Evaluation of NEUROCAP® In the Treatment of Symptomatic Neuroma

NCT ID: NCT02993276

Last Updated: 2020-09-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

73 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-17

Study Completion Date

2020-08-30

Brief Summary

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PROSPECTIVE COHORT EVALUATION OF NEUROCAP® In the Treatment of symptomatic Neuroma (PROTECT Neuro)

This post-market surveillance study is conducted to provide post market surveillance information regarding long-term performance and ease of use of the Polyganics nerve capping device (NEUROCAP®) for reduction of the development of peripheral symptomatic end-neuroma.

Detailed Description

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1. Device description NEUROCAP®, a bioresorbable nerve capping device based upon the NEUROLAC® nerve guide, is indicated to protect a peripheral nerve end and to separate the nerve from surrounding environment to reduce the development of a symptomatic neuroma. NEUROCAP® is composed of the same biocompatible, bioresorbable copolyester composing the NEUROLAC® nerve guide, Poly(68/32\[15/85 D/L\] Lactide-Ԑ-Caprolactone) (PLCL).
2. Objective This post-market surveillance study is conducted to provide post market surveillance information regarding long-term performance and ease of use of the Polyganics nerve capping device (NEUROCAP®) for reduction of the development of peripheral symptomatic end-neuroma.
3. Study design This post-market surveillance study consists of a cohort study to provide post market surveillance information regarding long-term performance and ease of use of the NEUROCAP® for reduction of the development of peripheral symptomatic end-neuroma in the upper and lower extremity. Sub analyses will be performed regarding demographics and medical background.

Conditions

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Neuroma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Treatment Group

All subjects receiving the Neurocap® device when surgically treated for their symptomatic peripheral end-neuroma.

Neurocap®

Intervention Type DEVICE

NEUROCAP®, a bioresorbable nerve capping device based upon the NEUROLAC® nerve guide, is indicated to protect a peripheral nerve end and to separate the nerve from surrounding environment to reduce the development of a symptomatic neuroma.

Interventions

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Neurocap®

NEUROCAP®, a bioresorbable nerve capping device based upon the NEUROLAC® nerve guide, is indicated to protect a peripheral nerve end and to separate the nerve from surrounding environment to reduce the development of a symptomatic neuroma.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subjects who are able to provide a written informed consent prior to participating in the clinical investigation.
2. Subjects who are able to comply with the follow-up or other requirements.
3. Subjects who are ≥ 18 years old.
4. Subjects with a diagnosis of peripheral symptomatic (end-) neuroma in the upper limb.
5. Subjects with a positive Tinel's sign.
6. Symptomatic neuroma confirmed by pain relief following a 10min ± 2min nerve block with Xylocaine (Lidocaine) - Pain relief defined as minimally 50% reduction in VAS questionnaire score.
7. Subjects that are indicated for surgery to treat symptomatic neuroma.

Exclusion Criteria

1. Subjects who do not complete the informed consent.
2. Subjects who are not willing to follow post-surgery protocols (e.g. avoiding pressure on the implant zone or immobilization).
3. Subjects who are unable to comply with the follow-up or other requirements and/or have a life expectancy of less than 24 months.
4. Subjects with congenital neuropathy.
5. Insufficient amount of soft tissue to cover the investigational device, as assessed by the surgeon. Use of the device over a joint is advised against.
6. Subjects who have had historical radiotherapy in the area of the (end-) neuroma.
7. Subjects who have a known allergy to anesthetic agent or bioresorbable copolyester Poly(68/32\[15/85 D/L\] Lactide-ε-Caprolactone) (PLCL).
8. Proximal nerve end \> 8mm.
9. Pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Polyganics BV

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Center for Hand Surgery

Phoenix, Arizona, United States

Site Status

Stanford Medical Center Hand and Upper Limb Center

Redwood City, California, United States

Site Status

Buncke Clinic

San Francisco, California, United States

Site Status

Veterans affairs Medical Center Portland

Portland, Oregon, United States

Site Status

Geisinger Clinic

Danville, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

The Philadelphia Hand Center (affiliated to Thomas Jefferson Hospital)

Philadelphia, Pennsylvania, United States

Site Status

Virginia Commonwealth University Medical Center

Richmond, Virginia, United States

Site Status

Clinique Chirurgicale Victor Hugo Paris

Paris, , France

Site Status

BG Trauma Center Frankfurt am Main GmbH

Frankfurt am Main, , Germany

Site Status

Ospedale San Guiseppe Milano

Milan, , Italy

Site Status

Parc Sanitari Sant Joan de Deu

Barcelona, , Spain

Site Status

Sahlgrenska University Hospital Gothenburg

Gothenburg, , Sweden

Site Status

University Hospital Linköping

Linköping, , Sweden

Site Status

University Hospital Lund - Department of Hand Surgery

Malmo, , Sweden

Site Status

Birmingham Hand Centre

Birmingham, , United Kingdom

Site Status

Countries

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United States France Germany Italy Spain Sweden United Kingdom

References

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Power D, Curtin C, Bellemere P, Nyman E, Pajardi G, Isaacs J, Levin LS. Surgical Treatment of Symptomatic End-Neuroma With a New Bioresorbable Copolyester Nerve Capping Device: A Multicenter Prospective Cohort Study. Ann Plast Surg. 2023 Jul 1;91(1):109-116. doi: 10.1097/SAP.0000000000003596.

Reference Type DERIVED
PMID: 37450869 (View on PubMed)

Other Identifiers

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CR-02

Identifier Type: -

Identifier Source: org_study_id

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