Trial Outcomes & Findings for IceExplore TF Liner Alpha Investigation (NCT NCT04787484)

NCT ID: NCT04787484

Last Updated: 2026-09-04

Results Overview

The Comprehensive Lower Limb Amputee Socket Survey (CLASS) is a patient-reported outcome measure designed to assess satisfaction with a prosthetic socket across four domains: suspension, stability, comfort, and appearance. Items are rated on a 4-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree), with 0 indicating that an item is not applicable. In this study, the CLASS Suspension subscale was used to evaluate participants' perceived security of prosthetic suspension. Participants rated the security of suspension during four activities: sitting, standing, walking, and ascending or descending stairs. The ratings for all activities were summed and divided by 16, the maximum possible score, to generate a normalized suspension score, with higher scores indicating greater perceived suspension security. The resulting value was multiplied by 100 and reported as a percentage score ranging from 25-100, where higher scores indicate better perceived suspension.

Recruitment status

COMPLETED

Target enrollment

18 participants

Primary outcome timeframe

12 weeks

Results posted on

2026-09-04

Participant Flow

Participant milestones

Participant milestones
Measure
IceExplore TF Breathable Liner and Direct Socket Drilled With Holes for Additional Breathability
The primary objective of this investigation will be to evaluate perceived secure suspension and perceived moisture on skin. The secondary objective will be to evaluate subjects skin health and perceived comfort. Thirdly, to evaluate perceived stability and suspension during increased perspiration and hygiene. Additionally, usability parameters will be explored. Amputees usability such as inverting liner, donning/doffing liner and socket, ease of cleaning the liner, number of instances that the user dons/doffs socket per one day and general user satisfaction of the amputee will be explored. Subjects mobility will be evaluated between comparator (baseline) and investigational device with the use of PLUS-M (Prosthetic Limb Users Survey of Mobility).
Overall Study
STARTED
18
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

There were 18 enrolled in total and then there were two dropouts.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IceExplore TF Breathable Liner and Direct Socket Drilled With Holes for Additional Breathability
n=16 Participants
The primary objective of this investigation will be to evaluate perceived secure suspension and perceived moisture on skin. The secondary objective will be to evaluate subjects skin health and perceived comfort. Thirdly, to evaluate perceived stability and suspension during increased perspiration and hygiene. Additionally, usability parameters will be explored, both for amputees and CPOs. Amputees usability such as inverting liner, donning/doffing liner and socket, ease of cleaning the liner, number of instances that the user dons/doffs socket per one day and general user satisfaction of the amputee will be explored. Subjects mobility will be evaluated between comparator (baseline) and investigational device with the use of PLUS-M (Prosthetic Limb Users Survey of Mobility)
Age, Customized
Age (years)
54.1 years
STANDARD_DEVIATION 14.9 • n=16 Participants
Sex: Female, Male
Female
2 Participants
n=16 Participants • There were 18 enrolled in total and then there were two dropouts.
Sex: Female, Male
Male
14 Participants
n=16 Participants • There were 18 enrolled in total and then there were two dropouts.
Region of Enrollment
United States
16 Participants
n=16 Participants
K-level
K2 - mobility grade: suitable for limited community ambulation
3 Participants
n=16 Participants
K-level
K3 - mobility grade: capable of traversing most environmental barriers
12 Participants
n=16 Participants
K-level
K4 - mobility grade: can use prosthetic for high impact activities
1 Participants
n=16 Participants

PRIMARY outcome

Timeframe: 12 weeks

The Comprehensive Lower Limb Amputee Socket Survey (CLASS) is a patient-reported outcome measure designed to assess satisfaction with a prosthetic socket across four domains: suspension, stability, comfort, and appearance. Items are rated on a 4-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree), with 0 indicating that an item is not applicable. In this study, the CLASS Suspension subscale was used to evaluate participants' perceived security of prosthetic suspension. Participants rated the security of suspension during four activities: sitting, standing, walking, and ascending or descending stairs. The ratings for all activities were summed and divided by 16, the maximum possible score, to generate a normalized suspension score, with higher scores indicating greater perceived suspension security. The resulting value was multiplied by 100 and reported as a percentage score ranging from 25-100, where higher scores indicate better perceived suspension.

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
The Average Perceived Socket Suspension Score at 12 Weeks Equal or Above 72%
83.6 percentage of total points
Standard Deviation 13.8

PRIMARY outcome

Timeframe: 12 weeks

PEQ item Q is one question from Prosthetic Evaluation Questionnaire (PEQ) - "Over the past four weeks rate how much you sweat inside your prosthesis (in the sock, liner, socket)". A self-reported measure on a scale from 1-10 were 1 is extreme amount of sweat and 10 is no sweat at all.

