NCT06648798

Brief Summary

The LIMBER UniLeg, a 3D printed single-piece transtibial prosthetic limb, is sufficiently equivalent to traditional passive prosthetic limbs (no motors or sensors), while reducing the cost and time of manufacturing and enabling global reach through the use of digital technologies to solve the worldwide prosthetic accessibility crisis. This is a single-site, Phase I, Clinical Research Study to test the effectiveness and safety of the LIMBER UniLeg. One study group of 30 participants involved for two months using a non-inferiority design in which the participant will be assessed using their normal device (1 month) and the study device (1 month).

Trial Health

77
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
6mo left

Started Dec 2023

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress83%
Dec 2023Oct 2026

Study Start

First participant enrolled

December 20, 2023

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

October 11, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 18, 2024

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2026

Expected
Last Updated

November 26, 2024

Status Verified

November 1, 2024

Enrollment Period

1.9 years

First QC Date

October 11, 2024

Last Update Submit

November 25, 2024

Conditions

Keywords

ProsthesisTrans-tibial amputationLimber Unileg3D Printed

Outcome Measures

Primary Outcomes (3)

  • Mobility - 6min walk

    Measure total distance for a timed six-min walk test for both the Limber UniLeg vs. existing prosthetic devices.

    Baseline, 4weeks, 8 weeks

  • Mobility - Timed-Up-and-Go

    Measure time for the timed up and go (TUG) test for both the Limber UniLeg vs. existing prosthetic devices.

    Baseline, 4weeks, 8 weeks

  • Mobility--25 foot walk

    Time to cover 25 feet walking at a normal speed

    All visits (Baseline, 4 weeks, 8 weeks)

Secondary Outcomes (6)

  • Quality of Care - Gait Symmetry

    Baseline, 4weeks, 8 weeks

  • Quality of Care - Perceived Balance Confidence_Limits of Stability

    Baseline, 4weeks, 8 weeks

  • Quality of Care - Perceived Balance Confidence_Adaptation Test

    Baseline, 4weeks, 8 weeks

  • Quality of Care - Perceived Balance Confidence_Motor Control

    Baseline, 4weeks, 8 weeks

  • Quality of Care - Utilization--At-home movement

    Baseline-4weeks, 4weeks-8weeks

  • +1 more secondary outcomes

Other Outcomes (2)

  • Clinical Outcome - Pain

    Baseline, 4weeks, 8 weeks

  • Clinical Outcome - Quality of Life-European Quality of Life 5-Dimension 5-Level questionnaire

    Baseline, 4weeks, 8 weeks

Study Arms (1)

Intervention

EXPERIMENTAL

Participants will be involved for two months using a non-inferiority design in which the participant will be assessed using their normal device (1 month) and the study device (1 month).

Device: Limber Limb

Interventions

Participants will be involved for two months using a non-inferiority design in which the participant will be assessed using their normal device (1 month) and the study device (1 month).

Intervention

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Provision of signed and dated informed consent form.
  • Stated willingness to comply with all study procedures and availability for the duration of the study.
  • Persons, aged 18 to 75
  • In good general health as determined by clinical site monitor
  • Weight \< 125kg
  • Are not diabetic (self reported)
  • Be a unilateral transtibial amputee of more than 1 year since amputation
  • Have an existing prosthetic device(s) that does not use sensors or motors (is passive)
  • Live in the Southern California region (within 50 miles of UCSD)
  • Has sufficient sensation in residual limb as tested by the clinical site monitor
  • Agreement to adhere to Lifestyle Considerations throughout study duration 11a. Use the testing device (EPD or UniLeg) only during the testing periods. 11b. Walk at least 14,000 steps per week (average of 1 mile per day). 11c. Maintain a similar diet and activity level throughout study duration (no abrupt changes of weight, activity, etc.)

You may not qualify if:

  • Not currently using a prosthetic device
  • Prosthetic device with active motors, sensors, etc.
  • Pregnancy (due to fall risk)
  • Diabetic (due to poor limb sensation), self reported
  • No under 18 (due to inability to consent)
  • No over 75 (due to fall risk)
  • Poor proprioception or sensation at the residual limb

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of California San Diego

La Jolla, California, 92093, United States

RECRUITING

Limber Prosthetics & Orthotics Inc

San Diego, California, 92111, United States

RECRUITING

Related Publications (20)

  • Holm, S. A simple sequentially rejective multiple test procedure. Scandinavian journal of statistics, 6(2):65-70, 1979.

    BACKGROUND
  • Efron, B. and Tibshirani, R.J. An Introduction to the Bootstrap, Springer, New York, NY, 1993.

    BACKGROUND
  • US Department of Health and Human Services C for DC and P. Assessment Timed Up and Go (TUG).; 2017. Accessed June 12, 2018

    BACKGROUND
  • Sions JM, Beisheim EH, Manal TJ, Smith SC, Horne JR, Sarlo FB. Differences in Physical Performance Measures Among Patients With Unilateral Lower-Limb Amputations Classified as Functional Level K3 Versus K4. Arch Phys Med Rehabil. 2018 Jul;99(7):1333-1341. doi: 10.1016/j.apmr.2017.12.033. Epub 2018 Feb 1.

