Trial Outcomes & Findings for Safety and Effectiveness Study of the Reflection Ceramic Acetabular System (NCT NCT00663351)

NCT ID: NCT00663351

Last Updated: 2022-10-13

Results Overview

Revisions were assessed cumulatively from Initial Study Period through Post-Approval Study Period and End of Study/Withdrawal. Implant survival was analyzed based on the number of hip revisions that occurred as well as the cohort for each study arm (IP and Control), but further categorized by cohorts within each arm: RNIA = randomized, non-inflammatory arthritis cohort (IP or Control) RIA = randomized, inflammatory arthritis cohort (IP or Control) RR = revision cohort (IP or Control) CAC = continued access cohort (IP only)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

456 participants

Primary outcome timeframe

Postoperatively through Year 10

Results posted on

2022-10-13

Participant Flow

There were 456 subjects (535 hips) enrolled initially at the beginning of the study. For the Post-Approval Study period (Year 6 through Year 10), 29 subjects (10 from the IP group, 19 from the control group) were excluded from analysis in the Intent-to-Treat (ITT) population and thus not included in the Participant Flow or Outcome Measures for this period.

Unit of analysis: Hips

Participant milestones

Participant milestones
Measure
Reflection Ceramic-Ceramic Hip System (IP)
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Initial Study (Year 1 up to Year 6)
STARTED
308 372
148 163
Initial Study (Year 1 up to Year 6)
COMPLETED
298 364
129 144
Initial Study (Year 1 up to Year 6)
NOT COMPLETED
10 8
19 19
Post-Approval Study (Year 6 to Year 10)
STARTED
298 364
129 144
Post-Approval Study (Year 6 to Year 10)
COMPLETED
186 252
58 73
Post-Approval Study (Year 6 to Year 10)
NOT COMPLETED
112 112
71 71

Reasons for withdrawal

Reasons for withdrawal
Measure
Reflection Ceramic-Ceramic Hip System (IP)
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Initial Study (Year 1 up to Year 6)
Lost to Follow-up
10
19
Post-Approval Study (Year 6 to Year 10)
Revision Surgery
29
10
Post-Approval Study (Year 6 to Year 10)
Withdrawal by Subject
8
15
Post-Approval Study (Year 6 to Year 10)
Death
18
7
Post-Approval Study (Year 6 to Year 10)
Lost to Follow-up
13
7
Post-Approval Study (Year 6 to Year 10)
Withdrawn for Site Termination
44
32

Baseline Characteristics

Safety and Effectiveness Study of the Reflection Ceramic Acetabular System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Reflection Ceramic-Ceramic Hip System (IP)
n=308 Participants
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
n=148 Participants
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Total
n=456 Participants
Total of all reporting groups
Age, Customized
48.7 Years
STANDARD_DEVIATION 11.98 • n=5 Participants
54.1 Years
STANDARD_DEVIATION 12.91 • n=7 Participants
50.7 Years
STANDARD_DEVIATION 12.59 • n=5 Participants
Sex: Female, Male
Female
147 Participants
n=5 Participants
71 Participants
n=7 Participants
218 Participants
n=5 Participants
Sex: Female, Male
Male
161 Participants
n=5 Participants
77 Participants
n=7 Participants
238 Participants
n=5 Participants
Height
173.0 cm
STANDARD_DEVIATION 10.08 • n=5 Participants
172.3 cm
STANDARD_DEVIATION 9.83 • n=7 Participants
172.7 cm
STANDARD_DEVIATION 9.98 • n=5 Participants
Weight
86.4 kg
STANDARD_DEVIATION 19.28 • n=5 Participants
83.3 kg
STANDARD_DEVIATION 18.78 • n=7 Participants
85.3 kg
STANDARD_DEVIATION 19.13 • n=5 Participants
Body mass index (BMI)
28.7 kg/m^2
STANDARD_DEVIATION 5.37 • n=5 Participants
27.9 kg/m^2
STANDARD_DEVIATION 5.14 • n=7 Participants
28.4 kg/m^2
STANDARD_DEVIATION 5.30 • n=5 Participants
Previous surgery on affected hip
Yes
73 Participants
n=5 Participants
30 Participants
n=7 Participants
103 Participants
n=5 Participants
Previous surgery on affected hip
No
235 Participants
n=5 Participants
118 Participants
n=7 Participants
353 Participants
n=5 Participants
Other joint involvement
Yes
216 Participants
n=5 Participants
99 Participants
n=7 Participants
315 Participants
n=5 Participants
Other joint involvement
No
92 Participants
n=5 Participants
49 Participants
n=7 Participants
141 Participants
n=5 Participants
Physical activity
None
22 Participants
n=5 Participants
5 Participants
n=7 Participants
27 Participants
n=5 Participants
Physical activity
Light
225 Participants
n=5 Participants
113 Participants
n=7 Participants
338 Participants
n=5 Participants
Physical activity
Moderate
56 Participants
n=5 Participants
24 Participants
n=7 Participants
80 Participants
n=5 Participants
Physical activity
Intense
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Postoperatively through Year 10

Population: All hips/participants were assessed using the ITT population, which excluded 29 enrolled participants from analysis not meeting ITT criteria.

