Early Feasibility Study of Cartilage Defect Repair

NCT ID: NCT06823089

Last Updated: 2025-12-19

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 15 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-11-06
• Study Completion Date: 2031-10-31

Brief Summary

Any patient aged 14 or older up to 64 years of age with hip disease, resulting in loss of articular cartilage integrity on the femoral head (e.g., femoroacetabular impingement or other structural deformity), has failed conservative care, and is a candidate for surgical intervention to treat.

Detailed Description

When patients suffer from arthritis in the hip joint and fail conservative treatment, the standard surgical approach is total joint arthroplasty, where the joint is entirely removed and replaced with artificial materials. While this procedure is suitable for less active or older individuals, it is not ideal for younger, more active patients. Despite this, the number of total hip replacements in younger patients is increasing, requiring significant lifestyle adjustments to extend the implant's lifespan. Even with these efforts, most patients will face at least one total joint revision in their lifetime, each carrying an increased risk of complications and decreased patient satisfaction. As a result, total hip replacements are generally not recommended for patients aged 40 to 65 who experience activity-limiting symptoms and have exhausted conservative treatments.

The Cytex device offers an alternative treatment option for this patient population - those suffering from hip osteoarthritis (OA), unresponsive to conservative care, yet considered too young or active for total joint replacement. Notably, the Cytex implant preserves all pre-existing healthy bone stock, unlike traditional total hip resurfacing or arthroplasty procedures, allowing for future revision to conventional resurfacing or arthroplasty if needed.

The investigational device for this study, the ReNew Hip Implant, is a bioabsorbable, highly porous implant designed with mechanical properties that closely mimic those of healthy articular cartilage. The implant features a bicomponent structure, combining a biomimetic 3D woven textile with a porous 3D-printed framework.

Conditions

Osteoarthritis, Hip; Femoroacetabular Impingement; Osteonecrosis; Trauma Related Injuries; Avascular Necrosis of Bone of Hip; Avascular Necrosis of Bone

Keywords

articular cartilage; hip; impingement; osteochondral; resurfacing; hip resurfacing; hip replacement; osteonecrosis; avascular necrosis

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: DEVICE_FEASIBILITY
• Blinding Strategy: NONE

Study Groups

Investigational Arm

The investigation device for this study will be the ReNew Hip Implant.

Group Type: EXPERIMENTAL

ReNew Hip Implant

Intervention Type: DEVICE

Surgical Intervention

Interventions

ReNew Hip Implant

Surgical Intervention

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

1. At least 14 years of age to no older than 64 years of age Subjects 14-21 years of age must have radiographic evidence of epiphyseal closure in the hip joint

2. BMI < 35

3. Failed at least 6 weeks of conservative treatment (e.g., anti-inflammatory pain medications, physical therapy, injections)

4. Duration of symptoms consistent with intra-articular disease (i.e., groin, lateral and/or posterior hip pain) that have persisted for at least 3 months)

5. Loss of articular cartilage integrity (~1 - 6 cm^2 in area) on the femoral head (confirmed by MRI), without an opposing lesion, that can be treated with a single ReNew Hip Implant

6. Radiographic assessment with joint space width > 2 mm (verified by x-ray)

7. Meets an acceptable preoperative medical clearance and is free of conditions that would pose excessive operative risk, in the opinion of the investigator

8. Given consent to participate in the study

9. Able to understand the purpose of the study, his/her role, and is available for follow-up for the duration of the study:

1. Subject has signed an IRB (Institutional Review Board) approved Informed Consent Form agreeing to participate in the extension study after the nature, scope, and possible consequences of the study have been explained in an understandable form

2. Subject is able to fully understand the purpose of the study, his/her role as a participant in the study, and plans to be available through five years post-operative follow-up

Exclusion Criteria

1. Current users of nicotine in any form (e.g., cigarettes, e- cigarettes/vaping, chewing tobacco, nicotine patches, gum, lozenges), or individuals who have discontinued nicotine use less than 30 days prior to screening.

2. Type 1 or Type 2 Diabetes

3. Systemic steroid use in the 3 months prior to screening

4. Coxa plana, coxa magna, or proximal femoral focal deficiency on the femoral head that would result in implant mismatch of the femoral head contour

5. Any acute or chronic condition that would limit the ability of the patient to participate in the study (e.g., COPD, congestive heart failure),

6. Bleeding disorders

7. Current cancer (with the exception of non-melanoma skin cancer)

8. Pregnancy or planning to become pregnant during the study period

9. Active infection or sepsis

10. History of local hip infection

11. Known metastatic or neoplastic disease

12. Conditions that may interfere with implant survival or outcomes (e.g., severe dysplasia)

13. Life expectancy less than 2 years

14. Intra-articular therapy within 3 months of enrollment

15. Inadequate bone stock (as determined by SCORE or MORES assessment) to support the device

16. Femoral head is:

1. outside of the 46 - 56 mm range in either anteroposterior diameter or lateral diameters or

2. an aspherical head deformity that results in contour mismatch of 16a

17. Moderate to severe renal insufficiency

18. Emotional or neurological condition that would preempt ability or willingness to participate in the study

19. Above the knee amputation of the contralateral or ipsilateral leg

20. Known allergies to the components of the device (polycaprolactone)

21. Is a prisoner

• Minimum Eligible Age: 14 Years
• Maximum Eligible Age: 64 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

MCRA

INDUSTRY

Sponsor Role: collaborator

Cytex Therapeutics, Inc.

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Washington University School of Medicine

St Louis, Missouri, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Brad Estes, PhD

Role: CONTACT

Phone: 919.912.9839

Email: info@cytexortho.com

Christine Estes

Role: CONTACT

Email: cestes@cytexortho.com

Facility Contacts

Zak Robben

Role: primary

Caroline Drain

Role: backup

References

Roemer FW, Hunter DJ, Winterstein A, Li L, Kim YJ, Cibere J, Mamisch TC, Guermazi A. Hip Osteoarthritis MRI Scoring System (HOAMS): reliability and associations with radiographic and clinical findings. Osteoarthritis Cartilage. 2011 Aug;19(8):946-62. doi: 10.1016/j.joca.2011.04.003. Epub 2011 Apr 20.

Reference Type: BACKGROUND

PMID: 21550411 (View on PubMed)

Gold SL, Burge AJ, Potter HG. MRI of hip cartilage: joint morphology, structure, and composition. Clin Orthop Relat Res. 2012 Dec;470(12):3321-31. doi: 10.1007/s11999-012-2403-7.

Reference Type: BACKGROUND

PMID: 22723242 (View on PubMed)

Other Identifiers

CIP-0001

Identifier Type: -

Identifier Source: org_study_id