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TerminatedNCT06412939AgileUpdated Aug 28, 2025

Retrospective Study on Clinical Performance and Safety Profile of Agile Nail

An observational study in Fractures, Bone, Impending Fracture and Deformity; Bone, sponsored by Orthofix s.r.l.. Terminated at 1 site in United Kingdom. Open to participants aged 18 Months to 18 Years. Per ClinicalTrials.gov, last updated 2025-08-28.

Sponsored by Orthofix s.r.l. · Observational

Why this study was terminated
This observational, retrospective study was discontinued as part of a strategic decision to reallocate resources to new product development. All patients had completed treatment before the study start.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
20
Ages
18 Months to 18 Years
Sex
All
01

Study summary

This study aims to retrospectively collect data from routine clinical practice in order to evaluate the safety profile of the Agile intramedullary nail, used in pediatric patients according to the manufacturer Instructions For Use (IFU) in the time frame from the time of surgery until the last follow-up visit available at the hospitals.

Read the detailed description

The study will be conducted in two investigational sites, one in France and one in United Kingdom, both experienced in the treatment of pediatric patients with femoral shaft and subtrochanteric fractures and deformity correction procedures or have performed prophylactic nailing of impending pathologic fractures, where the usage of AGILE NAIL (known as AGILE) was part of the normal clinical practice.

Investigator of both study sites will provide data for a maximum of 45 patients meeting inclusion and exclusion criteria (Considering a drop-out or a non-evaluable rate of 10% of the procedures) that will contribute for approximately 45 procedures in which AGILE was used.

No diagnostic or therapeutic intervention outside of routine clinical practice will be applied. The study has been designed to analyze medical records of patients where study data was collected as part of their routine clinical practice. Therefore, patients will be retrospectively enrolled in the study. Patients who have undergone AGILE implantation from 04/2018 to 12/2022 are considered for the study. The observation period of study subjects will comprise from surgery until the last follow up visit available.

Medical records of the participating sites are expected to contain all the required information.

In United Kingdom, no study visit will be required but according to local legislation, it will be essential that before collecting any information from medical records, participants or their guardians are asked for specific informed consent to be signed by them before any collection of patient information takes place.

However, in France, due to the use of primary data and the foreseen exemption of the informed consent (IC) form (see Section 14.2 Informed Consent), no study visit will be required.

02

Conditions studied

  • Fractures, Bone
  • Impending Fracture
  • Deformity; Bone

Keywords

  • nail
  • intramedullary
  • rigid nail
  • pediatric
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 20 is below the median of 100 across 675 observational studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Orthofix s.r.l. is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Months to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The full analysis set includes all paediatric patients who that have been treated for femoral shaft and subtrochanteric fractures or have performed prophylactic nailing of impending pathologic fractures or have undergone fixation of femurs that have been surgically prepared for deformity correction with the Agile nail, that will be systematically consecutive screened at the centers.

Inclusion criteria

  1. The patient has been adequately informed by providing the PIS. 1.1 The patient expressed his willingness to participate in the Study by signing and dating informed consent (valid only for UK patients according to local law).
  2. Patients who had a regular indication for surgical intervention with Agile Nail according to the manufacturer's IFU.
  3. Patients in pediatric age ((> 18 month and \< 18 years) at the time of surgery.
  4. Patients skeletally immature.
  5. Patients who underwent surgery performed with Agile Nail.
  6. Patients with clinical data registered in her/him medical records sufficient to assess the safety and efficacy endpoint of the study: in particular, the patient has at least one followup at minimum 3 months from the surgery where is possible for the investigator to assess the consolidation of the treated bone.
  7. The patient had surgery at least 1 year before enrollment.

Exclusion criteria

Exclusion Criteria:

  1. Patient who had/has a medical condition that is a contraindication according to the manufacturer's instruction for use leaflet.
  2. Patient who had/has a concomitant not permitted device which cannot be safely removed.
  3. Patient for whom there are other concurrent medical or other conditions that in the opinion of the participating investigator may prevent participation or otherwise render the patient ineligible for the study.
  4. The patient had surgery less than 1 year before enrollment.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
20 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients in pediatric age (> 18 month and < 18 years) at the time of surgery

    The full analysis set includes all paediatric patients who that have been treated for femoral shaft and subtrochanteric fractures or have performed prophylactic nailing of impending pathologic fractures or have undergone fixation of femurs that have been surgically prepared for deformity correction with the Agile nail, that will be systematically consecutive screened at the centers.

    Device: Agile Nail

Interventions

  • DeviceAgile Nail

    Intramedullary implantation of the Agile intramedullary rigid nail in femur to provide bone fixation

    Also known as: Rigid intramedullary nail

06

What researchers measure

Primary outcomes

  1. Percentage of procedures that have achieved bone union at the "bone consolidation assessment" visit

    The measurement of efficacy will be mande with the percentage of procedures that have achieved bone union

    Time frame: After 5 month (approximately) from surgery

  2. Post-treatment fracture-free survival

    The measurement will be used to assess efficacy

    Time frame: up to 1 year

  3. Percentage of procedures in which deformity correction was maintained according to investigator's opinion (only for procedure where the indication is "Deformity Correction")

    The measurement will be used to assess efficacy

    Time frame: from the date of surgery until the last follow-up, assessed up to 1 year

  4. Percentage of procedures with at least one serious/not serious adverse event certainly related or possibly related to Agile Nail (ADEs/SADEs)

    This outcome will be used to measure safety

    Time frame: from the date of surgery until the last follow-up, assessed up to 1 year

  5. Percentage of procedures who experienced at least one MDDs that caused an effect on the patient

    This outcome will be used to measure safety

    Time frame: from the date of surgery until the last follow-up, assessed up to 1 year

07

Study locations

1 site
  • Leeds Teaching Hospitals NHS Trust
    Leeds, LS9 7TF, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06412939
Lead sponsor
Orthofix s.r.l.
Responsible party
Sponsor
First posted
May 14, 2024
Start date
Jul 26, 2024
Primary completion
Mar 26, 2025
Completion
Mar 26, 2025
Last update
Aug 28, 2025

Study contacts

Patrick Foster, MD
principal investigator · Leeds Teaching Hospitals NHS Trust

Oversight

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

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This study is terminated, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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