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Tibial FractureNCT07569575

Magnesium-Titanium Hybrid Intramedullary Nail System For Long Bone Fractures

A study testing Magnesium-Titanium Hybrid Intramedullary Nail System and Commercially Locked Metallic Intramedullary Nail in people with Tibial Fracture and Femoral Fracture, run by HuaMg Perfection Med Tech (Suzhou) Co., Ltd. at 5 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a prospective, multicenter, randomized, controlled, non-inferiority clinical trial designed to evaluate the safety and effectiveness of the magnesium-titanium hybrid intramedullary nail system compared with the marketed metal locked intramedullary nail in the treatment of long bone fractures of the extremities. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Magnesium-Titanium Hybrid Intramedullary Nail System and Commercially Locked Metallic Intramedullary Nail
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
5 sitesChina
Study dates
1 Nov 2026to 31 Dec 2028
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged ≥ 18 years and ≤ 80 years (inclusive), with skeletal maturity, regardless of gender;
  • Diagnosed with long bone fractures of the extremities (including femur, tibia, humerus) requiring surgical fixation with intramedullary nail;
  • Good treatment compliance, willing and able to complete follow-up and observation as required;
  • Voluntarily participate in this trial and sign the written informed consent form.

Who cannot join

  • Pregnant or lactating women, or individuals with family planning during the study period;
  • Pathological fractures (e.g., bone tumor, bone metastasis, osteomalacia), or patients with too narrow or occluded medullary cavity;
  • Patients complicated with osteomyelitis, osteofascial compartment syndrome, systemic infection or local infection at the surgical site;
  • Patients with severe bone defects requiring artificial bone or autologous bone grafting;
  • Patients with severe soft tissue or vascular injury, or previous surgical treatment at the fracture site, where intramedullary nailing may not provide stable fixation;
  • Patients without sufficient soft tissue coverage at the proposed surgical site;
Show all 16Show fewer
  • Patients diagnosed with severe osteoporosis by the investigator based on medical history and X-ray films of the fracture site;
  • Patients requiring simultaneous use of both intramedullary nail and screw-plate system at the planned surgical site;
  • Patients with hypermagnesemia (serum magnesium > 1.25 mmol/L (3.0 mg/dL));
  • Patients with uncontrolled diabetes mellitus (glycated hemoglobin HbA1c ≥ 8.0%);
  • Patients with severe cardiovascular, hepatic, renal, pulmonary, hematological diseases or metabolic disorders who cannot tolerate surgery;
  • Patients with previous or concurrent malignant tumors (excluding those cured and disease-free survival for more than 5 years, such as basal cell carcinoma of the skin, cervical carcinoma in situ, and papillary thyroid carcinoma);
  • Patients who have received radiotherapy, chemotherapy, growth factors, immunosuppressants, systemic corticosteroids, long-term (continuous use for more than 3 months) sedative-hypnotics, non-steroidal anti-inflammatory drugs, or bisphosphonates within 6 months prior to screening;
  • Patients with constitutions allergic to the implanted materials or known allergies;
  • Patients who have participated or are participating in any drug clinical trials within 3 months, or other medical device clinical trials within 30 days;
  • Other conditions where the investigator determines the patient is unsuitable for inclusion (e.g., metabolic bone disease, poliomyelitis sequelae, etc.).

Trial locations and contacts

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

Yuantao Zhang, PhD contact

+86 13421870043

ytzhang2008@163.com

5 sites in 1 country

China5 sites
  • Henan Luoyang Orthopedic Hospital (Henan Orthopedic Hospital)

    Luoyang, He'Nan

    Yunlong Liu, MD, +86 18037786581, liuyunlongboa@163.com

    Yanchun Shang, PhD

  • Hebei Medical University Third Hospital

    Shijiazhuang, Hebei

    Kuo Zhao, MD, +86 18033832759, surgeonchenwei@126.com

    Wei Chen, PhD

  • Xi'an Honghui Hospital

    Xi'an, Shaanxi

    Pengfei Wang, MD, +86 13759994007, pengfei_wang@163.com

    Kun Zhang, PhD

  • Beijing Jishuitan Hospital, Capital Medical University

    Xicheng, Beijing Municipality

    Maoqi Gong, PhD, +86 10 58517080, jst2603@126.com

    Xieyuan Jiang, PhD

  • Shanghai Jiao Tong University Affiliated Sixth People's Hospital

    Xuhui, Shanghai Municipality

    Hongyi Zhu, PhD, +86 021 64369181, 420308955@qq.com

    Changqing Zhang, PhD

Other trials in China

About this study

Official title: A Prospective, Multicenter, Randomized, Controlled, Non-inferiority Clinical Trial to Evaluate the Safety and Effectiveness of the Magnesium-titanium Hybrid Intramedullary Nail System in Treating Long Bone Fractures of the Extremities

This is a prospective, multicenter, randomized, controlled, non-inferiority clinical trial designed to evaluate the safety and effectiveness of the magnesium-titanium hybrid intramedullary nail system compared with the marketed metal locked intramedullary nail in the treatment of long bone fractures of the extremities.

