NCT05466383

Brief Summary

This is a single-center, prospective, non-randomized, open-label, interventional, real-world study. The mild/moderate AIS patients will be recruited through screening of 250,000 primary and secondary school students in Haikou, Hainan Province. The patients will be treated with different non-surgical interventions (exercise intervention or brace intervention) according to the physician's recommendations and the patient's intention. Patients will be followed up for 36 months to evaluate the effectiveness and safety of non-surgical interventions in the real world.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
5,000

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started Oct 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress84%
Oct 2022Dec 2026

First Submitted

Initial submission to the registry

July 18, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 20, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

October 24, 2022

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

August 4, 2023

Status Verified

August 1, 2023

Enrollment Period

4.2 years

First QC Date

July 18, 2022

Last Update Submit

August 1, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Out-of-control rate of treatment

    Among the patients with skeletal immaturity (Risser's sign 0, 1, 2), out-of-control rate of treatment at the follow-up to 36 months or at skeletal maturity during the trial (i.e., 4° for female Risser's sign or 5° for male Risser's sign). Out-of-control rate of treatment is defined as either: Cobb angle progression \>5°, or Cobb angle ≥45°, or the physician recommends or already has enhanced the intervention regimen (i.e., no intervention change to exercise intervention, no intervention change to brace intervention, or exercise intervention change to brace intervention).

    36 months

Secondary Outcomes (14)

  • Change in SRS-22 score from baseline over time

    at 3 months, 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after treatment

  • Change in vital capacity from baseline over time

    at 3 months, 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after treatment

  • Change in plantar pressure from baseline over time

    at 3 months, 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after treatment

  • Change in gait from baseline over time

    at 3 months, 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after treatment

  • Correlation between the treatment compliance and the out-of-control rate of treatment

    36 months

  • +9 more secondary outcomes

Other Outcomes (14)

  • Correlation between the age and the out-of-control rate of treatment

    36 months

  • Correlation between the BMI at baseline and the out-of-control rate of treatment

    36 months

  • Correlation between the type of AIS and the out-of-control rate of treatment

    36 months

  • +11 more other outcomes

Study Arms (6)

recommend exercise - perference exercise

ACTIVE COMPARATOR
Behavioral: Exercise

recommend exercise - perference brace

ACTIVE COMPARATOR
Device: Brace

recommend exercise - perference observation

NO INTERVENTION

recommend brace - perference brace

ACTIVE COMPARATOR
Device: Brace

recommend brace - perference exercise

ACTIVE COMPARATOR
Behavioral: Exercise

recommend brace - perference observation

NO INTERVENTION

Interventions

ExerciseBEHAVIORAL

Exercise rehabilitation with Schroth method

recommend brace - perference exerciserecommend exercise - perference exercise
BraceDEVICE

Wear an orthopedic brace

recommend brace - perference bracerecommend exercise - perference brace

Eligibility Criteria

Age9 Years - 16 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • years ≤ age ≤ 16 years
  • Diagnosis of AIS
  • °≤Cobb's angle\<45°
  • Signed informed consent form

You may not qualify if:

  • With other developmental disorders, musculoskeletal disorders, nerve disorders, infection disorders, mental disorders, and other disorders
  • Obvious deformity of lower limbs and(or) feet
  • Previous or ongoing treatment of AIS
  • Difficulty to read, understanding, and complete the study questionnaires
  • Any criteria, which, in the opinion of the investigator, suggest that the subject would not be compliant with this study protocol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Haikou orthopedic and diabetes hospital, Haikou orthopedic and diabetes hospital of Shanghai Sixth People's Hospital

Haikou, Hainan, 570300, China

RECRUITING

MeSH Terms

Interventions

ExerciseBraces

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaOrthotic DevicesOrthopedic EquipmentSurgical EquipmentEquipment and Supplies

Central Study Contacts

Zhenyu Wang, Ph.D

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

July 18, 2022

First Posted

July 20, 2022

Study Start

October 24, 2022

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

August 4, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations