NCT02469662

Brief Summary

The objectives of the study are to confirm safety and performance of the Zimmer Nexel Total Elbow when used in primary or revision total elbow replacement.

Trial Health

83
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
134

participants targeted

Target at P50-P75 for not_applicable

Timeline
129mo left

Started Jun 2015

Longer than P75 for not_applicable

Geographic Reach
8 countries

11 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress51%
Jun 2015Dec 2036

Study Start

First participant enrolled

June 1, 2015

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

June 8, 2015

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 11, 2015

Completed
20.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2035

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2036

Last Updated

October 29, 2025

Status Verified

October 1, 2025

Enrollment Period

20.5 years

First QC Date

June 8, 2015

Last Update Submit

October 28, 2025

Conditions

Keywords

Total Elbow ArthroplastyTEAElbow ArthroplastyElbow ReplacementAdvanced Rheumatoid ArthritisPost-Traumatic ArthritisDegenerative ArthritisElbow Joint DestructionPost-Traumatic Lesions or Bone LossAnkylosed JointsAcute Comminuted Articular FractureSignificantly compromises daily living activitiesJoint or soft tissue damagePrecludes less radical procedures13-C3 fractures of the distal humerus

Outcome Measures

Primary Outcomes (1)

  • Survivorship

    Based on removal or intended removal of the device and determined using the Kaplan-Meier method

    10 years

Study Arms (2)

Retrospective

EXPERIMENTAL

Patients who have had primary or revision total elbow arthroplasty using the Nexel Total Elbow, and who have surgical details available

Device: Nexel Total Elbow

Prospective

EXPERIMENTAL

Patients who are having primary or revision total elbow arthroplasty who will receive the Nexel Total Elbow

Device: Nexel Total Elbow

Interventions

Nexel Total Elbow used in primary or revision total elbow arthroplasty

Also known as: Nexel Elbow, Nexel
ProspectiveRetrospective

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient is 18 years of age or older.
  • Patient must have signed Institutional Review Board (IRB)/Ethics Committee (EC)-approved informed consent.
  • Patient is a candidate for primary or revision total elbow arthroplasty, based on symptoms including at least one of the following:
  • Elbow joint destruction which significantly compromises daily living activities
  • Post-traumatic lesions or bone loss contributing to elbow instability
  • Ankylosed joints, especially cases of bilateral ankylosis from causes other than active sepsis
  • Advanced rheumatoid arthritis, post-traumatic, or degenerative arthritis with incapacitating pain
  • Instability or loss of motion when the degree of joint or soft tissue damage precludes reliable osteosynthesis
  • Acute comminuted articular fracture of elbow joint surfaces that precludes less radical procedures, including 13-C3 fractures of the distal humerus
  • Patient is willing and able to complete scheduled follow-up evaluations as defined by the protocol.
  • Patient must have undergone a total elbow replacement with the Nexel system between July 2013 and the date of the site initiation visit.
  • Patient information available for each retrospective patient must, at minimum, include preoperative demographic information, preoperative physical exam information, the index surgery operative report, and details of the devices implanted.

You may not qualify if:

  • Patient has a currently active or history of repeated local infection at the surgical site.
  • Patient has a current major infection distant from the operative site.
  • Patient has a history of prior sepsis.
  • Patient suffers from paralysis or dysfunctional neuropathy at the elbow joint.
  • Patient has significant ipsilateral hand dysfunction.
  • Patient has excessive scarring near the surgical site, which could prevent adequate soft tissue coverage.
  • Patient participates in daily activities that may cause significant stress to an implanted device such as heavy labor, torsional stress, and/or competitive sports.
  • Patient is a prisoner.
  • Patient is mentally incompetent or unable to understand what participation in the study entails.
  • Patient is a known alcohol or drug abuser.
  • Patient is anticipated to be non-compliant.
  • Patient is known to be pregnant.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Panorama Orthopedics and Spine Center

Golden, Colorado, 80401, United States

RECRUITING

OrthoCarolina Research Institute

Charlotte, North Carolina, 28207, United States

RECRUITING

Rothman Institute

Philadelphia, Pennsylvania, 19107, United States

RECRUITING

Campbell Clinic

Germantown, Tennessee, 38138, United States

RECRUITING

Sydney Shoulder & Elbow, NSW

Sydney, New South Wales, 2067, Australia

TERMINATED

Coxa Hospital

Tampere, Finland

RECRUITING

Hôpital Purpan (Centre Hospitalier Universitaire Toulouse)

Toulouse, France

TERMINATED

Arcus Sportklinik

Pforzheim, Germany

TERMINATED

AO Mauriziano

Torino, 10128, Italy

RECRUITING

Amphia Ziekenhuis Breda

Breda, Netherlands

ACTIVE NOT RECRUITING

Wrightington

Wigan, United Kingdom

RECRUITING

MeSH Terms

Conditions

AnkylosisJoint InstabilityOsteoarthritisBone Diseases, Metabolic

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesArthritisRheumatic DiseasesBone DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Hillary Overholser, MS

    Zimmer Biomet

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 8, 2015

First Posted

June 11, 2015

Study Start

June 1, 2015

Primary Completion (Estimated)

December 1, 2035

Study Completion (Estimated)

December 1, 2036

Last Updated

October 29, 2025

Record last verified: 2025-10

Locations