Read the detailed description

Intramedullary nailing, a common surgical procedure to fix broken long bones, has a long history. As early as the 16th century, anthropologist Bernardino documented that local physicians in Mexico used wooden rods inserted into the bone marrow cavity to treat patients with unhealed long bone fractures. Modern metallic intramedullary nails were widely adopted after 1939, when Dr. KÜNTSCHER successfully treated femoral shaft fractures with V-shaped stainless steel nails. This technique was introduced to China in the early 1950s, and has since become the first-line treatment for fractures of the arm and leg bones, especially with the advancement of minimally invasive and biological fixation principles.

Traditional intramedullary nails rely on tight contact with the bone marrow cavity for stability. The later development of interlocking screws further improved stability, expanded clinical applications, and reduced complications. Compared with other fixation methods, intramedullary nails offer multiple advantages: they are inserted through small incisions to protect surrounding soft tissues, reduce infection risk, distribute stress evenly to avoid bone weakening, and allow early postoperative movement and weight-bearing, which speeds up recovery.

Currently, biodegradable magnesium and magnesium-based materials are a major global focus in orthopedic implant research. Magnesium is a naturally occurring metal that the body can absorb safely. It has excellent biocompatibility and mechanical properties very similar to human bone, making it an ideal revolutionary implant material. Growing evidence shows that magnesium ions released during the gradual degradation of magnesium implants can actively promote new bone growth and blood vessel formation, which is highly beneficial for fracture healing.

HuaMg Perfection Med Tech (Suzhou) Co., Ltd. has developed high-purity magnesium for orthopedic fixation implants. In preclinical animal studies conducted by qualified third-party institutions, a goat tibial fracture model experiment compared the company's magnesium-titanium hybrid intramedullary nail (experimental group) with conventional titanium alloy intramedullary nails (control group). The results demonstrated that the magnesium-titanium hybrid nail significantly promoted faster and more effective fracture healing than traditional titanium alloy nails.

Based on these promising preclinical findings, this prospective, multicenter, randomized controlled clinical trial is designed to evaluate the safety and effectiveness of the magnesium-titanium hybrid intramedullary nail system for treating long bone fractures of the extremities, compared with the commercially available locked metallic intramedullary nail.

Being tested
Magnesium-Titanium Hybrid Intramedullary Nail System, Commercially Locked Metallic Intramedullary Nail
Keywords
Magnesium-Titanium Hybrid Intramedullary Nail, Long Bone Fractures of the Extremities, Intramedullary Nailing, Biodegradable Magnesium Implant
Medical subject headings
Tibial Fractures, Femoral Fractures, Humeral Fractures

What participants receive

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

  • Magnesium-Titanium Hybrid Intramedullary Nail SystemDevice

    The magnesium-titanium hybrid intramedullary nail system is inserted into the medullary canal through the proximal or distal end of the bone via standard intramedullary fixation surgical procedures, achieving fixation of the fracture site through intramedullary stabilization. This device provides load-sharing fixation for the fracture. The titanium alloy main body of the product delivers continuous, reliable mechanical support to ensure the overall stability of fracture fixation. The biodegradable magnesium components gradually degrade in vivo, releasing magnesium ions that participate in regulating the local bone repair microenvironment, thereby synergistically supporting the fracture healing process.

  • Commercially Locked Metallic Intramedullary NailDevice

    Commercially available metallic intramedullary nails including the humeral intramedullary nail (NMPA Registration No. 20233130578) and locked intramedullary nail (NMPA Registration No. 20163131478) manufactured by Shandong Weigao Orthopaedic Device Co., Ltd. are selected as the control devices based on the following reasons: 1) Shandong Weigao Orthopaedic Device Co., Ltd. is a leading orthopaedic enterprise in China, and its products are widely used in clinical practice with well-established efficacy and safety profiles; 2) The indications of the control devices fully cover those of the investigational device.

