NCT04070105

Brief Summary

Typically people need separate prosthetic feet for running and walking. To bridge the gap, this study will test the Compliant Adaptive Energy Storage and Return (CAESAR) foot. This foot can change from a walk mode to a run mode with the push of a button. The investigators will test and improve this foot design mechanically, and then test this design on individuals with lower limb amputation in a lab setting. The goal of this project is to develop a passive prosthetic foot that can serve two purposes in someone's daily life: walking and running, to allow them to be more active.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
6

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

August 20, 2019

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 28, 2019

Completed
1 year until next milestone

Study Start

First participant enrolled

September 1, 2020

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

March 27, 2024

Completed
Last Updated

March 27, 2024

Status Verified

February 1, 2024

Enrollment Period

2.3 years

First QC Date

August 20, 2019

Results QC Date

January 5, 2024

Last Update Submit

February 29, 2024

Conditions

Outcome Measures

Primary Outcomes (4)

  • Peak Propulsive Ground Reaction Force on the Prosthetic Side During Walking

    Participants will walk over sensors that measure the force under their foot. Peak ground reaction force in the anterior direction is measured in Newtons and then divided by the individual's body weight (BW). The resultant force is measured in Body-weights.

    All conditions were complete during 3 lab visits, approximately four hours long

  • Participants Perceived Comfort When Using Different Prosthetic Feet During Walking

    Participants were asked their perceived comfort on a visual analog scale from 0 (most uncomfortable) to 100 (most comfortable)

    All conditions were complete during 3 lab visits, approximately four hours long

  • Peak Propulsive Ground Reaction Force on the Prosthetic Side During Running

    Participants will run on a treadmill with force sensors below the treadmill belt. Data will be measured in Newtons and then normalized by dividing by body weight.

    All conditions were complete during 3 lab visits, approximately four hours long

  • Participants Perceived Comfort When Using Different Prosthetic Feet During Running

    Participants were asked their perceived comfort on a visual analog scale from 0 (most uncomfortable) to 100 (most comfortable)

    All conditions were complete during 3 lab visits, approximately four hours long

Secondary Outcomes (1)

  • Net V02 (Metabolic Cost) During Running

    All conditions were complete during 3 lab visits, approximately four hours long

Study Arms (6)

CAESAR Foot, Prescribed Feet, AllPro

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is CAESAR Foot, Prescribed Feet, AllPro.

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

CAESAR Foot, AllPro, Prescribed Feet

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is CAESAR Foot, AllPro, Prescribed Feet

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

Prescribed Feet, AllPro, CAESAR Foot

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is Prescribed Feet, AllPro, CAESAR Foot

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

Prescribed Feet, CAESAR Foot, AllPro

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is Prescribed Feet, CAESAR Foot, AllPro

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

AllPro, Prescribed Feet, CAESAR Foot

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is AllPro, Prescribed Feet, CAESAR Foot

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

AllPro, CAESAR Foot, Prescribed Feet,

EXPERIMENTAL

Participants will walk and run with different prostheses on different days in a laboratory. The order of testing is AllPro, CAESAR Foot, Prescribed Feet

Device: Compliant Adaptive Energy Storage and Return FootDevice: AllPro

Interventions

The primary concept of the CAESAR foot is to switch from a walking foot to a running foot with the push of a button

Also known as: CAESAR Foot
AllPro, CAESAR Foot, Prescribed Feet,AllPro, Prescribed Feet, CAESAR FootCAESAR Foot, AllPro, Prescribed FeetCAESAR Foot, Prescribed Feet, AllProPrescribed Feet, AllPro, CAESAR FootPrescribed Feet, CAESAR Foot, AllPro
AllProDEVICE

Participants will be fit with a high activity foot designed to be used for walking and running

AllPro, CAESAR Foot, Prescribed Feet,AllPro, Prescribed Feet, CAESAR FootCAESAR Foot, AllPro, Prescribed FeetCAESAR Foot, Prescribed Feet, AllProPrescribed Feet, AllPro, CAESAR FootPrescribed Feet, CAESAR Foot, AllPro

Eligibility Criteria

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

You may qualify if:

  • At least 18 years old
  • Transtibial amputation of one or both legs
  • Classified as K3 or K4 on the Medicare Functional Classification Level
  • Use of a well-fitting prosthetic socket and prosthetic foot for at least 6 months
  • Able to walk and run without assistance

You may not qualify if:

  • Significant injury to intact limb
  • History of balance impairments or neurologic disorders
  • Significant cardiovascular or respiratory disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

MeSH Terms

Conditions

Amputation, Traumatic

Condition Hierarchy (Ancestors)

Wounds and Injuries

Limitations and Caveats

Six participants were enrolled and we built six feet for those individuals. Due to delays because of COVID pauses in human subjects testing, only five were available to test the final foot design. Of these, only three were able to run on a treadmill comfortably for five minutes.

Results Point of Contact

Title
Dr. Deanna Gates
Organization
University of Michigan

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: Participants will walk with their standard prosthesis, a commercial high activity foot, and then the new design of CAESAR foot
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

August 20, 2019

First Posted

August 28, 2019

Study Start

September 1, 2020

Primary Completion

December 31, 2022

Study Completion

December 31, 2022

Last Updated

March 27, 2024

Results First Posted

March 27, 2024

Record last verified: 2024-02

Locations