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Femoral Neck FracturesFASTER-HIPNCT07244211

MAPT Protocol: Fixation Versus Arthroplasty Surgical Treatments for Early Recovery After HIP Fracture (FASTER-HIP)

A study testing Hip arthroplasty and Internal fixation in people with Femoral Neck Fractures, run by University of Southern California at 31 sites in 5 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

This study is an intervention domain of the Musculoskeletal Adaptive Platform Trial. The primary goal of this pragmatic, randomized, open-label, comparative effectiveness trial is to evaluate if arthroplasty is superior to internal fixation when used to treat minimally displaced femoral neck fractures in older adults… Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Femoral Neck Fractures
What is being tested?
Hip arthroplasty and Internal fixation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
31 sitesin 5 countries
Study dates
23 Jan 2026to 31 Jan 2030
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 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 60 years of age or older undergoing surgery due to a minimally displaced femoral neck fracture
  • The patient has a health condition affecting physical mobility.
  • Complete fracture of the femoral neck (AO/OTA 31B) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging.
  • Minimally displaced fracture that could be, in the judgment of the attending surgeon, managed with either arthroplasty or in situ internal fixation without reduction.
  • Low energy injury mechanism.
  • Surgeons with expertise in internal fixation and total hip arthroplasty or hemiarthroplasty are available to perform surgery.

Who cannot join

  • The patient is not clinically suitable for either compared treatment.
  • Expected injury survival of less than 12 months.
  • Terminal illness with expected survival of less than 12 months.
  • Incarceration.
  • Unable to obtain informed consent due to language barriers.
  • Unable to obtain informed consent because the legally authorized representative was unavailable.
Show all 19Show fewer
  • Problems, in the judgment of the study personnel, with maintaining follow-up with the patient.
  • Currently enrolled in a study or intervention domain that does not permit co-enrollment.
  • Prior enrollment in the specific platform trial intervention domain.
  • Patient or legally authorized representative did not provide informed consent (declined participation).
  • Eligible patient or legally authorized representative was not approached within the screening window (missed participant).
  • Other reasons to exclude the patient, as approved by the data coordinating center.
  • Associated lower extremity injury that prevents post-operative weight-bearing.
  • Retained hardware around the hip that precludes either study treatment.
  • Infection around the hip (soft tissue or bone).
  • Pathologic fracture with a lytic lesion in the femoral neck that precludes internal fixation.
  • Injury did not occur within 21 days of screening.
  • Patient is too ill, in the judgment of the attending surgeon, for internal fixation.
  • Patient is too ill, in the judgment of the attending surgeon, for arthroplasty.

Trial locations and contacts

31 sites in 5 countries. Contact the study team or a site near you to ask about taking part.

31 sites in 5 countries

United States21 sites, 21 recruiting
  • St. Luke's University Health System

    Allentown, Pennsylvania, 18102

    Dustin Greenhill, MD, dustin.greenhill@sluhn.org

    Dustin Greenhill, MD

    Recruiting
  • University of Maryland, Baltimore - R Adams Cowley Shock Trauma Center

