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ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population

Primary Purpose

Primary Knee Arthroplasty

Status
Recruiting
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
ATTUNE Revision Knee System in Total Knee Arthroplasty
Sponsored by
DePuy Orthopaedics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Knee Arthroplasty focused on measuring complex primary, deformity, ligamentous laxity

Eligibility Criteria

22 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive.
  2. The decision to have knee replacement with the study device is regardless of the research.
  3. The devices are to be used according to the approved indications.
  4. Subject that is willing to give voluntary, written informed consent to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor
  5. Subject is currently not bedridden.
  6. Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with investigational procedures.
  7. Subject is able to read, and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations.
  8. Subject has not been diagnosed with an inflammatory arthritis (including gout, rheumatoid, psoriatic etc.)

Exclusion Criteria:

  1. The Subject is a woman who is pregnant or lactating.
  2. Contralateral knee has already been enrolled in this study. If the Investigator plans to treat a potential study subject with either simultaneous (two (2) knees in one (1) surgical setting) or staged bilateral TKA, then this subject may be enrolled; however, only the first knee may be enrolled into this study.
  3. Subject had a contralateral amputation.
  4. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement) or primary TKA in affected knee.
  5. Subject is currently diagnosed with radicular pain from the spine that radiates into the limb to receive TKA.
  6. Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three (3) months.
  7. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  8. Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last 5 years) or has a psychological disorder that could affect his/her ability to complete patient reported questionnaires or be compliant with follow-up requirements.
  9. Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
  10. Subject has a significant neurological or musculoskeletal disorder(s) or disease that may adversely affect gait or weight bearing activities (e.g., muscular dystrophy, multiple sclerosis, Charcot disease).
  11. Subject has a medical condition with less than five (5) years life expectancy as determined by the Investigator.
  12. Subject has been diagnosed with an inflammatory arthritis (including uncontrolled gout, rheumatoid, psoriatic etc.).

    -

Sites / Locations

  • Scripps Clinic Torrey PinesRecruiting
  • Colorado Joint ReplacementRecruiting
  • Orthopaedic Center of the RockiesRecruiting
  • Orthopedic PartnersRecruiting
  • Florida Orthopedic AssociatesRecruiting
  • Arthroplasty Foundation
  • University of Mississippi Medical CenterRecruiting
  • Mery HospitalRecruiting
  • Dartmouth-Hitchcock Medical CenterRecruiting
  • Rothman InstituteRecruiting
  • UNC Orthopaedics
  • OrthoCarolina Hip and Knee CenterRecruiting
  • The Ohio State University Wexner Medical CenterRecruiting
  • Southern Joint Replacement InstituteRecruiting
  • Texas Institute for Hip & Knee SurgeryRecruiting
  • Fondren Orthopedic GroupRecruiting
  • Finders Private Hospital
  • St. John of God Murdoch HospitalRecruiting
  • Krankenhaus der Barmherzigen Schwestern Linz Betriebsgesellschaft m.b.H.Recruiting
  • MoRe Foundation
  • London Health Sciences Centre University Hospital
  • Concordia Joint Replacement
  • Centre Hospitalier Universitaire de RennesRecruiting
  • Klinik und Poliklinik für Orthopädie und Sportorthopädie am Klinikum rechts der Isar der Technischen Universität MüncheRecruiting
  • Asklepios Orthopädische Klinik LindenloheRecruiting
  • South Infirmary Public HospitalRecruiting
  • Ospedale Sacro Cuore
  • University Hospital MaastrichtRecruiting
  • Wellington HospitalRecruiting
  • Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Department of Orthopaedic Surgery and Traumatology
  • Hampshire Hospitals NHS Foundation TrustRecruiting
  • Victoria Hospital NHS FifeRecruiting
  • Chapel Allerton Orthopaedic CentreRecruiting
  • James Cook University HospitalRecruiting
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation TrustRecruiting
  • Nuffield Orthopaedic CentreRecruiting
  • Wrightington HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

ATTUNE Revision knee system

Arm Description

The ATTUNE Revision knees system is complementary to the ATTUNE primary knee portfolio and includes both rotating platform (RP) and fixed bearing (FB) configurations. The system includes a full compliment of implants designed to address the challenges faced in complex primary knee surgeries. These implants include Stemmable tibial and femoral components, augments, sleeves and offsets

Outcomes

Primary Outcome Measures

KOOS ADL
Evaluate change from preoperative baseline to the 2 yr timepoint in patient reported functional outcome, KOOS-ADL for the ATTUNE® Revision TKA FB and RP configurations.

