NCT03359109

Brief Summary

Slightly elevated blood metal levels have been found in adults undergoing hip and knee replacement. It is unknown whether pediatric patients with metal implant(plates/screws/rods) have elevated blood metal levels. This may have an impact on practice if children have high blood metal levels with routine orthopedic implants. If researchers find elevated metal levels, they may recommend patients to have the plates removed or may switch to a different type of metal. Further work on this topic is needed.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for all trials

Timeline
4mo left

Started Dec 2017

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
enrolling by invitation

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 Progress96%
Dec 2017Sep 2026

First Submitted

Initial submission to the registry

November 27, 2017

Completed
4 days until next milestone

Study Start

First participant enrolled

December 1, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

December 2, 2017

Completed
8.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2026

Last Updated

November 4, 2025

Status Verified

October 1, 2025

Enrollment Period

8.8 years

First QC Date

November 27, 2017

Last Update Submit

October 31, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mechanistic responses of bone repair cells upon Ti exposure

    To address how deregulated bone repair provokes adverse reactions, the investigators will monitor gene regulatory effects in cell culture models of titanium exposure by either silencing or activating key biological pathways

    3-6 months

Secondary Outcomes (1)

  • Evaluate serum levels of metal ions

    3-6 months

Study Arms (3)

Stainless Steel Devices

10 patients with stainless steel devices implanted

Titanium or Titanium-alloy Based Devices

30 patients with titanium or titanium-alloy implanted devices

De Novo Titanium Implant

10 patients undergoing de novo titanium implant placement who have had no previous orthopedic procedures

Eligibility Criteria

Age4 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodProbability Sample
Study Population

Pediatric patients undergoing orthopedic surgery to remove or place metal implants.

You may qualify if:

  • Ages 4 years - 18 years
  • Stainless steel, titanium or titanium-alloy based implants, scheduled for surgery
  • De novo surgery where titanium implant placement

You may not qualify if:

  • Concomitant infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Sanford Health

Sioux Falls, South Dakota, 57117, United States

Location

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Waste Surgical Tissue, possible cell-line development

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Officials

  • A.Noelle Larson, MD

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Orthopedics

Study Record Dates

First Submitted

November 27, 2017

First Posted

December 2, 2017

Study Start

December 1, 2017

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2026

Last Updated

November 4, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations