ClinicalTrials.gg
Active, not recruitingNCT06323980Updated Nov 3, 2026

INHANCE Stemless Reverse Shoulder IDE

An interventional study of Reverse Total Shoulder in Arthroplasty, Replacement and Shoulder, sponsored by DePuy Orthopaedics. Active, not recruiting at 15 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by DePuy Orthopaedics (part of Johnson & Johnson) · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026Now Active, not recruitingEnrollment updated+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
168
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

2:1 Randomized, Controlled, Multi-Center, Prospective, Pre-Market Study of the INHANCE Stemless Reverse Cementless Total Shoulder.

Read the detailed description

There is one primary effectiveness endpoint and there are three primary safety endpoints:

  1. Primary effectiveness endpoint - Adjusted Constant-Murley Change from Baseline (ACM CFB) at 2 years post-operative
  2. Primary safety endpoint(s):

    1. No revision, removal, reoperation, supplemental fixation, or other intervention for any system component
    2. No humeral or glenoid radiolucent line >2 mm is present in 50% or more zones at 2 years
    3. No conclusive evidence of migration and tilt (>5mm migration and >10° tilt) of the humeral or glenoid component at 2 years

The study will be successful if the primary effectiveness endpoint non-inferiority analysis is successfully demonstrated, and no significant difference is seen on any of the 3 primary safety endpoints.

02

Conditions studied

  • Arthroplasty
  • Replacement
  • Shoulder

Keywords

  • Reverse Shoulder
  • Stemless Shoulder
  • Total Shoulder
03

In context

Lead sponsor

DePuy Orthopaedics is the lead sponsor of 45 studies on the registry; 1 is open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 8 (100%) have results posted.

First submitted after DePuy Orthopaedics became part of Johnson & Johnson.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Individuals requiring reverse total shoulder replacement for a severely painful, disabling, arthritic joint (i.e. osteoarthritis, post-traumatic arthritis and rotator cuff arthropathy).
  2. Individuals who are anatomically and structurally suited to receive the implants and have a functional deltoid muscle.
  3. Individuals who are able to read and comprehend the informed patient consent document and are willing and able to provide informed patient consent for participation in the study and have authorized the transfer of their information to DePuy Synthes.
  4. Individuals who are willing and able to return for follow-up as specified by the study protocol.
  5. Individuals who are a minimum age of 22 years at the time of consent.
  6. Individuals who are willing and able to complete the Patient Reported Outcome Measure questionnaires (PROMs) as specified by the study protocol.

Exclusion criteria

Exclusion Criteria:

  1. > 40 kg/m2
  2. Individuals have active, uncontrolled local infection or systemic infection.
  3. Patients who have not reached skeletal maturity, regardless of age.
  4. Either preoperatively or intraoperatively and per standard of care medical assessment, bone stock in the proximal humerus or glenoid fossa is determined to be inadequate for supporting the INHANCE humeral stemless components (NOTE: exclusion applies to both arms of the study, i.e., bone stock to be evaluated independent of randomized treatment assignment).
  5. Intraoperatively and per treating physician's assessment of bone quality, bone is determined to be too soft or porous to support the implant or that is too hard or brittle to allow for proper bone preparation and fixation, i.e. osteoporosis or sclerotic bone, or tumor(s) of the supporting bone structure, where there could be considerable migration of the prosthesis and/or a chance of fracture of the humerus or glenoid.
  6. Fractures of the proximal humerus that could compromise the fixation of the INHANCE reverse humeral stemless components.
  7. Patients who have undergone previous treatment on the study shoulder that may compromise fixation of the INHANCE reverse humeral stemless component.
  8. Revision of a failed hemi, total or reverse shoulder arthroplasty.
  9. Patient is receiving, or is scheduled to receive, treatment that the Investigator considers could affect bone quality, such as chemotherapy or high dose .
  10. Individuals who are bedridden per the Investigator's determination.
  11. Individuals that have participated in a clinical investigation with an product (drug or device) in the last three months.
  12. Individuals currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  13. Individuals, in the opinion of the Investigator, who are drug or alcohol abusers or have psychological disorders that could affect their ability to complete patient reported questionnaires or be compliant with follow-up requirements.
  14. Patients with a known medical condition that the Investigator believes would impact the study outcomes (including, but not limited to osteomyelitis, Paget's disease, neuropathies such as Charcot's disease, or neoplastic disorders).
  15. Patient has a medical condition with less than 2 years .
  16. Patients who are known to be pregnant or breastfeeding.
  17. Known polyethylene and/or metal sensitivity or allergy.
  18. Contralateral side has been enrolled in the study or has received a total shoulder operation within the last 6 months
  19. Otherwise determined by the investigator to be medically unsuitable for participation in this study
  20. Patient is a member of a vulnerable population (i.e., incarcerated individuals - those incarcerated for at least one month and considered to be an inmate)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
168 participants (actual)

Study arms

  • Experimental
    INHANCE Stemless Reverse

    INHANCE(TM) Stemless Reverse Total Shoulder

    Device: Reverse Total Shoulder

  • Active comparator
    INHANCE Stemmed Reverse

    INHANCE(TM) Stemmed Reverse Total Shoulder

    Device: Reverse Total Shoulder

Interventions

  • DeviceReverse Total Shoulder

    Uncemented Reverse Total Shoulder

06

What researchers measure

Primary outcomes

  1. Constant Murley Score (CMS)

    Primary effectiveness endpoint - Adjusted Constant-Murley Change from Baseline (ACM CFB) at 2 years post-operative. The CMS is a 100 point scale, the higher the score, the higher the quality of the function. ACM will be obtained by dividing the raw score by the relative score.

