Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05859451

Evaluation of Tobacco Heating System Compared to Conventional Cigarette Smoking During Healing of Closed Lower Limb Fractures in Orthopedic Smokers

Led by University Hospital Tuebingen · Updated on 2024-12-11

150

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

U

University Hospital Tuebingen

Lead Sponsor

P

Philip Morris Products S.A.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the effects of switching from conventional cigarette smoking to a tobacco heating system (THS) on the healing outcomes of closed lower limb fractures (tibia and femur) in smokers undergoing orthopedic surgery. The study aims to compare clinical outcomes among smokers continuing cigarette use, smokers switching to THS, and ex-smokers over a six-month period. This research focuses on validated medical assays and patient-reported outcomes to understand how these different smoking behaviors impact fracture healing. Participants are grouped into three categories: those who continue smoking conventional cigarettes without quitting, those who switch to using the THS device freely during the six months after surgery, and those who abstain from both cigarettes and electronic nicotine delivery systems for six months post-surgery. The study involves orthopedic patients who have undergone surgical treatment for their fractures within 14 days of injury. During the six months following surgery, researchers will monitor multiple indicators including bone healing markers like Procollagen Type 1 N-Terminal Propeptide (CICP), bone stiffness via CT scans, functional scores such as the Lower Extremity Functional Scale, pain levels, complication rates, hospital stay duration, and overall quality of life. Assessments occur at various times including before surgery and several points after surgery. This comprehensive monitoring helps evaluate how cigarette smoking and THS use influence bone healing and recovery.

CONDITIONS

Brief Title

Effect of Tobacco Heating System (THS) on Closed Lower Limb Fracture Healing

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Closed tibia or femur fracture surgically treated within 14 days after trauma
  • For smokers and THS users: 10-20 packyears smoking history
  • Smoking history of more than 10 years
  • Decision not to participate in free smoking cessation seminars
Not Eligible

You will not qualify if you...

  • Legal guardian or loss of capacity to consent
  • Refusal to participate in the study
  • Open fractures or injuries requiring additional surgery at time of fracture treatment
  • Initial surgical treatment performed outside the study clinic
  • No surgical treatment within 14 days of trauma
  • Use of nicotine delivery electronic devices
  • Pre-existing autoimmune, immunological, bone, or malignant diseases
  • Pregnant, breastfeeding, or women of childbearing age wishing to have children
  • History of alcohol or drug abuse
  • Use of antioxidants approved by the German Federal Institute for Drugs and Medical Devices
  • Use of drugs affecting bone metabolism (such as bisphosphonates or RANKL inhibitors)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Up to 14 days after trauma for surgery

Participants undergo orthopedic surgery to treat their closed lower limb fracture.

1 surgical visit

Treatment

Duration - 6 months

Participants will either continue smoking conventional cigarettes, switch to Tobacco Heating System (THS), or abstain from smoking for 6 months post surgery.

Multiple visits at approximately one week pre-surgery, six weeks, twelve weeks, and six months post-surgery

Follow-up

Duration - Up to 6 months post surgery

Participants are assessed for fracture healing, bone health, functional recovery, and quality of life after treatment ends.

Visits coincide with treatment visits at approximately one week pre-surgery, six weeks, twelve weeks, and six months post-surgery

Trial Site Locations

Total: 1 location

1

Siegfried Weller Institutes, BG-Trauma Clinic, Department of Traumatology, Eberhard Karls University Tübingen

Tübingen, Baden-Wurttemberg, Germany, 72076

Actively Recruiting

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Research Team

A

Andreas K. Nüssler, Prof. Dr.

B

Benedikt J. Braun, PD. Dr.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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Published Research Related To This Trial

Assessment of tobacco heating system 2.4 on osteogenic differentiation of mesenchymal stem cells and primary human osteoblasts compared to conventional cigarettes.

Romina H Aspera-Werz, Sabrina Ehnert, Monja Müller...

https://pubmed.ncbi.nlm.nih.gov/32952862