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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04500041
Registration number
NCT04500041
Ethics application status
Date submitted
31/07/2020
Date registered
5/08/2020
Titles & IDs
Public title
Casting vs Bracing for Idiopathic Early-Onset Scoliosis
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Scientific title
Casting vs Bracing for Idiopathic Early-Onset Scoliosis
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Secondary ID [1]
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00000
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Universal Trial Number (UTN)
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Trial acronym
CVBT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Scoliosis Idiopathic
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Early-Onset Scoliosis Deformity of Spine
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Casting
Treatment: Devices - Bracing
Active comparator: Casting - Subjects will be treated with serial casting
Active comparator: Bracing - Subjects will be treated with full-time orthotics (braces)
Treatment: Surgery: Casting
Use of casts applied using corrective maneuvers
Treatment: Devices: Bracing
Use of full-time spinal orthosis
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Intervention code [1]
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Treatment: Surgery
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Intervention code [2]
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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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Curve Response
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Assessment method [1]
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Resolution - curve improvement to \<15 degrees (as measured on 2 consecutive radiographs)
Failure
1. Initial Cobb 20-50° (inclusive): curve progression of =20° resulting in a curve =50°
2. Initial Cobb \>50°: curve progression of =20°
Palliation - 2 years of treatment without resolution or failure
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Timepoint [1]
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on or before 24 months of treatment
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Secondary outcome [1]
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Patient Health-related Quality of Life (HRQOL)
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Assessment method [1]
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Evaluation of patients' HRQOL as estimated by serial administrations of the Early Onset Scoliosis Questionnaire (EOSQ-24, completed by the parent at baseline and every 6 months, total score range 0-100, higher scores indicate higher level of HRQOL). Within and between treatment arm comparisons will be made.
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Timepoint [1]
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on or before 24 months of treatment
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Eligibility
Key inclusion criteria
Will enroll both patients with scoliosis and 1 of their parents/guardians
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
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Minimum age
12
Months
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Maximum age
36
Months
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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 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
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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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
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
9/02/2021
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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
30/01/2025
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Actual
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Sample size
Target
440
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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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Arkansas
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United States of America
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State/province [2]
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Colorado
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United States of America
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Delaware
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Georgia
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Illinois
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Indiana
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United States of America
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Iowa
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United States of America
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State/province [8]
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Maryland
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Massachusetts
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Michigan
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Minnesota
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Missouri
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New York
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Country [14]
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State/province [14]
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North Carolina
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Oregon
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Pennsylvania
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Tennessee
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Texas
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Washington
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Wisconsin
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Canada
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British Columbia
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Canada
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Nova Scotia
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Canada
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State/province [24]
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Quebec
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Hong Kong
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Hong Kong
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Italy
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Milano
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New Zealand
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State/province [27]
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Auckland
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Singapore
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State/province [28]
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Singapore
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Turkey
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Istanbul
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Country [30]
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United Kingdom
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State/province [30]
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Birmingham
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Iowa
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Orthopedic Research and Education Foundation
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Pediatric Spine Study Group
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Comparison of casting and bracing for the treatment of idiopathic early onset scoliosis
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Trial website
https://clinicaltrials.gov/study/NCT04500041
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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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Stuart L Weinstein, MD
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Address
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University of Iowa
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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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Lori A Dolan, PhD
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Address
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Country
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Phone
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319-356-1075
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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
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All study data (assessments and images) will reside in the Pediatric Spine Registry.
Supporting document/s available: Study protocol
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When will data be available (start and end dates)?
after our planned analyses and publications are completed
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Available to whom?
Study data will be available to all CVBT investigators and Pediatric Spine Registry participants. Interested parties will prepare a proposal for consideration by the PI and the Pediatric Spine Study Group. If approved, the Pediatric Spine Registry staff will query the database and provide the required data for secondary analysis.
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Available for what types of analyses?
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How or where can data be obtained?
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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/NCT04500041