Actively Recruiting

Phase Not Applicable
All Genders
NCT05437562

Randomized Clinical Trial for Ewing Amputation in the VA

Led by VA Office of Research and Development · Updated on 2026-02-09

120

Participants Needed

3

Research Sites

208 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study follows the Pilot Investigation of Ewing Amputation for Veterans with PAD Undergoing a Below Knee Amputation. The 2 year pilot feasibility phase has concluded recruitment and enrollment. The current phase is a 5 year randomized study of Ewing Below Knee Amputation vs. Standard Below Knee Amputation. If Veterans participate, they will be randomized to either Ewing Amputation or Standard Below Knee Amputation. The scientific premise motivating this proposal is that Ewing Amputation is a promising surgical technique that may improve walking metrics in dysvascular Veterans by providing a better residual limb and improving pain and balance. In preparation of this proposal, we have formed multi-disciplinary surgical teams at each site, and we have been supported by a clinical trial planning meeting to garner the considerable expertise in rehabilitation and amputee assessment from VA and DOD experts to assist in the design of this proposal, testing the overall hypothesis that: Ewing Amputation can help Veterans walk.

CONDITIONS

Official Title

Randomized Clinical Trial for Ewing Amputation in the VA

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Veterans who have reasonable blood flow to heal a below knee amputation (palpable popliteal pulse or palpable femoral pulse with popliteal artery signal)
  • Veterans expected to participate in rehabilitation and resume walking after amputation (based on interest, recent walking ability, and physical therapy evaluation)
  • Veterans undergoing below knee amputation without active infection, or with fully treated infection below the ankle retinaculum
Not Eligible

You will not qualify if you...

  • Veterans with end-stage renal disease (ESRD)
  • Veterans needing major amputation due to infection involving the ankle retinaculum
  • Veterans with inadequate blood flow to heal a below knee amputation
  • Veterans unable or not expected to participate in rehabilitation or walk with a prosthesis
  • Veterans who were randomized for amputation of their other limb

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 3 locations

1

Atlanta VA Medical and Rehab Center, Decatur, GA

Decatur, Georgia, United States, 30033-4004

Actively Recruiting

2

Tennessee Valley Healthcare System Nashville Campus, Nashville, TN

Nashville, Tennessee, United States, 37212-2637

Actively Recruiting

3

Michael E. DeBakey VA Medical Center, Houston, TX

Houston, Texas, United States, 77030-4211

Actively Recruiting

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Research Team

L

Luke P Brewster, MD

CONTACT

M

Madhur Sancheti, MS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

2

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