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Trial registered on ANZCTR
Registration number
ACTRN12623001350617
Ethics application status
Approved
Date submitted
26/11/2023
Date registered
21/12/2023
Date last updated
21/12/2023
Date data sharing statement initially provided
21/12/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of Acellular Human Dermal Allograft Patch for Augmentation of Rotator Cuff Repair - A Randomised Controlled Trial
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Scientific title
Efficacy of Acellular Human Dermal Allograft Patch in Improving Shoulder Function following Rotator Cuff Repair - A Randomised Controlled Trial
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Secondary ID [1]
311023
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Nil known
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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:
Rotator cuff tear
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Condition category
Condition code
Musculoskeletal
328863
328863
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0
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Other muscular and skeletal disorders
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Surgery
328998
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of an allopatch augmentation graft by an consultant orthopaedic surgeon in surgical rotator cuff repair. The graft is an acellular dermal allopatch graft that has been treated and suitable for surgery. It theoretically provides a mechanical bridge to aid in the strength of the repair. This will occur as an additional step during an arthroscopic repair of the rotator cuff at a certified hospital to repair the rotator cuff that adds roughly an extra 20 minutes and overall takes 1.5-2h to complete the surgery.
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Intervention code [1]
327473
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Treatment: Devices
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Comparator / control treatment
Comparator group will receive a surgical repair without the allograft.
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Control group
Active
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Outcomes
Primary outcome [1]
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Functional shoulder outcome following surgical repair of rotator cuff
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Assessment method [1]
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The Univerity of California Los Angeles Shoulder Score
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Timepoint [1]
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6 weeks, 3 months, 6 months, 12 months, and 24 months post-operation
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Primary outcome [2]
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Functional shoulder outcome following surgical repair of rotator cuff
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Assessment method [2]
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Subjective Shoulder Value
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Timepoint [2]
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6 weeks, 3 months, 6 months, 12 months, and 24 months post-operation
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Primary outcome [3]
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Functional shoulder outcome following surgical repair of rotator cuff
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Assessment method [3]
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American Shoulder and Elbow Surgeons Score
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Timepoint [3]
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6 weeks, 3 months, 6 months, 12 months, and 24 months post-operation
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Secondary outcome [1]
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Adverse events such as pain, or infection.
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Assessment method [1]
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Self-reporting of a questionnaire via telephone call or in-person in clinic at follow-up appointments.
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Timepoint [1]
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6 weeks, 3, 6, 12, and 24 months post-operation
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Secondary outcome [2]
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MRI assessment of rotator cuff
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Assessment method [2]
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MRI
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Timepoint [2]
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12 months post-operation
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Eligibility
Key inclusion criteria
- Diagnosis of rotator cuff tear confirmed radiologically by MRI to be full-thickness, greater than or equal to 4cm, involve two or more tendons and be repairable.
- Adequate pre-operative function of the uninjured arm.
- Ability to understand and participate in the trial including ability to understand and complete the patient reported outcome measures (PROMs).
- Ability to participate in regular rehabilitation post-operatively.
- Age 18-75 years.
- Medically fit for surgery with general anaesthetic.
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Minimum age
18
Years
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Maximum age
75
Years
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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
Age less than 18 years or greater than 75 years.
- Any previous surgical repair to the injured shoulder
- Neuromuscular disorders (for example, myasthenia gravis, Lambert-Eaton, amyotrophic lateral sclerosis et cetera).
- Upper extremity dysfunction due to a neurological or medical cause (for example, due to a cerebrovascular accident or traumatic brain injury, diabetic neuropathy et cetera).
- Unfit for general anaesthesia.
- Evidence of active infection or cancer.
- Current smoker.
- Current use of immunosuppressing medication.
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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)
Central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using computer app for patient hospital numbers.
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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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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Date of first participant enrolment
Anticipated
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Actual
7/11/2023
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Date of last participant enrolment
Anticipated
31/01/2024
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Actual
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Date of last data collection
Anticipated
3/11/2025
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Actual
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Sample size
Target
40
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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MTF Biologics
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Address [1]
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125 May Street Edison, NJ 08837
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Country [1]
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United States of America
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Primary sponsor type
Hospital
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Name
St. John of God Healthcare Subiaco
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Address
12 Salvado Rd, Subiaco WA 6008
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
317334
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St. John of God Healthcare Human Ethics Research Committee
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Ethics committee address [1]
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12 Salvado Rd, Subiaco WA 6008
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Ethics committee country [1]
314208
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Australia
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Date submitted for ethics approval [1]
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24/07/2023
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Approval date [1]
314208
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07/08/2023
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Ethics approval number [1]
314208
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Summary
Brief summary
To compare whether use of a dermal allopatch graft in rotator cuff repair leads to improved functional and structural outcomes over a 2-year period compared to no graft. It is expected the use of these grafts will improve functional shoulder outcomes and reduce the re-tear rate following surgery. If successful these grafts can be potentially considered a gold standard of care moving forward. We will also be monitoring for any changes in adverse event profile.
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Trial website
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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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Dr William Blakeney
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Address
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St. John of God Healthcare, 12 Salvado Road, Subiaco, WA, 6008
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Country
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Australia
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Phone
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+61 404848114
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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William Blakeney
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Address
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St. John of God Healthcare, 12 Salvado Road, Subiaco, WA, 6008
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Country
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Australia
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Phone
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+61 404848114
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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
Name
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William Blakeney
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Address
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St. John of God Healthcare, 12 Salvado Road, Subiaco, WA, 6008
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Country
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Australia
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Phone
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+61 404848114
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Fax
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Email
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[email protected]
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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 de-identified data
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When will data be available (start and end dates)?
Immediately following publication, no end date.
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Available to whom?
Anyone who wishes to access it
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
Unrestricted access via journal/website of publication.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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