    Baltimore, Maryland, 21201

    Mark Gage, MD, mgage@som.umaryland.edu

    Mark Gage, MD

    Recruiting
  • Indiana University

    Bloomington, Indiana, 47405

    Dillon O'Neill, MD, doneill5@iuhealth.org

    Dillon O'Neill, MD

    Recruiting
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

    Ishaq Ibrahim, MD, ioibrahi@bidmc.harvard.edu

    Ishaq Ibrahim, MD

    Not yet recruiting
  • University of Vermont

    Burlington, Vermont, 05405

    Michael Blankstein, MD, michael.blankstein@uvmhealth.org

    Michael Blankstein, MD

    Not yet recruiting
  • University of Cincinnati

    Cincinnati, Ohio, 45221

    Michael Beltran, MD, beltrame@ucmail.uc.edu

    Michael Beltran, MD

    Recruiting
  • Inova Health Care Services

    Fairfax, Virginia, 22031

    Grag Gaski, MD, greg.gaski@inova.org

    Greg Gaski, MD

    Recruiting
  • Prisma Health-Upstate

    Greenville, South Carolina, 29601

    Kyle Jeray, MD, kyle.jeray@prismahealth.org

    Kyle Jeray, MD

    Recruiting
  • University of California, Irvine

    Irvine, California, 92660

    Gerard Slobogean, MD, 714-456-1699, gsloboge@hs.uci.edu

    Gerard Slobogean, MD

    Recruiting
  • University of Maryland Capital Region Health

    Largo, Maryland, 20774

    Todd Jaeblon, MD, tjaeblon@som.umaryland.edu

    Todd Jaeblon, MD

    Recruiting
  • Los Angeles General Medical Center

    Los Angeles, California, 90033

    Joshua Gary, MD, +13234426984, OrthoTraumaResearch@med.usc.edu

    Joshua L Gary, MD

    Recruiting
  • University of Southern California

    Los Angeles, California, 90033

    Joshua Gary, MD, +13234426984, OrthoTraumaResearch@med.usc.edu

    Joshua L Gary, MD

    Recruiting
  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

    Carol Lin, MD, carol.lin@cshs.org

    Carol Lin, MD

    Recruiting
  • University of Wisconsin - Madison

    Madison, Wisconsin, 53706

    Chris Domes, MD, domes@ortho.wisc.edu

    Chris Domes, MD

    Recruiting
  • University of Miami

    Miami, Florida, 33146

    Giselle Hernandez, MD, g.hernandez@med.miami.edu

    Giselle Hernandez, MD

    Not yet recruiting
  • Vanderbilt University

    Nashville, Tennessee, 37235

    Lauren Tatman, MD, lauren.m.tatman@vumc.org

    Lauren Tatman, MD

    Recruiting
  • NYU Langone Health

    New York, New York, 10016

    Daniel Waren, Daniel.waren@nyulangone.org

    Ran Schwarzkopf, MD

    Recruiting
  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

    Brandon Hull, MD, Brandon-Hull@ou.edu

    Brandon Hull, MD

    Recruiting
  • University of Utah

    Salt Lake City, Utah, 84108

    Lucas Marchand, MD, lucas.marchand@hsc.utah.edu

    Lucas Marchand, MD

    Recruiting
  • University of California San Francisco

    San Francisco, California, 94143

    Saam Morshed, MD, Saam.morshed@ucsf.edu

    Saam Morshed, MD

    Recruiting
  • University of Mississippi

    University, Mississippi, 38677

    Patrick Bergin, MD, pbergin@umc.edu

    Patrick Bergin, MD

    Recruiting

Other trials in United States

Canada4 sites, 4 recruiting
  • London Health Sciences Centre

    London, Ontario, N6A 5W9,

    Emil Schemitsch, MD, emil.schemitsch@lhsc.on.ca

    Emil Schemitsch, MD

    Recruiting
  • The Ottawa Hospital

    Ottawa, K1H 8L6

    Bradley Meulenkamp, MD, bmeulenkamp@toh.ca

    Bradley Meulenkamp, MD

    Not yet recruiting
  • University of British Columbia

    Vancouver, British Columbia, V6T 1Z4

    Aresh Sepehri, MD

    aresh.sepehri@vch.ca

    Recruiting
  • Fraser Health Authority

    Vancouver, British Columbia

    Darius Viskontas, MD, 604-777-5577, dariusviskontas@yahoo.ca

    604-777-5577

    Recruiting

Other trials in Canada

Spain4 sites, 4 recruiting
  • Hospital Universitario Mutua de Terrassa

    Barcelona, 08221

    Pablo Castillon Bernal, MD, pablocastillon@mutuaterrassa.es

    Pablo Castillon Bernal, MD

    Not yet recruiting
  • Consorci Sanitari de l'Alt Penedès i Garraf (CSAPG)

    Barcelona

    Alfred Dealbert Dealbert, MD, adealbert@csapg.cat

    Alfred Dealbert, MD

    Not yet recruiting
  • FRCB-IDIBAPS (Hospital Clinic Barcelona)

    Barcelona

    Pilar Camacho, MD, PCAMACHO@clinic.cat

    Pilar Camacho, MD

    Not yet recruiting
  • Hospital Universitari Vall d'Hebron

    Barcelona

    Carlos Alberto Piedra-Calle, MD, carlosalberto.piedra@vallhebron.cat

    Carlos Alberto Piedra-Calle, MD

    Not yet recruiting

Other trials in Spain

Norway1 site, 1 recruiting
  • Sykehuset Østfold HF / Østfold Hospital Trust

    Grålum, 1714

    Frede Frihagen, MD

    Frede.Frihagen@so-hf.no

    Recruiting

Other trials in Norway

United Kingdom1 site, 1 recruiting
  • University of Edinburgh

    Edinburgh, EH8 8BG

    Andrew Duckworth, MD, andrew.duckworth@ed.ac.uk

    Not yet recruiting

Other trials in United Kingdom

About this study

Official title: Musculoskeletal Adaptive Platform Trial (MAPT): Fixation Versus Arthroplasty Surgical Treatments for Early Recovery After HIP Fracture (FASTER-HIP)

This study is an intervention domain of the Musculoskeletal Adaptive Platform Trial. The primary goal of this pragmatic, randomized, open-label, comparative effectiveness trial is to evaluate if arthroplasty is superior to internal fixation when used to treat minimally displaced femoral neck fractures in older adults ≥60 years old. We hypothesize that arthroplasty will reduce death, preserve ambulation, increase days alive and out of hospital, and improve health status compared to internal fixation within 4 months and 12 months from randomization.

Read the detailed description

The Musculoskeletal Adaptive Platform Trial (MAPT) is an adaptive platform trial protocol that enables the simultaneous evaluation of multiple interventions (i.e., intervention domains) within a consistent infrastructure. Each intervention being evaluated in the MAPT will have an intervention domain protocol that describes additional eligibility criteria, interventions, secondary outcomes, and statistical stopping rules. The overarching objective of the MAPT trial platform is to incrementally decrease decisional uncertainty and identify treatments that will optimize patient outcomes. The platform focuses on the comparative effectiveness of available treatment options.

Adult patients aged 60 years or older with a low-energy minimally displaced femoral neck fracture treated with surgery are eligible for the FASTER-HIP intervention domain. Nearly half of all elderly hip fractures are femoral neck fractures, and approximately 20% are minimally displaced. Internal fixation has remained the treatment of choice for these injuries because these fractures can be fixed in situ, and the surgical implants can be inserted with little surgical dissection. Patients treated with internal fixation experience high complication rates, with the pooled risk of reoperation and mortality each above 14%. Preliminary data have suggested arthroplasty for minimally displaced fractures may lead to better patient outcomes, including improved ambulation, fewer reoperations, and a lower risk of death compared to internal fixation. While the preliminary data supporting the use of arthroplasty for minimally displaced fractures is promising, the necessary evidence to make this practice change remains lacking.

FASTER-HIP is a pragmatic, randomized, open-label, comparative effectiveness trial comparing hip arthroplasty versus internal fixation for minimally displaced femoral neck fractures. Randomization in this domain occurs in a 1:1 ratio (hip arthroplasty:internal fixation). The primary outcome is a composite of death within 120 days, ambulation status at 120 days, and days alive and out of hospital within 120 days of randomization. The primary outcome will be hierarchically assessed using the Win ratio. Secondary outcomes include the same composite at 365 days, individual components of the composite, health-related quality of life (EQ-5D-5L), and pain scores during hospitalization.

Being tested
Hip arthroplasty, Internal fixation
Keywords
Minimally displaced femoral neck fractures, arthroplasty, hip fractures, femoral fractures, orthopaedic procedures, older adults, patient-centered outcomes, adaptive trial, internal fixation, pragmatic trial
Medical subject headings
Femoral Neck Fractures, Hip Fractures, Femoral Fractures

What participants receive

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

  • Hip arthroplastyProcedure or surgery

    Participants will undergo surgical treatment using standard hip arthroplasty techniques for femoral minimally displaced femoral neck fracture. A modern porous-coated press-fit or cemented hip arthroplasty prosthesis will be used at the treating surgeon's discretion. Press-fit implants that have no ingrowth or ongrowth surface will not be permitted. The type of hip prosthesis (hemiarthroplasty or total hip arthroplasty), bearing (single or dual mobility), or the method of arthroplasty fixation (cemented or uncemented) will be at the discretion of the treating surgeon.

  • Internal fixationProcedure or surgery

    Participants will undergo surgical treatment using standard fixation techniques for minimally displaced femoral neck fractures. The treating surgeon may perform fracture reduction maneuvers if desired. Fixed-angle devices and multiple screws will be permitted. The internal fixation device(s) will be inserted through a small lateral incision. Internal fixation constructs combining cancellous screws and fixed-angle devices will be permitted.

Study groups in NCT07244211
Study groupRoleWhat they receive
Hip arthroplastyActive comparatorNot described
Receives: Procedure: Hip arthroplasty
Internal fixationActive comparatorNot described
Receives: Procedure: Internal fixation

What is being measured

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

  1. Composite outcome of death, ambulation status, and days alive and out of hospital.

    Death consists of time to all-cause mortality.

    Ambulation will be evaluated using an ordinal ranking of independence.

    Days alive and out of hospital will be calculated by subtracting the sum of days meeting one of two criteria below:

    • Days not alive.
    • Any day on which the participant had an overnight stay in a hospital, inpatient rehabilitation, skilled nursing facility, nursing home, inpatient mental health care facility, or long-term care facility.

    Measured: 120 days after randomization

Secondary outcomes (10)
  1. Composite outcome of death, ambulation status, and days alive and out of hospital.

    Death consists of time to all-cause mortality.

    Ambulation will be evaluated using an ordinal ranking of independence.

    Days alive and out of hospital will be calculated by subtracting the sum of days meeting one of two criteria below:

    • Days not alive.
    • Any day on which the participant had an overnight stay in a hospital, inpatient rehabilitation, skilled nursing facility, nursing home, inpatient mental health care facility, or long-term care facility.

    Measured: 365 days after randomization

  2. Death

    Death consists of time to all-cause mortality.

    Measured: 120 days post-randomization

  3. Death

    Death consists of time to all-cause mortality.

    Measured: 12 months post-randomization

  4. Ambulation status

    Ambulation will be evaluated using an ordinal ranking of independence

    Measured: 120 days post-randomization

  5. Ambulation status

    Ambulation will be evaluated using an ordinal ranking of independence

    Measured: 12 months post-randomization

  6. Days alive and out of hospital

    Days alive and out of hospital will be calculated by subtracting the sum of days meeting one of two criteria below:

    • Days not alive.
    • Any day on which the participant had an overnight stay in a hospital, inpatient rehabilitation, skilled nursing facility, nursing home, inpatient mental health care facility, or long-term care facility.

    Measured: 120 days post-randomization

  7. Days alive and out of hospital

    Days alive and out of hospital will be calculated by subtracting the sum of days meeting one of two criteria below:

    • Days not alive.
    • Any day on which the participant had an overnight stay in a hospital, inpatient rehabilitation, skilled nursing facility, nursing home, inpatient mental health care facility, or long-term care facility.

    Measured: 12 months post-randomization

  8. Health-related quality of life

    EQ-5D-5L - Range: 0 to 1, Higher scores indicates better self-perceived health

    Measured: 120 days days post-randomization

  9. Health-related quality of life

    EQ-5D-5L - Range: 0 to 1, Higher scores indicates better self-perceived health

    Measured: 12 months post-randomization

  10. Numeric Pain Rating Scale

    The highest level of pain recorded daily in the participant's medical record - Range: 0-10, higher score indicates higher level of pain

    Measured: During hospitalization in the first seven postoperative days

Timeline

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

  1. First posted24 Nov 2025
  2. Study start23 Jan 2026
  3. Primary completion28 Feb 2029 (estimated)
  4. Study completion31 Jan 2030 (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
Masking
None (open label)
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07244211
Sponsor's protocol ID
BPS-2024C1-37436
Other IDs
BPS-2024C1-37436
Acronym
FASTER-HIP
Status last verified
Jun 2026
First submitted
31 Oct 2025
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Hip arthroplasty and Internal fixation in people with Femoral Neck Fractures, run by University of Southern California at 31 sites in 5 countries.

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 6 inclusion and 19 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 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, Canada, Spain, Norway, United Kingdom. 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 Joseph Patterson, MD (+13234426984, OrthoTraumaResearch@med.usc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Composite outcome of death, ambulation status, and days alive and out of hospital. (time frame: 120 days after randomization). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Oct 2026.

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