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임상시험 NCT03737149은(는) 무릎 골관절염, 고관절 골관절염에 대해 진행중, 모집종료 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요.
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카드 뷰

A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform

진행중, 모집종료
임상시험 세부 정보는 주로 영어로 제공됩니다. 하지만 임상 레이더 AI가 도와드릴 수 있습니다! '시험 설명하기'를 클릭하여 선택한 언어로 임상시험 정보를 확인하고, 이에 대해 AI와 논의해 보세요.
임상시험 NCT03737149은(는) 무릎 골관절염, 고관절 골관절염에 대해 알아보는 중재연구입니다. 현재 상태는 진행중, 모집종료이며, 연구는 2018년 10월 22일에 시작되어 10,500명의 참여자를 모집하고 있습니다. Zimmer Biomet이(가) 진행하며, 2025년 12월 31일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2025년 11월 4일에 갱신되었습니다.
간단한 개요
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.
상세한 설명
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.

공식 제목

A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform

질환/상태
무릎 골관절염고관절 골관절염
출판물
이 임상 시험에 대해 발표된 과학 논문 및 연구 자료.
기타 연구 식별자
  • CLU2018-13CH
NCT 번호
실제 연구 시작일
2018-10-22
최신 업데이트 게시
2025-11-04
예상 연구 완료일
2025-12-31
계획된 등록 인원
10,500
연구종류
중재연구
단계/상
해당 없음
상태
진행중, 모집종료
키워드
Knee Replacement
Knee Arthroplasty
Hip Replacement
Hip Arthroplasty
Joint Replacement
Physical Therapy
Partial Knee Replacement
Hip Pain, Chronic
Knee Pain, Chronic
주요 목적
지지요법
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
없음 (공개라벨)
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적mymobility 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.
비개입Standard of Care Physical Therapy
Standard of care patient education and post-operative physical therapy, as determined by local site guidelines and care pathways.
해당 없음
주요결과변수
결과변수측정값 설명시간 범위
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
이차결과변수
결과변수측정값 설명시간 범위
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
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
  1. Subject must be 18 years of age or older.
  2. Subject qualifies for a primary, unilateral total or partial knee arthroplasty, based on physical exam and medical history.
  3. 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.
  4. Subject owns and maintains an iPhone capable of pairing to the Apple Watch, supporting iOS updates and is compatible with the mymobility App.
  5. Subject is willing and able to complete the protocol required follow-up.
  6. Subject is able to read and understand the language used in the mymobility App for their region.
  7. 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.
  8. Subject is mobile with no more than a single cane/single crutch assist preoperatively.

  1. Subject is a current alcohol or drug abuser as defined by the investigator.
  2. Subject is considered a member of a protected population (e.g., prisoner, mentally incompetent, etc.).
  3. Subject has systemic inflammatory arthropathies which would interfere or compromise the activity profiles within this study.
  4. Subject is currently participating in any other surgical intervention, physical therapy or pain management study which would compromise the results of this study.
  5. 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.
Zimmer Biomet logoZimmer Biomet
연락처 정보가 없습니다.
30 4개국에 임상시험 장소

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