Trial Outcomes & Findings for Assessment of Disability Compensation With the C-LEG COMPACT 2 Knee (Ref. 3C60 et 3C60=ST) (NCT NCT02382991)

NCT ID: NCT02382991

Last Updated: 2019-10-23

Results Overview

This test consists of recording the amount of time needed for a person to stand up from a chair, walk 3 metres, make a half-turn and sit down again. The TGUG test score reflects a person's balance and as a consequence, the risk of falling.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

35 participants

Primary outcome timeframe

Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

Results posted on

2019-10-23

Participant Flow

Participant milestones

Participant milestones
Measure
NMPK (30 Days), 3C60 (90 Days)
D0 + 30 days: evaluation with the non-microprocessor knee. D1 + 90 days: evaluation with the 3C60 knee. 3C60-NMPK: 3 months with 3C60 - 10 days wash out - 1 month with NMPK
3C60 (90 Days), Washout (10 Days), NMPK (30 Days)
D0 + 90 days: evaluation with the 3C60 knee. A period of 10 days of "wash out". D1 + 30 days: evaluation with the non-microprocessor knee. NMPK-3C60: 1 month with NMPK - 3 months with 3C60
Overall Study
STARTED
17
18
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
NMPK (30 Days), 3C60 (90 Days)
D0 + 30 days: evaluation with the non-microprocessor knee. D1 + 90 days: evaluation with the 3C60 knee. 3C60-NMPK: 3 months with 3C60 - 10 days wash out - 1 month with NMPK
3C60 (90 Days), Washout (10 Days), NMPK (30 Days)
D0 + 90 days: evaluation with the 3C60 knee. A period of 10 days of "wash out". D1 + 30 days: evaluation with the non-microprocessor knee. NMPK-3C60: 1 month with NMPK - 3 months with 3C60
Overall Study
Adverse Event
1
2
Overall Study
Lost to Follow-up
1
0
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Assessment of Disability Compensation With the C-LEG COMPACT 2 Knee (Ref. 3C60 et 3C60=ST)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group NMPK Then 3C60
n=17 Participants
This arm group includes 17 participants who were first fitted with Non MicroProcessor-controlled Knee (30 days) then with 3C60 knee (90 days).
Group 3C60 Then NMPK
n=18 Participants
This arm group includes 18 participants who were first fitted with 3C60 knee (90 days) then had a washout period (10 days) then where fitted with Non MicroProcessor-controlled Kne (30 days).
Total
n=35 Participants
Total of all reporting groups
Age, Continuous
66.94 years
STANDARD_DEVIATION 9.6 • n=5 Participants
63.28 years
STANDARD_DEVIATION 10.5 • n=7 Participants
65.06 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex/Gender, Customized
Male
76.5 Percentage of participants
n=5 Participants
77.8 Percentage of participants
n=7 Participants
77.1 Percentage of participants
n=5 Participants
Sex/Gender, Customized
Female
23.5 Percentage of participants
n=5 Participants
22.2 Percentage of participants
n=7 Participants
22.9 Percentage of participants
n=5 Participants
Amputation cause
Vascular
35.3 Percentage of participants
n=5 Participants
55.6 Percentage of participants
n=7 Participants
45.7 Percentage of participants
n=5 Participants
Amputation cause
Vascular diabetic
11.8 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
11.4 Percentage of participants
n=5 Participants
Amputation cause
Traumatic
23.5 Percentage of participants
n=5 Participants
22.2 Percentage of participants
n=7 Participants
22.9 Percentage of participants
n=5 Participants
Amputation cause
Tumour
11.8 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
11.4 Percentage of participants
n=5 Participants
Amputation cause
Infectious
17.6 Percentage of participants
n=5 Participants
0 Percentage of participants
n=7 Participants
8.6 Percentage of participants
n=5 Participants
Amputation level
Transfemoral
94.1 Percentage of participants
n=5 Participants
94.4 Percentage of participants
n=7 Participants
94.3 Percentage of participants
n=5 Participants
Amputation level
Knee disarticulation
5.9 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
5.7 Percentage of participants
n=5 Participants
Weight
76.1 Kg
STANDARD_DEVIATION 16.6 • n=5 Participants
76.2 Kg
STANDARD_DEVIATION 16.2 • n=7 Participants
76.1 Kg
STANDARD_DEVIATION 16.1 • n=5 Participants
Height
170.3 cm
STANDARD_DEVIATION 10.2 • n=5 Participants
172.3 cm
STANDARD_DEVIATION 7.7 • n=7 Participants
171.3 cm
STANDARD_DEVIATION 8.6 • n=5 Participants
Time since amputation
51.3 months