    Time frame: Pre-op, 2 years

  2. Removal of any system component

    No removal of any system component

    Time frame: 2 year

  3. Revision of any system component

    No revision of any system component

    Time frame: 2 year

  4. Reoperation of any system component

    No reoperation of any system component

    Time frame: 2 year

  5. Supplemental Fixation of any system component

    No supplemental fixation of any system component

    Time frame: 2 year

  6. Radiolucent Lines (Humeral & Glenoid)

    No humeral or glenoid radiolucent line greater than 2mm is present in 50% or more zones

    Time frame: 2 year

  7. Migration and Tilt (Humeral & Glenoid)

    No conclusive evidence of migration and tilt (greater than 5mm migration and greater than 10 degrees tilt) of the humeral or glenoid component

    Time frame: 2 year

Secondary outcomes

  1. Constant Murley Score (CMS)

    Adjusted Constant-Murley Score at baseline and 3- and 6-months and 1- and 2-years post-operative. The CMS is a 100 point scale, the higher the score, the higher the quality of the function. ACM will be obtained by dividing the raw score by the relative score.

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  2. EQ-5D-5L and EQ-VAS

    EQ-5D-5L Scores by dimension and EQ-VAS, at baseline and 3- and 6-months and 1- and 2-years post-operative. The value score generally ranges from less than 0 to 1, with higher scores indicating higher health utility. The EQ VAS records the subject's self-rated health from 0 (worst) to 100 (best).

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  3. Simple Shoulder Test

    Simple Shoulder Test (SST) Scores at baseline and 3- and 6-months and 1- and 2-years post-operative. Scores range from 0 (worst) to 12 (best).

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  4. Single Assessment Numeric Evaluation (SANE) Score

    Single Assessment Numeric Evaluation (SANE) Scores at baseline and 3- and 6-months and 1- and 2-years post-operative. The scale is 0 to 100 with 100 being "normal".

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  5. Survivorship

    Overall survivorship of the INHANCE Shoulder System at 2 years post-operative, where the system is deemed to be surviving if no components (humeral stem or stemless component, glenosphere, baseplate, liner, etc.) have been removed for any reason, will be presented using the Kaplan-Meier method.

    Time frame: 2 year

  6. Complications

    The type and frequency of all reportable adverse events (AEs) and device deficiencies in this study will be summarized, with distinction of serious AEs, device and procedure related AEs

    Time frame: 2 year

Other outcomes

  1. Constant Murley Score (CMS)

    Change from baseline adjusted Constant-Murley Score at 3- and 6-months and 1- year post-operative. The CMS is a 100 point scale, the higher the score, the higher the quality of the function. ACM will be obtained by dividing the raw score by the relative score.

    Time frame: Pre-op, 3-month, 6-month, 1 year

  2. EQ-5D-5L and EQ-VAS

    Change from baseline EQ-5D-5L Value Score and EQ-VAS, at 3- and 6-months and 1- and 2-years post-operative. The value score generally ranges from less than 0 to 1, with higher scores indicating higher health utility. The EQ VAS records the subject's self-rated health from 0 (worst) to 100 (best).

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  3. Simple Shoulder Test

    Change from baseline SST Scores at 3- and 6-months and 1- and 2-years post-operative. Scores range from 0 (worst) to 12 (best).

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  4. Single Assessment Numeric Evaluation (SANE) Score

    Change from baseline SANE Scores at 3- and 6-months and 1- and 2-years post-operative. The scale is 0 to 100 with 100 being "normal".

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

  5. Range of Motion

    Change from baseline range of motion at 3- and 6-months and 1- and 2-years post-operative

    Time frame: Pre-op, 3-month, 6-month, 1 year, 2 year

07

Study locations

15 sites
  • Orthopedic Center of Palm Beach County
    Atlantis, Florida 33462, United States
  • Boston Bone & Joint Institute BBJI Formerly BSSC
    Waltham, Massachusetts 02451, United States
  • Trinity Health Grand Rapids
    Grand Rapids, Michigan 49503, United States
  • Missouri Orthopaedic Institute (MOI)
    Columbia, Missouri 65201, United States
  • OrthoCarolina Research Institute Charlotte
    Charlotte, North Carolina 28207, United States
  • Duke Orthopaedics of Raleigh
    Raleigh, North Carolina 27609, United States
  • Crystal Clinic Orthopaedic Center
    Akron, Ohio 44333, United States
  • Lindner Research Center
    Cincinnati, Ohio 45219, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Slocum Center for Orthopaedics and Sports Medicine
    Eugene, Oregon 97401, United States
  • St. Luke's University Health Network
    Bethlehem, Pennsylvania 18015, United States
  • Rothman Orthopaedics Institute
    Philadelphia, Pennsylvania 19107, United States
  • MTBJ a division of Tennessee Orthaepedic Alliance
    Columbia, Tennessee 38401, United States
  • University of Utah
    Salt Lake City, Utah 84108, United States
  • Mary Washington Orthopedics in affiliation with FOA
    Fredericksburg, Virginia 22408, United States
08

Updates

2 registry updates since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Nov 3, 2026
Sites
Rothman Orthopaedics Institute is now Terminated
Sep 25, 2026
Show all 2 updates
  1. Nov 3, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: verification date, contact details and site details
  2. Sep 25, 2026
    Rothman Orthopaedics Institute is now Terminated
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06323980
Lead sponsor
DePuy Orthopaedics
Responsible party
Sponsor
First posted
Mar 21, 2024
Start date
Mar 4, 2025
Primary completion
Nov 10, 2027 (estimated)
Completion
Oct 30, 2028 (estimated)
Last update
Nov 3, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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