Revisions were assessed cumulatively from Initial Study Period through Post-Approval Study Period and End of Study/Withdrawal. Implant survival was analyzed based on the number of hip revisions that occurred as well as the cohort for each study arm (IP and Control), but further categorized by cohorts within each arm: RNIA = randomized, non-inflammatory arthritis cohort (IP or Control) RIA = randomized, inflammatory arthritis cohort (IP or Control) RR = revision cohort (IP or Control) CAC = continued access cohort (IP only)

Outcome measures

Outcome measures
Measure
Reflection Ceramic-Ceramic Hip System (IP)
n=364 Hips
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
n=144 Hips
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Requiring Revision · RNIA Cohort
12 Hips
9 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Requiring Revision · RIA Cohort
2 Hips
1 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Requiring Revision · RR Cohort
0 Hips
0 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Requiring Revision · CAC Cohort
15 Hips
0 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Not Requiring Revision · RNIA Cohort
156 Hips
118 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Not Requiring Revision · RIA Cohort
17 Hips
9 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Not Requiring Revision · RR Cohort
5 Hips
7 Hips
Survival of Hip Implant Based on Number of Hips Requiring Revision
Hips Not Requiring Revision · CAC Cohort
157 Hips
0 Hips

PRIMARY outcome

Timeframe: Postoperatively through Year 10

Population: Analysis is presented by individual hip ID numbers to demonstrate time before a revision was required as well as the corresponding cohorts of each. All hips/participants were assessed using the ITT population, which excluded 29 enrolled participants from analysis not meeting ITT criteria.

The survival of the implant was analyzed based on the length of time postoperatively until hip revision surgery was required (cumulatively through Initial Study Period and Post-Approval Study Period) for participants who required a revision surgery during the course of the study. The study arms were further categorized by cohorts within each arm: RNIA = randomized, non-inflammatory arthritis cohort (IP or Control) RIA = randomized, inflammatory arthritis cohort (IP or Control) RR = revision cohort (IP or Control) CAC = continued access cohort (IP only)

Outcome measures

Outcome measures
Measure
Reflection Ceramic-Ceramic Hip System (IP)
n=29 Hips
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
n=10 Hips
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 168 (RNIA cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 239 (RNIA cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 318 (RNIA cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 221 (RIA cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 348 (CAC cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 408 (CAC cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 448 (CAC cohort)
0.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 113 (RNIA cohort)
0.1 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 247 (RNIA cohort)
0.1 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 195 (RNIA cohort)
0.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 218 (RIA cohort)
0.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 458 (CAC cohort)
0.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 370 (CAC cohort)
0.4 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 398 (CAC cohort)
0.4 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 471 (RNIA cohort)
0.7 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 500 (CAC cohort)
1.1 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 412 (CAC cohort)
1.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 127 (RNIA cohort)
1.8 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 175 (RNIA cohort)
2.2 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 204 (RNIA cohort)
2.5 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 392 (CAC cohort)
3.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 306 (RNIA cohort)
3.4 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 483 (RNIA cohort)
3.9 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 167 (RNIA cohort)
4.1 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 451 (CAC cohort)
4.2 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 490 (CAC cohort)
4.2 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 288 (RR cohort)
4.5 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 37 (RNIA cohort)
5.5 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 110 (RNIA cohort)
6.2 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 337 (RNIA cohort)
6.5 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 496 (CAC cohort)
6.8 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 114 (RNIA cohort)
6.9 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 308 (RNIA cohort)
7.0 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 36 (RNIA cohort)
7.9 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 103 (RNIA cohort)
7.9 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 390 (CAC cohort)
8.3 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 385 (CAC cohort)
8.4 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 42 (RNIA cohort)
8.9 survival time in years
Survival of Hip Implant Based on Time Until Revision Required
Hip ID 450 (CAC cohort)
9.9 survival time in years

PRIMARY outcome

Timeframe: Year 6 through Year 10 postoperatively

Population: The number analyzed include all enrolled subjects who responded to the questionnaire at each time point.

