SMR Stemless Reverse Vs SMR Reverse Shoulder System

NCT ID: NCT04697004

Last Updated: 2024-10-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2026-03-30

Brief Summary

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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.

Detailed Description

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Conditions

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Arthroplasty, Replacement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The 200 randomized subjects will be randomized 1:1 to SMR Stemless Reverse and SMR Reverse Shoulder System.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SMR Stemless Reverse

Group Type EXPERIMENTAL

Investigational Arm: SMR Stemless Reverse

Intervention Type DEVICE

The SMR Stemless Reverse is intended for total, primary shoulder joint replacement by reducing pain and restoring shoulder articular mobility function.

SMR Reverse Shoulder System

Group Type ACTIVE_COMPARATOR

Control Arm: SMR Reverse Shoulder System

Intervention Type DEVICE

Conventional stemmed shoulder prostheses are commonly used in the clinical practice.

Interventions

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Investigational Arm: SMR Stemless Reverse

The SMR Stemless Reverse is intended for total, primary shoulder joint replacement by reducing pain and restoring shoulder articular mobility function.

Intervention Type DEVICE

Control Arm: SMR Reverse Shoulder System

Conventional stemmed shoulder prostheses are commonly used in the clinical practice.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 22 years of age
2. Skeletally mature as evident by scapula and proximal humerus closure
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:

1. Arthritis with rotator cuff tear not reparable
2. Irreparable rotator cuff tear
3. Rotator cuff tear arthropathy
4. Severe osteoarthritis and rotator cuff deficiency or stiff shoulder
5. Significant glenoid or socket side bone deformed or loss
6. Reoccurrence of instability or a chronic shoulder dislocation
7. Any other medical reason that the investigator determine that subject is a good candidate for a reverse total shoulder arthroplasty

Exclusion Criteria

1. BMI \> 40 kg/m2
2. Previous contralateral shoulder surgery within 3 months of enrollment or that requires active treatment (i.e. surgery or brace)
3. Had surgery in the targeted shoulder within last 12 months of enrollment, except diagnostic arthroscopy without procedures
4. Had surgery in lower limbs (such as hip or knee) within last 6 months of enrollment
5. Corticosteroid injections in the ipsilateral shoulder within 3 months of enrollment
6. Complete deltoid muscle insufficiency
7. Glenoid retroversion great than 25 degrees based off a 2D axial CT scan
8. History of/or signs and/or symptoms of local or systemic infection including but not limited to septicemia; osteomyelitis
9. Neurologically confirmed nerve lesion compromising shoulder joint function
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. 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. Extended bone loss after previous surgery defined as: complete bone loss of greater and lesser tuberosity
13. Meta-epiphyseal bony defect (including large cyst)
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NAMSA

OTHER

Sponsor Role collaborator

Limacorporate S.p.a

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Grant Garrigues, M.D.

Role: PRINCIPAL_INVESTIGATOR

Rush Orthopedics

Locations

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Cedars-Sinai Kerlan-Jobe Institute

Los Angeles, California, United States

Site Status WITHDRAWN

Western Orthopaedics

Denver, Colorado, United States

Site Status ACTIVE_NOT_RECRUITING

Levy Shoulder Center

Boca Raton, Florida, United States

Site Status RECRUITING

AdventHealth

Orlando, Florida, United States

Site Status RECRUITING

Rush Orthopaedics

Chicago, Illinois, United States

Site Status RECRUITING

Upstate Orthopedics

East Syracuse, New York, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status ACTIVE_NOT_RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status WITHDRAWN

Rothman Orthopaedic

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Guthrie

Sayre, Pennsylvania, United States

Site Status RECRUITING

University of Texas- Health Science Center

San Antonio, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Fabiana Pavan

Role: CONTACT

+39 348 5816391

Tory Sears

Role: CONTACT

574-377-1563

Facility Contacts

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Janice Schuck

Role: primary

Jonathan Levy, MD

Role: backup

Carissa Davy

Role: primary

Rosemary Vargas

Role: backup

George Huffman, MD

Role: backup

Kavita Ahuja

Role: primary

224-229-2988

Grant Garrigues, MD

Role: backup

Gregory Nicholson, MD

Role: backup

Brian Cole, MD

Role: backup

Nikhil Verma, MD

Role: backup

Tina Craig

Role: primary

3154648618

Kevin Setter, MD

Role: backup

Thema Nicolson

Role: primary

(267) 339-3615

Joseph Abboud, MD

Role: backup

Brent Bloomquist

Role: primary

Joseph Choi, MD

Role: backup

Ruby Samuel

Role: primary

Anil Dutta, MD

Role: backup

Other Identifiers

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S-34

Identifier Type: -

Identifier Source: org_study_id

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