Study groups in NCT07569575
Study groupRoleWhat they receive
Magnesium-Titanium Hybrid Intramedullary Nail SystemExperimentalIndicated for intramedullary fixation and fracture healing promotion in humeral, femoral, and tibial diaphyseal, proximal, and distal extremity fractures during orthopedic surgery.
Receives: Device: Magnesium-Titanium Hybrid Intramedullary Nail System
Commercially Locked Metallic Intramedullary NailActive comparatorIndicated for internal fixation of long bone fractures of the extremities.
Receives: Device: Commercially Locked Metallic Intramedullary Nail

What is being measured

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

  1. Effective rate of the product at 180 days postoperatively

    "Product effectiveness" is defined as the simultaneous fulfillment of the following criteria: (a) Fracture healing assessment criteria: no local tenderness or longitudinal percussion pain, no abnormal local movement; on radiographs of the fracture site, the fracture line is obscured or obliterated, or continuous callus or trabecular bone crossing the fracture line is visible. (b) No deformation, loosening, or breakage of the implanted product.

    Calculation formula: Product effectiveness rate at 180 days postoperatively = (Number of cases with effective product at 180 days postoperatively ÷ Total number of cases in the group) × 100%

    Measured: 180±14 days postoperatively

Secondary outcomes (7)
  1. Fracture healing status

    Fracture healing status will be documented at various follow-up time points after surgical reduction and internal fixation, and the fracture healing rate will be calculated. Fracture healing assessment criteria: No local tenderness or longitudinal percussion pain, and no abnormal local mobility; On radiographs of the fracture site, the fracture line is obscured or obliterated, or continuous callus or trabecular bone crossing the fracture line is visible.

    Calculation formula: Fracture healing rate = (Number of cases with fracture healing ÷ Total number of cases in the group) × 100%

    Measured: 42±7 days, 90±7 days, and 180±14 days postoperatively

  2. Surgical duration

    The duration from the start of skin incision to the completion of wound closure and suture.

    Calculation method: The mean operative time will be calculated separately for the investigational group and the control group.

    Measured: Intraoperative

  3. Intraoperative estimated blood loss

    The estimated intraoperative blood loss (mL) will be recorded, based on the official operative record.

    Measured: Intraoperative

  4. Evaluation of Device Operability

    Device operability will be evaluated according to the following criteria, and the excellent-good rate will be calculated.

    Evaluation Criteria:

    Excellent: Complete configuration, simple operation, strong operability, and excellent compatibility of all components; Good: Complete configuration, acceptable operation, acceptable operability, and acceptable compatibility of all components; Fair: Average configuration, average operation, average operability, and average compatibility of all components; Poor: Incomplete configuration, cumbersome operation, poor operability, and poor compatibility of all components.

    Calculation Formula:

    Device Operability Excellent-Good Rate = (Number of cases rated Excellent or Good) ÷ (Total number of cases in the group) × 100%

    Measured: Day of Surgery

  5. Occurrence of Adverse Events

    Definition: Includes the incidence rate (%) and number of events for (serious) adverse events, as well as the incidence rate (%) and number of events for device-related (serious) adverse events.

    Adverse events include, but are not limited to, deformation, breakage, and loosening of the intramedullary nail and locking components, as well as infection, compartment syndrome, nerve injury, non-union, delayed union, and other complications.

    Measured: Through study completion, with an average follow-up duration of 180 days (range: 166-194 days postoperatively)

  6. Laboratory Examinations

    Routine blood tests (RBC, WBC, HGB, PLT), electrolyte tests (Ca²⁺, Mg²⁺), routine urine tests (RBC, PRO, WBC), and blood biochemistry tests (ALT, AST, TBIL, BUN/UREA, Cr) will be performed, and the laboratory findings of the experimental group and control group will be recorded.

    Measured: Within 7 days after surgery, 42±7 days postoperatively (electrolytes only), 90±7 days postoperatively (electrolytes only), 180±14 days postoperatively (electrolytes only)

  7. Occurrence of Device Deficiencies

    Investigators will observe and record any device deficiencies that occur with the medical device under normal use during the clinical trial, including labeling errors, quality issues, malfunctions, etc. The incidence rate (%) and number of device deficiency events will be calculated.

    Measured: Through study completion, with an average follow-up duration of 180 days (range: 166-194 days postoperatively)

Timeline

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

  1. First posted6 May 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion31 Mar 2028 (estimated)
  4. Study completion31 Dec 2028 (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
None (open label)
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07569575
Sponsor's protocol ID
HM-CT-MgIMN-001
Status last verified
Oct 2026
First submitted
21 Apr 2026
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Magnesium-Titanium Hybrid Intramedullary Nail System and Commercially Locked Metallic Intramedullary Nail in people with Tibial Fracture and Femoral Fracture, run by HuaMg Perfection Med Tech (Suzhou) Co., Ltd. at 5 sites in China.

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 4 inclusion and 16 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: opening soon, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in China. 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?

Contact Yuantao Zhang, PhD (+86 13421870043, ytzhang2008@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Effective rate of the product at 180 days postoperatively (time frame: 180±14 days postoperatively). 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 3 Nov 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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