A subject satisfaction questionnaire was conducted at Year 6, Year 7, Year 8, Year 9, and Year 10 postoperatively. The questionnaire was mailed to enrolled subjects each year (Years 6-10). The question was asked "Are you satisfied with hip?" and subjects responded either "yes" or "no".

Outcome measures

Outcome measures
Measure
Reflection Ceramic-Ceramic Hip System (IP)
n=298 Participants
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
n=129 Participants
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Subject Satisfaction Questionnaire
Year 6 - "Are you satisfied with hip?" · Yes
107 Participants
25 Participants
Subject Satisfaction Questionnaire
Year 6 - "Are you satisfied with hip?" · No
3 Participants
0 Participants
Subject Satisfaction Questionnaire
Year 7 - "Are you satisfied with hip?" · Yes
179 Participants
47 Participants
Subject Satisfaction Questionnaire
Year 7 - "Are you satisfied with hip?" · No
11 Participants
4 Participants
Subject Satisfaction Questionnaire
Year 8 - "Are you satisfied with hip?" · Yes
177 Participants
45 Participants
Subject Satisfaction Questionnaire
Year 8 - "Are you satisfied with hip?" · No
17 Participants
3 Participants
Subject Satisfaction Questionnaire
Year 9 - "Are you satisfied with hip?" · Yes
189 Participants
49 Participants
Subject Satisfaction Questionnaire
Year 9 - "Are you satisfied with hip?" · No
19 Participants
1 Participants
Subject Satisfaction Questionnaire
Year 10 - "Are you satisfied with hip?" · Yes
206 Participants
56 Participants
Subject Satisfaction Questionnaire
Year 10 - "Are you satisfied with hip?" · No
18 Participants
4 Participants

Adverse Events

Reflection Ceramic-Ceramic Hip System (IP)

Serious events: 18 serious events
Other events: 0 other events
Deaths: 18 deaths

Reflection FSO V (5 Hole) (Control)

Serious events: 7 serious events
Other events: 0 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Reflection Ceramic-Ceramic Hip System (IP)
n=308 participants at risk
Investigational: Reflection Ceramic-Ceramic Hip System. Ceramic femoral head component and the ceramic acetabular cup insert are composed of Biolox forte aluminum oxide material. Reflection Ceramic-Ceramic Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Reflection FSO V (5 Hole) (Control)
n=148 participants at risk
Control: Reflection FSO V (5 hole). Acetabular shell with a ultra high molecular weight polyethylene insert and an alumina ceramic femoral head with a Synergy or Spectron EF femoral stem. The Synergy femoral stem are composed of implant grade titanium while the Spectron EF stem is composed of implant grade cobalt chrome. Reflection FSO V Total Hip Replacement: Intervention: all patients in study required (intervention) a total hip replacement, and were randomized to receive either the (Study Device)Reflection Ceramic Acetabular System or the(Control Device) Reflection FSO V (5 hole)acetabular system. Both arms received either a Synergy porous coated or Spectron EF stem.
Skin and subcutaneous tissue disorders
Complications related to an infection
0.32%
1/308 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.00%
0/148 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Injury, poisoning and procedural complications
Injuries sustained during a house fire
0.32%
1/308 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.00%
0/148 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
General disorders
Found during a death index search, reason unknown
0.97%
3/308 • Number of events 3 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.00%
0/148 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
General disorders
Unknown, not reported by site
3.2%
10/308 • Number of events 10 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
2.0%
3/148 • Number of events 3 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Injury, poisoning and procedural complications
Overdose
0.32%
1/308 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.00%
0/148 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Respiratory, thoracic and mediastinal disorders
Emphysema
0.65%
2/308 • Number of events 2 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.00%
0/148 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Cardiac disorders
Heart failure
0.00%
0/308 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.68%
1/148 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer
0.00%
0/308 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.68%
1/148 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic leukemia
0.00%
0/308 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.68%
1/148 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
Cardiac disorders
Cardiac arrest
0.00%
0/308 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.
0.68%
1/148 • Number of events 1 • AEs were collected from enrollment through the end of the study/subject withdrawal whichever came first (up to 10 years). However, after the 5-year study report was presented to the FDA, only subject deaths were collected for AEs. The 6-10 year study requirement from the FDA included revision information, deaths, and subject satisfaction collection only.

Other adverse events

Adverse event data not reported

Additional Information

Rachael Winter, Director, Global Clinical Operations

Smith & Nephew, Inc.

Phone: +44 1482 673475

Results disclosure agreements

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