ClinicalTrials.gg
RecruitingNCT07567092Updated Nov 3, 2026

A Study of VIRTUGUIDE System and DePuy Synthes Lapidus Implant in Participants Undergoing Lapidus Procedure

An observational study in Hallux Valgus, sponsored by DePuy Synthes Products, Inc.. Recruiting at 5 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by DePuy Synthes Products, Inc. (part of Johnson & Johnson) · Observational

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Updated Nov 3, 20264 sites addedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
22 Years and older
Sex
All
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Study summary

The purpose of this study is to assess the surgeon experience and surgery outcomes in participants undergoing index Lapidus procedure for the correction of hallux valgus (a foot deformity where the big toe angles outward towards the other toes, causing a painful bony bump at the base of the big toe joint) using the VIRTUGUIDE System and compatible DePuy Synthes Lapidus implants.

02

Conditions studied

  • Hallux Valgus

Browse trials for

03

In context

Hallux Valgus

157 studies on the registry are indexed under Hallux Valgus; 36 are open to participants now.

This study's planned enrollment of 100 is above the median of 60 across 35 observational studies indexed under Hallux Valgus.

Browse Hallux Valgus studies →

Lead sponsor

DePuy Synthes Products, Inc. is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will include adults who will undergo surgical treatment for the correction of hallux valgus via Lapidus procedure using the VIRTUGUIDE System and will receive a compatible DePuy Synthes Lapidus implant.

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

  • Participants, both male and female, >= 22 years old at the time of consent
  • Participants undergoing a primary Lapidus procedure for the correction of hallux valgus using the VIRTUGUIDE System (software + instruments) and who receive a compatible DePuy Synthes Lapidus implant
  • Participants must be able to read and understand questions and responses in an available translated language for patient reported outcomes (PROMs)
  • All primary Lapidus fixation implants are used on-label according to the implant IFU/FDA cleared labeling
  • Participants who can speak, read, and comprehend the Institutional Review Board approved Document and are willing and able to provide informed patient consent for participation and have authorized the transfer of his/her information to DePuy Synthes

Exclusion criteria

Exclusion criteria:

  • Participation in any other medical device or medicinal product study within the previous month. Participation in observational studies is allowed
  • In the opinion of the Principal Investigator, the subject is unable to comply with the requirements of the registry
  • Participant has known allergies to implant components
  • Participant presenting for a revision of a Lapidus procedure
  • Participant has existing hardware in the operative joint
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • VIRTUGUIDE System and Compatible DePuy Synthes Lapidus Implant(s)

    Participants with hallux valgus undergoing index Lapidus procedure using the VIRTUGUIDE System and compatible DePuy Synthes Lapidus implant(s) will be enrolled in the study. All participants will be followed up as per the surgeon's standard of care for up to 12 months after the surgery.

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What researchers measure

Primary outcomes

  1. Radiographic Documentation of Fusion/Healing Status

    Evaluation of healing, that is, healing will be a combination of radiographic and clinical assessment. Healing (fusion) will be considered achieved based on surgeon interpretation of radiographic images, lack of clinical motion and no pain at the fused site indicative of failed fusion. Imaging, whether X-ray or computed tomography (CT) collected per standard of care (SOC), utilized for radiographic assessment will be collected.

    Time frame: Up to 12 months post-procedure

  2. Patient Reported Outcome Measures (PROM): Manchester Oxford Foot Questionnaire (Quality of Life Index) Scores

    The Manchester Oxford Foot Questionnaire (MOxFQ) with three domains (walking/standing, pain, and social interaction) is a standardized instrument developed and validated specifically for hallux valgus (bunions) corrective surgery. It is widely regarded as the gold standard for content and construct validity. It is designed for self (participant) completion and consists of sixteen (16) questions all of which are scored on a five (5) item Likert scale. The scores for each domain range from 0-100, with 100 representing the worst condition.

    Time frame: Up to 12 months post-procedure

  3. PROM: Numeric Pain Rating Scale Scores

    The Numeric Pain Rating Scale is a three (3) question self-administered PROM with a 10-point one-dimensional line anchored on either end by verbal descriptors ranging from "no pain" to "worst imaginable pain". The higher score indicates greater pain intensity. The three questions ask the participant to indicate the intensity of current, best, and worst pain levels over the past 24 hours.

    Time frame: Up to 12 months post-procedure

  4. Number of Participants Reporting any Perioperative Adverse Event (AE)

    An AE is any untoward medical occurrence (sign, symptom, or disease) in a participant that is deemed at least possibly related to the DePuy Synthes registry device, or any adjunctive implant device used during the index procedure.

