ClinicalTrials.gg
Not yet recruitingNCT07884448Updated Oct 20, 2026

PliaFX Flo Subtalar Fusion Study

An Early Phase 1 interventional study of PliaFX Flo Allograft in Subtalar Arthrodesis, sponsored by St. Paul's Hospital, Canada. Not yet recruiting at 1 site in Canada. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by St. Paul's Hospital, Canada · Early Phase 1, Interventional, and Device feasibility

Updated Oct 20, 2026Newly registeredGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

During a subtalar fusion, the bones making up the subtalar joint (talus and calcaneus) are permanently fused together. In the procedure, any damaged cartilage and bone at the subtalar joint is removed, then screws are inserted into the joint to fuse the bones together. Depending on the surgeon, a bone graft is sometimes applied between the bones prior to screw insertion to aid in bone bridging (growth of bone into the fusion site). Participants who consent to this study and are assigned to the PliaFX® Flo Allograft group, will receive PliaFX® Flo Allograft (human tissue donated from a donor) at the fusion site. The PliaFX® Flo system is demineralized bone fibers (hard minerals removed from bone using acid) in a sterile syringe that allows for delivery into small areas where bone graft is needed to assist bone fusion. The allograft bone fibers are produced from donated human cadaver (deceased human) bone.

This study aims to determine whether the use of PliaFX® Flo Allograft in subtalar fusions will improve functioning and healing of the bone and cartilage for patients like you. Participants who are interested will discuss with their surgeon and be randomly assigned to one of the two study procedures below. The patient will not know what group they are in until after all data has been collected and all study visits are complete.

02

Conditions studied

  • Subtalar Arthrodesis

Keywords

  • PliaFX
03

In context

Lead sponsor

St. Paul's Hospital, Canada is the lead sponsor of 32 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
19 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. The subject is at least 19 years of age.
  2. The subject is considered to be skeletally mature.
  3. The subject qualifies for subtalar fusion based on physical examination and/ or past medical history including isolated osteoarthritis, post-traumatic, degenerative, or rheumatoid arthritis of the ankle.
  4. The subject experiences severe pain in the subtalar joint that could not be cured with non-operative treatment options.
  5. The patient may undergo a subtalar fusion as part of a triple arthrodesis.
  6. The patient may have forefoot pathology addressed by either prior or concurrent surgery (osteotomies or fusions).
  7. The patient consented for either an arthroscopic or open procedure.
  8. The subject is able to comply with all post-operative evaluations and visits.
  9. The subject consents to and will receive either no graft or PliaFX® Flo allograft during their surgery

Exclusion criteria

Exclusion Criteria:

  1. The subject has:

    • Severe osteoporosis
    • Neuromuscular impairment
    • Prior infection in the affected joint
  2. The subject currently has acute infections that, in the opinion of the Investigator, may complicate healing.
  3. The subject has a known or suspected allergy to any of the processing reagents listed in the packet insert (alcohol, glycinate buffer, and glycerol).
  4. The subject is renal compromised.
  5. The subject has a major risk factor for non-union (ex. poorly controlled diabetes or current smoker).
  6. The subject is undergoing a revision of a prior subtalar fusion.
  7. The subject has had a prior ankle joint fusion.
  8. An ankle joint replacement or ankle joint fusion may be performed during the same sitting.
  9. The subject has a of > 50 kg/m2.
  10. The subject is known to be pregnant, or plans to become pregnant during the study period
  11. The investigator judges the subject to be unable or unlikely to remain compliant to follow-up due to a physical or mental condition (ex. currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.).
  12. The subject is unable to provide .
  13. The subject is unable to communicate with the research team.
  14. The subject is unable to comply with follow-up.
  15. The subject has a history of substance addiction (e.g. recreational drugs, narcotics, or alcohol) within 12 months prior to screening for study entry
  16. The subject will be receiving a structural autograft or allograft (such as a femoral head graft or tri cortical iliac crest graft) to fill a defect greater than 1cm3
Terms in these criteria, in plain language(2)

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.

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

Phase
Early Phase 1
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    PliaFX Flo Allograft

    Participant will receive PliaFX Flo during their Subtalar Arthrodesis procedure.

    Device: PliaFX Flo Allograft

  • No intervention
    No Graft

    Participant will receive no graft during their Subtalar Arthrodesis procedure.

Interventions

  • DevicePliaFX Flo Allograft

    Participant will receive the PliaFX Flo Allograft during their Subtalar Arthrodesis procedure.

06

What researchers measure

Primary outcomes

  1. Bone Bridging Percentage

    Bone bridging percentage measured by CT scans at 12, 24, and 52 weeks post-operatively.

    Time frame: Enrollment to last Follow-up visit (52 weeks)

Secondary outcomes

  1. Foot and Ankle Measure (FAAM) Questionnaire

    Minimum value of 0, maximum value of 100, and lower scores are worse.

    Time frame: Enrollment to last follow up visit (52 weeks)

  2. Current Health Assessment Questionnaire

    Minimum value of 0, maximum value of 100, and higher scores are worse.

    Time frame: Enrollment to last follow up visit (52 weeks)

  3. American Academy of Orthopaedic Surgeons (AAOS) Foot and Ankle Questionnaire

    Minimum value of 0, maximum value of 100, and lower scores are worse.

    Time frame: Enrollment to last follow up visit (52 weeks)

  4. Demographics Questionnaire

    Time frame: Enrollment to last follow up visit (52 weeks)

  5. Ankle Osteoarthritis Scale

    Minimum value of 1, maximum value of 100, and higher scores are worse.

    Time frame: Enrollment to last follow up visit (52 weeks)

  6. SF-36 Health Survey

    Time frame: Enrollment to last follow up visit (52 weeks)

07

Study locations

1 site
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    First appeared on the registry

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
NCT07884448
Lead sponsor
St. Paul's Hospital, Canada
Responsible party
Alastair Younger (Orthopaedic Surgeon, Director of Foot and Ankle, St. Paul's Hospital, Canada) — Principal investigator
First posted
Oct 20, 2026
Start date
Oct 2026 (estimated)
Primary completion
Dec 2030 (estimated)
Completion
Dec 2031 (estimated)
Last update
Oct 20, 2026

Study contacts

Biraj Bora
Contact
biraj.bora@phc.ca
604-813-0889

Oversight

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

Not currently enrolling

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

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Discussion

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