Trial Outcomes & Findings for Allofit® IT Ceramic Bearing System in Total Hip Arthroplasty (NCT NCT03672916)

NCT ID: NCT03672916

Last Updated: 2025-02-12

Results Overview

The objective of this study is implant survival at 10 years which is assessed by revision of the the study device calculated using the Kaplan-Meier Survival Estimation. The survivorship with Kaplan-Meier (K-M) was calculated at 10 year for endpoint revision of any component.

Recruitment status

COMPLETED

Target enrollment

185 participants

Primary outcome timeframe

10 years post-surgery

Results posted on

2025-02-12

Participant Flow

Participant milestones

Participant milestones
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Overall Study
STARTED
185
Overall Study
COMPLETED
133
Overall Study
NOT COMPLETED
52

Reasons for withdrawal

Reasons for withdrawal
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Overall Study
Death
6
Overall Study
Lost to Follow-up
29
Overall Study
Adverse Event
6
Overall Study
Withdrawal by Subject
11

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=184 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Age, Continuous
56.4 Age (years) at date of surgery
STANDARD_DEVIATION 9 • n=184 Participants
Sex: Female, Male
Female
66 Participants
n=184 Participants
Sex: Female, Male
Male
118 Participants
n=184 Participants
Region of Enrollment
Sweden
48 participants
n=184 Participants
Region of Enrollment
Germany
136 participants
n=184 Participants

PRIMARY outcome

Timeframe: 10 years post-surgery

Population: All study patients

The objective of this study is implant survival at 10 years which is assessed by revision of the the study device calculated using the Kaplan-Meier Survival Estimation. The survivorship with Kaplan-Meier (K-M) was calculated at 10 year for endpoint revision of any component.

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Survivorship
179 Implants

PRIMARY outcome

Timeframe: Up to 10 years postoperative

Population: The count of all participants with adverse events is summarized. Details are available in the Adverse Event overview of the results section

Will be evaluated by monitoring the frequency and incidence of adverse events (AE), serious adverse events (SAE), adverse device effects (ADE) and serious adverse device effects (SADE) b) Efficacy:

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Safety of the Implant
Hip Related complications (AE and SAE)
9 Participants
Safety of the Implant
Revisions
6 Participants
Safety of the Implant
SAE's not related to study hip
38 Participants

SECONDARY outcome

Timeframe: pre-op, 6 Months, 1 Year, 2 Year, 3 Year, 5 Year, 7 Year, 10 Year

Population: All study patients

The Harris Hip Score (HHS) is an outcome measure that includes a series of questions answered by the patient and physical examinations recorded by a qualified health care professional. The HHS covers four domains: pain (one item, 0-44 points), function and functional activities (seven items, 0-47 points), absence of deformity (one item, 0-4 points) and range of motion (one item, 0-5 points). To obtain a final score, the points are summed. The outcome score can be categorized as Excellent: 90-100; Good: 80-90; Fair: 70-80; Poor: \< 70

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Harris Hip Score
2 Year
96.9 score on a scale
Standard Deviation 6.9
Harris Hip Score
3 Year
96.1 score on a scale
Standard Deviation 9
Harris Hip Score
5 Year
95.2 score on a scale
Standard Deviation 9.5
Harris Hip Score
7 Year
96.0 score on a scale
Standard Deviation 8.3
Harris Hip Score
10 Year
93.9 score on a scale
Standard Deviation 11.3
Harris Hip Score
Pre-op
48.8 score on a scale
Standard Deviation 11.5
Harris Hip Score
6 months
93.2 score on a scale
Standard Deviation 11.3
Harris Hip Score
1 Year
96.1 score on a scale
Standard Deviation 7.9

SECONDARY outcome

Timeframe: pre-op, 6 Months, 1 Year, 2 Year, 3 Year, 5 Year, 7 Year, 10 Year

Population: The number of participants decreased over time, reasons are: questionnaire not completed in full (score calculation not possible), missed visits, lost to follow-up or withdrawn from the study.

