Recruiting

BioEnthesis

Sponsor:

Brooke Army Medical Center

Code:

NCT06289686

Conditions

Rotator Cuff Tears

Rotator Cuff Injuries

Surgery

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Not accepted

Interventions

Rotator cuff repairs with BioEnthesis augmentation

Rotator cuff repairs without BioEnthesis augmentation

Study Details

Brief summary:

Rotator cuff (RC) injuries are particularly prevalent, difficult to repair, and attachment between the bone and tendon is notoriously difficult to achieve. The most common method and current standard of care (SOC) for reattaching connective tissues (e.g., ligaments, tendons) to bone typically involves suture anchor-based techniques, but this is fraught with problems. More specifically, re-tearing of the connective tissue after this procedure occurs in 30-60% of cases, and can be even higher in patients who engage in smoking, have a diagnosis of diabetes, etc. To address these clinical challenges, Sparta Biopharma Inc. (Sparta) developed a unique technology, called BioEnthesis, to improve the connection between the tendon and bone. Pre-clinical in vivo studies demonstrated that the biphasic bovine cancellous matrix regenerated at the bone-soft tissue interface-thereby leading to high structural integrity and will likely lead to reduced re-tear rates over time. The investigators hypothesize that patients in this interventional cohort will experience enhanced mobility, reduced pain, and less re-tears after RC procedures versus a standard suture anchor-based repair.

Conditions

Rotator Cuff Tears

Rotator Cuff Injuries

Surgery

Study ID

NCT06289686

Start date

Jul 28, 2023

Status verified date

Jul, 2026

Completion date

Aug, 2027

Anticipated

Primary completion date

Aug, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • DEERS-eligible
  • Adults, between the ages of 18-65 (inclusive)
  • Presenting with a rotator cuff tear that is reparable surgically (a reparable tear is defined as tear of the RC where it is possible to bring the retracted tendon edge back to the greater tuberosity of the humerus under minimal tension)
  • Ability to undergo surgery to repair rotator cuff tear
  • Willingness to commit to study procedures including study intervention and a 12-month follow-up
  • Fluency in speaking, reading, comprehending English
  • 1-2 tendon full thickness reparable RC tear (full thickness tear is defined as a tear that involves the majority of supraspinatus and less than half of the infraspinatus under minimal tension, with no subscapularis involvement beyond the upper border)
  • Patients who have high-grade partial thickness tears where the surgeon elects to complete the tear during surgery before repairing the tendon(s)

Exclusion Criteria:

  • Previous shoulder surgery (excluding acromioplasty or diagnostic arthroscopy)
  • Inability to receive an MRI
  • Current (within the past 6 months) tobacco user
  • Unwilling to remain tobacco free for the duration of the study
  • Current lower limb injuries requiring walking assist devices such as crutches and walkers
  • Diagnosed with systemic arthritis
  • Significant neck pathology
  • Active joint or systemic infection
  • Currently enrolled, or plans to enroll, in another clinical trial during this study (that would affect the patient's safety or results of this trial)
  • Significant muscle paralysis of the shoulder girdle
  • Currently pregnant or plans to become pregnant during this study
  • Inability of the surgeon to repair the tear with remaining defect no greater than 10 mm in diameter
  • Inability of the surgeon to repair the tear with less than 1cm of medialization
  • Evidence of other significant shoulder pathology (such as Grade III osteoarthritis)
  • Has a history of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid, or drug abuse or addiction
  • Major medical illness that would preclude undergoing surgery
  • Major psychiatric illness or developmental handicap
  • Goutallier III classification and above

Study Design

Enrollment

100 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: BioEnthesis

Allogenic, acellular, biphasic allograft (BioEnthesis)

active comparator: Standard of Care

Standard rotator cuff repair (suture and anchor based technique)

Interventions

Rotator cuff repairs with BioEnthesis augmentation

Rotator cuff repair using BioEnthesis allograft patch

Rotator cuff repairs without BioEnthesis augmentation

Rotator cuff repair using standard of care sutures and anchors

Primary outcome measure

  • Rates of re-tear [ Time Frame: Post-operation at 3-months, 6-months, and 12-months ]

Central Contacts and Locations

Central contacts

Locations

10th Medical Group - Air Force Academy

Recruiting

Air Force Academy, Colorado, United States, 80840

Contacts

Walter Reed National Military Medical Center

Recruiting

Bethesda, Maryland, United States, 20889

Contacts

University of North Carolina Chapel Hill

Recruiting

Chapel Hill, North Carolina, United States, 27514

Contacts

Duke University

Recruiting

Durham, North Carolina, United States, 27710

Contacts

Brooke Army Medical Center

Recruiting

San Antonio, Texas, United States, 78234

Contacts

More Information

Sponsor

Brooke Army Medical Center

Last update posted

Jul 13, 2026

Last verified

Jul, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Brooke Army Medical Center on 2026-07-13.