiographic and computed tomography measurements predict adequate bone quality for stemless total shoulder arthroplasty. J Shoulder Elbow Surg. 2022 Dec;31(12):2481-2487. doi: 10.1016/j.jse.2022.05.008. Epub 2022 Jun 4.

    PubMed 35671925
  • Sluiter JK, Frings-Dresen MH. Quality of life and illness perception in working and sick-listed chronic RSI patients. Int Arch Occup Environ Health. 2008 Feb;81(4):495-501. doi: 10.1007/s00420-007-0222-z. Epub 2007 Jul 19.

    PubMed 17638005
  • El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health. 2013 Apr 8;13:305. doi: 10.1186/1471-2458-13-305.

    PubMed 23565883
  • Ilmarinen J, Tuomi K. Work ability of aging workers. Scand J Work Environ Health. 1992;18 Suppl 2:8-10. No abstract available.

    PubMed 1514096
  • Aerts BR, Kuijer PP, Beumer A, Eygendaal D, Frings-Dresen MH. WOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP): Factor Analysis and Internal Consistency. Arch Phys Med Rehabil. 2018 Sep;99(9):1818-1826. doi: 10.1016/j.apmr.2018.03.013. Epub 2018 Apr 17.

    PubMed 29678451
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.

    PubMed 6880820
  • EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9.

    PubMed 10109801
  • Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000 Mar;82(3):304-14. doi: 10.2106/00004623-200003000-00002.

    PubMed 10724223

Questions about this trial

What is this clinical trial studying?

A study testing Anatomic total shoulder arthroplasty with cemented all-polyethylene pegged glenoid and Anatomic total shoulder arthroplasty with hybrid trabecular titanium central-peg glenoid in people with Glenohumeral Osteoarthritis, run by Spaarne Gasthuis at 1 site in Netherlands.

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 11 inclusion and 18 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: looking for participants now, as of the sponsor's last update on 9 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 1 site in Netherlands. 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?

This study is still under way. Results are not available in the source record yet.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Constant-Murley Score (shoulder function) (time frame: Preoperatively, 3 months; 1, 2, 5, 7, and 10 years postoperatively.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07520721, which also lists 32 linked publications.

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 9 Apr 2026.

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