CClinicalTrials.gg
TerminatedNCT00586170Updated Jun 21, 2017Results posted

A Double-Blind Study on Adjunctive Use of PEMF in the Treatment of 5th Metatarsal Non-Union Fractures

An interventional study of EBI Bone Healing System and Placebo Device in Nonunion of Fracture of Fifth Metatarsal, sponsored by Zimmer Biomet. Terminated at 2 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-06-21.

Sponsored by Zimmer Biomet · Not applicable, Interventional, and Treatment

Why this study was terminated
Slow enrollment
Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to analyze the effect of PEMF in surgical reconstruction of 5th metatarsal non-union fractures.

Read the detailed description

The investigators hypothesize:

  1. That treatment of 5th metatarsal non-union fracture with PEMF will achieve earlier resolution and/or higher success compared to surgery alone of 5th metatarsal non-union fractures.
  2. PEMF will stimulate increased expression of critical growth factors (i.e. BMP-2, BMP-4, BMP-7 as well as TGFb, IGF-1, FGF-2 and VEGF) at the non-union site to facilitate osseous healing of 5th metatarsal non-union fractures.
02

Conditions studied

  • Nonunion of Fracture of Fifth Metatarsal

Keywords

  • nonunion
  • fracture
03

In context

Fractures, Bone

2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.

This study's enrollment of 8 is below the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Zimmer Biomet is the lead sponsor of 271 studies on the registry; 28 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 19 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subject has been diagnosed with a 5th metatarsal delayed or non-union.
  2. Subjects with duration of a 5th metatarsal fracture for a minimum of 3 months.
  3. Male or female between ages of 18 and 75 years old, inclusive

Exclusion criteria

Exclusion Criteria:

  1. Subject has synovial pseudarthrosis.
  2. Subject has a fracture gap of larger than 5mm as measured on CT Scan.
  3. Subjects with conditions associated with elevated circulatory levels of inflammatory cytokines e.g., multiple trauma.
  4. If female, subject is pregnant, plans on becoming pregnant during the duration of this clinical outcomes collection study or lactating.
  5. Subject has an implanted unipolar pacemaker.
  6. Subjects who have previous malignant or connective tissue disorder.
  7. Subjects who use medication such as steroids or anticoagulants.
  8. Subjects who have an underlying osseous infection (Osteomyelitis) and/or open wound.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    EBI Bone Healing System + Surgery

    Subject will be using the EBI Bone Healing System (active device) in conjunction with ORIF surgery of the nonunion site.

    Device: EBI Bone Healing System · Procedure: Surgery

  • Placebo comparator
    Placebo Device + Surgery

    Subject will be using a placebo device in conjunction with ORIF surgery of the nonunion site.

    Device: Placebo Device · Procedure: Surgery

Interventions

  • DeviceEBI Bone Healing System

    10 hours of treatment per day for up to 24 weeks

  • DevicePlacebo Device

    10 hours of treatment per day for up to 24 weeks

  • ProcedureSurgery

    Open Reduction and Internal Fixation of the nonunion site

06

What researchers measure

Primary outcomes

  1. Percentage of Successful 5th Metatarsal Unions Achieved.

    Each patient was assessed radiographically at 2, 4, 6, 8, 12, 16, 20, and 24 weeks or until radiographic signs of healing were evident. The radiographs were evaluated and graded by the number of cortices (medial and lateral on anteroposterior views as well as dorsal and plantar on lateral views) of healing at each time point. Bridging callus across 4 cortices on postoperative radiographs was used to determine healing.

    Time frame: 24 Weeks

Secondary outcomes

  1. Mean AOFAS Score (% Change From Baseline), Foot Function Index (% Change From Baseline), SF-36 Health Survey (Change From Baseline)

    Time frame: 24 Weeks

07

Results

Posted May 16, 2016

Participant flow

Participant flow — Overall Study
MilestoneEBI Bone Healing System + SurgeryPlacebo Device + Surgery
Started53
Completed53
Not completed00

Outcome measures

PrimaryPercentage of Successful 5th Metatarsal Unions Achieved.

Each patient was assessed radiographically at 2, 4, 6, 8, 12, 16, 20, and 24 weeks or until radiographic signs of healing were evident. The radiographs were evaluated and graded by the number of cortices (medial and lateral on anteroposterior views as well as dorsal and plantar on lateral views) of healing at each time point. Bridging callus across 4 cortices on postoperative radiographs was used to determine healing.

Time frame:
24 Weeks
Reported as:
Number · percentage of fractures healed
Percentage of Successful 5th Metatarsal Unions Achieved.
percentage of fractures healedEBI Bone Healing System + SurgeryPlacebo Device + Surgery
Percentage of Successful 5th Metatarsal Unions Achieved.100100
SecondaryMean AOFAS Score (% Change From Baseline), Foot Function Index (% Change From Baseline), SF-36 Health Survey (Change From Baseline)
Time frame:
24 Weeks

No measurements were reported for this outcome.

Adverse events

Collected over Entire study period. Patients were followed through healing, or up to 24 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
EBI Bone Healing System + Surgery—0/5 (0%)3/5 (60%)
Placebo Device + Surgery—0/3 (0%)1/3 (33.3%)
Most frequent other events
Most frequent other events
EventEBI Bone Healing System + SurgeryPlacebo Device + Surgery
Unrelated complication - leg bruising, breast lumpInvestigations0/51/3
Unrelated complication - anxietyPsychiatric disorders1/50/3
unrelated complication - herniaGastrointestinal disorders1/50/3
unrelated complication - allergic reactionGeneral disorders1/50/3

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)EBI Bone Healing System + SurgeryPlacebo Device + SurgeryTotal
<=18 years000
Between 18 and 65 years538
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)EBI Bone Healing System + SurgeryPlacebo Device + SurgeryTotal
Female426
Male112
Region of Enrollment
Region of Enrollment(participants)EBI Bone Healing System + SurgeryPlacebo Device + SurgeryTotal
United States538
08

Study locations

2 sites
  • Neurological Institute of NJ
    Newark, New Jersey 07103, United States
  • The Orthopedic Foot and Ankle Center
    Columbus, Ohio 43231, United States
09

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 21, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00586170
Lead sponsor
Zimmer Biomet
Responsible party
Sponsor
First posted
Jan 4, 2008
Start date
Nov 2007
Primary completion
Aug 2011
Completion
Aug 2012
Results posted
May 16, 2016
Last update
Jun 21, 2017

Study contacts

John Evangelista
study director · Zimmer Biomet

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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