Trial Outcomes & Findings for Safety Study of Femoral Neck Fracture System (NCT NCT03721835)

NCT ID: NCT03721835

Last Updated: 2023-09-25

Results Overview

Reoperation for any reason from time of implantation to one-year post operation

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

1 year

Results posted on

2023-09-25

Participant Flow

Participant milestones

Participant milestones
Measure
Control Femoral Neck Fracture System
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Overall Study
STARTED
15
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Femoral Neck Fracture System
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Overall Study
Participant not able to return
1
Overall Study
Lost to Follow-up
1
Overall Study
Revision of the components of the study device
2
Overall Study
Sponsor terminated study
6
Overall Study
Death
1
Overall Study
Sponsor decision
1

Baseline Characteristics

Safety Study of Femoral Neck Fracture System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Age, Continuous
65.9 years
STANDARD_DEVIATION 15.79 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White/caucasian
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black/African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Alaskan native/American indian
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian/Other Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
1 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
Pre-injury Ambulatory Status
Unaided
10 Participants
n=5 Participants
Pre-injury Ambulatory Status
Using a cane
1 Participants
n=5 Participants
Pre-injury Ambulatory Status
Using a walker
3 Participants
n=5 Participants
Pre-injury Ambulatory Status
Bed to chair
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: When study was terminated, only 3 participants completed their one year follow up visit.

Reoperation for any reason from time of implantation to one-year post operation

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=3 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Reoperation Rate at One Year Post-operation
Reoperation
2 Participants
Reoperation Rate at One Year Post-operation
No Reoperation
1 Participants

SECONDARY outcome

Timeframe: 7 days

Documentation of any complications related to the implantation of the device

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Number of Participants With Intraoperative Complications
0 Participants

SECONDARY outcome

Timeframe: Operative, 6 weeks, 3 months, 6 months, and 1 year

Population: Number of Participants Analyzed indicates the data available for each given time frame as specified.

Appropriate reduction was defined as the principal compressive trabeculae measuring \>160° in the AP view and \<5° of posterior angulation in the lateral view. Fractures were then classified as: * Grade I * Grade II * Grade III If reduction was acceptable in both views, it was classified as Grade I. Grade II was indicative of one plane of malreduction, and Grade III was indicative of malreduction in both radiographic views.

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Classification of Quality of Fracture Reduction
6 months · Grade II
0 Participants
Classification of Quality of Fracture Reduction
6 months · Grade III
0 Participants
Classification of Quality of Fracture Reduction
1 year · Grade I
3 Participants
Classification of Quality of Fracture Reduction
1 year · Grade II
0 Participants
Classification of Quality of Fracture Reduction
1 year · Grade III
0 Participants
Classification of Quality of Fracture Reduction
6 weeks · Grade II
0 Participants
Classification of Quality of Fracture Reduction
3 months · Grade II
0 Participants
Classification of Quality of Fracture Reduction
Operative · Grade I
15 Participants
Classification of Quality of Fracture Reduction
Operative · Grade II
0 Participants
Classification of Quality of Fracture Reduction
Operative · Grade III
0 Participants
Classification of Quality of Fracture Reduction
6 weeks · Grade I
12 Participants
Classification of Quality of Fracture Reduction
6 weeks · Grade III
0 Participants
Classification of Quality of Fracture Reduction
3 months · Grade I
9 Participants
Classification of Quality of Fracture Reduction
3 months · Grade III
1 Participants
Classification of Quality of Fracture Reduction
6 months · Grade I
4 Participants

SECONDARY outcome

Timeframe: Pre-Operative, 6 Weeks, 3 Months, 6 Months, and 1 year

Population: Number Analyzed indicates available participant data for each time frame specified. Only 3 participants completed the 1 Year follow up visit when the study was terminated.

The Visual Analogue Scale was simply a line of fixed length, on which the subject marked their experience of pain with a single stroke of a pen. At each specified visit, the participant was asked to indicate their average level of pain from the operated hip over the prior 24 hours using a visual analog scale (VAS). The participant recorded their level of pain on a 100 millimeter visual analog scale with scores ranging from 0 to 100. The scale marked 'no pain' (score of 0) on the left side of the scale and 'severe pain' (score of 100) at the right end of the scale. The participant was instructed to place a vertical mark on the scale, using an ink pen. The Investigator, or designee, measured the distance (in millimeters) from the left end of the VAS scale to the vertical line drawn by the participant. This value was entered in the participant's Case Report Form (CRF) as a measure of the pain associated with the operated hip.

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Visual Analogue Scale (VAS) for Pain
Pre-Operative
70.00 score on a scale
Standard Deviation 28.06
Visual Analogue Scale (VAS) for Pain
1 Year
4.30 score on a scale
Standard Deviation 1.53
Visual Analogue Scale (VAS) for Pain
6 Weeks
32.30 score on a scale
Standard Deviation 37.88
Visual Analogue Scale (VAS) for Pain
3 Months
24.60 score on a scale
Standard Deviation 29.79
Visual Analogue Scale (VAS) for Pain
6 Months
12.50 score on a scale
Standard Deviation 25.00

SECONDARY outcome

Timeframe: Pre-Operative, 6 Weeks, 3 Months, 6 Months, and 1 year

Population: Number Analyzed indicates available participant data for each time frame specified. Only 3 participants completed the 1 Year follow up visit when the study was terminated.

