The Arthroscopic Labral Excision or Repair Trial (ALERT)
ALERT
1 other identifier
interventional
96
1 country
1
Brief Summary
This study compares two established surgical treatments for acetabular labral tears. Patients will be prospectively recruited and randomised to either labral repair or debridement. All patients will be followed for 2 years after intervention with a primary outcome assessment at 6 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2016
CompletedFirst Submitted
Initial submission to the registry
January 4, 2017
CompletedFirst Posted
Study publicly available on registry
August 22, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedAugust 22, 2017
August 1, 2017
1 year
January 4, 2017
August 18, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Hip Outcome Score
Change in Hip Outcome Score (Activities of Daily Living Subscale) at 6 months post intervention from baseline.
6 Months Post Intervention
Secondary Outcomes (8)
Hip Outcome Scores (HOS)
12, 18 & 24 months post intervention
Physiologic MRI
6 Months Post Intervention
X Ray
6 Months Post Intervention
X Ray
6 Months Post Intervention
Biomarkers of Osteo Arthritis (OA)
At surgery and 6, 12 & 24 months post intervention.
- +3 more secondary outcomes
Study Arms (2)
Arthroscopic acetabular labral repair
ACTIVE COMPARATORAcetabular labral tear will be identified and reattached using suture anchors until a stable repair is achieved. If evidence of FAI is present ie: a cam or pincer lesion is identified then this will be treated with osteochondroplasty (cam) or acetabular rim recession (pincer).
Arthroscopic acetabular labral resection
ACTIVE COMPARATORThe acetabular labral tear will be identified and its' limits defined. The torn portion of labrum will be resected to a stable edge. As with arm 1 there will be treatment of FAI if identified.
Interventions
Acetabular labral tear will be identified and reattached using suture anchors until a stable repair is achieved. If evidence of FAI is present ie: a cam or pincer lesion is identified then this will be treated with osteochondroplasty (cam) or acetabular rim recession (pincer).
The acetabular labral tear will be identified and its' limits defined. The torn portion of labrum will be resected to a stable edge. As with arm 1 there will be treatment of FAI if identified.
Eligibility Criteria
You may qualify if:
- Willing and able to give informed consent for participation in the study.
- Male or Female, aged between 18 and 75 years.
- Symptomatic labral tear with evidence of labral tear on MRI.
- No radiographic evidence of OA (Kellgren-Lawrence Grade \< 2)
You may not qualify if:
- Previous ipsilateral hip surgery
- Irreparable labral tear
- Previous fracture of femoral neck or acetabulum
- Female patient who is pregnant
- Established osteoarthritis (Kellgren-Lawrence ≥ 2)
- Hip dysplasia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Oxfordlead
- Arthritis Research UKcollaborator
- The Royal College of Surgeons of Englandcollaborator
Study Sites (1)
Nuffield Orthopaedic Centre, Oxford University Hospitals Trust
Oxford, Oxfordshire, OX3 7LD, United Kingdom
Study Officials
- PRINCIPAL INVESTIGATOR
Sion Glyn-Jones
University of Oxford
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 4, 2017
First Posted
August 22, 2017
Study Start
December 1, 2016
Primary Completion
December 1, 2017
Study Completion
December 1, 2019
Last Updated
August 22, 2017
Record last verified: 2017-08
Data Sharing
- IPD Sharing
- Will not share