Project JAY THA Registration Study
Primary Purpose
Osteoarthritis, Rheumatoid Arthritis, Post-traumatic Arthritis
Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Delta PLUS Femoral Head + SL-TWIN Stem
BIOLOX forte ball head + SL-PLUS Stem
Sponsored by
About this trial
This is an interventional treatment trial for Osteoarthritis
Eligibility Criteria
Inclusion Criteria:
- Male or female subjects, aged between 50 and 75 years inclusive of Chinese ethnicity.
- Subject presents with osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis of hip joint, developmental dysplasia of the hip, or femoral neck fracture requiring primary total hip replacement.
- Subject who is able to give voluntary, written informed consent to participate in the study and from whom consent has been obtained by signing and dating an EC-approved consent form.
- Subject who is able to understand this clinical study, co-operates with the investigational procedures and is willing to return to the hospital for all the required post-operative follow-ups for up to 12 months.
- Life expectancy of subject is over 2 years.
Exclusion Criteria:
- Bilateral hip disease with the anticipated need for bilateral hip implant during study participation (i.e., within the next 12 months).
- Subject experienced prior joint replacement surgery on any major joint (hip, knee) in lower limb within the last 12 months.
- Subject with developmental dysplasia of the hip of CROWE grade 3 or 4.
- Subject has known or suspected metal sensitivity.
- Subject is known to have insufficient bone stock resulting from conditions such as cancer, significant osteoporosis or metabolic bone disorders, which cannot provide adequate support and/or fixation to the prosthesis.
- Subject is severely obese (BMI>35).
- Subject had an active infection or sepsis (treated or untreated).
- Subject has conditions that may compromise implant stability or postoperative recovery (i.e., Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency, hip abduction muscle strength less than grade IV or complete loss, or neuromuscular disease).
- Subject has an emotional or neurological condition that would affect their ability or willingness to participate in the study (e.g. cognitive disorder, mental illness, mental retardation).
- Subject is immunosuppressed, has an autoimmune disorder, or an immunosuppressive disorder. For examples, subject is on immunosuppressive therapy (corticosteroid hormones in large amounts, cytotoxic drugs, antilymphocytic serum or irradiation in large doses) or has acquired immunodeficiency syndrome (AIDS).
- Subject is known to be at risk for lost to follow-up, or failure to return for scheduled visits.
- Subject was enrolled in another investigational drug, biologic, or device study in the last 12 months.
- Subject is a woman who is pregnant or lactating,or intends to become pregnant during the course of the study.
- Known alcohol and/or drug abuse
Sites / Locations
- Luoyang Orthopedic-Traumatological Hospital
- Inner Mongolia Bao Gang Hospital
- The First Teaching Hospital of Xinjiang Medical University
- Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Delta PLUS Femoral Head + SL-TWIN Stem
BIOLOX forte ball head + SL-PLUS Stem
Arm Description
Subject will be implanted with Delta PLUS Femoral Head & SL-TWIN Stem
Subject will be implanted with BIOLOX forte ball head & SL-PLUS Stem
Outcomes
Primary Outcome Measures
Harris Hip Score
Secondary Outcome Measures
Composite Clinical Success, as indicated by A) No revision of any device component; and B) Total Harris Hip Score greater than or equal to 80 (excellent to good score); and C) Radiologic success.
A successful individual outcome for a subject in total hip arthroplasty will be characterized at 1 year postoperative by a composite of three success criteria:
A. No revision of any device component; and B. Total Harris Hip Score greater than or equal to 80 (excellent to good score); and C. Radiologic success.
Full Information
NCT ID
NCT02347384
First Posted
January 9, 2015
Last Updated
November 13, 2017
Sponsor
Smith & Nephew Orthopaedics (Beijing) Limited
1. Study Identification
Unique Protocol Identification Number
NCT02347384
Brief Title
Project JAY THA Registration Study
Official Title
A Prospective, Randomized, Multicenter Clinical Study in Chinese Subjects to Compare the Safety and Efficacy of the Delta PLUS Femoral Head and SL-TWIN Stem With BIOLOX Forte Ball Head and SL-PLUS Stem in Total Hip Arthroplasty
Study Type
Interventional
2. Study Status
Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
April 20, 2015 (undefined)
Primary Completion Date
November 1, 2016 (Actual)
Study Completion Date
November 1, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Smith & Nephew Orthopaedics (Beijing) Limited
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a prospective, randomized, multicenter clinical study in Chinese subjects to compare the safety and efficacy of the Delta PLUS Femoral Head and SL-TWIN Stem with BIOLOX forte ball head and SL-PLUS Stem in total hip arthroplasty
Detailed Description
As the incidence of joint disease continues to increase, an ever growing percentage of the affected population will undergo total hip arthroplasty (THA). This recent upward trend for THA procedures appears to be directly related to the prevalence of certain health factors. Specifically, longer life spans, rising obesity rates, and increasing physical activity levels in relatively younger populations are all examples of factors that may significantly contribute to hip degeneration. While strategies such as weight reduction, lifestyle change, or drug therapy may offer temporary relief from the symptoms of joint degeneration, THA remains the standard of care for subjects experiencing significant losses in quality of life due to advanced hip disease.
