Safety and Efficacy of the ANTHEM™ CR Total Knee System

NCT ID: NCT03885622

Last Updated: 2024-08-09

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

ACTIVE_NOT_RECRUITING

Total Enrollment

153 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-11-23

Study Completion Date

2034-08-01

Brief Summary

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This clinical study will evaluate the short-term (1- and 2-year) and medium term (5-year) safety and performance of the ANTHEM™ CR Total Knee System in patients with non-inflammatory degenerative joint disease of the knee requiring total knee replacement. Clinical, radiographic, Health Economic Outcomes and safety outcomes will be evaluated.

Detailed Description

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To assess the safety and performance of the ANTHEM™ CR Total Knee System in patients with degeneration of the knee by demonstrating non-inferiority in the revision-free survival rate at 5 years compared to a literature reference rate of 96.6% (Australian Orthopaedic Association annual report 2016).

Conditions

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Non-inflammatory Degenerative Joint Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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ANTHEM™ CR Total Knee System

The ANTHEM CR Total Knee System is a CE marked device. It is a cruciate retaining (CR) total knee system. It is intended to be used in patients for primary total knee replacement surgery where the posterior cruciate ligament and collateral ligaments remain intact. It is a comprehensive system which allows surgeons to address simple to complex knee arthroplasties.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is a candidate for primary total knee arthroplasty due to degenerative joint disease.
2. Subject is willing to sign and date an EC-approved consent form.
3. Subject has posterior cruciate ligament and all collateral ligaments intact in the index joint.
4. Subject is 18 to 75 years old at time of inclusion.
5. Subject plans to be available through ten (10) years postoperative follow-up.
6. Subject agrees to follow the study protocol.
7. Subject has achieved skeletal maturity as deemed by enrolling investigator.

Exclusion Criteria

1. Subject would receive the ANTHEM™ CR Total Knee System on the affected knee as a revision for a previously failed (TKA) or unicondylar knee arthroplasty (UKA).
2. Subject received TKA on the contralateral knee as a revision for a previously failed TKA or UKA.
3. Subject has a history of patellar fracture, patellectomy, or patello-femoral Instability.
4. Subject has inflammatory arthritis.
5. Subject possesses a contralateral or ipsilateral revision hip arthroplasty.
6. Subject has ipsilateral hip arthritis resulting in flexion contracture.
7. Subject has one or more of the following arthroplasties that are not fully healed and well-functioning, as determined by the Investigator:

* Ipsilateral or contralateral primary total hip arthroplasty or hip resurfacing arthroplasty.
* Contralateral primary TKA or UKA.
8. Inadequate bone stock which would make the procedure unjustifiable including but not limited to: severe osteopenia/osteoporosis or family history of severe osteoporosis/osteopenia as deemed by the enrolling investigator.
9. Subject has collateral ligament insufficiency.
10. Subject has an active infection or sepsis (treated or untreated) or previous intra-articular infections.
11. Subject has presence of malignant tumor, either primary or metastatic, or benign tumor on leg with the knee to be treated.
12. Subject has conditions that may interfere with the TKA survival or outcome (e.g. Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes mellitus \[i.e. not under treatment with oral/injectable medications to control blood glucose levels\], fibromyalgia, moderate to severe renal insufficiency or neuromuscular disease).
13. Subject has contralateral lower extremity condition causing abnormal ambulation (e.g. ankle fusion, ankle arthroplasty, previous hip fracture).
14. Women who are pregnant, nursing, or of child-bearing potential who are not utilizing highly effective birth control measures.
15. Subject has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study, including mental illness, mental retardation, drug or alcohol abuse.
16. Participation in the treatment period of another clinical trial within thirty (30) days of Visit 1.
17. Any subject that meets the definition of a Vulnerable Subject per ISO14155:2011: individual whose willingness to volunteer in a clinical investigation could be unduly influenced by the expectation, whether justified or not, of benefits associated with participation or of retaliatory response from senior members of a hierarchy in case of refusal to participate.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Smith & Nephew Pte Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jae Ang Sim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Gachon University Gil Medical

Manuj Wadhwa, M.D.

Role: PRINCIPAL_INVESTIGATOR

Ivy Hospital - Ivy Elite Institute of Orthopaedics

Locations

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Parekhs Hospital

Ahmedabad, Gujarat, India

Site Status

Aadhar Health Institute

Hisar, Haryana, India

Site Status

Ivy Hospital - Ivy Elite Institute of Orthopaedics

Mohali, Punjab, India

Site Status

Instituto Clinico Sant'Ambrogio

Milan, , Italy

Site Status

Istituto Clinico San Siro

Milan, , Italy

Site Status

Westville Hospital

Westville, Durban, South Africa

Site Status

Chonnam National University Hwasun Hospital

Hwasun, Jeonranam-do, South Korea

Site Status

Gachon University Gil Medical Center

Incheon, Korea, South Korea

Site Status

Countries

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India Italy South Africa South Korea

Other Identifiers

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17-4065-07

Identifier Type: -

Identifier Source: org_study_id

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