NGS for Non-unions

NCT ID: NCT03937310

Last Updated: 2019-05-03

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

UNKNOWN

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-03

Study Completion Date

2022-02-03

Brief Summary

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The purpose of this study is to investigate the role of genetic testing to look for possible infection as a cause for failure of non-healing fractures. The study aims to compare the results of genetic testing known as NGS to standardized clinical laboratory tests for diagnosing infections to see if NGS may be a better diagnostic tool.

Detailed Description

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Conditions

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Nonunion of Fracture

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Surgical intervention for non-union

The investigation group will consist of cases undergoing surgical intervention for non-union

Next-generation sequencing of swabs collected during surgery

Intervention Type DIAGNOSTIC_TEST

Traditional swabs for culturing as well as swabs for NGS testing will be collected

Acute fracture fixation

The control group will consist of cases undergoing acute fracture fixation

Next-generation sequencing of swabs collected during surgery

Intervention Type DIAGNOSTIC_TEST

Traditional swabs for culturing as well as swabs for NGS testing will be collected

Interventions

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Next-generation sequencing of swabs collected during surgery

Traditional swabs for culturing as well as swabs for NGS testing will be collected

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

2. Nonunions will be defined as a failure to progress towards expected union within an anticipated timeframe, and this judgment will be made by the attending caring for each patient. No specific timeframe or arbitrary cut points will be defined to allow for the considerable variation in fracture healing and different anatomical sites.
3. Presumed Septic and Aseptic nonunions
4. \>18 years old and able to provide informed consent

Exclusion Criteria

Exclusion:

1. Pathological fractures at index injury
2. Patients on antibiotic therapy \<2 weeks prior to surgery


Inclusion:

1. Patients undergoing surgical intervention for nonunion following a traumatic closed long bone fractures (femur shaft, tibia, humerus)
2. \>18 years old and able to provide informed consent

Exclusion:

1. Pathological fractures at index injury
2. Patients on antibiotic therapy \<2 weeks prior to surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rothman Institute Orthopaedics

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Rothman Institute

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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Krieg2019

Identifier Type: -

Identifier Source: org_study_id

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