STANDARD_DEVIATION 62.1 • n=5 Participants
70.8 months
STANDARD_DEVIATION 105.1 • n=7 Participants
61.4 months
STANDARD_DEVIATION 85.5 • n=5 Participants
International Classification of Function (ICF)
d4602
94.1 Percentage of participants
n=5 Participants
88.9 Percentage of participants
n=7 Participants
91.4 Percentage of participants
n=5 Participants
International Classification of Function (ICF)
d4601
5.9 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
8.6 Percentage of participants
n=5 Participants
Additional disabilities
Trans-tibial amputation of the controlateral lower
2.9 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
8.6 Percentage of participants
n=5 Participants
Additional disabilities
forefoot amputation on the controlateral side
2.9 Percentage of participants
n=5 Participants
0 Percentage of participants
n=7 Participants
2.9 Percentage of participants
n=5 Participants
Additional disabilities
Handicap of the upper limbs
0 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
5.7 Percentage of participants
n=5 Participants
Additional disabilities
Traumatism of the controlateral lower limb
2.9 Percentage of participants
n=5 Participants
0 Percentage of participants
n=7 Participants
2.9 Percentage of participants
n=5 Participants
Additional disabilities
Hemiplegia after a stroke affecting balance
0 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
2.9 Percentage of participants
n=5 Participants
Geographical area
Urban
70.6 Percentage of participants
n=5 Participants
66.7 Percentage of participants
n=7 Participants
68.6 Percentage of participants
n=5 Participants
Geographical area
Rural
29.4 Percentage of participants
n=5 Participants
33.3 Percentage of participants
n=7 Participants
31.4 Percentage of participants
n=5 Participants
work status
With a professional activity
0 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
5.7 Percentage of participants
n=5 Participants
work status
Without activity
23.5 Percentage of participants
n=5 Participants
22.2 Percentage of participants
n=7 Participants
22.9 Percentage of participants
n=5 Participants
work status
Retired
76.5 Percentage of participants
n=5 Participants
66.7 Percentage of participants
n=7 Participants
71.4 Percentage of participants
n=5 Participants
previous prosthesis
Locked knee
29.4 Percentage of participants
n=5 Participants
38.9 Percentage of participants
n=7 Participants
34.3 Percentage of participants
n=5 Participants
previous prosthesis
Brake knee
17.6 Percentage of participants
n=5 Participants
16.7 Percentage of participants
n=7 Participants
17.1 Percentage of participants
n=5 Participants
previous prosthesis
Pneumatic knee
17.6 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
11.4 Percentage of participants
n=5 Participants
previous prosthesis
Hydraulic knee
29.4 Percentage of participants
n=5 Participants
33.3 Percentage of participants
n=7 Participants
31.4 Percentage of participants
n=5 Participants
previous prosthesis
Free knee
5.9 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
5.7 Percentage of participants
n=5 Participants
socket type
Quadrangular
0 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
2.9 Percentage of participants
n=5 Participants
socket type
With ischial containment
88.2 Percentage of participants
n=5 Participants
88.9 Percentage of participants
n=7 Participants
88.6 Percentage of participants
n=5 Participants
socket type
For knee disarticulation
5.9 Percentage of participants
n=5 Participants
5.6 Percentage of participants
n=7 Participants
5.7 Percentage of participants
n=5 Participants
prosthetic foot with mechanical knee
Dynamic with carbon
41.2 Percentage of participants
n=5 Participants
50.0 Percentage of participants
n=7 Participants
45.7 Percentage of participants
n=5 Participants
prosthetic foot with mechanical knee
Dynamic without carbon
29.4 Percentage of participants
n=5 Participants
22.2 Percentage of participants
n=7 Participants
25.7 Percentage of participants
n=5 Participants
prosthetic foot with mechanical knee
Articulated
17.6 Percentage of participants
n=5 Participants
16.7 Percentage of participants
n=7 Participants
17.1 Percentage of participants
n=5 Participants
prosthetic foot with mechanical knee
Solid Ankle Cushion Heel (SACH)
11.8 Percentage of participants
n=5 Participants
11.1 Percentage of participants
n=7 Participants
11.4 Percentage of participants
n=5 Participants

