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治験 NCT03737149(対象:変形性膝関節症、股関節の変形性関節症)は実施中/登録終了です。詳細は治験レーダーのタイル表示と AI 発見ツールで確認するか、ここで質問してください。 | ||
フィルター基準に一致する試験が1件見つかりました
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A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform
治験(臨床試験)の詳細は主に英語で提供されています。しかし、治験レーダーAIが支援できます!「治験を説明」をクリックして、選択した言語で試験情報を表示し、議論してください。
治験番号 NCT03737149 は 介入研究 臨床試験 で、変形性膝関節症、股関節の変形性関節症 に関するものです。現在は 実施中/登録終了 で、2018年10月22日 から開始しています。10,500 名の参加者 の募集が計画されています。この治験は Zimmer Biomet によって主催され、2025年12月31日 に完了予定です。ClinicalTrials.gov からの最新更新日は 2025年11月4日 です。
概要
Post-market prospective, multi-center longitudinal study to determine if mobile application-guided education and exercise paired with accurate and sensitive activity monitoring, captured from consumer wearables, can provide a viable (and potentially improved) alternative to current standard of care physical therapy for hip and knee arthroplasty.
詳細説明
This is a post-market prospective, multi-center longitudinal study in subjects undergoing primary total knee arthroplasty (TKA), total hip arthroplasty (THA), or partial knee arthroplasty (PKA). The study objective is to determine if mobile application-guided education and exercise paired with accurate and sensitive activity monitoring, captured from consumer wearables, can provide a viable (and potentially improved) alternative to current standard of care patient education and physical therapy for hip and knee arthroplasty. The study will be conducted in phases. The first phase (N = 300) will consist of a pilot cohort of subjects and will primarily serve to determine site study staffing needs and time required for various elements of study execution. The second phase (N = 1,000, RCT) will consist of a randomized controlled subject cohort and will compare outcomes of mobile application-guided exercises and activity with standard of care (SOC) physical therapy. The third phase (N ~ 10,000 including subjects from both Phase I and the study arm from RCT/Phase II) will seek to collect enough data to enable the creation of decision support algorithms for outcomes of joint replacement. All subjects will undergo a TKA, THA, or PKA using SOC procedures and commercially-available devices as part of their clinical care. Subjects will then complete prescribed post-operative activities, such as physical therapy, according to SOC or performing exercises as scheduled through the mymobility app. In office assessments will be conducted at approximately 30 days prior to surgery, 30 days after surgery, and 3 months after surgery. Virtual assessments (including subject questionnaires and recording of adverse events) will occur at approximately 6 months and 1 year post-op.
February 2022 update: Eligibility criteria for new patients includes total knee and partial knee arthroplasty surgeries. Previously enrolled total hip arthroplasty patients will remain in the study for follow-up.
公式タイトル
A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform
疾患/病気
変形性膝関節症股関節の変形性関節症刊行物
この臨床試験について発表された科学記事と研究論文:その他の研究識別子
- CLU2018-13CH
NCT番号
開始日
2018-10-22
最終更新日
2025-11-04
終了予定日
2025-12-31
目標参加者数
10,500
試験の種類
介入研究
治験の相・段階
該当なし
状況
実施中/登録終了
キーワード
Knee Replacement
Knee Arthroplasty
Hip Replacement
Hip Arthroplasty
Joint Replacement
Physical Therapy
Partial Knee Replacement
Hip Pain, Chronic
Knee Pain, Chronic
Knee Arthroplasty
Hip Replacement
Hip Arthroplasty
Joint Replacement
Physical Therapy
Partial Knee Replacement
Hip Pain, Chronic
Knee Pain, Chronic
主目的
支持療法
割付方法
無作為化
介入モデル
並行割当
盲検化
なし(非盲検)
群(アーム)/介入
| 参加グループ/群 | 介入/治療法 |
|---|---|
実験的mymobility with Apple Watch Post-operative mobile application-guided education and exercise paired with accurate and sensitive activity monitoring. | Mymobility with Apple Watch The mymobility mobile application is a mobile software platform designed to facilitate remote episode of care management and asynchronous communication between the provider care team and their patient via provider-approved care plans and engagement communications. Current care pathways have been developed for: Total Hip Replacement, Total Knee Replacement and Partial Knee Replacement. Designed for the orthopedic population, mymobility also integrates wearable data from the Apple Watch into provider dashboards, providing enhanced understanding and monitoring of patients throughout the episode of care. |
非介入Standard of Care Physical Therapy Standard of care patient education and post-operative physical therapy, as determined by local site guidelines and care pathways. | 該当なし |
主要評価項目
副次評価項目
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Phase II (RCT): Readmission Rate | RCT Phase: Non-inferiority of the mymobility with Apple Watch group in the number of readmissions through 30 days post-op compared to subjects receiving standard physical therapy. | 30 Days postop |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Phase II RCT: Knee Injury and Osteoarthritis Outcome Score - Joint Replacement (KOOS, JR) | The KOOS, JR score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. | 90 Days |
Phase II RCT: Hip disability and Osteoarthritis Outcome Score - Joint Replacement (HOOS, JR) | The HOOS, JR score ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. | 90 Days |
Phase II RCT: EQ-5D-5L | Non-inferiority in post-operative EQ-5D-5L outcomes for the mymobility with Apple Watch group compared to subjects receiving standard physical therapy. | 90 Days |
Phase II RCT: Incidence of Manipulation under Anesthesia (MUA) | Comparison of incidence of Manipulation under anesthesia (MUA) between the study groups. | 90 Days |
Phase II RCT: Timed Up and Go (TUG) | Timed Up and Go Test: The time to rise from a chair, walk 10 feet, turn around, walk back to the chair and sit down. | 90 Days |
Phase II RCT: Single-Leg Stance (SLS) Test | Balance Test while standing on a single leg. Three tests are performed and the best of the three times is recorded. The maximum time for this test is 60 seconds. | 90 Days |
Phase II RCT: Subject Satisfaction | Comparison of subject satisfaction survey results between the study groups. | 90 Days |
Phase II RCT: Healthcare Costs | The number of hospital readmissions, reoperations, urgent care visits, and emergency room visits will be captured and used to calculate the cost of care after the joint replacement procedure. | 90 Days |
適格基準
対象年齢
成人, 高齢者
試験の最低年齢
18 Years
対象性別
全て
- Subject must be 18 years of age or older.