    Time frame: Up to 12 months post-procedure

  5. Number of Participants with AEs Related to Device/Procedure

    An AE is any untoward medical occurrence (sign, symptom, or disease) in a participant that is deemed at least possibly related to the DePuy Synthes registry device, or any adjunctive implant device used during the index procedure. The determination of whether the AE is related to the device and/or procedure will be based upon whether a causal relationship between the device and/or procedure and the AE is at least a reasonable possibility, i.e., the relationship cannot be ruled out. A causal relationship cannot be ruled out if, in the medical judgment of the Investigator, the effect follows a reasonable temporal association with the use of the device and/or is confirmed by the improvement of the effect upon discontinuation of the clinical use of the device, and/or the effect is not reasonably explained by the participant's clinical state.

    Time frame: Up to 12 months post-procedure

  6. Number of Participants with Serious Adverse Events (SAEs)

    SAEs are AEs defined as having one or more of the following outcomes: death, serious deterioration in the health of the subject that has resulted in a. life-threatening illness or injury b. permanent impairment of a body structure or a body function c. hospitalization or prolongation of existing hospitalization d. medical or surgical intervention to prevent life-threatening illness or injury or permanent impairment to a body structure or a body function e. chronic disease and Fetal distress, fetal death or a congenital physical or mental impairment or birth defect.

    Time frame: Up to 12 months post-procedure

  7. Number of Participants Reporting Device Deficiency

    Device deficiencies include malfunctions, use errors, and inadequate labeling. Device malfunctions are failures of the device to perform as intended and can be defined as issues with software (VIRTUGUIDE Pre-Planning Software), any breakage, malposition, migration, and/or loosening of the device.

    Time frame: Up to 12 months post-procedure

  8. Number of Participants who Underwent Revision

    Revision is defined as surgery following the index Lapidus procedure that involves adjustment, modification, removal, or replacement of the implanted device. Surgeries involving adjunctive implants at the first metatarsal-cuneiform joint are considered as a revision.

    Time frame: Up to 12 months post-procedure

  9. Number of Participants who Underwent Reoperation

    Reoperation is defined as any subsequent surgical procedure performed following the index surgery that does not involve adjustment, modification, removal, or replacement of the primary Lapidus implant(s), nor the addition of adjunctive fixation at the first metatarsal-cuneiform joint.

    Time frame: Up to 12 months post-procedure

  10. Number of Participants Reporting Recurrence

    Radiographic recurrence will be considered to have occurred in those subjects with correction if both of the following criteria are met: Intermetatarsal Angle (IMA) of greater than (\>)12 degree and Hallux Valgus Angle (HVA) \> 15 degree.

    Time frame: Up to 12 months post-procedure

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Study locations

5 of 5 sites recruiting
  • MercyOne Waterloo Medical Center
    Waterloo, Iowa 50703, United States
    Recruiting
  • The Iowa Clinic
    West Des Moines, Iowa 50266, United States
    Recruiting
  • Foot And Ankle Specialists of Southeast Michigan
    Warren, Michigan 48092, United States
    Recruiting
  • OrthoCarolina Research Institute
    Charlotte, North Carolina 28207, United States
    Recruiting
  • Atlantic Orthopaedic Specialists
    Virginia Beach, Virginia 23462, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

Data sharing details ↗ · innovativemedicine.jnj.com

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for May 2028, 22 months after the start.

Of 15 observational studies under Hallux Valgus, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 62. This study's planned 22 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 28, 2026
First posted
May 5, 2026
StartActual
Jul 7, 2026
Primary completionEst.
May 15, 2028
CompletionEst.
May 15, 2028
Last update
Nov 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
4 sites added
Show 4 added (4 United States)
  • MercyOne Waterloo Medical Center · Waterloo, United States
  • The Iowa Clinic · West Des Moines, United States
  • Foot And Ankle Specialists of Southeast Michigan · Warren, United States
  • OrthoCarolina Research Institute · Charlotte, United States
Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    4 sites added
    Show 4 added (4 United States)
    • MercyOne Waterloo Medical Center · Waterloo, United States
    • The Iowa Clinic · West Des Moines, United States
    • Foot And Ankle Specialists of Southeast Michigan · Warren, United States
    • OrthoCarolina Research Institute · Charlotte, United States
    + 1 other change: verification date
  2. Sep 25, 2026
    Minor edits only
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07567092
Responsible party
Sponsor
First posted
May 5, 2026
Start date
Jul 7, 2026
Primary completion
May 15, 2028 (estimated)
Completion
May 15, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Marcie Maichle
Contact
MMaichle@ITS.JNJ.com
443-987-0665
Priyamvada Devineni
Contact
pdevinen@its.jnj.com
DePuy Synthes Products, Inc. Clinical Trial
study director · DePuy Synthes Products, Inc.

Oversight

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

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