PRIMARY outcome

Timeframe: Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

This test consists of recording the amount of time needed for a person to stand up from a chair, walk 3 metres, make a half-turn and sit down again. The TGUG test score reflects a person's balance and as a consequence, the risk of falling.

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
Timed Get Up and Go (TGUG)
NMPK
24.8 seconds
Standard Deviation 8.3
Timed Get Up and Go (TGUG)
3C60
21.6 seconds
Standard Deviation 9.0

SECONDARY outcome

Timeframe: Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

The Locomotor Capabilities Index (LCI-5) is a 14 item self-assessment questionnaire filled in by the patient that explores walking and ambulation. The LCI-5 is derived from the Prosthesis Profile of the Amputee Questionnaire (PPA). LCI-5 is sensitive to the use of walking aids or to the need of a third party. Ceiling effect is not expected with moderately active amputees. The global LCI-5 score is the addition of the 14 scores, noted between 0 and 4. The global score varies between 0 and 56, the highest being for persons with high locomotors capabilities. LCI-5 has two sub-scores: the basic score corresponds to 7 questions related to basic activities and the advanced score corresponds to 7 questions related to more advanced activities. The basic and advanced scores both range from 0-28. Higher scores correspond with a better outcome.

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
Locomotor Capabilities Index (LCI-5)
NMPK - Global score
38.6 Score between 0 and 56
Standard Deviation 9.5
Locomotor Capabilities Index (LCI-5)
3C60 - Global score
41.7 Score between 0 and 56
Standard Deviation 7.3
Locomotor Capabilities Index (LCI-5)
NMPK - Basic score
20.1 Score between 0 and 56
Standard Deviation 4.8
Locomotor Capabilities Index (LCI-5)
3C60 - Basic score
21.9 Score between 0 and 56
Standard Deviation 3.8
Locomotor Capabilities Index (LCI-5)
NMPK - Advances score
18.5 Score between 0 and 56
Standard Deviation 5.5
Locomotor Capabilities Index (LCI-5)
3C60 - Advanced score
19.8 Score between 0 and 56
Standard Deviation 5.0

SECONDARY outcome

Timeframe: Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

Population: No significant difference in the repartition of walking aids was - a priori- expected between both devices: NMPK and 3C60.

The type of walking aids used with each device will be recorded.

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
Use of Walking Aids
NMPK - 2 crutches
9 participants
Use of Walking Aids
3C60 - 2 crutches
8 participants
Use of Walking Aids
NMPK - none
7 participants
Use of Walking Aids
3C60 - none
7 participants
Use of Walking Aids
NMPK - 1 cane
7 participants
Use of Walking Aids
3C60 - 1 cane
7 participants
Use of Walking Aids
NMPK - 1 crutch
3 participants
Use of Walking Aids
3C60 - 1 crutch
5 participants
Use of Walking Aids
NMPK - 2 canes
3 participants
Use of Walking Aids
3C60 - 2 canes
3 participants
Use of Walking Aids
NMPK - Walking frame
1 participants
Use of Walking Aids
3C60 - walking frame
0 participants

