ClinicalTrials.gg
Not yet recruitingNCT07927166RESELUTEUpdated Nov 10, 2026

Local Antibiotic Delivery From an Intramedullary Nail After Surgical Treatment of Tibial Fractures at High Risk of Infection

An interventional study of Reselution V Tibial Intramedullary Fixation System and Reselution VT Tibial Intramedullary Fixation System in Tibial Fractures and Fractures, Open, sponsored by Reselute, Inc.. Not yet recruiting at 1 site in United States. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Reselute, Inc. · Not applicable, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
317
Allocation
Non-randomized
Ages
22 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether an antibiotic-releasing nail placed inside the shinbone (tibia) helps prevent infection and supports bone healing in adults with an open shinbone fracture. The study will test two versions of the Reselution Tibial Intramedullary Fixation System: one that releases vancomycin (Reselution V) and one that releases vancomycin and tobramycin (Reselution VT).

The main question it aims to answer is: within 12 months of surgery, how many participants heal without unplanned repeat surgery on the injured leg, have a healed bone on X-ray, and have no serious device-related side effects?

Participants will:

  • Have surgery to fix their shinbone with the Reselution nail
  • Have blood tests in the first 2 weeks after surgery (this testing may be stopped for later participants after an independent safety review)
  • Attend follow-up visits for up to 24 months, including X-rays and questionnaires
02

Conditions studied

  • Tibial Fractures
  • Fractures, Open

Keywords

  • Open tibial fracture
  • Intramedullary nail
  • Local antibiotic delivery
  • Fracture-related infection
  • Deep Surgical Site Infection
03

In context

Tibial Fractures

135 studies on the registry are indexed under Tibial Fractures; 37 are open to participants now.

This study's planned enrollment of 317 is above the median of 65 across 91 interventional studies indexed under Tibial Fractures.

Browse Tibial Fractures studies →

Lead sponsor

This is the only study on the registry with Reselute, Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
22 Years to 80 Years
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

  • Age 22 to 80 years
  • Open tibial shaft fracture, Gustilo-Anderson Type I, II, or IIIA, treated with intramedullary nail fixation (prior temporary fixation allowed)
  • Adequate soft tissue coverage by primary closure or skin graft, without need for local or free flap
  • Intramedullary nail placed within 14 days of injury
  • Willing and able to comply with study procedures and follow-up
  • Provides written

Exclusion criteria

Exclusion Criteria:

  • Gustilo-Anderson Type IIIB or IIIC fracture
  • Fracture requiring more than one operative washout
  • Bone defect of 1 cm or more
  • Extensive contamination or muscle damage precluding fixation at initial debridement
  • Fasciotomy wounds requiring skin grafting
  • Infection at the fracture site at enrollment
  • Fracture not amenable to intramedullary nailing with at least two proximal and two distal interlocking screws
  • Displaced intra-articular tibial plateau or pilon fracture on the same limb
  • Definitive fracture fixation before enrollment
  • Planned staged bone grafting, cement spacer, or use of osteobiologics
  • Chronic kidney disease with below 60 mL/min/1.73 m² or acute kidney injury requiring dialysis
  • Calcium metabolism disorder
  • Allergy or sensitivity to vancomycin, tobramycin, titanium, vanadium, aluminum, or calcium sulfate
  • Pregnancy
  • Endocrine or metabolic disorder affecting bone healing (osteoporosis allowed)
  • Current use of systemic , immunomodulatory (including systemic ), or chemotherapy agents
  • Likely barriers to follow-up, such as severe psychiatric condition, cognitive impairment without family support, residence outside the catchment area, planned care elsewhere, incarceration, or homelessness
  • Inadequate site resources to address low English literacy
Terms in these criteria, in plain language(4)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
317 participants (estimated)

Study arms

  • Experimental
    Reselution V

    Definitive fixation of the open tibial fracture with the Reselution V Tibial Intramedullary Fixation System (vancomycin).

    Device: Reselution V Tibial Intramedullary Fixation System

  • Experimental
    Reselution VT

    Definitive fixation of the open tibial fracture with the Reselution VT Tibial Intramedullary Fixation System (vancomycin and tobramycin).

    Device: Reselution VT Tibial Intramedullary Fixation System

Interventions

  • DeviceReselution V Tibial Intramedullary Fixation System

    Device-led combination product: titanium tibial intramedullary nail with an internal core loaded with vancomycin for local sustained antibiotic delivery.

  • DeviceReselution VT Tibial Intramedullary Fixation System

    Device-led combination product: titanium tibial intramedullary nail with an internal core loaded with vancomycin and tobramycin for local sustained antibiotic delivery.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Composite Success at 12 Months

    Composite success requires all of the following through 12 months: (1) no unplanned repeat surgery on the study injury for deep surgical site infection, to promote fracture union, for nail construct removal due to implant failure or migration, or amputation; (2) radiographic fracture union, defined as a modified Radiographic Union Score for Tibial fractures (mRUST) of 10 or greater; and (3) no device-related serious adverse events or device-related serious suspected adverse reactions.

    Time frame: 12 months after surgery

Secondary outcomes

  1. Percentage of Participants Without Unplanned Repeat Surgery

    Unplanned repeat surgery on the study injury to address infection, wound healing, or fracture union, excluding implant removal for prominence or irritation.

    Time frame: 12 and 24 months after surgery

  2. Percentage of Participants With Radiographic Fracture Union

    Union defined as a modified Radiographic Union Score for Tibial fractures (mRUST) of 10 or greater.

    Time frame: 12 months after surgery

  3. Percentage of Participants Without Device-Related Serious Adverse Events

    Includes device-related serious adverse events and device-related serious suspected adverse reactions.

    Time frame: Through 12 and 24 months after surgery

  4. Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Score

    Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (lower extremity) T-score. Higher scores indicate better function.

    Time frame: 12 and 24 months after surgery

  5. Brief Pain Inventory Score

    Brief Pain Inventory scores range from 0 to 10. Higher scores indicate worse pain.

    Time frame: 12 and 24 months after surgery

  6. Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate in Social Roles and Activities Score

    Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate in Social Roles and Activities T-score. Higher scores indicate better ability to participate.

    Time frame: 12 and 24 months after surgery

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Jan 2027; primary completion for Feb 2029, 25 months later.

Of 39 interventional studies with no phase under Tibial Fractures, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 80. This study's planned 25 months is below that.

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

Registered
Nov 3, 2026
First posted
Nov 10, 2026
StartEst.
Jan 2027
Primary completionEst.
Feb 2029
CompletionEst.
Feb 2030
Last update
Nov 10, 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.
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 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 ↗

10

Registry details

Key details

Study ID
NCT07927166
Lead sponsor
Reselute, Inc.
Collaborators
Major Extremity Trauma Research Consortium
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Jan 2027 (estimated)
Primary completion
Feb 2029 (estimated)
Completion
Feb 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

SiNing Zhao, DrPh
Contact
szhao39@jh.edu
443-842-9704
Robert O'Toole, MD
principal investigator · University of Maryland, Baltimore

Oversight

Data monitoring committee
Yes
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 Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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