This study will collect safety and performance data of the Photodynamic Bone Stabilization System (PBSS) when used for the treatment of fractures of the humerus secondary to metastatic cancer.
This is a prospective, multi-center, open label study to evaluate the Photodynamic Bone Stabilization System (PBSS) when used for the treatment of painful impending and actual fractures of the humerus secondary to metastatic malignancy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
81
Treatment of impending and actual pathological fractures of the humerus
Stanford School of Medicine
Redwood City, California, United States
MedStar Washington Hospital Center
Washington D.C., District of Columbia, United States
Emory University School of Medicine
Change in Pain
Change in VAS score from baseline. VAS is measured on a scale range from 0-100mm with 0 (no pain) to 100 (worst imaginable pain).
Time frame: Baseline and 90 days
Change in Function
Change in Revised Musculoskeletal Tumor Society Rating Scale for Upper Extremity (MSTS). MSTS score is a six-item scale. It ranges from 0 to 30. Higher score is associated with better function. Scores were divided by 30 and multiplied by 100 to facilitate interpretation.
Time frame: Baseline and 90 days
Summary of Clinical Safety Success
No serious device related complications, no additional surgical interventions, and no device fracture, migrations, mal-alignment or loss of reduction or fixation
Time frame: Up to Day 7-14, Up to Day 30, Up to Day 90, Up to Day 180, Up to Day 360
Pain at Palpation
Pain on palpation and clinical significance
Time frame: 90, 180 and 360 days
Duration of Index Procedure
Duration of index procedure (hours)
Time frame: 1 Day
Activities of Daily Living Score Through All Follow-up Intervals
Change from Baseline in Activities of Daily Living Score (EORTC QLQ BM22) for each of the four scales at follow-up visits. There are two symptom scales (painful sites and pain characteristics) and two functional scales (functional interface and psychosocial aspects). All scales will be transformed to range in score from 0 to 100. A high score for the symptom scales represented a high level of symptomatology or problems, while a high score for the functional scales represents a high level of functioning.
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Atlanta, Georgia, United States
Midwest Orthopaedics at Rush
Chicago, Illinois, United States
MedStar Franklin Square Medical Center
Baltimore, Maryland, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Duke University School of Medicine
Durham, North Carolina, United States
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, United States
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States
...and 3 more locations
Time frame: Baseline, 90, 180 and 360 days
MSTS Upper Extremity Functional Outcome
Musculoskeletal Tumor Society Rating Scale for Upper Extremity (MSTS) Functional Outcome. MSTS score is a six-item scale. It ranges from 0 to 30. Higher score is associated with better function. Scores were divided by 30 and multiplied by 100 to facilitate interpretation.
Time frame: 90, 180, 360 days
Assessment of Post-Surgery Status
Number and percent of subjects who receive physical therapy, supportive orthopedic device, or analgesic medication
Time frame: Surgery & Discharge, 7-14, 30, 90, 180, 360 days
Summary of Procedure and Device-Related Complications Rate
Procedure and device-related complications rate presented at follow-up visits
Time frame: up to day 90, up to day180 since day 90, up to 360 since day 180
Summary of Change From Baseline Range of Motion by Visit and Test
Range of motions tests (abduction, extension, flexion, lateral rotation and medial rotation) for active range of motion and passive range of motion for the affected and unaffected arm.
Time frame: Baseline, 90, 180 and 360 Days
Length of Hospital Stay
Length of hospital stay (from day of procedure to day of discharge)
Time frame: From day of procedure until the day of hospital discharge (up to 36 days)