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Moisture on Skin With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks Compared to Össur seal-in Silicone Liners and Direct Socket TF
7.5 score on a scale
Standard Deviation 2.3
5.9 score on a scale
Standard Deviation 3.2

SECONDARY outcome

Timeframe: 12 weeks

PEQ Residual Limb Health (PEQ-RLH) is a set of 6 questions. The scale has been validated for internal consistency and temporal stability. The questions are self-reported on a scale 1-10 about sweat, smell, swollen limb, rashes, ingrown hairs and blisters or sores. Participants rated each item on a 10-point Likert scale, where higher scores indicated better residual limb health and fewer skin-related problems. The overall PEQ-RLH score was calculated as the mean of the six item scores

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Skin Health With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks to Össur seal-in Silicone Liners and Direct Socket TF
8.5 score on a scale
Standard Deviation 1.2
7.6 score on a scale
Standard Deviation 2.2

SECONDARY outcome

Timeframe: 12 weeks

The Comprehensive Lower Limb Amputee Socket Survey (CLASS) is a patient-reported outcome measure designed to assess satisfaction with a prosthetic socket across four domains: suspension, stability, comfort, and appearance. Items are rated on a 4-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree), with 0 indicating that an item is not applicable. In this study, the CLASS Comfort subscale was used to evaluate participants' perceived security of prosthetic suspension. Participants rated the socket comfort during four activities: sitting, standing, walking, and ascending or descending stairs. The ratings for all activities were summed and divided by 16, the maximum possible score, to generate a normalized comfort score, with higher scores indicating greater perceived suspension security. The resulting value was multiplied by 100 and reported as a percentage score ranging from 25-100, where higher scores indicate better perceived comfort.

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Comfort With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks to Össur seal-in Silicone Liners and Direct Socket TF
86.4 percentage of total score
Standard Deviation 17.2
84 percentage of total score
Standard Deviation 16.8

SECONDARY outcome

Timeframe: 12 weeks

Perceived stability during increased perspiration, an in-house developed self-report measure on the scale from 1-10, higher number corresponds with a more positive response, more stability. "When experiencing increased perspiration, during activities of daily living, I feel stable in the socket".

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Stability During Increased Perspiration With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks to Össur seal-in Silicone Liners and Direct Socket TF
8.4 score on a scale
Standard Deviation 1.6
7.3 score on a scale
Standard Deviation 2.3

SECONDARY outcome

Timeframe: 12 weeks

Perceived suspension during increased perspiration, an in-house developed self-report measure on the scale from 1-10, higher number corresponds with a more positive response, better suspension. "When experiencing increased perspiration, during activities of daily living, suspension between my residual limb and liner feels".

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Suspension During Increased Perspiration With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks to Össur seal-in Silicone Liners and Direct Socket TF
8.4 score on a scale
Standard Deviation 1.3
7.2 score on a scale
Standard Deviation 2.2

SECONDARY outcome

Timeframe: 12 weeks

Perceived hygiene evaluated with Prosthetic Evaluation Questionnaire, item R (Over the past 4 weeks rate how smelly your prosthesis was at its worst. A self-reported measure on a scale from 1-10 were 1 is extremely smelly and 10 is no at all smelly.

Outcome measures

Outcome measures
Measure
Investigational Device
n=16 Participants
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use.
Baseline
n=16 Participants
The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0.
Difference in Average Perceived Hygiene With IceExplore TF Liner and Direct Socket With or Without Holes at 12 Weeks Compared to Össur seal-in Silicone Liners and Direct Socket TF
7.6 score on a scale
Standard Deviation 2.7
6.1 score on a scale
Standard Deviation 3.6

Adverse Events

Investigational Device and Baseline

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Investigational Device and Baseline
n=16 participants at risk
The investigational device was a vented liner and socket system (IceExplore TF liner and Direct Socket with drilled holes). The outcome measure was collected after 12 weeks of use. The baseline devices were a conventional non-vented Seal-In Silicone Liner and a Direct Socket. The baseline measure was collected at the initial visit at week 0. The investigation was within group comparison, investigational device compared to baseline. The adverse events collected are therefore the same as this is only one group.
Product Issues
Suspension issue
6.2%
1/16 • Number of events 1 • From study enrollment (device fitting) through completion of the final study visit and device return (up to approximately 6-7 months).
Product Issues
Suspension loss
6.2%
1/16 • Number of events 1 • From study enrollment (device fitting) through completion of the final study visit and device return (up to approximately 6-7 months).
Product Issues
Liner slip
6.2%
1/16 • Number of events 1 • From study enrollment (device fitting) through completion of the final study visit and device return (up to approximately 6-7 months).
Skin and subcutaneous tissue disorders
Skin rashes
6.2%
1/16 • Number of events 1 • From study enrollment (device fitting) through completion of the final study visit and device return (up to approximately 6-7 months).

Additional Information

Clinical evaluation and investigation specialist

Össur Iceland ehf.

Phone: +354 515 1300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place