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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03282578
Registration number
NCT03282578
Ethics application status
Date submitted
12/09/2017
Date registered
14/09/2017
Titles & IDs
Public title
Sternalock Versus Wires for Sternal Closure Study
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Scientific title
Prospective Randomised Sternal Closure Study Sternalock 360 Plates vs Conventional Stainless Steel Wires
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Secondary ID [1]
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MH 2017.165
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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:
Cardiac Surgery
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Sternal Closure
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Sternalock 360 sternal plating system
Treatment: Devices - Sternal Wires
Active comparator: Sternalock 360 sternal plating system - use of the SternaLock 360 system to close the sternum: 3 plates with 3 bands and measured screw length to engage but not penetrate the posterior sternal cortex, used to close the sternum
Active comparator: Sternal wires - Stainless steel sternal wires applied in a "figure of 8" configuration to close the sternum
Treatment: Devices: Sternalock 360 sternal plating system
The SternaLock 360 system is a band and plating system designed to improve sternal stability. 3 bands surround the sternum to oppose the bones (like wires), but an additional 3 plate system prevents anterior posterior displacement and provides a rigid fixation.
Treatment: Devices: Sternal Wires
Stainless steel wires are applied in a "figure of 8" configuration to close the sternum
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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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Sternal motion
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Assessment method [1]
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Sternal edge movement with coughing that is \>2 mm in any location as measured by ultrasound (US)
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Timepoint [1]
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6 weeks after surgery
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Secondary outcome [1]
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Sternal override
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Assessment method [1]
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Anterior/posterior displacement of the sternal edges
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Timepoint [1]
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1 day to 3 months
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Secondary outcome [2]
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Sternal motion
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Assessment method [2]
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Sternal edge movement at rest and coughing that is \>2 mm in any location as measured by ultrasound (US)
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Timepoint [2]
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1 day to 3 months
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Secondary outcome [3]
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Lung ultrasound
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Assessment method [3]
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Lung ultrasound examination for pathology
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Timepoint [3]
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1 day to 3 months
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Secondary outcome [4]
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Sternal wound infection
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Assessment method [4]
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Any deep or superficial wound infection
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Timepoint [4]
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1 day to 3 months
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Secondary outcome [5]
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MACCE
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Assessment method [5]
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Major adverse cerebral and cardiac events
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Timepoint [5]
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1 day to 3 months
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Secondary outcome [6]
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Sternal pain
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Assessment method [6]
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Visual analogue pain score
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Timepoint [6]
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1 day to 3 months
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Secondary outcome [7]
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PostopQRS
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Assessment method [7]
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Postoperative Quality of recovery scale - a multidimensional scale to measure quality of recovery after surgery
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Timepoint [7]
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1 day to 3 months
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Secondary outcome [8]
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FDQ
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Assessment method [8]
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Functional difficulty questionaire
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Timepoint [8]
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1 day to 3 months
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Secondary outcome [9]
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Sternal closure time
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Assessment method [9]
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Time from commencement of passage of first wire or SternaLock band to time of completion of all wire tensioning or screw fixation in plates
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Timepoint [9]
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1 day to 3 months
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Secondary outcome [10]
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Penetration of the posterior cortical bone by screws
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Assessment method [10]
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Penetration of the posterior cortical bone by screws assessed by chest X-Ray
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Timepoint [10]
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6-10 days after surgery
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Secondary outcome [11]
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Degree of bone healing
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Assessment method [11]
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Degree of bone healing by CT scan at 3 months after surgery
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Timepoint [11]
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3 months
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Eligibility
Key inclusion criteria
* Age = 18 year old Elective cardiac surgery Primary cardiac surgical procedure No evidence of infection at time of surgery Sufficient English language to complete the Postoperative Quality of Recovery Survey
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Minimum age
18
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
* Previous sternotomy (redo) Clinical sternal deformity Home locality preventing follow-up (e.g. remote regional, interstate or overseas patient)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Parallel
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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
Completed
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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
5/10/2017
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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
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Actual
25/11/2018
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Sample size
Target
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Melbourne Private Hospital - Melbourne
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Recruitment postcode(s) [1]
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3050 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Melbourne
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Zimmer Biomet
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Design: Investigator Initiated Prospective Randomised Trial Study Centre's: Melbourne Private Hospital Royal Melbourne Hospital Study Hypothesis: Use of the SternaLock 360 will reduce the incidence of sternal motion \> 2mm by absolute difference of 40% at 6 weeks of surgery compared to stainless steel wiring. Use of the SternaLock 360 will improve bone healing and quality of recovery after surgery compared to stainless steel wiring Study Objective: To determine if the SternaLock 360 system reduces sternal instability, increases bone healing, and improves quality of recovery compared to stainless steel wiring of the sternum, after cardiac surgery involving median sternotomy Inclusion Criteria: Age = 18 year old Elective cardiac surgery Primary cardiac surgical procedure No evidence of infection at time of surgery Sufficient English language to complete the Postoperative Quality of Recovery Survey Exclusion Criteria: Previous sternotomy (redo) Clinical sternal deformity Home locality preventing follow-up (e.g. remote regional, interstate or overseas patient) Number of Planned Subjects: 50
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Trial website
https://clinicaltrials.gov/study/NCT03282578
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Trial related presentations / publications
Royse AG, El-Ansary D, Hoang W, Lui E, McCusker M, Tivendale L, Yang Y, Canty DJ, Royse CF. A randomized trial comparing the effects of sternal band and plate fixation of the sternum with that of figure-of-8 wires on sternal edge motion and quality of recovery after cardiac surgery. Interact Cardiovasc Thorac Surg. 2020 Jun 1;30(6):863-870. doi: 10.1093/icvts/ivaa040.
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Public notes
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Contacts
Principal investigator
Name
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Alistair Royse, MD
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Address
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Melbourne Health
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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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Address
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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 scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT03282578