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Trial registered on ANZCTR
Registration number
ACTRN12624000412538p
Ethics application status
Submitted, not yet approved
Date submitted
2/03/2024
Date registered
4/04/2024
Date last updated
4/04/2024
Date data sharing statement initially provided
4/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of Viable Cartilage Allograft in talar osteochondral lesions
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Scientific title
Efficacy of Viable Cartilage Allograft in talar osteochondral lesions
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Secondary ID [1]
311644
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Nil
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Universal Trial Number (UTN)
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Trial acronym
eVAC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteochondral Lesion in the Talus
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Condition category
Condition code
Musculoskeletal
329785
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0
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Other muscular and skeletal disorders
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Injuries and Accidents
329952
329952
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Osteochondral lesion of the talus are common and can be present in upto 6.5% of the population. While some may be asymptomatic, others can cause pain affecting lifestyle and potential lead to accelerated wear and potential arthritis. Traditionally microfracture has been the mainstay of surgical treatment however this can be associated with ongoing symptoms. The purpose of this pilot study is to assess the clinical efficacy of viable cartilage allograft in treating talar osteochondral lesions.
Patients enrolled in the study will receive Viable cartilage allograft. The viable cartilage allograft (CartiMax) is supplied by CONMED corporation.
As part of the procedure, an ankle arthroscopy will be performed in an operating theatre of a an Australian hospital. The lesion will be identified, prepared and the viable cartilage allograft will then be inserted. The surgery will take approximately 60 minutes. The surgeons involved are Australian trained foot and ankle orthopaedic surgeons with a number of years of experience. The surgeon performing the surgery will be implanting the allograft.
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Intervention code [1]
328107
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Treatment: Surgery
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Foot and Ankle Outcome Score
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Assessment method [1]
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FAOS score
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Timepoint [1]
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Baseline, 6 weeks, 3, 6 and 12 months post surgery
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Secondary outcome [1]
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General Health
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Assessment method [1]
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VR-12
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Timepoint [1]
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Baseline, 6 weeks, 3, 6 and 12 months post surgery
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Secondary outcome [2]
432312
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Radiology for lesion resolution
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Assessment method [2]
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MRI
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Timepoint [2]
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3, 6 and 12 months post surgery
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Secondary outcome [3]
432313
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Radiology for lesion resolution
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Assessment method [3]
432313
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Xrays
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Timepoint [3]
432313
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6 weeks, 3, 6 and 12 months post surgery
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Secondary outcome [4]
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Adverse Events
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Assessment method [4]
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E.g. infection, fractures, deep vein thrombosis etc.
Patient self-reported or investigator reported
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Timepoint [4]
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2, 6 weeks; 3, 6 and 12 months post surgery
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Eligibility
Key inclusion criteria
Patients between the ages of 18 to 65 (inclusive) undergoing surgery to treat talar osteochondral lesions will be included.
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Minimum age
18
Years
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Maximum age
65
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
Exclusion criteria will be bilateral surgery, revision procedures, not willing to participate in the trial, cognitive impairment that may impair the patient’s ability to follow post-operative instructions or unable to provide informed consent.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2024
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Actual
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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
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Sydney Orthopaedic Foot and Ankle Research Institute
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
316230
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Commercial sector/Industry
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Name [2]
316230
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Conmed Corporation
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Address [2]
316230
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Country [2]
316230
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Australia
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Primary sponsor type
Other
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Name
Sydney Orthopaedic Foot and Ankle Research Institute
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Address
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Country
Australia
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Secondary sponsor category [1]
318114
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Commercial sector/Industry
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Name [1]
318114
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CONMED Corporation
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Address [1]
318114
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Country [1]
318114
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
314794
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Ramsay Health Care Human Research Ethics Committee A
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Ethics committee address [1]
314794
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https://www.ramsayhealth.com.au/Ramsay-Research/Reseach-Ethics-at-Ramsay
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Ethics committee country [1]
314794
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Australia
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Date submitted for ethics approval [1]
314794
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29/05/2023
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Approval date [1]
314794
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Ethics approval number [1]
314794
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Summary
Brief summary
Osteochondral lesion in talus can be challenging to treat leading to ongoing pain and loss of function. This study aims to investigate the efficacy of viable cartilage allograft for osteochondral talar dome lesions. The study hypothesis is: In patients with talus osteochondral lesions, viable cartilage allograft can improve patient pain and function.
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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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A/Prof Rajat Mittal
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Address
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Suite 10, Westmead Private Hospital, Cnr of Mons and Darcy Road, Westmead NSW 2145.
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Country
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Australia
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Phone
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+61 2 87552645
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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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Rajat Mittal
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Address
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Suite 10, Westmead Private Hospital, Cnr of Mons and Darcy Road, Westmead NSW 2145.
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Country
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Australia
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Phone
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+61 2 87552645
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Fax
132755
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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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Rajat Mittal
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Address
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Suite 10, Westmead Private Hospital, Cnr of Mons and Darcy Road, Westmead NSW 2145.
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Country
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Australia
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Phone
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+61 2 87552645
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Fax
132756
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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)?
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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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