NCT05735119

Brief Summary

A multi-center, prospective post-market clinical follow-up study: subscapularis repair augmented with Tapestry Biointegrative Implant after shoulder arthroplasty. The primary objective of this study is to evaluate the long-term integrity of the subscapularis tendon repair after shoulder arthroplasty augmented with Tapestry Biointegrative Implant, assessed by ultrasound 6 months postoperatively. Secondary objectives are to assess shoulder function (internal rotation strength), safety, and patient reported outcomes. Patients will be evaluated preoperatively, at the time of surgery, 3, 6, 12 and 24 months after surgery.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
24mo left

Started Nov 2022

Longer than P75 for all trials

Geographic Reach
1 country

5 active sites

Status
active not 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 Progress65%
Nov 2022Jun 2028

Study Start

First participant enrolled

November 9, 2022

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

February 6, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

February 21, 2023

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2026

Expected
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2028

Last Updated

May 22, 2026

Status Verified

May 1, 2026

Enrollment Period

4 years

First QC Date

February 6, 2023

Last Update Submit

May 20, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Subscapularis repair integrity

    Assessed by ultrasound evaluation per the EMBODY-003 ultrasound procedure manual.

    6 months postoperatively

Secondary Outcomes (14)

  • Subscapularis tendon tissue quality

    6 months postoperatively

  • Internal rotation strength in the belly-press (11,12) position, measured by an electronic handheld dynamometer.

    Screening visit/3 months postoperatively/6 months postoperatively/12 months postoperatively/24 months postoperatively

  • Subscapularis repair integrity

    Screening visit/3 months postoperatively/6 months postoperatively/12 months postoperatively/24 months postoperatively

  • Adverse events

    Surgery visit/3 months postoperatively/6 months postoperatively/12 months postoperatively/24 months postoperatively

  • Serious adverse events

    Surgery visit/3 months postoperatively/6 months postoperatively/12 months postoperatively/24 months postoperatively

  • +9 more secondary outcomes

Study Arms (1)

Subscapularis Tendon Injuries

Tapestry Biointegrative Implant

Device: Tapestry Biointegrative Implant

Interventions

Collagen-based implant composed of type I bovine collagen and poly(D,L-lactide). It is designed to function as a non-constricting, protective layer between the tendon and surrounding tissues. Preclinical studies of the Tapestry implant showed dense collagenous fibrous connective tissue ingrowth into and around the implant.

Subscapularis Tendon Injuries

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adults undergoing shoulder arthroplasty, who meet the study eligibility criteria.

You may qualify if:

  • Adult, 21 years and older.
  • Patient requires shoulder arthroplasty (anatomic or reverse) with subscapularis repair due to osteoarthritis, rotator cuff injury, rheumatoid arthritis and/or other inflammatory disorder, osteonecrosis, and/or post-traumatic injury (e.g., humerus fractures).
  • Patients healthy enough to undergo primary anatomic or reverse shoulder arthroplasty, in the opinion of the investigator;
  • Patients receiving shoulder arthroplasty with anticipated subscapularis tenotomy (ST) or subscapularis peel (SP).
  • Intact rotator cuff including subscapularis tendon for anatomic shoulder arthroplasty or a repairable subscapularis tendon for reverse shoulder arthroplasty, as determined by preoperative examination or imaging, if indicated or available preoperatively. Imaging is not required for this assessment.
  • Ability and willingness to comply with prescribed post-operative rehabilitation program.
  • Ability and willingness to comply with follow-up visit schedule.
  • Able to understand the informed consent process, including regulatory requirements such as HIPAA authorization, and document informed consent prior to completion of any study-related procedures.
  • Ability to read, understand, and complete subject-reported outcomes in English.

You may not qualify if:

  • Shoulder arthroplasty requiring a lesser tuberosity osteotomy or revision arthroplasty.
  • Prior index shoulder surgery requiring treatment to the subscapularis.
  • Intraoperative identification of irreparable subscapularis tear (rTSA)
  • Diabetic patients with hemoglobin A1c (HbA1c) level \>8% prior to surgery.
  • Patients with inflammatory arthritis or patients that are immunocompromised, or patients that have a glenoid deficiency.
  • Patients with a known history of hypersensitivity to bovine-derived materials.
  • Hypersensitivity to poly(D,L-lactide) materials.
  • Females of child-bearing potential who are pregnant or plan to become pregnant during the course of the study.
  • Currently involved in any injury litigation or worker's compensation claims relating to the index shoulder.
  • Enrolled, or plans to enroll, in another clinical trial during this study that would affect the outcomes of this study.
  • History of non-compliance with medical treatment, physical therapy/rehabilitation, or clinical study participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Alta Orthopaedics

Santa Barbara, California, 93101, United States

Location

HCA Florida - JFK Hospital

Atlantis, Florida, 33462, United States

Location

Atlantis Orthopaedics

Palm Beach Gardens, Florida, 33410, United States

Location

Central Indiana Orthopedics

Carmel, Indiana, 46037, United States

Location

University of Louisville Physicians, Inc.

Louisville, Kentucky, 40215, United States

Location

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Target Duration
24 Months
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 6, 2023

First Posted

February 21, 2023

Study Start

November 9, 2022

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

June 1, 2028

Last Updated

May 22, 2026

Record last verified: 2026-05

Locations