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Periarticular Bone DefectMgScaf-PBDNCT07906730

Magnesium Alloy Scaffold With Controlled Degradation for Periarticular Bone Defects

A study testing Magnesium Alloy Scaffold and Calcium Sulfate Bone Graft Substitute in people with Periarticular Bone Defect and Proximal Humerus Fracture, run by Peking University Third Hospital at 4 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This prospective, multi-center, randomized controlled clinical trial is designed to evaluate the effectiveness and safety of a biodegradable magnesium alloy scaffold with controlled degradation for the treatment of periarticular bone defects of the extremities. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Magnesium Alloy Scaffold and Calcium Sulfate Bone Graft Substitute
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
4 sitesChina
Study dates
1 Nov 2026to 30 Jun 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

  • Age 18 years or older, regardless of sex.
  • Radiographically confirmed proximal humerus fracture, tibial plateau fracture, or distal radius fracture associated with a bone defect and requiring surgical treatment.
  • Willing to participate in the clinical trial and able to provide written informed consent.

Who cannot join

  • Active systemic infection or active infection at the planned surgical site that may interfere with surgery.
  • Pathological fracture, compartment syndrome, osteomyelitis, or severe soft-tissue, vascular, or nerve injury.
  • History of allergy or hypersensitivity to magnesium alloy or titanium alloy implant materials.
  • Psychiatric illness, inability to comply with study procedures for any reason, or unwillingness or inability to comply with required activity restrictions.
  • Drug abuse or alcohol abuse, or inability to refrain from smoking during fracture healing.
  • Women who are pregnant or breastfeeding, or women planning to become pregnant during the study period.
  • Any other condition that, in the investigator's judgment, makes the participant unsuitable for this clinical trial.

Trial locations and contacts

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

Yiyuan Yang, MD contact

17812197005

yangyiyuan0612@163.com

China4 sites
  • Beijing Chao Yang Hospital

    Beijing, Beijing Municipality

  • Beijing Friendship Hospital

    Beijing, Beijing Municipality

  • Beijing Hospital

    Beijing, Beijing Municipality

  • Peking University Third Hospital

    Beijing, Beijing Municipality

Other trials in China

About this study

Official title: Clinical Study of a Magnesium Alloy Scaffold With Controlled Degradation for the Treatment of Periarticular Bone Defects of the Extremities

This prospective, multi-center, randomized controlled clinical trial is designed to evaluate the effectiveness and safety of a biodegradable magnesium alloy scaffold with controlled degradation for the treatment of periarticular bone defects of the extremities. Adults with proximal humeral fractures, distal radius fractures, or tibial plateau fractures associated with bone defects and requiring surgical treatment will be enrolled. A total of 120 participants will be randomly assigned in a 1:1 ratio to the experimental group or the control group.

Participants in the experimental group will undergo open reduction and internal fixation with implantation of a customized magnesium alloy scaffold into the bone defect. Participants in the control group will undergo conventional open reduction and internal fixation with calcium sulfate bone graft substitute used to fill the bone defect.

Participants will be followed for up to 48 weeks after surgery. The study will primarily evaluate bone healing, and will also assess joint function, wound healing, degradation of the magnesium alloy scaffold, device performance, laboratory parameters, and adverse events.

Read the detailed description

Periarticular fractures involving bone defects can compromise structural support beneath the articular surface and may increase the risk of loss of reduction, secondary articular collapse, impaired joint function, and delayed bone healing. Conventional bone defect fillers, including particulate bone graft substitutes, provide defect filling but may have limited structural stability. A biodegradable magnesium alloy scaffold with controlled degradation is intended to provide temporary structural support within the bone defect while allowing gradual degradation during the process of bone healing.

This is a prospective, multi-center, participant-blinded, randomized controlled trial. A total of 120 adult participants with proximal humeral fractures, distal radius fractures, or tibial plateau fractures associated with bone defects will be enrolled and randomly assigned in a 1:1 ratio. In the experimental group, a customized magnesium alloy scaffold will be implanted into the bone defect following fracture reduction, together with conventional plate-and-screw fixation. In the control group, the fracture will be treated with conventional open reduction and internal fixation, and the bone defect will be filled with calcium sulfate granules. Because the two interventions are visually distinguishable during surgery, treating investigators cannot be blinded; however, participants will be blinded to treatment allocation, and independent assessors will perform blinded evaluation of clinical and imaging data.

Participants will undergo clinical, imaging, functional, laboratory, and safety assessments during follow-up through 48 weeks after surgery. Routine safety monitoring will include vital signs, laboratory assessments, and surveillance for adverse events (AEs) and serious adverse events (SAEs).

