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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000878471
Ethics application status
Approved
Date submitted
21/07/2025
Date registered
12/08/2025
Date last updated
12/08/2025
Date data sharing statement initially provided
12/08/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Phase 1 trial of implantation of the Sternurib device to close the sternum after sternotomy in cardiac surgery
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Scientific title
Phase 1 trial of implantation of the Sternurib device to close the sternum after sternotomy in cardiac surgery
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Secondary ID [1]
314958
0
none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiac Surgery
338277
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Condition category
Condition code
Surgery
334577
334577
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The SternuRib is a novel plate-and-band medical device used to close the sternum after sternotomy for cardiac surgery. It replaces existing devices, such as stainless steel cerclage. This is the first human trial of the device's implantation in patients after cardiac surgery. The intervention will be administered by a cardiothoracic surgeon.It is likely to take 10-15 minutes to implant. There are several differentiating features, and currently available devices come. However, these are Commercial-in-confidence. There is no requirement to monitor adherence as the device is implanted as a necessity to close the sternum.The duration of implantation will be documented from the commencement until final closure of the sternum.
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Intervention code [1]
331558
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Treatment: Surgery
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Comparator / control treatment
The comparator is a historical study comparing a commercially available plate and band system (SternaLock 360) and Stainless wire circlage. The endpoints are the same in this trial as for the prior study. There is no active comparator for this trial.
Royse AG, El-Ansary D, Hoang W, Lui E, McCusker M, Tivendale L, Yang Y, Canty DJ, Royse CF. A randomized trial comparing the effects of sternal band and plate fixation of the sternum with that of figure-of-8 wires on sternal edge motion and quality of recovery after cardiac surgery. Interact Cardiovasc Thorac Surg. 2020;30(6):863-70
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Control group
Historical
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Outcomes
Primary outcome [1]
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Implant Success
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Assessment method [1]
342251
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Time to implant will be timed using a stopwatch during surgery
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Timepoint [1]
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IIntraoperative
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Primary outcome [2]
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Sternal Micromotion < 2mm
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Assessment method [2]
342383
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Sternal ultrasound during dynamic cough
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Timepoint [2]
342383
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days 1, 2, 3–5, weeks 6 and 12 postoperative
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Secondary outcome [1]
450136
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Sternal bone healing
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Assessment method [1]
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CT scan
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Timepoint [1]
450136
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12 weeks postoperative
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Secondary outcome [2]
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Quality of recovery after surgery
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Assessment method [2]
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Postoperative Quality of Recovery Scale (PostopQRS)
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Timepoint [2]
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1, 2, 3–5, weeks 6 and 12 postoperative
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Eligibility
Key inclusion criteria
Age >= 18 years old
Elective cardiac surgery
Primary cardiac surgical procedure
No evidence of infection at the time of surgery
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Minimum age
18
Years
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Maximum age
99
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous sternotomy (redo)
Clinical sternal deformity
Documented presence of osteoporosis
Home locality preventing follow-up (e.g.remote regional,interstate or overseas patient)
Unable to complete surveys in English
Patients < 50Kg or with BMI <22
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
The same protocol was used in a historical study which tested both the SternaLock 360 Plate and Band System, and Stainless Steel wire Circlage.. clinicaltrials.gov NCT03282578, Royse AG, El-Ansary D, Hoang W, Lui E, McCusker M, Tivendale L et al. A randomized trial comparing the effects of sternal band and plate ?xation
of the sternum with that of ?gure-of-8 wires on sternal edge motion and quality of recovery after cardiac surgery. Interact CardioVasc Thorac Surg 2020;
doi:10.1093/icvts/ivaa040.
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/08/2025
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Actual
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Date of last participant enrolment
Anticipated
30/01/2026
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Actual
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Date of last data collection
Anticipated
20/05/2026
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
28227
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment postcode(s) [1]
44438
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3050 - Parkville
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Innovate Surgical Pty Ltd
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Innovate Surgical Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
322013
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None
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Name [1]
322013
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None
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Address [1]
322013
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Country [1]
322013
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
318091
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The Royal Melbourne Hospital Human Research Ethics Committee
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Ethics committee address [1]
318091
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https://www.thermh.org.au/research/researchers/ethics
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Ethics committee country [1]
318091
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Australia
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Date submitted for ethics approval [1]
318091
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29/07/2024
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Approval date [1]
318091
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29/01/2025
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Ethics approval number [1]
318091
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2024.117 | RMH106924
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Summary
Brief summary
A proof of concept, open-label, placement of a novel sternal band and plate fixation device with similar mechanics of stabilisation to the current routinely used band and plate system at Royal Melbourne. Evidence of adequate bone healing (proof of concept) will be assessed in the same way as the previous prospective randomised trial was conducted, with early assessment using high-frequency ultrasound imaging of the bone edges, and a CT scan at three months post operative to allow assessment of new bone formation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Alistair Royse
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Address
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Department of Surgery Level 6 CMR building, The Royal Melbourne hospital, Parkville 3050, Victoria
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Country
143086
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Australia
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Phone
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+61 418554135
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Fax
143086
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Email
143086
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[email protected]
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Contact person for public queries
Name
143087
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Alistair Royse
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Address
143087
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Department of Surgery Level 6 CMR building, The Royal Melbourne hospital, Parkville 3050, Victoria
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Country
143087
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Australia
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Phone
143087
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+61 418554135
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Fax
143087
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Email
143087
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[email protected]
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Contact person for scientific queries
Name
143088
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Alistair Royse
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Address
143088
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Department of Surgery Level 6 CMR building, The Royal Melbourne hospital, Parkville 3050, Victoria
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Country
143088
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Australia
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Phone
143088
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+61 418554135
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Fax
143088
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Email
143088
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Commercial confidence
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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