The EQ-5D-3L is a standardized instrument widely used to measure health status. It is a self-reported assessment about the patient's quality of life. The questionnaire includes five dimensions referring to mobility, self-care, daily activities, pain/discomfort, and anxiety/depression. Each question can be answered in three ways/levels indicating no problems, some problems, and extreme problems. In the derived EQ-5D-3L score, the highest score is 1 and the lowest score is -0.594; negative numbers correspond to a self-assessed health state worse than being dead.

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=184 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
EQ-5D
pre-op
0.4 score on a scale
Standard Deviation 0.3
EQ-5D
6 months
0.9 score on a scale
Standard Deviation 0.2
EQ-5D
1 Year
0.9 score on a scale
Standard Deviation 0.2
EQ-5D
2 Year
0.9 score on a scale
Standard Deviation 0.2
EQ-5D
7 Year
0.8 score on a scale
Standard Deviation 0.2
EQ-5D
10 Year
0.8 score on a scale
Standard Deviation 0.2
EQ-5D
3 Year
0.9 score on a scale
Standard Deviation 0.2
EQ-5D
5 Year
0.8 score on a scale
Standard Deviation 0.2

SECONDARY outcome

Timeframe: pre-op, 6 Months, 1 Year, 2 Year, 3 Year, 5 Year, 7 Year, 10 Year

Population: All study patients

The SF-12 is a multipurpose short-form (SF) generic measure of health status. It consists of twelve questions that measure eight health domains to assess physical and mental health. Physical health-related domains include General Health (GH), Physical Functioning (PF), Role Physical (RP), and Body Pain (BP). Mental health-related scales include Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH). Scores ranges from 0 to 100, with higher scores indicating better physical and mental health functioning and lower scores indicating worse physical and mental health functioning.

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
SF-12 Physical and Mental Functional Scores
Pre-op, SF12 Physical
28.8 score on a scale
Standard Deviation 7.1
SF-12 Physical and Mental Functional Scores
1 Year, SF12 Physical
48.5 score on a scale
Standard Deviation 8.9
SF-12 Physical and Mental Functional Scores
2 Year, SF12 Physical
49.5 score on a scale
Standard Deviation 9.3
SF-12 Physical and Mental Functional Scores
5 Year, SF12 Physical
46.9 score on a scale
Standard Deviation 9.8
SF-12 Physical and Mental Functional Scores
Pre-op, SF12 Mental
44.9 score on a scale
Standard Deviation 11.8
SF-12 Physical and Mental Functional Scores
2 Year, SF12 Mental
55.6 score on a scale
Standard Deviation 7.2
SF-12 Physical and Mental Functional Scores
7 Year, SF12 Mental
52.5 score on a scale
Standard Deviation 10.4
SF-12 Physical and Mental Functional Scores
6 months, SF12 Physical
46.5 score on a scale
Standard Deviation 9.9
SF-12 Physical and Mental Functional Scores
3 Year, SF12 Physical
47.0 score on a scale
Standard Deviation 10.6
SF-12 Physical and Mental Functional Scores
7 Year, SF12 Physical
47.2 score on a scale
Standard Deviation 10.8
SF-12 Physical and Mental Functional Scores
10 Year, SF12 Physical
47.3 score on a scale
Standard Deviation 9.9
SF-12 Physical and Mental Functional Scores
6 months, SF12 Mental
55.7 score on a scale
Standard Deviation 7.9
SF-12 Physical and Mental Functional Scores
1 Year, SF12 Mental
55.0 score on a scale
Standard Deviation 7.8
SF-12 Physical and Mental Functional Scores
3 Year, SF12 Mental
54.6 score on a scale
Standard Deviation 8.4
SF-12 Physical and Mental Functional Scores
5 Year, SF12 Mental
54.1 score on a scale
Standard Deviation 9.1
SF-12 Physical and Mental Functional Scores
10 Year, SF12 Mental
54.2 score on a scale
Standard Deviation 8.1

SECONDARY outcome

Timeframe: pre-op, 6 Months, 1 Year, 2 Year, 3 Year, 5 Year, 7 Year, 10 Year

Population: The number of participants decreased over time, reasons are: questionnaire not completed, missed visits, lost to follow-up or withdrawn from the study.