    PMID: 29410114BACKGROUND
  • Reid L, Thomson P, Besemann M, Dudek N. Going places: Does the two-minute walk test predict the six-minute walk test in lower extremity amputees? J Rehabil Med. 2015 Mar;47(3):256-61. doi: 10.2340/16501977-1916.

    PMID: 25588644BACKGROUND
  • Dite W, Connor HJ, Curtis HC. Clinical identification of multiple fall risk early after unilateral transtibial amputation. Arch Phys Med Rehabil. 2007 Jan;88(1):109-14. doi: 10.1016/j.apmr.2006.10.015.

    PMID: 17207685BACKGROUND
  • McCaffrey M, Beebe A. Managing your patients' adverse reactions to narcotics. Nursing. 1989 Oct;19(10):166-8. No abstract available.

    PMID: 2586868BACKGROUND
  • Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005 Aug;14(7):798-804. doi: 10.1111/j.1365-2702.2005.01121.x.

    PMID: 16000093BACKGROUND
  • Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, Bonsel G, Badia X. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011 Dec;20(10):1727-36. doi: 10.1007/s11136-011-9903-x. Epub 2011 Apr 9.

    PMID: 21479777BACKGROUND
  • Heil DP, Brage S, Rothney MP. Modeling physical activity outcomes from wearable monitors. Med Sci Sports Exerc. 2012 Jan;44(1 Suppl 1):S50-60. doi: 10.1249/MSS.0b013e3182399dcc.

    PMID: 22157775BACKGROUND
  • Bassett DR Jr, Rowlands A, Trost SG. Calibration and validation of wearable monitors. Med Sci Sports Exerc. 2012 Jan;44(1 Suppl 1):S32-8. doi: 10.1249/MSS.0b013e3182399cf7.

    PMID: 22157772BACKGROUND
  • Freedson P, Bowles HR, Troiano R, Haskell W. Assessment of physical activity using wearable monitors: recommendations for monitor calibration and use in the field. Med Sci Sports Exerc. 2012 Jan;44(1 Suppl 1):S1-4. doi: 10.1249/MSS.0b013e3182399b7e.

    PMID: 22157769BACKGROUND
  • Rostagno C, Gensini GF. Six minute walk test: a simple and useful test to evaluate functional capacity in patients with heart failure. Intern Emerg Med. 2008 Sep;3(3):205-12. doi: 10.1007/s11739-008-0130-6. Epub 2008 Feb 26.

    PMID: 18299800BACKGROUND
  • Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest. 2001 Jan;119(1):256-70. doi: 10.1378/chest.119.1.256.

    PMID: 11157613BACKGROUND
  • Bartels B, de Groot JF, Terwee CB. The six-minute walk test in chronic pediatric conditions: a systematic review of measurement properties. Phys Ther. 2013 Apr;93(4):529-41. doi: 10.2522/ptj.20120210. Epub 2012 Nov 15.

    PMID: 23162042BACKGROUND
  • Bui KL, Nyberg A, Maltais F, Saey D. Functional Tests in Chronic Obstructive Pulmonary Disease, Part 1: Clinical Relevance and Links to the International Classification of Functioning, Disability, and Health. Ann Am Thorac Soc. 2017 May;14(5):778-784. doi: 10.1513/AnnalsATS.201609-733AS.

    PMID: 28244799BACKGROUND
  • ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102. No abstract available.

    PMID: 12091180BACKGROUND
  • Sprint G, Cook DJ, Weeks DL. Toward Automating Clinical Assessments: A Survey of the Timed Up and Go. IEEE Rev Biomed Eng. 2015;8:64-77. doi: 10.1109/RBME.2015.2390646. Epub 2015 Jan 12.

    PMID: 25594979BACKGROUND
  • Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014 Feb 1;14:14. doi: 10.1186/1471-2318-14-14.

    PMID: 24484314BACKGROUND
  • Schoene D, Wu SM, Mikolaizak AS, Menant JC, Smith ST, Delbaere K, Lord SR. Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis. J Am Geriatr Soc. 2013 Feb;61(2):202-8. doi: 10.1111/jgs.12106. Epub 2013 Jan 25.

    PMID: 23350947BACKGROUND

Related Links

Study Officials

  • Herb Barrack, CPO

    LIMBER Prosthetics & Orthotics Inc

    PRINCIPAL INVESTIGATOR

Central Study Contacts

David Wing, MS

CONTACT

Michael Higgins, MS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DEVICE FEASIBILITY
Intervention Model
SINGLE GROUP
Model Details: One study group of 30 participants involved for two months using a non-inferiority design in which the participant will be assessed using their normal device (1 month) and the study device (1 month).
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 11, 2024

First Posted

October 18, 2024

Study Start

December 20, 2023

Primary Completion

October 31, 2025

Study Completion (Estimated)

October 31, 2026

Last Updated

November 26, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Demographic and baseline outcomes will be presented using summary statistics. No individual data will be provided.

Locations