Vital signs, including body temperature, pulse rate, blood pressure, and respiratory rate, will be assessed preoperatively, on the day of surgery, within 3 days after surgery, and at 4, 8, 12, 24, and 48 weeks after surgery.

Routine laboratory safety assessments will be performed preoperatively and at 4, 12, 24, and 48 weeks after surgery. These assessments will include complete blood count (red blood cell count, hemoglobin concentration, white blood cell count, platelet count, and neutrophil percentage), liver function tests (alanine aminotransferase [ALT] and aspartate aminotransferase [AST]), renal function tests (serum creatinine and blood urea nitrogen), serum magnesium, serum potassium, and C-reactive protein (CRP).

Actual laboratory values and clinically relevant abnormalities will be documented in the case report forms and reviewed by the investigators as part of routine safety monitoring. Any clinically significant abnormalities will be evaluated and managed according to the study protocol and applicable clinical standards.

Adverse events and serious adverse events will be monitored throughout the study. Relevant information, including event type, onset, severity, management, relationship to the investigational device or study procedure, duration, and outcome, will be documented.

The study is designed to determine whether the magnesium alloy scaffold can provide effective structural support and promote bone healing while maintaining an acceptable safety profile.

Being tested
Magnesium Alloy Scaffold, Calcium Sulfate Bone Graft Substitute
Keywords
Periarticular Bone Defect, Magnesium Alloy Scaffold, Biodegradable Magnesium Alloy, Controlled Degradation, Bone Healing, Internal Fixation, Calcium Sulfate Bone Graft Substitute
Medical subject headings
Wrist Fractures, Tibial Plateau Fractures

What participants receive

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

  • Magnesium Alloy ScaffoldDevice

    A customized biodegradable magnesium alloy scaffold with controlled degradation will be implanted into the periarticular bone defect during open reduction and internal fixation to provide structural support and facilitate bone healing.

  • Calcium Sulfate Bone Graft SubstituteDevice

    Calcium sulfate granules will be used to fill the periarticular bone defect during conventional open reduction and internal fixation.

Study groups in NCT07906730
Study groupRoleWhat they receive
Magnesium Alloy Scaffold GroupExperimentalParticipants will undergo open reduction and internal fixation. A customized biodegradable magnesium alloy scaffold with controlled degradation will be implanted into the periarticular bone defect to provide structural support, followed by plate-and-screw fixation.
Receives: Device: Magnesium Alloy Scaffold
Calcium Sulfate GroupActive comparatorParticipants will undergo conventional open reduction and internal fixation. The periarticular bone defect will be filled with calcium sulfate bone graft substitute.
Receives: Device: Calcium Sulfate Bone Graft Substitute

What is being measured

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

  1. Bone Union Rate

    Bone union will be considered achieved when both of the following criteria are met: (1) no local tenderness or axial percussion pain and no abnormal mobility at the fracture site; and (2) imaging demonstrates continuous callus or trabecular bone crossing the fracture line, with the fracture line becoming indistinct. The outcome will be reported as the percentage of participants meeting both criteria.

    Measured: 48 weeks after surgery

Secondary outcomes (9)
  1. Barthel Index Score for Activities of Daily Living

    The Barthel Index assesses functional independence in basic activities of daily living, including feeding, bathing, grooming, dressing, toileting, transfers, mobility, and stair climbing. The total score ranges from 0 to 100, with higher scores indicating greater independence and better functional outcomes.

    Measured: 4, 8, 12, 24, and 48 weeks after surgery

  2. Patient-Rated Wrist Evaluation (PRWE) Score

    The Patient-Rated Wrist Evaluation (PRWE) is a 15-item patient-reported questionnaire assessing wrist pain and functional disability. It consists of a pain subscale (0-50 points) and a function subscale (0-50 points). The total score ranges from 0 to 100, with lower scores indicating less pain, less disability, and better wrist function. This outcome will be assessed in participants with distal radius fractures.

    Measured: 4, 8, 12, 24, and 48 weeks after surgery

  3. Hospital for Special Surgery (HSS) Knee Score

    The Hospital for Special Surgery (HSS) Knee Score assesses knee function based on pain, functional capacity, range of motion, muscle strength, and other clinical findings. The total score ranges from 0 to 100, with higher scores indicating better knee function. This outcome will be assessed in participants with tibial plateau fractures.

    Measured: 4, 8, 12, 24, and 48 weeks after surgery

  4. American Shoulder and Elbow Surgeons (ASES) Score

    The American Shoulder and Elbow Surgeons (ASES) Shoulder Score assesses shoulder pain and functional ability in activities of daily living. The standardized total score ranges from 0 to 100, with higher scores indicating less pain and better shoulder function. This outcome will be assessed in participants with proximal humeral fractures.

    Measured: 4, 8, 12, 24, and 48 weeks after surgery

  5. Constant-Murley Shoulder Score

    The Constant-Murley Shoulder Score assesses shoulder function based on pain, activities of daily living, range of motion, and muscle strength. The total score ranges from 0 to 100, with higher scores indicating better shoulder function. This outcome will be assessed in participants with proximal humeral fractures.

    Measured: 4, 8, 12, 24, and 48 weeks after surgery

  6. Incision Healing Grade

    Incision healing will be classified as Grade A (good healing), Grade B (suboptimal healing), or Grade C (purulent wound healing).

    Measured: 4 and 8 weeks after surgery

  7. Number of Participants Meeting All Four Device Performance Criteria

    Device performance will be evaluated using four predefined Yes/No criteria: (1) integrity of sterile packaging; (2) clarity, completeness, and legibility of device labeling and instructions for use; (3) compatibility of the associated surgical instruments; and (4) ease of device implantation. A participant will be classified as meeting the overall device performance criteria only if all four items are rated "Yes". The number and percentage of participants meeting all four criteria will be reported in the experimental group.

    Measured: Day of surgery

  8. Distribution of Participants by CT-Assessed Magnesium Alloy Scaffold Degradation Grade at Week 24

    Scaffold morphological degradation will be assessed in the experimental group by computed tomography (CT) at Week 24, compared with CT obtained within 3 days after surgery. Plain radiographs will provide supportive information. A study-specific 5-grade ordinal classification will be used: Grade 0, no detectable morphological change; Grade 1, localized contour irregularity or thinning with preserved strut continuity; Grade 2, focal strut discontinuity or partial structural loss with the overall architecture recognizable; Grade 3, extensive strut discontinuity or fragmentation with residual scaffold structures identifiable; Grade 4, no identifiable residual metallic scaffold structure. Higher grades indicate greater CT-visible morphological degradation, not a measured percentage of alloy mass loss. The number and percentage of participants in each grade will be reported.

    Measured: 24 weeks after surgery

  9. Distribution of Participants by CT-Assessed Magnesium Alloy Scaffold Degradation Grade at Week 48

    Scaffold morphological degradation will be assessed in the experimental group by computed tomography (CT) at Week 48, compared with CT obtained within 3 days after surgery. Plain radiographs will provide supportive information. A study-specific 5-grade ordinal classification will be used: Grade 0, no detectable morphological change; Grade 1, localized contour irregularity or thinning with preserved strut continuity; Grade 2, focal strut discontinuity or partial structural loss with the overall architecture recognizable; Grade 3, extensive strut discontinuity or fragmentation with residual scaffold structures identifiable; Grade 4, no identifiable residual metallic scaffold structure. Higher grades indicate greater CT-visible morphological degradation, not a measured percentage of alloy mass loss. The number and percentage of participants in each grade will be reported.

    Measured: 48 weeks after surgery

Timeline

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

  1. First posted30 Oct 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion30 Jun 2028 (estimated)
  4. Study completion30 Jun 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
Participants will be randomly assigned in a 1:1 ratio to the experimental group receiving a magnesium alloy scaffold or the control group receiving calcium sulfate bone graft substitute. The two groups will be followed in parallel through 48 weeks after surgery.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07906730
Sponsor's protocol ID
PUTH-3DMg-PBD-01
Other IDs
2024-1-4092
Acronym
MgScaf-PBD
Status last verified
Sep 2026
First submitted
9 Oct 2026
Last updated
30 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Liu B, Liu J, Wang C, Wang Z, Min S, Wang C, Zheng Y, Wen P, Tian Y. High temperature oxidation treated 3D printed anatomical WE43 alloy scaffolds for repairing periarticular bone defects: In vitro and in vivo studies. Bioact Mater. 2023 Oct 11;32:177-189. doi: 10.1016/j.bioactmat.2023.09.016. eCollection 2024 Feb.

    PubMed 37859690

Questions about this trial

What is this clinical trial studying?

A study testing Magnesium Alloy Scaffold and Calcium Sulfate Bone Graft Substitute in people with Periarticular Bone Defect and Proximal Humerus Fracture, run by Peking University Third Hospital at 4 sites in China.

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 3 inclusion and 7 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: opening soon, as of the sponsor's last update on 30 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 4 sites in China. 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 Yiyuan Yang, MD (17812197005, yangyiyuan0612@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Bone Union Rate (time frame: 48 weeks after 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 NCT07906730, which also lists 1 linked publication.

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 30 Oct 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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