There has been an increase in imported hip prostheses during the past decade, so that surgeons now have more choices of implants. However, the high cost of imported prostheses has become a barrier to the development of hip replacement in China and caused many patients requiring immediate hip replacement to have to delay or miss their surgery. The development and promotion of high-quality domestic joint implants and surgical instruments is the key to the development of joint replacement technique in China.
The primary objective of this study is to demonstrate non-inferiority of subjects implanted with the Delta PLUS Femoral Head + SL-TWIN Stem compared to a randomized concurrent control group of subjects implanted with the BIOLOX forte ball head + SL-PLUS Stem in terms of mean Harris Hip Score (HHS) at 1 year.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Rheumatoid Arthritis, Post-traumatic Arthritis, Avascular Necrosis, Developmental Dysplasia of the Hip, Femoral Neck Fracture
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Delta PLUS Femoral Head + SL-TWIN Stem
Arm Type
Experimental
Arm Description
Subject will be implanted with Delta PLUS Femoral Head & SL-TWIN Stem
Arm Title
BIOLOX forte ball head + SL-PLUS Stem
Arm Type
Active Comparator
Arm Description
Subject will be implanted with BIOLOX forte ball head & SL-PLUS Stem
Intervention Type
Device
Intervention Name(s)
Delta PLUS Femoral Head + SL-TWIN Stem
Intervention Description
Subject will undergo total hip arthroplasty with Delta PLUS Femoral Head & SL-TWIN Stem
Intervention Type
Device
Intervention Name(s)
BIOLOX forte ball head + SL-PLUS Stem
Intervention Description
Subject will undergo total hip arthroplasty with BIOLOX forte ball head & SL-PLUS Stem
Primary Outcome Measure Information:
Title
Harris Hip Score
Time Frame
1 year post-operative
Secondary Outcome Measure Information:
Title
Composite Clinical Success, as indicated by A) No revision of any device component; and B) Total Harris Hip Score greater than or equal to 80 (excellent to good score); and C) Radiologic success.
Description
A successful individual outcome for a subject in total hip arthroplasty will be characterized at 1 year postoperative by a composite of three success criteria:
A. No revision of any device component; and B. Total Harris Hip Score greater than or equal to 80 (excellent to good score); and C. Radiologic success.
Time Frame
1 year post-operative
Other Pre-specified Outcome Measures:
Title
The Western Ontario and McMaster Universities Arthritis Index(WOMAC)
Time Frame
1 year post-operative
Title
SF-12 Health Survey
Time Frame
1 year post-operative
Title
Number of adverse events
Time Frame
Up to 1 year post-operative
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female subjects, aged between 50 and 75 years inclusive of Chinese ethnicity.
Subject presents with osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis of hip joint, developmental dysplasia of the hip, or femoral neck fracture requiring primary total hip replacement.
Subject who is able to give voluntary, written informed consent to participate in the study and from whom consent has been obtained by signing and dating an EC-approved consent form.
Subject who is able to understand this clinical study, co-operates with the investigational procedures and is willing to return to the hospital for all the required post-operative follow-ups for up to 12 months.
Life expectancy of subject is over 2 years.
Exclusion Criteria:
Bilateral hip disease with the anticipated need for bilateral hip implant during study participation (i.e., within the next 12 months).
Subject experienced prior joint replacement surgery on any major joint (hip, knee) in lower limb within the last 12 months.
Subject with developmental dysplasia of the hip of CROWE grade 3 or 4.
Subject has known or suspected metal sensitivity.
Subject is known to have insufficient bone stock resulting from conditions such as cancer, significant osteoporosis or metabolic bone disorders, which cannot provide adequate support and/or fixation to the prosthesis.
Subject is severely obese (BMI>35).
Subject had an active infection or sepsis (treated or untreated).
Subject has conditions that may compromise implant stability or postoperative recovery (i.e., Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency, hip abduction muscle strength less than grade IV or complete loss, or neuromuscular disease).
Subject has an emotional or neurological condition that would affect their ability or willingness to participate in the study (e.g. cognitive disorder, mental illness, mental retardation).
Subject is immunosuppressed, has an autoimmune disorder, or an immunosuppressive disorder. For examples, subject is on immunosuppressive therapy (corticosteroid hormones in large amounts, cytotoxic drugs, antilymphocytic serum or irradiation in large doses) or has acquired immunodeficiency syndrome (AIDS).
Subject is known to be at risk for lost to follow-up, or failure to return for scheduled visits.
Subject was enrolled in another investigational drug, biologic, or device study in the last 12 months.
Subject is a woman who is pregnant or lactating,or intends to become pregnant during the course of the study.
Known alcohol and/or drug abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li Cao
Organizational Affiliation
First Affiliated Hospital of Xinjiang Medical University
Official's Role
Study Chair
Facility Information:
Facility Name
Luoyang Orthopedic-Traumatological Hospital
City
Luoyang
State/Province
Henan
ZIP/Postal Code
471002
Country
China
Facility Name
Inner Mongolia Bao Gang Hospital
City
Baotou
State/Province
Inner Mongolia
ZIP/Postal Code
014010
Country
China
Facility Name
The First Teaching Hospital of Xinjiang Medical University
City
Ürümqi
State/Province
Xinjiang
ZIP/Postal Code
830054
Country
China
Facility Name
Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region
City
Ürümqi
State/Province
Xinjiang
ZIP/Postal Code
830099
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
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Project JAY THA Registration Study
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