- Subject qualifies for a primary, unilateral total or partial knee arthroplasty, based on physical exam and medical history.
- Investigator plans to treat subject with a commercially-available device, used on-label according to the manufacturer's instructions for use, as part of their clinical care.
- Subject owns and maintains an iPhone capable of pairing to the Apple Watch, supporting iOS updates and is compatible with the mymobility App.
- Subject is willing and able to complete the protocol required follow-up.
- Subject is able to read and understand the language used in the mymobility App for their region.
- Subject is willing and able to provide written Informed Consent and Authorization by signing and dating the IRB/EC approved Informed Consent Form and Authorization. Where applicable, subject must also be willing to provide authorization for use of protected health information in accordance with local privacy laws.
- Subject is mobile with no more than a single cane/single crutch assist preoperatively.
- Subject is a current alcohol or drug abuser as defined by the investigator.
- Subject is considered a member of a protected population (e.g., prisoner, mentally incompetent, etc.).
- Subject has systemic inflammatory arthropathies which would interfere or compromise the activity profiles within this study.
- Subject is currently participating in any other surgical intervention, physical therapy or pain management study which would compromise the results of this study.
- Subject requires simultaneous or staged bilateral replacements, staged<90 days apart. Subjects can be enrolled into the study for the second, staged arthroplasty if scheduled >89 days after their first, contralateral replacement.
連絡先情報がありません。
30 4カ国の場所
California
Sah Orthopaedic Associates, Fremont, California, 94538, United States
Hoag Orthopedic Institute, Irvine, California, 92618, United States
Stanford University, Redwood City, California, 94063, United States
Colorado
Colorado Joint Replacement, Denver, Colorado, 80210, United States
Panorama Orthopedics & Spine Center, Golden, Colorado, 80401, United States
Florida
Foundation for Orthopedic Research and Education, Temple Terrace, Florida, 33637, United States
Cleveland Clinic Florida, Weston, Florida, 33331, United States
Georgia
Emory University, Atlanta, Georgia, 30329, United States
Illinois
Rush University Medical Center, Chicago, Illinois, 60612, United States
Indiana
Midwest Center for Joint Replacement, Indianapolis, Indiana, 46241, United States
Kentucky
Bluegrass Orthopaedics, Lexington, Kentucky, 40509, United States
Maryland
OrthoBethesda, Bethesda, Maryland, 20817, United States
Massachusetts
Newton-Wellesley Hospital, Newton, Massachusetts, 02462, United States
Michigan
Ascension Medical Group - University Orthopaedic Specialists, Rochester Hills, Michigan, 48307, United States
Michigan Orthopaedic Surgeons, Troy, Michigan, 48084, United States
Missouri
Washington University, St Louis, Missouri, 63110, United States
New Jersey
Rothman Institute, Montvale, New Jersey, 07645, United States
New Mexico
New Mexico Orthopaedic Associates, Albuquerque, New Mexico, 87110, United States
North Carolina
Duke University, Morrisville, North Carolina, 27560, United States
Ohio
Cleveland Clinic Main Campus, Cleveland, Ohio, 44195, United States
JIS Orthopedics, New Albany, Ohio, 43054, United States
Oregon
Orthopedic + Fracture Specialists, Portland, Oregon, 97225, United States
ROC Orthopedics, Tualatin, Oregon, 97062, United States
Pennsylvania
Rothman Institute, Bryn Mawr, Pennsylvania, 19010, United States
University of Pennsylvania, Philadelphia, Pennsylvania, 19104, United States
Utah
University of Utah, Salt Lake City, Utah, 84108, United States
Australian Capital Territory
National Capital Private Hospital, Canberra, Australian Capital Territory, 2605, Australia
Victoria
Epworth Healthcare - Richmond, Richmond, Victoria, 3121, Australia
Policlinico Universitario Campus Bio-Medico, Roma, Italy
St. Annaziekenhuis, Geldrop, Netherlands