Effect of Tobacco Heating System (THS) on Closed Lower Limb Fracture Healing

NCT ID: NCT05859451

Last Updated: 2024-12-11

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-02

Study Completion Date

2026-04-17

Brief Summary

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The goal of this clinical trial is to investigate the role of switching from cigarette smoking (CS) to tobacco heat system (THS) on the clinical outcome of closed lower limb (tibia and femur) fractures from smokers' orthopedic patients. Validated and standardized assays, medical state and self-reported outcomes will be evaluated in orthopedic patients' smokers or switch from CS to using THS throughout six months compare to ex-smokers (control).

Detailed Description

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Conditions

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Smoking Tibia Fracture

Keywords

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Bone healing Tobacco heating system Smoking cessation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Smokers

Participants subject to an orthopedic surgery (does not want to quit smoking conventional cigarettes) will continue smoking conventional cigarettes ad libitum for a period of 6 month post surgery

Group Type NO_INTERVENTION

No interventions assigned to this group

Smokers willing to switch to THS

Participants subject to an orthopedic surgery (currently smoking conventional cigarettes) will start to used THS ad libitum for a period of 6 month post surgery

Group Type EXPERIMENTAL

Tobacco Heating System (THS)

Intervention Type DEVICE

Participant who are not willing to quit cigarette smoking during the study duration will switch from cigarettes to using THS

Ex Smokers

Participants subject to an orthopedic surgery will not smoke cigarettes or use electronic nicotine deliver systems for a period of 6 month post surgery

Group Type ACTIVE_COMPARATOR

Smoking abstinence

Intervention Type OTHER

Participant who are willing to quit cigarette smoking and will not use any electronic nicotine delivery system during the study duration

Interventions

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Tobacco Heating System (THS)

Participant who are not willing to quit cigarette smoking during the study duration will switch from cigarettes to using THS

Intervention Type DEVICE

Smoking abstinence

Participant who are willing to quit cigarette smoking and will not use any electronic nicotine delivery system during the study duration

Intervention Type OTHER

Other Intervention Names

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IQOS 3 DUO

Eligibility Criteria

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Inclusion Criteria

* Closed tibia or femur fracture (according to AO/OTA: 41A2-41C3, 42A-C, 43A-C, 32A-C, 33A2-3, 33B-C) which is surgically treated within 14 days after the trauma at the BG trauma clinic Tübingen.


* Smokers with 10-20 packyears smoking history.
* Smoking history \>10 years.
* Decision not to participate in the free smoking cessation seminars.

Exclusion Criteria

* Legal guardian or loss of capacity to consent.
* Refusal to participate in the study.
* Open fractures or concomitant injuries or complications requiring surgery existing at the time of surgical indication.
* Initial surgical treatment of the fracture has occurred ex domo.
* No initial surgical treatment within 14 days of sustained trauma.
* Using nicotine delivery electronic devices.
* Pre-existing autoimmune, immunological, bone or malignant diseases.
* Pregnant, breastfeeding and women of childbearing age with existing desire to have children.
* History of alcohol abuse or drug abuse.
* Taking antioxidants approval by the German Federal Institute for Drugs and Medical Devices (BfArM).
* Taking drugs with known effect on bone metabolism (according to Institute for medical and pharmaceutical examination issues (IMPP): allosteric CaSR modulators, bisphosphonates, calcium release inhibitors, alkaline earth ions, RANKL inhibitors, calcitriol, colecalciferol).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Philip Morris Products S.A.

INDUSTRY

Sponsor Role collaborator

University Hospital Tuebingen

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. rer. nat. Andreas Nüssler

Profesor Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Siegfried Weller Institutes, BG-Trauma Clinic, Department of Traumatology, Eberhard Karls University Tübingen

Tübingen, Baden-Wurttemberg, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Andreas K. Nüssler, Prof. Dr.

Role: CONTACT

Phone: +49070716061065

Email: [email protected]

Benedikt J. Braun, PD. Dr.

Role: CONTACT

Phone: +49070716063017

Email: [email protected]

Facility Contacts

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Andreas K. Nüssler, Prof. Dr.

Role: primary

Benedik J. Braun, PD. Dr. med.

Role: backup

References

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Aspera-Werz RH, Ehnert S, Muller M, Zhu S, Chen T, Weng W, Jacoby J, Nussler AK. Assessment of tobacco heating system 2.4 on osteogenic differentiation of mesenchymal stem cells and primary human osteoblasts compared to conventional cigarettes. World J Stem Cells. 2020 Aug 26;12(8):841-856. doi: 10.4252/wjsc.v12.i8.841.

Reference Type BACKGROUND
PMID: 32952862 (View on PubMed)

Weng W, Bovard D, Zanetti F, Ehnert S, Braun B, Uynuk-Ool T, Histing T, Hoeng J, Nussler AK, Aspera-Werz RH. Tobacco heating system has less impact on bone metabolism than cigarette smoke. Food Chem Toxicol. 2023 Mar;173:113637. doi: 10.1016/j.fct.2023.113637. Epub 2023 Jan 25.

Reference Type BACKGROUND
PMID: 36708864 (View on PubMed)

Moritz Herbst, Romina Aspera-Werz, Benedikt Braun, Kevin Schulz, et al. (2024). Evaluation of the Tobacco Heating System (THS) During Closed Lower Limb Fracture Healing in Trauma Smokers' Patients. Qeios. doi:10.32388/DE0EAE.2.

Reference Type BACKGROUND

Other Identifiers

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IIS.SWI-THS.2022

Identifier Type: -

Identifier Source: org_study_id