10003 PRO Current Products

NCT ID: NCT01497730

Last Updated: 2019-04-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

842 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-10-01

Study Completion Date

2018-08-10

Brief Summary

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This post-marketing investigation will evaluate the functional knee performance of Subjects who have undergone primary total knee arthroplasty (TKA). Data from Subjects who receive one of four contemporary knee configurations from different manufacturers will be pooled to establish a contemporary dataset.

The primary objective of this study is to evaluate the functional performance as measured by the activities of daily living (ADL) sub-score of the Knee Osteoarthritis Outcomes Score (KOOS) patient-reported outcome (PRO) questionnaire of primary TKA at minimum one year post-operation. This will be carried out for all four implant configurations. The final endpoint is a 2-year evaluation.

Detailed Description

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The study is designed as a prospective, single arm stratified, multi-center investigation.

Approximately 20 study sites, worldwide, will enroll 840 patients (840 knees). Each study site is expected to enroll approximately 42 patients (42 knees). Cohort reallocation is permitted. There will be no control group. Eight hundred forty (840) Subjects will be stratified into 4 subgroups of 210: fixed bearing cruciate retaining (FB CR), fixed bearing posterior stabilized (FB PS), rotating platform cruciate retaining (RP CR), and rotating platform posterior stabilized (RP PS).

Treatment assignment in this study is not randomized. Each site will only enroll patients in one of the four knee configuration sub-groups most commonly used as their standard of care.

Conditions

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Osteoarthritis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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CR FB

Subjects receiving a Cruciate Retaining Fixed Bearing implant configuration

Total Knee Replacement

Intervention Type DEVICE

Subjects will receive one of the following total knee implants:

PFC Sigma Fixed Bearing (FB) cruciate retaining (CR), posterior stabilized (PS) or Rotating Platform CR or PS devices. LCS Rotating platform or PS devices. Triathlon CR, PS or mobile bearing devices. NexGen CR, LPS, LPS Flex FB PS, LPS Flex Mobile bearing, or LPS Mobile bearing devices.

PS FB

Subjects Receiving a Posterior Stabilized Fixed Bearing implant configuration

Total Knee Replacement

Intervention Type DEVICE

Subjects will receive one of the following total knee implants:

PFC Sigma Fixed Bearing (FB) cruciate retaining (CR), posterior stabilized (PS) or Rotating Platform CR or PS devices. LCS Rotating platform or PS devices. Triathlon CR, PS or mobile bearing devices. NexGen CR, LPS, LPS Flex FB PS, LPS Flex Mobile bearing, or LPS Mobile bearing devices.

CR RP

Subjects receiving a Cruciate Retaining Rotating Platform implant configuration

Total Knee Replacement

Intervention Type DEVICE

Subjects will receive one of the following total knee implants:

PFC Sigma Fixed Bearing (FB) cruciate retaining (CR), posterior stabilized (PS) or Rotating Platform CR or PS devices. LCS Rotating platform or PS devices. Triathlon CR, PS or mobile bearing devices. NexGen CR, LPS, LPS Flex FB PS, LPS Flex Mobile bearing, or LPS Mobile bearing devices.

PS RP

Subjects receiving a Posterior Stabilized Rotating Platform implant configuration

Total Knee Replacement

Intervention Type DEVICE

Subjects will receive one of the following total knee implants:

PFC Sigma Fixed Bearing (FB) cruciate retaining (CR), posterior stabilized (PS) or Rotating Platform CR or PS devices. LCS Rotating platform or PS devices. Triathlon CR, PS or mobile bearing devices. NexGen CR, LPS, LPS Flex FB PS, LPS Flex Mobile bearing, or LPS Mobile bearing devices.

