Casting Vs Bracing for Idiopathic Early-Onset Scoliosis

NCT ID: NCT04500041

Last Updated: 2024-12-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

71 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-09

Study Completion Date

2026-01-30

Brief Summary

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Comparison of casting and bracing for the treatment of idiopathic early onset scoliosis

Detailed Description

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This study uses a multicenter, prospective hybrid research design, which will combine two methods of treatment assignment (randomized and parent preference) and an embedded internal pilot study for sample size re-estimation. Patients will be treated either with serial casts or a full-time brace and followed until curve resolution, failure or palliation (neither resolution nor failure after 2 years of treatment). Results of this study will provide clinicians and families with evidence to support informed treatment decisions.

Conditions

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Scoliosis Idiopathic Early-Onset Scoliosis Deformity of Spine

Keywords

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Cast Brace Spinal Orthosis Spinal Orthotic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Treatment (casting or bracing) via randomized assignment OR based on family preference
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Study outcome is determined from serial radiographs. Radiographic readers will be blinded to the treatment assigned or received.

Study Groups

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Casting

Subjects will be treated with serial casting

Group Type ACTIVE_COMPARATOR

Casting

Intervention Type PROCEDURE

Use of casts applied using corrective maneuvers

Bracing

Subjects will be treated with full-time orthotics (braces)

Group Type ACTIVE_COMPARATOR

Bracing

Intervention Type DEVICE

Use of full-time spinal orthosis

Interventions

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Casting

Use of casts applied using corrective maneuvers

Intervention Type PROCEDURE

Bracing

Use of full-time spinal orthosis

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Patient Inclusion

* Diagnosis of idiopathic early-onset scoliosis
* Child standing independently but not older than 3 years of age
* 20≤ Cobb angle ≤70° (largest structural curvature)
* Rib-vertebral angle difference (RVAD) greater than 20 degrees or Rib Phase II
* Parental consent to participate

Parent Inclusion

* Parent or guardian of the minor subject
* Consent to participate
* Able to complete surveys

Exclusion Criteria

Patient Exclusion

* Previous operative or non-operative treatment for idiopathic early-onset scoliosis
* Not independently walking by 18 months of age or other signs/symptoms indicative of developmental delay
Minimum Eligible Age

12 Months

Maximum Eligible Age

36 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Orthopedic Research and Education Foundation

OTHER

Sponsor Role collaborator

Pediatric Spine Study Group

UNKNOWN

Sponsor Role collaborator

University of Iowa

OTHER

Sponsor Role lead

Responsible Party

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Stuart L. Weinstein, MD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stuart L Weinstein, MD

Role: PRINCIPAL_INVESTIGATOR

University of Iowa

Locations

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Arkansas Children's Hospital

Little Rock, Arkansas, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Nemours/Alfred I. duPont Hospital for Children

Wilmington, Delaware, United States

Site Status

Children's Healthcare of Atlanta

Atlanta, Georgia, United States

Site Status

Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Shriners Hospitals for Children - Chicago

Chicago, Illinois, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Johns Hopkins

Baltimore, Maryland, United States

Site Status

Children's Hospital of Boston

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Gillette Children's Specialty Healthcare

Saint Paul, Minnesota, United States

Site Status

Children's Mercy Kansas City

Kansas City, Missouri, United States

Site Status

St. Louis Children's Hospital/Washington University

St Louis, Missouri, United States

Site Status

Golisano Children's Hospital/University of Rochester

Rochester, New York, United States

Site Status

University of North Carolina Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Doernbecher Children's Hospital / OHSU

Portland, Oregon, United States

Site Status

Shriners Hospitals for Children - Portland

Portland, Oregon, United States

Site Status

Children's Hospital of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Shriners Hospitals for Children - Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Texas Children's Hospital

Houston, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Seattle Children's Hospital

Seattle, Washington, United States

Site Status

Italian Scientific Spine Institute (ISICO)

Milan, , Italy

Site Status

Starship Child Health

Auckland, , New Zealand

Site Status

Countries

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Canada Hong Kong Singapore Turkey (Türkiye) United Kingdom United States Italy New Zealand

Other Identifiers

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202003169

Identifier Type: -

Identifier Source: org_study_id