SECONDARY outcome

Timeframe: Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

It is a self-evaluation questionnaire of the user's satisfaction, translated in French (ESAT) and in German (QUEST 2.0-G Section 17.5). The QUEST 2.0 questionnaire contains 8 items that evaluate the device's technology and 4 items that evaluate services surrounding the device. It allows patients to express themselves on the criteria that are most important to them. Each item has a score that varies between 0 (not satisfied at all) and 5 (very satisfied). The global score is the average obtained onto the 12 items. Two sub-scores related to the technology and services can also be calculated. They correspond to the average of the 8 first items and to the 4 last items respectively. All scores ranks between 0 and 5, 5 being the highest level of satisfaction.

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
NMPK - Global score
3.7 Score from 0 to 5
Standard Deviation 0.8
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
3C60 - Global score
4.4 Score from 0 to 5
Standard Deviation 1.0
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
NMPK - Services
4.1 Score from 0 to 5
Standard Deviation 0.7
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
3C60 - Services
4.5 Score from 0 to 5
Standard Deviation 1.1
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
NMPK - Technology
3.7 Score from 0 to 5
Standard Deviation 0.8
QUEST 2.0 Satisfaction Questionnaire (QUEST 2.0-G: German Version / ESAT: French Version)
3C60 - Technology
4.3 Score from 0 to 5
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Measurement will be performed at 3 months with 3C60 and at 1 month with NMPK

36-Item Short Form Health Survey (SF-36v2TM) explores 8 dimensions of quality of life through 36 questions: PF= Physical Functioning (10 items), RP= Role Physical (4 items), BP = Bodily Pain (2 items), SF= Social Functioning (2 items), MH= Mental Health (5 items), RE= Role emotional (3 items), VT= Vitality (4 items), GH= General Health (5 items). All of the eight health domain scales contributes with different levels to score two component summary measures: PCS= Physical Component Summary and MCS= Mental Component Summary. All scores are calculated online through scoring software. Domain scales and component summary are ranging from 0 to 100. A high score is considered to be a better outcome, as indicating little or no problem.

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
SF-36v2™ Health Survey
NMPK - Physical Component Score
43.1 scores on a scale
Standard Deviation 6.7
SF-36v2™ Health Survey
3C60 - Physical Component Score
45.0 scores on a scale
Standard Deviation 8.4
SF-36v2™ Health Survey
NMPK - Mental Component Score
56.6 scores on a scale
Standard Deviation 9.7
SF-36v2™ Health Survey
3C60 - Mental Ccomponent Score
56.0 scores on a scale
Standard Deviation 7.3

SECONDARY outcome

Timeframe: Measurement will be performed at 1 month with both devices

Outcome measures

Outcome measures
Measure
Overall
n=30 Participants
Number of Falls
NMPK - number of falls occured
6 falls
Number of Falls
3C60 - number of falls occured
1 falls
Number of Falls
NMPK - number related to the knee
4 falls
Number of Falls
3C60 - number related to the knee
0 falls

Adverse Events

NMPK

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

3C60

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
NMPK
n=35 participants at risk
Participants with non microprocessor-controlled knee joint
3C60
n=35 participants at risk
Participants with 3C60 knee joint
Surgical and medical procedures
Hospitalization due to other reason than amputation
2.9%
1/35 • Number of events 1
0.00%
0/35

Other adverse events

Other adverse events
Measure
NMPK
n=35 participants at risk
Participants with non microprocessor-controlled knee joint
3C60
n=35 participants at risk
Participants with 3C60 knee joint
Social circumstances
Non serious adverse events related to the knee
5.7%
2/35 • Number of events 4
5.7%
2/35 • Number of events 2
Social circumstances
Non serious adverse events maybe related to the knee
0.00%
0/35
8.6%
3/35 • Number of events 3
Social circumstances
Non serious adverse events not related to the knee
0.00%
0/35
14.3%
5/35 • Number of events 5

Additional Information

Aurélie LACROIX

OTTOBOCK FRANCE

Phone: 0033 (0)7 86 29 52 03

Results disclosure agreements

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