Interventions

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Total Knee Replacement

Subjects will receive one of the following total knee implants:

PFC Sigma Fixed Bearing (FB) cruciate retaining (CR), posterior stabilized (PS) or Rotating Platform CR or PS devices. LCS Rotating platform or PS devices. Triathlon CR, PS or mobile bearing devices. NexGen CR, LPS, LPS Flex FB PS, LPS Flex Mobile bearing, or LPS Mobile bearing devices.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject is male or female and between the ages of 22 and 80 years, inclusive.
* Subject was diagnosed with NIDJD.
* Subject is a suitable candidate for cemented primary TKA using the devices described in this CIP with either a resurfaced or non-resurfaced patellae.
* Subject's TKA device was one of the total knee prostheses described under Interventions.
* Subject is currently not bedridden.
* Subject has given voluntary, written informed consent to participate in this clinical investigation, is willing and able to perform all study procedures and follow-up visits and has authorized the transfer of his/her information to DePuy.
* Subject, in the opinion of the Clinical Investigator, is able to understand this clinical investigation and co-operate with investigational procedures.
* Subject must be comfortable with speaking, reading, and understanding questions and providing responses in English.
* The devices specified in this CIP were implanted.

Exclusion Criteria

* The Subject is a woman who is pregnant or lactating.
* Contralateral knee has already been enrolled in this study.
* Subject had a contralateral amputation.
* Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement), patellectomy, high tibial osteotomy or primary TKA in affected knee.
* Subject is currently experiencing radicular pain from the spine.
* Subject has participated in an IDE/IND clinical investigation with an investigational product in the last three months.
* Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
* Subject is a known drug or alcohol abuser or has a psychological disorder that could affect their ability to complete patient reported questionnaires.
* Subject was diagnosed with fibromyalgia that is currently being treated with prescription medication.
* Subject has significant neurological or musculoskeletal disorders or disease that may adversely affect gait or weight bearing (e.g. muscular dystrophy, multiple sclerosis, Charcot disease).
* Subject is suffering from inflammatory arthritis (e.g. rheumatoid arthritis, juvenile rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, etc.).
* Subject is not comfortable with speaking, reading, and understanding questions and providing responses in an available translated language for the PROs in the CIP.
* Subject has a medical condition with less than 2 years of life expectancy.
Minimum Eligible Age

22 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DePuy Orthopaedics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ahmad S. Ismail, MS, CCRP

Role: STUDY_DIRECTOR

DePuy Orthopaedics

Locations

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Orthopaedic Specialty Institute

Orange, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

Orthopaedic Center of the Rockies

Fort Collins, Colorado, United States

Site Status

Heekin Institute for Orthopedic Research

Jacksonville, Florida, United States

Site Status

The Arthroplasty Foundation

Louisville, Kentucky, United States

Site Status

Tulane University Hospital and Clinic

New Orleans, Louisiana, United States

Site Status

Hip and Knee Research of Nevada

Las Vegas, Nevada, United States

Site Status

Dartmouth Medical School/Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Cardinal Orthopaedic Institute

Columbus, Ohio, United States

Site Status

Anderson Orthopaedic Research Institute

Alexandria, Virginia, United States

Site Status

Swedish Orthopedic Institute

Seattle, Washington, United States

Site Status

Hornsby Ku-ring-gai Hospital

Hornsby, New South Wales, Australia

Site Status

Wakefield Orthopedic Clinic

Adelaide, South Australia, Australia

Site Status

Freemantle Hospital

Crawley, Western Australia, Australia

Site Status

Royal Perth Hospital

Perth, Western Australia, Australia

Site Status

Ascot Hospital

Auckland, , New Zealand

Site Status

Queen Margaret Hospital

Dunfermline, Fife, United Kingdom

Site Status

The Royal Surrey County Hospital

Guildford, Surrey, United Kingdom

Site Status

Princess Alexandra Hospital

Harlow, , United Kingdom

Site Status

University Hospital Llandough

Llandough, , United Kingdom

Site Status

James Cook University Hospital

Middlesbrough, , United Kingdom

Site Status

Clifton Park NHS Treatment Centre

York, , United Kingdom

Site Status

Countries

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United States Australia New Zealand United Kingdom

References

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Hamilton WG, Brenkel IJ, Barnett SL, Allen PW, Dwyer KA, Lesko JP, Kantor SR, Clatworthy MG. Comparison of Existing and New Total Knee Arthroplasty Implant Systems From the Same Manufacturer: A Prospective, Multicenter Study. J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 15;5(12):e21.00136. doi: 10.5435/JAAOSGlobal-D-21-00136.

Reference Type DERIVED
PMID: 34908561 (View on PubMed)

Other Identifiers

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10003

Identifier Type: -

Identifier Source: org_study_id

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