The case administered University of California at Los Angeles (UCLA) score allows assessment of the case's activity level at each time point with scores from 1 (Wholly inactive: dependent on others; cannot leave residence) to 10 (Regularly participates in impact sports)

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
UCLA Activity Score
3 Year
6.2 score on a scale
Standard Deviation 1.7
UCLA Activity Score
5 Year
6.4 score on a scale
Standard Deviation 1.7
UCLA Activity Score
7 Year
6.0 score on a scale
Standard Deviation 1.9
UCLA Activity Score
10 Year
6.4 score on a scale
Standard Deviation 1.7
UCLA Activity Score
Pre-op
4.3 score on a scale
Standard Deviation 1.6
UCLA Activity Score
6 months
6.1 score on a scale
Standard Deviation 1.7
UCLA Activity Score
1 Year
6.4 score on a scale
Standard Deviation 1.5
UCLA Activity Score
2 Year
6.6 score on a scale
Standard Deviation 1.6

SECONDARY outcome

Timeframe: 10 Years post-surgery

Population: All study patients

Radiographic evaluation was done to assess (radiolucency, osteolysis, subsidence, cup migration, change in cup angle and change in femoral shaft angle) of study subjects who received the Allofit IT Acetabular System

Outcome measures

Outcome measures
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 Participants
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Radiographic Evaluations
Stem Subsidence (0.2mm - 6mm)
11 Participants
Radiographic Evaluations
Radiolucency (>2mm)
4 Participants
Radiographic Evaluations
Heterotopic Ossification (Class III and class IV)
3 Participants
Radiographic Evaluations
Calcar Resorption (0.3mm - 5mm)
9 Participants
Radiographic Evaluations
Cup Migration (0.3mm - 0.9mm)
6 Participants
Radiographic Evaluations
Osteolysis
1 Participants

Adverse Events

Patients Who Received the Allofit IT With BIOLOX Delta

Serious events: 45 serious events
Other events: 52 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 participants at risk
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Surgical and medical procedures
Study-hip affected: Revisions of implant system
3.2%
6/185 • Number of events 6 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Surgical and medical procedures
Study-hip affected: Luxation/Dislocation
1.1%
2/185 • Number of events 3 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Injury, poisoning and procedural complications
Study-hip affected: Periprosthetic femur fracture
0.54%
1/185 • Number of events 1 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Musculoskeletal and connective tissue disorders
Musculoskeletal (non-study hip)
11.9%
22/185 • Number of events 26 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Cardiac disorders
Cardiovascular
5.4%
10/185 • Number of events 10 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oncological
3.8%
7/185 • Number of events 7 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Infections and infestations
Infection (non-study hip)
1.1%
2/185 • Number of events 2 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Nervous system disorders
Neurological
1.1%
2/185 • Number of events 2 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Respiratory, thoracic and mediastinal disorders
Pulmonary/Respiratory
0.54%
1/185 • Number of events 2 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
General disorders
Reported deaths with unknown causes
1.6%
3/185 • Number of events 3 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable

Other adverse events

Other adverse events
Measure
Patients Who Received the Allofit IT With BIOLOX Delta
n=185 participants at risk
Subjects in need of a primary total hip arthroplasty, who met the inclusion/exclusion criteria and who received the Allofit IT Shell in combination with the BIOLOX delta Taper Liners
Musculoskeletal and connective tissue disorders
Study-hip affected adverse events
3.2%
6/185 • Number of events 6 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Musculoskeletal and connective tissue disorders
Musculoskeletal (non-study hip)
15.1%
28/185 • Number of events 36 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Cardiac disorders
Cardiovascular
5.9%
11/185 • Number of events 11 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oncological
2.2%
4/185 • Number of events 4 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Infections and infestations
Infection
1.6%
3/185 • Number of events 3 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Endocrine disorders
Endocrine
1.6%
3/185 • Number of events 3 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
Nervous system disorders
Neurological
1.1%
2/185 • Number of events 2 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable
General disorders
Others
2.7%
5/185 • Number of events 5 • From surgery until the last study visit at 10 years post-op.
ISO definitions are applicable

Additional Information

Martina Hersberger, Clinical Project Lead

Zimmer Biomet

Phone: +41 79 535 90 29

Results disclosure agreements

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