Multicenter Retrospective Observational Study to Assess the Clinical Performance and Safety Profile of Agile Nail in Paediatric Patients Who Have Suffered Femoral Shaft and Subtrochanteric Fractures or Have Performed Prophylactic Nailing of Impending Pathologic Fractures or Have Undergone Fixation of Femurs That Have Been Surgically Prepared for Deformity Correction: Agile Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Post-treatment fracture-free survival
研究概览
简要总结
This study aims to retrospectively collect data from routine clinical practice in order to evaluate the safety profile of the Agile intramedullary nail, used in pediatric patients according to the manufacturer Instructions For Use (IFU) in the time frame from the time of surgery until the last follow-up visit available at the hospitals.
详细描述
The study will be conducted in two investigational sites, one in France and one in United Kingdom, both experienced in the treatment of pediatric patients with femoral shaft and subtrochanteric fractures and deformity correction procedures or have performed prophylactic nailing of impending pathologic fractures, where the usage of AGILE NAIL (known as AGILE) was part of the normal clinical practice.
Investigator of both study sites will provide data for a maximum of 45 patients meeting inclusion and exclusion criteria (Considering a drop-out or a non-evaluable rate of 10% of the procedures) that will contribute for approximately 45 procedures in which AGILE was used.
No diagnostic or therapeutic intervention outside of routine clinical practice will be applied. The study has been designed to analyze medical records of patients where study data was collected as part of their routine clinical practice. Therefore, patients will be retrospectively enrolled in the study. Patients who have undergone AGILE implantation from 04/2018 to 12/2022 are considered for the study. The observation period of study subjects will comprise from surgery until the last follow up visit available.
Medical records of the participating sites are expected to contain all the required information.
In United Kingdom, no study visit will be required but according to local legislation, it will be essential that before collecting any information from medical records, participants or their guardians are asked for specific informed consent to be signed by them before any collection of patient information takes place.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Months 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient has been adequately informed by providing the PIS. 1.1 The patient expressed his willingness to participate in the Study by signing and dating informed consent (valid only for UK patients according to local law).
- •Patients who had a regular indication for surgical intervention with Agile Nail according to the manufacturer's IFU.
- •Patients in pediatric age ((> 18 month and < 18 years) at the time of surgery.
- •Patients skeletally immature.
- •Patients who underwent surgery performed with Agile Nail.
- •Patients with clinical data registered in her/him medical records sufficient to assess the safety and efficacy endpoint of the study: in particular, the patient has at least one followup at minimum 3 months from the surgery where is possible for the investigator to assess the consolidation of the treated bone.
- •The patient had surgery at least 1 year before enrollment.
排除标准
- •Patient who had/has a medical condition that is a contraindication according to the manufacturer's instruction for use leaflet.
- •Patient who had/has a concomitant not permitted device which cannot be safely removed.
- •Patient for whom there are other concurrent medical or other conditions that in the opinion of the participating investigator may prevent participation or otherwise render the patient ineligible for the study.
- •The patient had surgery less than 1 year before enrollment.
结局指标
主要结局
Post-treatment fracture-free survival
时间窗: up to 1 year
The measurement will be used to assess efficacy
Percentage of procedures in which deformity correction was maintained according to investigator's opinion (only for procedure where the indication is "Deformity Correction")
时间窗: from the date of surgery until the last follow-up, assessed up to 1 year
The measurement will be used to assess efficacy
Percentage of procedures with at least one serious/not serious adverse event certainly related or possibly related to Agile Nail (ADEs/SADEs)
时间窗: from the date of surgery until the last follow-up, assessed up to 1 year
This outcome will be used to measure safety
Percentage of procedures that have achieved bone union at the "bone consolidation assessment" visit
时间窗: After 5 month (approximately) from surgery
The measurement of efficacy will be mande with the percentage of procedures that have achieved bone union
Percentage of procedures who experienced at least one MDDs that caused an effect on the patient
时间窗: from the date of surgery until the last follow-up, assessed up to 1 year
This outcome will be used to measure safety
次要结局
未报告次要终点