The EuroQol Five Dimensions (EQ-5D-5L) Questionnaire descriptive system consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression), which are each assigned 5 levels: * 1= no problems * 2= slight problems * 3= moderate problems * 4= severe problems * 5= extreme problems The respondent is asked to indicate his/her health using the most appropriate statement in each of the 5 dimensions. This decision results in a 1-digit number expressing the level selected for that dimension. The digits for the five dimensions are combined in a 5-digit code describing the respondent's health state with scores ranging from -0.109 to 1 where higher scores indicate a better health state.

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Quality of Life - EQ-5D-5L
1 Year
0.8347 score on a scale
Standard Deviation 0.1481
Quality of Life - EQ-5D-5L
Pre-Operative
0.3453 score on a scale
Standard Deviation 0.3594
Quality of Life - EQ-5D-5L
6 Weeks
0.5164 score on a scale
Standard Deviation 0.2612
Quality of Life - EQ-5D-5L
3 Months
0.6724 score on a scale
Standard Deviation 0.2711
Quality of Life - EQ-5D-5L
6 Months
0.8938 score on a scale
Standard Deviation 0.1366

SECONDARY outcome

Timeframe: 6 Weeks, 3 Months, 6 Months, and 1 year

Population: Number Analyzed indicates available participant data for each time frame specified. Only 3 participants completed the 1 Year follow up visit when the study was terminated.

The Timed Up and Go Test assesses mobility, balance, walking ability, and fall risk in adults by measuring time, in seconds, that it takes the individual to stand from a chair, walk a distance of 10 feet, walk back to the chair, and sit down. The subject will perform the test in their everyday footwear with their walking aid (cane, walker), if applicable. The site will follow the guidelines provided by the Centers for Disease Control and Prevention recording the results on the form provided by the Sponsor.

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=8 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Timed Up and Go (TUG)
3 Months
31.4 seconds
Standard Deviation 27.48
Timed Up and Go (TUG)
6 Months
18.3 seconds
Standard Deviation 10.53
Timed Up and Go (TUG)
6 Weeks
27.1 seconds
Standard Deviation 17.09
Timed Up and Go (TUG)
1 Year
14.3 seconds
Standard Deviation 3.51

SECONDARY outcome

Timeframe: 6 Weeks, 3 Months, 6 Months, and 1 year

Population: Number Analyzed indicates available participant data for each time frame specified. Only 3 participants completed the 1 Year follow up visit when the study was terminated.

The ASLR assessment provides information about the ability of load transfer and motor control strategies in the lumbo/pelvic/hip complex. ASLR will be performed with the subject in a relaxed supine position with legs straight and feet apart. Participants will be instructed to raise their operated leg 20cm above the examination table without bending the knee and without pelvic movement relative to the trunk. A score will be provided by the participant for the operated limb on a six-point Likert scale (0 = not difficult at all, 1 = minimally difficult; 2 = somewhat able to do, 3 = fairly difficult, 4 = very difficult, 5 = unable to do).

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=12 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 3- Fairly difficult
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 4- Very difficult
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 5- Not able to do
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 0- Not difficult at all
5 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 1- Minimally difficult
2 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 2- Somewhat able to do
2 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 3- Fairly difficult
2 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 4- Very difficult
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Weeks · 5- Not able to do
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 0- Not difficult at all
5 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 1- Minimally difficult
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 2- Somewhat able to do
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 3- Fairly difficult
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 4- Very difficult
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
3 Months · 5- Not able to do
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 0- Not difficult at all
3 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 1- Minimally difficult
1 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 2- Somewhat able to do
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 3- Fairly difficult
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 4- Very difficult
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
6 Months · 5- Not able to do
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 0- Not difficult at all
3 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 1- Minimally difficult
0 Participants
Active Straight Leg Raise (ASLR) Assessment: Evaluation Score
1 Year · 2- Somewhat able to do
0 Participants

SECONDARY outcome

Timeframe: 6 months post-operative

Population: Number Analyzed indicates available participant data for the time frame specified.

Construct failure past typical femoral neck fracture healing period (past 6 months) indicated by reported device deficiencies.

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=4 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Number of Participants With Construct Failure
0 Participants

SECONDARY outcome

Timeframe: During hospitalization

Time spent in hospital measured by the number of days

Outcome measures

Outcome measures
Measure
Control Femoral Neck Fracture System
n=15 Participants
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Length of Hospital Stay
4.90 days
Standard Deviation 1.83

Adverse Events

Control Femoral Neck Fracture System

Serious events: 5 serious events
Other events: 3 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Control Femoral Neck Fracture System
n=15 participants at risk
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Product Issues
Screw fracture (Posterior, Proximal), Screw back out (Anterior, Proximal)
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Nervous system disorders
End stage Parkinson's Disease
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Cardiac disorders
St. Elevation Myocardial Infarction
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Infections and infestations
Foot infection
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Product Issues
Non union
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up

Other adverse events

Other adverse events
Measure
Control Femoral Neck Fracture System
n=15 participants at risk
This is a single arm study of subjects who are to be implanted with the CONQUEST FN™Femoral Neck Fracture System for treatment of a trauma related femoral neck fracture CONQUEST FN Femoral Neck Fracture System: Fracture fixation device consisting of a single plate and three screws
Injury, poisoning and procedural complications
Closed head injury
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Injury, poisoning and procedural complications
Ground level fall
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up
Skin and subcutaneous tissue disorders
Redness to right foot
6.7%
1/15 • Number of events 1 • Adverse events were collected from the time of surgery through the 1 year follow-up

Additional Information

Karlie Morgan

Smith+Nephew, Inc.

Phone: +1.512.496.7507

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60