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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04984291
Registration number
NCT04984291
Ethics application status
Date submitted
16/07/2021
Date registered
30/07/2021
Date last updated
28/06/2024
Titles & IDs
Public title
Zimmer Biomet Shoulder Arthroplasty PMCF
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Scientific title
Zimmer Biomet Shoulder Arthroplasty Long-term Post Market Clinical Follow-up Study
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Secondary ID [1]
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CMU2019-35E
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shoulder Fractures
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Shoulder Arthritis
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Shoulder Osteoarthritis
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Shoulder Deformity
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Shoulder Injuries
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Shoulder Pain
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Condition category
Condition code
Neurological
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Other neurological disorders
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Injuries and Accidents
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Other injuries and accidents
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Musculoskeletal
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Other muscular and skeletal disorders
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Injuries and Accidents
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0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Alliance Glenoid
Treatment: Devices - Identity Stem
Experimental: Zimmer Biomet Total Shoulder Arthroplasty System - Patients who are having primary or revision total shoulder arthroplasty who will receive a Zimmer Biomet Total Shoulder Arthroplasty System.
Treatment: Devices: Alliance Glenoid
Alliance Glenoid used in Primary or Revision Total Shoulder Arthroplasty
Treatment: Devices: Identity Stem
Identity Shoulder System is intended to be used in anatomic total shoulder arthroplasty, shoulder hemi-arthroplasty, or total reverse shoulder arthroplasty in both Primary or Revision Total Shoulder Arthroplasty
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Implant Survivorship at 10 years follow-up (Kaplan Meier)
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Assessment method [1]
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Based on removal or intended removal of the device and determined using the Kaplan-Meier method.
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Timepoint [1]
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10 years
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Primary outcome [2]
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Frequency and Incidence of Adverse Events (Safety)
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Assessment method [2]
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Monitoring the frequency and incidence of adverse events, serious adverse events, adverse device effects, serious adverse device effects, and unanticipated serious adverse device effects as well as device deficiencies.
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Timepoint [2]
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10 years
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Secondary outcome [1]
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Clinical efficacy of the device is assessed using the American Shoulder and Elbow Surgeons (ASES) Shoulder Score at 2 years follow-up
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Assessment method [1]
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Pain, function, and activities of daily living are measured. The ASES scale is 0-100. 100 is the highest score and indicates the greatest function while 0 is the lowest score.
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Timepoint [1]
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2 years
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Secondary outcome [2]
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Euroqol Patient Quality of life measured at 2 years follow-up (EQ-5D-5L)
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Assessment method [2]
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The EuroQol five dimensions questionnaire (EQ-5D-5L) is a five dimensional self-assessment that is comprised of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. These five dimensions can be used to index a subject's health utility on a scale of 0 to 1, where 0 is death and 1 is perfect health. The scoring rule for EQ-5D permits scores less than 0, implying that some health states may be worse than death.
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Timepoint [2]
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2 years
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Secondary outcome [3]
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Radiographic Performance [Radiolucency] at 2 years follow-up
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Assessment method [3]
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X-rays will be evaluated for radiolucency lines to show the number of subjects with radiolucency. Radiolucency refers to structures that are less dense and permit the x-ray beam to pass through them. Radiolucent structures appear dark or black in the radiographic image.
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Timepoint [3]
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2 years
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Secondary outcome [4]
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Radiographic Performance [Osteolysis] at 2 years follow-up
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Assessment method [4]
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X-rays will be evaluated for osteolysis to show the number of subjects with osteolysis. Osteolysis is a progressive condition where bone tissue is destroyed. In this process, bones lose minerals (mostly calcium), softens, degenerates and become weaker.
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Timepoint [4]
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2 years
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Secondary outcome [5]
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Radiographic Performance [Heterotopic Ossification] at 2 years follow-up
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Assessment method [5]
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X-rays will be evaluated for heterotopic ossification to show the number of subjects with heterotopic ossification. Heterotopic ossification refers to the presence of bone in soft tissue where bone normally does not exist (extraskeletal bone).
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Timepoint [5]
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2 years
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Secondary outcome [6]
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Radiographic Performance [Humeral Component Subsidence] at 2 years follow-up
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Assessment method [6]
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X-rays will be evaluated for humeral component subsidence to show the number of subjects with subsidence. Component Subsidence refers to the presence of the device component gradually sinking or caving into the bone structure.
