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RecruitingNCT05487677Updated Aug 19, 2026

Subscapularis Repair Augmentation for Total Shoulder Arthroplasty

An interventional study of BioBrace Augmentation and Standard Repair with Sutures in Shoulder Injuries, sponsored by Stanford University. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this research is to compare the images obtained by ultrasound between a standard repair of the subscapularis tissue and after repair with a Biobrace. The secondary purpose is to determine if there are any clinical differences.

Read the detailed description

The investigators would like to learn if subscapularis repair augmentation with the Biobrace in total shoulder arthroplasty (reverse and anatomic) will result in sonographic and/or clinical improvements. This will allow for improvements in technique and better outcomes for patients going forward.

02

Conditions studied

  • Shoulder Injuries

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03

In context

Shoulder Injuries

114 studies on the registry are indexed under Shoulder Injuries; 31 are open to participants now.

This study's planned enrollment of 100 is above the median of 55 across 65 interventional studies indexed under Shoulder Injuries.

Browse Shoulder Injuries studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Total Shoulder Arthroplasty

Exclusion criteria

Exclusion Criteria:

  • Vulnerable population
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    BioBrace Augmentation

    During the shoulder replacement surgery (arthroplasty) in order to access the shoulder, the subscapularis is removed from its insertion in your upper arm bone. It is repaired in reverse total shoulder arthroplasty, but is sometimes not as robust as we would like based on tissue quality and other factors. A shoulder arthroplasty is when the ball and socket are replaced with prosthetic components. If randomized to the BioBrace, patient will receive BioBrace augmentation of the standard subscapularis repair.

    Device: BioBrace Augmentation

  • Active comparator
    Standard Repair with Sutures

    During the shoulder replacement surgery (arthroplasty) in order to access the shoulder, the subscapularis is removed from its insertion in your upper arm bone. It is repaired in reverse total shoulder arthroplasty, but is sometimes not as robust as we would like based on tissue quality and other factors. A shoulder arthroplasty is when the ball and socket are replaced with prosthetic components. If randomized to standard repair, patient will receive the standard repair with sutures.

    Procedure: Standard Repair with Sutures

Interventions

  • DeviceBioBrace Augmentation

    During shoulder replacement surgery, the subscapularis (rotator cuff muscle) is sometimes repaired back again. This will be stitched and augmented with a BioBrace. The Biobrace is a biocomposite scaffold meaning both synthetic and biologic, compared to other traditional implants that are either synthetic or biologic. The stitch in the BioBrace group will be anchored to and reinforced by this material.

    Also known as: Implant Group

  • ProcedureStandard Repair with Sutures

    During shoulder replacement surgery, the Subscapularis (rotator cuff muscle) is sometimes repaired back again. This is usually repaired with stitches per standard of care treatment.

    Also known as: Stitch Group

06

What researchers measure

Primary outcomes

  1. Difference in continuity of subscapularis tissue on ultrasound

    Continuity of subscapularis tissue on ultrasound

    Time frame: 6 weeks, 6 months after surgery

  2. Difference in thickness of the subscapularis tissue on ultrasound

    Thickness of subscapularis tissue on ultrasound

    Time frame: 3 months, 1 years after surgery

  3. Evaluate arthritis on shoulder x-ray

    Amount of arthritis or wear patterns on shoulder x-Ray

    Time frame: Surgery

  4. Difference in signs of loosening or wear patterns in shoulder X-Ray

    Signs of loosening or wear patterns on shoulder x-ray

    Time frame: 2 weeks, 3 months, 6 months, 1 year, 2 years after surgery

Secondary outcomes

  1. American Shoulder & Elbow Surgeons Score (ASES) score

    is a 100-point scale that consists of two dimensions: pain and activities of daily living. 0 indicates worse shoulder condition and 100 indicates best shoulder condition. The greater the score, the lower the level of shoulder disability

    Time frame: 2 weeks, 3 months, 6 months, 1 year, 2 years after surgery

  2. Shoulder examination for the difference in Passive Range of Motion

    Examining passive range of motion - forward flexion, external rotation, abduction

    Time frame: 2 weeks, 3 months, 6 months, 1 year, 2 years after surgery

  3. Shoulder examination for the difference in Active Range of Motion

    Examining active range of motion - internal rotation up posterior thorax. Strength- Jobes, external rotation, lift-off and belly-press

    Time frame: 3 months, 6 months, 1 year, 2 years after surgery

07

Study locations

1 of 1 sites recruiting
  • Stanford University
    Redwood City, California 94063, United States
    • Jessica Nguyen · Contact · jessn16@@stanford.edu · 650-725-0003
    • Michael Freehill, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05487677
Lead sponsor
Stanford University
Responsible party
Michael T. Freehill (Associate Professor of Orthopaedic Surgery, Stanford University) — Principal investigator
First posted
Aug 4, 2022
Start date
Dec 1, 2023
Primary completion
Sep 1, 2028 (estimated)
Completion
Dec 1, 2030 (estimated)
Last update
Aug 19, 2026

Study contacts

Jessica Nguyen
Contact
jessn16@stanford.edu
650-725-0003
Michael T Freehill, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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