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NCT03807349: N-Force

N-Force Screws Augmented With N-Force Blue in Hip Fractures

Terminated NA Results posted Last updated 8 June 2022
What this trial tests

NA trial testing N-Force Screws Augmented with N-Force Blue in Intracapsular Proximal Femur Fracture in 12 participants. Terminated before completion.

Timeline
21 February 2019
Primary endpoint
11 March 2021
11 March 2021

Quick facts

Lead sponsorZimmer Biomet
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date21 February 2019
Primary completion11 March 2021
Estimated completion11 March 2021
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Zimmer Biomet — full company profile →

Who can join

50 and older, any sex, with Intracapsular Proximal Femur Fracture or Garden Grade I Subcapital Fracture of Femoral Neck. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With a Reoperation Primary · 12 months

Reoperation after initial surgery to promote fracture healing, relieve pain, treat infection, or improve function.

GroupValue95% CI
N-Force Screws0
Number of Participants With Radiographic Fracture Healing of the Intracapsular Femur (RUSH) Secondary · 6 weeks, 3 months, 6 months, and 12 months

Radiographic fracture healing as seen on x-ray and defined using Radiographic Union Score for Hips (RUSH) scoring system. The RUSH quantifies four measures of healing: cortical bridging, cortical fracture disappearance, trabecular consolidation, and trabecular fracture disappearance. Cortical healing is assessed in four anatomic femoral neck regions (anterior, posterior, medial, lateral) and trabecular healing is measured with two assessments (fracture line disappearance and consolidation of matrix). Each of the 10 assessed dimensions of radiographic femoral neck healing are scored 1 to 3, lea

6 weeks - RUSH Healing
GroupValue95% CI
N-Force Screws5
3 months - RUSH Healing
GroupValue95% CI
N-Force Screws6
6 months - RUSH Healing
GroupValue95% CI
N-Force Screws5
12 months - RUSH Healing
GroupValue95% CI
N-Force Screws3
Participant Steinberg Classification at 12 Months Secondary · 12 months

Steinberg Classification is based on the radiographic appearance and location of lesion. It is concise and delineates the progression and extent of Avascular Necrosis (AVN) involvement more accurately. \[stage 0:\] normal or non-diagnostic radiographs, MRI and bone scan of at risk hip (often contralateral hip involved, or patient has risk factors and hip pain) \[stage I:\] normal radiograph, abnormal bone scan and/or MRI \[stage II:\] cystic and sclerotic radiographic changes \[stage III:\] subchondral lucency or crescent sign \[stage IV:\] flattening of femoral head, with depression graded i

Stage 0: Normal radiographs
GroupValue95% CI
N-Force Screws1
Stage VI: Advanced degenerative changes
GroupValue95% CI
N-Force Screws1
Average FIX-IT Score (Clinical Fracture Healing of the Intracapsular Femur) Secondary · 6 weeks, 3 months, 6 months, and 12 months

The Function IndeX for Trauma (FIX-IT) score is an assessment tool for patients with lower extremity fractures, incorporating pain and the ability to weight-bear. The score utilizes two questions to assess the ability to bear weight and two questions to assess pain at the fracture site. The maximum subtotal for each set of questions is 6 points, yielding a maximum overall score of 12 points and a minimum score (lowest weight bearing and highest pain) of 0 points.

6 week - Fix-IT Score
GroupValue95% CI
N-Force Screws6.4± 2.4
3 month - Fix-IT Score
GroupValue95% CI
N-Force Screws8.2± 2.1
6 month - Fix-IT Score
GroupValue95% CI
N-Force Screws8.6± 3.5
12 month - Fix-IT Score
GroupValue95% CI
N-Force Screws7± 5.3
Average EQ-5D-5L Score (Clinical Fracture Healing of the Intracapsular Femur) Secondary · 6 weeks, 3 months, 6 months, and 12 months

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. The Health Status is scored on a VAS scale of 0 to 100, where 100 ('the best imaginable health state' or 'the best health state you can imagine') to 0 ('the wor

6 week - EQ-5D Score
GroupValue95% CI
N-Force Screws.605± .257
3 month - EQ-5D Score
GroupValue95% CI
N-Force Screws.674± .136
6 month - EQ-5D Score
GroupValue95% CI
N-Force Screws.719± .131
12 month - EQ-5D Score
GroupValue95% CI
N-Force Screws.542± .420
6 week - Health Status
GroupValue95% CI
N-Force Screws68.7± 17.1
3 month - Health Status
GroupValue95% CI
N-Force Screws74.4± 25.2
6 month - Health Status
GroupValue95% CI
N-Force Screws68± 23.1
12 month - Health Status
GroupValue95% CI
N-Force Screws78.3± 2.9
Average Harris Hips Score (Clinical Fracture Healing of the Intracapsular Femur) Secondary · 6 weeks, 3 months, 6 months, and 12 months

This will be measured using Harris Hip Score. This is quantified on a scale of 0-100 and the domains covered are pain, function, absence of deformity, and range of motion. The score is quantified on a scale of 0-100, with 100 points being the best possible outcome. The domains cover pain (1 item, 0-44 points), function (7 items, 0-47 points), absence of deformity (1 item, 4 points), and range of motion (2 items, 5 points).

6 weeks - Harris Hip Score
GroupValue95% CI
N-Force Screws55.7± 16
3 months - Harris Hip Score
GroupValue95% CI
N-Force Screws59.3± 17.6
6 months - Harris Hip Score
GroupValue95% CI
N-Force Screws65.4± 15.7
12 months - Harris Hip Score
GroupValue95% CI
N-Force Screws68.7± 28.7
Number of Participants That Performed Timed Up-and-Go Test (Clinical Fracture Healing of the Intracapsular Femur) Secondary · 6 weeks, 3 months, 6 months, and 12 months

This will be measured using the Timed 'Up-and-Go' Test. It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.This test is used to assess a person's mobility and requires both static and dynamic balance. Scores of ten seconds or less indicate normal mobility, 11-20 seconds are within normal limits for frail elderly and disabled patients, and greater than 20 seconds means the person needs assistance outside and indicates further examination and intervention. A score of 30 seconds or more suggests that the person may be pr

6 Week - Did Patient perform test?
GroupValue95% CI
N-Force Screws5
3 Month - Did Patient perform test?
GroupValue95% CI
N-Force Screws6
6 Month - Did Patient perform test?
GroupValue95% CI
N-Force Screws4
1 Year - Did Patient perform test?
GroupValue95% CI
N-Force Screws1
Average Participant Time to Complete Timed Up-and-Go Test (Clinical Fracture Healing of the Intracapsular Femur) Secondary · 6 weeks, 3 months, 6 months, and 12 months

This will be measured using the Timed 'Up-and-Go' Test. It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.This test is used to assess a person's mobility and requires both static and dynamic balance. Scores of ten seconds or less indicate normal mobility, 11-20 seconds are within normal limits for frail elderly and disabled patients, and greater than 20 seconds means the person needs assistance outside and indicates further examination and intervention. A score of 30 seconds or more suggests that the person may be pr

6 Week - Average Time to Complete Test (seconds)
GroupValue95% CI
N-Force Screws21.8± 9.5
3 Month - Average Time to Complete Test (seconds)
GroupValue95% CI
N-Force Screws35.3± 39.9
6 Month - Average Time to Complete Test (seconds)
GroupValue95% CI
N-Force Screws15.5± 7
1 Year - Average Time to Complete Test (seconds)
GroupValue95% CI
N-Force Screws11± 0

Adverse events — posted to ClinicalTrials.gov

Time frame: Per the protocol, ISO definitions were followed for adverse event data collection. All adverse events were captured for subjects enrolled through 12 months follow-up or study completion (including lost to follow-up), whichever came first.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

N-Force Screws
Serious: 1/12 (8%)
Deaths: 0/12

Serious adverse events (1 terms)

ReactionSystemN-Force Screws
Leg Pain and failure to thriveMusculoskeletal and connective tissue disorders
Other adverse events (11 terms — click to expand)

ReactionSystemN-Force Screws
Bout of dizzinessCardiac disorders
Right knee painMusculoskeletal and connective tissue disorders
Diagnosed with OsteoporosisMusculoskeletal and connective tissue disorders
Swollen left kneeMusculoskeletal and connective tissue disorders
Left groin painMusculoskeletal and connective tissue disorders
Lower Extremity/Foot SwollenMusculoskeletal and connective tissue disorders
Left hip pain and weakness after multiple fallsMusculoskeletal and connective tissue disorders
Strike AlertNervous system disorders
Scratched eye from contactsEye disorders
AVNMusculoskeletal and connective tissue disorders
Screw looseningProduct Issues

Most-reported serious reactions: Leg Pain and failure to thrive.

Data from ClinicalTrials.gov NCT03807349 adverse events section.

Sponsor's own description

The objective of this prospective study is to confirm safety and performance of N-Force Screws augmented with N-Force Blue applied in intracapsular proximal femur fracture treatment.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Complication and Infection Risk Using Bone Substitute Materials to Treat Long Bone Defects in Geriatric Patients: An Observational Study.
    Pawelke J, Vinayahalingam V, El Khassawna T, Heiss C, et al · · 2023 · cited 8× · PMID 36837565 · DOI 10.3390/medicina59020365

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03807349.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing