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AzTrials

Femoral FractureSERRENCT05087667

Study of the Effectiveness of a Polymer Cerclage System Compared to Cerclages Used in Standard Care (CERCPMCF) )

A study testing Implantation of Ortholoop cerclage and Implantation of Cerclage used in current practice in people with Femoral Fracture, run by Quanta Medical at 15 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The use of cerclage wiring in the management of long bone fractures is common. With the increase in the placement of total hip ans shoulder prostheses, the occurrence of peri-prosthetic hip an shoulder fractures is also increasing, notably due to an older population. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Femoral Fracture
What is being tested?
Implantation of Ortholoop cerclage and Implantation of Cerclage used in current practice
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
202 participants
Where
15 sitesFrance
Study dates
8 Mar 2022to Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patient with femoral or humeral fracture requiring the installation of one or more cerclage(s) and respecting at least one of the criteria below:
  • Primary femoral or humeral fractures (diaphyseal, metaphyseal, epiphyseal proximal or distal) with osteosynthesis by plate and screw or osteosynthesis by Intramedullary nailing associated with the installation of one or more cerclage(s)
  • Patients with traumatic fracture of femur or humerus that required prosthetic rehabilitation associated with the installation of one or more cerclage(s)
  • Peri-prosthetic fracture of the femur or humerus
  • Resumption of prosthesis (hip, knee, shoulder, elbow) requiring the installation of one or more cerclages
  • who underwent fixation with cerclage wiring (Sterile Self Locking Polymer Cerclage System or other cerclage systems used in standard care)
Show all 10Show fewer
  • age ≥18 years
  • Who have given free, informed and written consent to participate in the study
  • Patient able to communicate in French
  • Patient affiliated to a social security system or entitled to a social security system

Who cannot join

  • high-energy injury,
  • associated damage to other long bones,
  • fracture extension to the articular surface with displacement
  • Severe disease that could interfere with the study results or be life threatening
  • Patients with an infection
  • Allergy to any component of the medical products
Show all 11Show fewer
  • Pregnant or breastfeeding women
  • Anticipated unavailability during the study
  • Participation in a clinical trial within 3 months prior to the inclusion visit.
  • Patient with linguistic or psychological incapacity to understand and sign the informed consent.
  • Patient deprived of liberty by administrative or judicial decision, or being under guardianship.

Trial locations and contacts

15 sites in 1 country. Contact the study team or a site near you to ask about taking part.

15 sites in 1 country

France15 sites, 11 recruiting
  • Clinique ESQUIROL SAINT HILAIRE

    Agen, France, 47000

    Damien LAQUES, Dr

    Recruiting
  • CH Agen

    Agen, 47000

    Adrian BACIULESCU, Dr, 0623900370, baciulescua@ch-agen-nerac.fr

    Recruiting
  • CH Arcachon

    Arcachon, 33164

    Active, not recruiting
  • Clinique de Saint Omer

    Blendecques, 62575

    Pierre-Emmanuel RIDON, Dr, 06 67 53 77 94, pierre.emmanuel.ridon@gmail.com

    Recruiting
  • CH Le Mans

    Le Mans, 72037

    Lilian COZMA, Dr, 06 30 11 26 86, lcozma@ch-lemans.fr

    Recruiting
  • CH Libourne

    Libourne, 33505

    Pierre MEYNARD, Dr, 06 74 77 66 19, pierre.meynard@ch-libourne.fr

    Recruiting
  • CHU Lille

    Lille, Nord, 59000

    Marc SAAB, Marc.SAAB@CHRU-LILLE.FR

    Recruiting
  • Ch Metz - Thionville

    Metz, 57085

    MBarek IRRAZI, Dr, 06 62 62 51 38, Mb.irrazi@chr-metz-thionville.fr

    Recruiting
  • CHRU Nancy

    Nancy, 54000

    Didier MAINARD, Pr, 03 83 85 17 82, didier.mainard@univ-lorraine.fr

    Recruiting
  • CHU Nimes

    Nîmes, 30900

    Terminated
  • Hôpital Privé Francheville

    Périgueux, France, 24000

    Guy AMSALLEM, Dr

    Not yet recruiting
  • Polyclinique Du Parc

    Saint-Saulve, 59880

    Arnaud MULLIEZ, Dr, 03 27 23 92 79, amulliez@cliniqueduparc.com

    Recruiting
  • CHU Toulouse

    Toulouse, 31300

    Terminated
  • CH Tourcoing

    Tourcoing, France, 59208

    Active, not recruiting
  • CH Valenciennes

    Valenciennes, 59300

    Maciej SMOCZINSKY, Dr, 06 32 34 31 80, smoczynski-m@ch-valenciennes.fr

    Recruiting

Other trials in France

About this study

Official title: Outcomes of Adjuvant "Polymer Cerclage System "OrthoLoop" to Manage Prosthetic Rehabilitation, Per Prosthetic or Primary Femoral and Humeral Fractures. A Prospective , Multicentric, Simple Blind , Comparative, Non-inferiority Study, Compared to Cerclage Systems Used in Standard Care.

The use of cerclage wiring in the management of long bone fractures is common. With the increase in the placement of total hip ans shoulder prostheses, the occurrence of peri-prosthetic hip an shoulder fractures is also increasing, notably due to an older population.

Whether it is for a fracture on a native femur or humerus, or on a periprosthetic hip or shoulder fracture, the use of cerclage wiring is an adjuvant additional but not the main means to ensure stable osteosynthesis, allowing re-loading and early rehabilitation of patients. This method has demonstrated its ability to improve the fixation of this fracture type, associated with osteosynthesis or hip/shoulder prosthesis revision surgery. However, metal cerclage expose to a risk of metallosis which can compromise bone fusion, injury to neighboring soft parts causing pain and also injury to the surgical team when handling them. More recently, non-metallic cerclage have been developed and could overcome certain risks associated with metallic cerclage, while ensuring their bone fixing capacity and therefore bone consolidation. Indeed, non-metallic cerclage could withstand similar or even greater stresses than metallic cables, in particular concerning their resistance to rupture.

Read more

The "Sterile Self Locking Polymer Cerclage System" named OrthoLoop is a polymer cerclage which has been developed and could be used in these indications.

Thus, this study (SERRE) aims to investigate the clinical results and sequelae of adjuvant cerclage wires OrthoLoop Cerclage in the management of rehabilitation, per prosthetic or primary femoral or humeral fractures compared with cerclages system used in standard care.

SERRE is a 36 months follow up study in two arms :

  • Experimental group: "OrthoLoop cercalge"
  • Control group: "cerclages used in standard care" After each surgery, the patient follow-up period is 36 months. with 4 planned consultation visits after surgery at 6-8 weeks, 3, 6 and 36 months, with collection and measurement of the endpoints.

The main objective of this study is to assess the role of "OrthoLoop cerclage" of COUSIN Biotech in comparison with cerclages (metallic for the majority) used in standard care ; in the optimization of the consolidation of primary and periprosthetic femoral or humeral fractures, 6 months after surgery.

Being tested
Implantation of Ortholoop cerclage, Implantation of Cerclage used in current practice
Medical subject headings
Femoral Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Implantation of Ortholoop cerclageDevice

    implantation of Sterile Self Locking Polymer Cerclage System named OrthoLoop to the patient and follow up for 36 months post-intervention

  • Implantation of Cerclage used in current practiceDevice

    implantation of Cerclage used in current practice to patients and follow up for 36 months post-intervention

Study groups in NCT05087667
Study groupRoleWhat they receive
Polymer Cerclage System OrthoLoopExperimentalPatients receives Ortholoop Cerclage System
Receives: Device: Implantation of Ortholoop cerclage
cerclages used in standard careActive comparatorPatients receives cerclages used in standard care"
Receives: Device: Implantation of Cerclage used in current practice

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assess role of Polymer Cerclage System OrthoLoop of COUSIN Biotech in comparison with cerclages (metallic for the majority) used in standard care; in the optimization of the consolidation of primary and periprosthetic fractures of long bones

    primary endpoint will be success or failure 6 months after surgery:

    Success of "Sterile Self Locking Polymer Cerclage System" to optimize consolidation during 6 months post surgery is defined as:

    • the ability to walk full weight bearing without pain at the fracture site, or return to normal, painless mobility at the fracture site,
    • and radiographs showing signs of bony union with no rupture or migration of the cerclage.

    Rupture or cerclage migration or nonunion or need for revision of the implant before 6 months is considered as failure.

    Measured: 6 months post-surgery

Secondary outcomes (7)
  1. Assess consolidation rate during 6 months post surgery

    Consolidation (or union) is defined as the ability to walk full weight bearing without pain or return to normal, painless mobility at the fracture site , and radiographs showing signs of bony union

    Measured: 6 months post-surgery

  2. Asses union time

    Union time is defined as time from intervention until

    • For Femoral fracture: ability of patient to walk full weight bearing without pain at the fracture site and radiographs showing signs of bony union
    • For humeral fracture: The patient regained full mobility without pain at the fracture site.

    Measured: 3, 6 and 36 months post-surgery

  3. Assess rupture and migration rate of the cerclage after surgery throughout the follow-up

    Rupture and migration of the cerclage are confirmed on X Ray imaging.

    Measured: 3, 6 and 36 months post-surgery

  4. Assess pain

    Pain will be assessed using visual analog scale pain scores (VAS) from 0 to 100 (0 means no pain at all and 100 maximum pain) at each visit.

    Measured: 6-8 weeks,3, 6 and 36 months post-surgery

  5. To report the incidence of complications and their treatment, particularly with respect to the need of further surgery

    Safety data during patients 36 months follow up are defined such as:

    Infection Neurovascular injury Allergic reaction Bone ischemia Irritation feeling

    Measured: During the whole study (up to 36 months)]

  6. Assess surgery characteristics

    Surgery characteristics are:

    Rupture of cerclage during the surgery (at time of implantation) Number of wire cerclages used implant used for osteosynthesis (nail or plate) Using of screw fixation operative time

    Measured: During surgery (at D0)

  7. Assess physicians satisfaction regarding the use of "Sterile Self Locking Polymer Cerclage System

    Physicians satisfaction regarding the use of "Sterile Self Locking Polymer Cerclage System" will be assessed on:

    Global satisfaction of the surgeon Ease of use Ancillaries (Cable Passer, Tensioner) : ease of use and lightweight Ease of tension control by the surgeon using tensioner Ease of tracking of the cerclage on radiography Resistance over time (at least until bone consolidation) Presentation (ease of unwinding, packaging)

    Measured: During surgery (at D0)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2021
  2. Study start8 Mar 2022
  3. Primary completionJun 2026 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster's randomization
Masking
Single blind
Who is masked
Participant
Enrolment
202 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05087667
Sponsor's protocol ID
3069_CERCPMCF
Acronym
SERRE
Status last verified
Nov 2024
First submitted
21 Sep 2021
Last updated
20 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lindahl H. Epidemiology of periprosthetic femur fracture around a total hip arthroplasty. Injury. 2007 Jun;38(6):651-4. doi: 10.1016/j.injury.2007.02.048. Epub 2007 May 2.

    PubMed 17477925
  • Rayan F, Haddad F. Periprosthetic femoral fractures in total hip arthroplasty - a review. Hip Int. 2010 Oct-Dec;20(4):418-26. doi: 10.1177/112070001002000402.

    PubMed 21157744
  • Tsiridis E, Pavlou G, Venkatesh R, Bobak P, Gie G. Periprosthetic femoral fractures around hip arthroplasty: current concepts in their management. Hip Int. 2009 Apr-Jun;19(2):75-86. doi: 10.1177/112070000901900201.

    PubMed 19462362
  • Ferbert T, Jaber A, Gress N, Schmidmaier G, Gotterbarm T, Merle C. Impact of intraoperative femoral fractures in primary hip arthroplasty: a comparative study with a mid-term follow-up. Hip Int. 2020 Sep;30(5):544-551. doi: 10.1177/1120700019849911. Epub 2019 May 17.

    PubMed 31096789
  • Ebraheim NA, Sochacki KR, Liu X, Hirschfeld AG, Liu J. Locking plate fixation of periprosthetic femur fractures with and without cerclage wires. Orthop Surg. 2013 Aug;5(3):183-7. doi: 10.1111/os.12052.

    PubMed 24002835
  • Angelini A, Battiato C. Combination of low-contact cerclage wiring and osteosynthesis in the treatment of femoral fractures. Eur J Orthop Surg Traumatol. 2016 May;26(4):397-406. doi: 10.1007/s00590-016-1761-3. Epub 2016 Mar 17.

    PubMed 26983607
  • Gordon K, Winkler M, Hofstadter T, Dorn U, Augat P. Managing Vancouver B1 fractures by cerclage system compared to locking plate fixation - a biomechanical study. Injury. 2016 Jun;47 Suppl 2:S51-7. doi: 10.1016/S0020-1383(16)47009-9.

    PubMed 27338228
  • Angelini A, Battiato C. Past and present of the use of cerclage wires in orthopedics. Eur J Orthop Surg Traumatol. 2015 May;25(4):623-35. doi: 10.1007/s00590-014-1520-2. Epub 2014 Sep 4.

    PubMed 25186972
  • Altenburg AJ, Callaghan JJ, Yehyawi TM, Pedersen DR, Liu SS, Leinen JA, Dahl KA, Goetz DD, Brown TD, Johnston RC. Cemented total hip replacement cable debris and acetabular construct durability. J Bone Joint Surg Am. 2009 Jul;91(7):1664-70. doi: 10.2106/JBJS.G.00428.

    PubMed 19571089
  • Silverton CD, Jacobs JJ, Rosenberg AG, Kull L, Conley A, Galante JO. Complications of a cable grip system. J Arthroplasty. 1996 Jun;11(4):400-4. doi: 10.1016/s0883-5403(96)80029-5.

    PubMed 8792246
  • Peeters I, Depover A, Van Tongel A, De Wilde L. A review of metallic and non-metallic cerclage in orthopaedic surgery: Is there still a place for metallic cerclage? Injury. 2019 Oct;50(10):1627-1633. doi: 10.1016/j.injury.2019.06.034. Epub 2019 Jul 13.

    PubMed 31326103

Questions about this trial

What is this clinical trial studying?

A study testing Implantation of Ortholoop cerclage and Implantation of Cerclage used in current practice in people with Femoral Fracture, run by Quanta Medical at 15 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Marc Saab, Dr (+33 (0) 1 47 08 63 41, b.hill@quanta-medical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assess role of Polymer Cerclage System OrthoLoop of COUSIN Biotech in comparison with cerclages (metallic for the majority) used in standard care; in the optimization of the consolidation of primary and periprosthetic fractures of long bones (time frame: 6 months post-surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05087667, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Mar 2025.

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