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Timepoint [6]
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2 year
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Secondary outcome [7]
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Radiographic Performance [Glenoid Component Migration] at 2 years follow-up
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Assessment method [7]
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X-rays will be evaluated for glenoid component migration to show the number of subjects with migration. Component migration refers to the presence of the device component gradually moving anteriorly, posteriorly, superiorly, or inferiorly in relation to original placement.
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Timepoint [7]
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2 year
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Eligibility
Key inclusion criteria
* Patient must be 20 years of age or older.
* Patient must be anatomically and structurally suited to receive shoulder arthroplasty implants.
* Patient is a candidate for shoulder arthroplasty due to one or more of the following:
* Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis.
* Rheumatoid arthritis.
* Correction of functional deformity.
* Fractures of the proximal humerus, where other methods of treatment are deemed inadequate.
* Difficult clinical management problems, where other methods of treatment may not be suitable or may be inadequate.
* Patient must be able and willing to complete the protocol required follow-up.
* Patient must be able and willing to sign the IRB/EC approved informed consent.
* Patient has grossly deficient rotator, (for reverse application)
* With severe arthropathy and/or
* Previously failed shoulder joint replacement
* Patient must have functional deltoid muscle (for reverse application)
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Minimum age
20
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patient is unwilling or unable to give consent or to comply with the follow-up program.
* Patient has any condition which would in the judgement of the Investigator, place the patient at undue risk or interfere with the study.
* Patient is known to be pregnant or breastfeeding.
* Patient is a vulnerable subject (prisoner, mentally incompetent or unable to understand what participation to the study entails, a known alcohol or drug abuser, and/or anticipated to be non-compliant).
* Patient is uncooperative or patient with neurologic disorders who is incapable or unwilling to follow directions.
* Patient has any sign of infection affecting the shoulder joint or in its proximity which may spread to the implant site.
* Patient has rapid joint destruction, marked bone loss, or bone resorption apparent on roentgenogram.
* Patient has any neuromuscular disease compromising the affected limb that would render the procedure unjustifiable.
* Patient presents with osteoporosis, which in the opinion of the Investigator, may limit the subject's ability to support total shoulder arthroplasty using the study device.
* Patient has osteomalacia.
* Patient has a metabolic disorder that may impair bone formation.
* Patient has deficient rotator cuff.
* Patient presents with significant injury to the upper brachial plexus.
* Patient has paralysis of the axillary nerve.
* Patient has non-functional deltoid or external rotator muscles.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/07/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
15/08/2033
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Actual
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Sample size
Target
584
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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Colorado
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United States of America
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Illinois
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Country [4]
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United States of America
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State/province [4]
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Kentucky
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Country [5]
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United States of America
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State/province [5]
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Michigan
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Country [6]
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United States of America
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State/province [6]
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Minnesota
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Country [7]
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United States of America
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State/province [7]
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Mississippi
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Country [8]
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United States of America
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State/province [8]
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Missouri
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Country [9]
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United States of America
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State/province [9]
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New York
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Country [10]
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United States of America
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State/province [10]
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Pennsylvania
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Country [11]
0
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United States of America
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State/province [11]
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Utah
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Country [12]
0
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Japan
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State/province [12]
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Fukui
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Country [13]
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Japan
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State/province [13]
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Fukushima
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Country [14]
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Japan
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State/province [14]
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Okinawa
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Country [15]
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Japan
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State/province [15]
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Tokyo
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Country [16]
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New Zealand
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State/province [16]
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Whangarei
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Zimmer Biomet
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The objectives of this study are to confirm the safety, performance, and clinical benefits of Zimmer Biomet Shoulder Arthroplasty Systems and its instrumentation in primary or revision shoulder arthroplasty. These objectives will be assessed using standard scoring systems, radiographic evidence, and adverse event records. Safety of the system will be assessed by monitoring the frequency an incidence of adverse events.
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Trial website
https://clinicaltrials.gov/study/NCT04984291
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ryan Boylan
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Address
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Zimmer Biomet
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jeff Schram, MS
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Address
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Country
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Phone
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574-371-9786
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04984291
Download to PDF