RECRUITING

SMR Stemless Reverse Vs SMR Reverse Shoulder System

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The SMR Stemless Reverse is intended for total, primary shoulder joint replacement by reducing pain and restoring shoulder articular mobility function. This is a prospective, multi-center, randomized, controlled trial to demonstrate non-inferiority of the SMR Stemless Reverse to the SMR Reverse Shoulder System. Patients with joint dysfunction who continue to experience significant symptoms despite an appropriate course of non-operative management are eligible. Patients will be considered enrolled into the study when an ICF has been signed, all inclusion criteria are met and no exclusion criteria are present including intraoperative exclusion criteria, and the patient is randomized into either the SMR Stemless Reverse (investigational) group, the SMR Reverse Shoulder System (control) group or is part of the roll-in population. Enrollment is expected to take approximately 24 months.

Official Title

A Randomized, Multi-Center, Prospective, Safety and Efficacy Study Comparing the Outcome of Total Reverse Shoulder Arthroplasty (RSA) with SMR Stemless Reverse Vs SMR Reverse Shoulder System

Quick Facts

Study Start:2021-04-01
Study Completion:2026-03-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04697004

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:22 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Age ≥ 22 years of age
  2. 2. Skeletally mature as evident by scapula and proximal humerus closure
  3. 3. Candidate for primary total shoulder replacement in a grossly rotator cuff deficient joint with severe arthropathy (disabled shoulder), when clinical indications based on physical exam and medical history including one or more of the following:
  4. 1. Arthritis with rotator cuff tear not reparable
  5. 2. Irreparable rotator cuff tear
  6. 3. Rotator cuff tear arthropathy
  7. 4. Severe osteoarthritis and rotator cuff deficiency or stiff shoulder
  8. 5. Significant glenoid or socket side bone deformed or loss
  9. 6. Reoccurrence of instability or a chronic shoulder dislocation
  10. 7. Any other medical reason that the investigator determine that subject is a good candidate for a reverse total shoulder arthroplasty
  1. 1. BMI \> 40 kg/m2
  2. 2. Previous contralateral shoulder surgery within 3 months of enrollment or that requires active treatment (i.e. surgery or brace)
  3. 3. Had surgery in the targeted shoulder within last 12 months of enrollment, except diagnostic arthroscopy without procedures
  4. 4. Had surgery in lower limbs (such as hip or knee) within last 6 months of enrollment
  5. 5. Corticosteroid injections in the ipsilateral shoulder within 3 months of enrollment
  6. 6. Complete deltoid muscle insufficiency
  7. 7. Glenoid retroversion great than 25 degrees based off a 2D axial CT scan
  8. 8. History of/or signs and/or symptoms of local or systemic infection including but not limited to septicemia; osteomyelitis
  9. 9. Neurologically confirmed nerve lesion compromising shoulder joint function
  10. 10. Poor meta-epiphyseal bone stock compromising stability of the implant including but not limited to humeral head fracture, iatrogenic glenoid fracture, severe osteoporosis
  11. 11. Metabolic disorders which may impair fixation and stability of the implant including but not limited to uncontrolled diabetes mellitus with an HbA1C \> 7.5%
  12. 12. Extended bone loss after previous surgery defined as: complete bone loss of greater and lesser tuberosity
  13. 13. Meta-epiphyseal bony defect (including large cyst)

Contacts and Locations

Study Contact

Fabiana Pavan
CONTACT
+39 348 5816391
Fabiana.Pavan@limacorporate.com
Tory Sears
CONTACT
574-377-1563
tsears@namsa.com

Principal Investigator

Grant Garrigues, M.D.
PRINCIPAL_INVESTIGATOR
Rush Orthopedics

Study Locations (Sites)

Cedars-Sinai Kerlan-Jobe Institute
Los Angeles, California, 90045
United States
Western Orthopaedics
Denver, Colorado, 80218
United States
Levy Shoulder Center
Boca Raton, Florida, 33428
United States
AdventHealth
Orlando, Florida, 32803
United States
Rush Orthopaedics
Chicago, Illinois, 60612
United States
Upstate Orthopedics
East Syracuse, New York, 13057
United States
Duke University
Durham, North Carolina, 27708
United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
United States
Rothman Orthopaedic
Philadelphia, Pennsylvania, 19107
United States
Guthrie
Sayre, Pennsylvania, 18840
United States
University of Texas- Health Science Center
San Antonio, Texas, 78229
United States

Collaborators and Investigators

Sponsor: Limacorporate S.p.a

  • Grant Garrigues, M.D., PRINCIPAL_INVESTIGATOR, Rush Orthopedics

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2021-04-01
Study Completion Date2026-03-30

Study Record Updates

Study Start Date2021-04-01
Study Completion Date2026-03-30

Terms related to this study

Keywords Provided by Researchers

  • Shoulder Joint
  • Shoulder Replacement
  • Arthritis with rotator cuff tear
  • Post traumatic fracture sequele
  • Severe osteoarthritis and rotator cuff deficiency
  • Significant glenoid or socket side bone deformed or loss
  • Reoccurrence of instability or chronic shoulder dislocation
  • Severe osteoarthritis and stiff shoulder

Additional Relevant MeSH Terms

  • Arthroplasty, Replacement