Secondary Outcome Measures

Knee Injury and Osteoarthritis Outcome Score - Activities of Daily Living (KOOS-ADL)
Evaluate change from preoperative baseline to the 5 yr timepoint in functional outcomes as measured using KOOS patient reported outcomes measure (PROM).
Patient's Knee Implant Performance (PKIP)
Evaluate change from preoperative baseline to 5 yr timepoint in functional outcomes, satisfaction and quality of life assessments, as measured using the PKIP patient reported outcome measure
American Knee Society Score
valuate change from preoperative baseline to 5 yr timepoint in functional outcomes assessments, patient satisfaction and expectations and clinical evaluations as measured using the AKS measure
EQ-5D-5L
Evaluate change from preoperative baseline to 2 and 5 yr timepoints in functional outcomes and quality of life assessments, as measured using the EQ-5D-5L patient reported outcome measure
VAS Pain Score
Evaluate change from preoperative baseline to 5 yr timepoint in patient reported pain severity as measured using a modified VAS Pain Score (discrete numbers rather than a continual scale).
American Knee Society Score
Evaluate change from preoperative baseline to the 5 yr timepoint in patient reported satisfaction from the AKS 2011 over time as measured using a Likert scale.
American Knee Society Score (surgeon evaluation)
Estimate the change from preoperative baseline to the 5 yr timepoint in clinical outcomes using the 2011 AKS (surgeon evaluation)
Adverse Events
Evaluate type and frequency of Adverse Events
Readmissions
Evaluate the timing, duration and reason for any readmissions stratified by adverse event type (operative site vs. systemic).
Survivorship
Evaluate survivorship of the ATTUNE® Revision TKA system for the PS FB and PS RP configurations and the combined PS FB and PS RP configurations using Kaplan-Meier survival analysis at 1, 2, 3, 4 and 5 years.
Frequency of radiolucent line occurrence
Evaluate ATTUNE® Revision TKA fixation through zonal radiographic analysis of the bone-implant interface at 1, 2 and 5 years after surgery compared to the first postoperative radiographs.
Anatomic Tibiofemoral Alignment
Evaluate any changes in anatomic tibiofemoral alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Femoral component alignment
Evaluate any changes in femoral component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Tibial component alignment
Evaluate any changes in tibial component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Restoration of joint line
Radiographically evaluate the restoration of joint line using the first postoperative radiographs according to the methodology of Figgie.

Full Information

First Posted
May 7, 2017
Last Updated
October 9, 2023
Sponsor
DePuy Orthopaedics
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1. Study Identification

Unique Protocol Identification Number
NCT03153449
Brief Title
ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population
Official Title
Multi-Center Clinical Evaluation of the ATTUNE Revision System in Complex Primary Total Knee Arthroplasty
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 19, 2017 (Actual)
Primary Completion Date
March 31, 2026 (Anticipated)
Study Completion Date
June 30, 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DePuy Orthopaedics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Five-year, Prospective, multi-center, non-randomized, non-controlled study of the ATTUNE® Revision total knee prostheses, utilizing the fixed bearing (FB) and rotating platform (RP) tibial component with the posterior stabilizing (PS) femoral component in complex primary total knee arthroplasty.
Detailed Description
Within primary TKA, there are factors that lead to more complex procedures that include patients with high BMIs, advanced preoperative deformities and ligamentous laxity. Such cases may require the surgeon to treat using ancillary components, such as stems and/or augments and/or additional constraint. This post-market study will evaluate the short/medium term clinical performance and medium term survivorship of the ATTUNE Revision system system, which includes instrumentation, in complex primary TKA. The study is designed as a worldwide non-comparative, multi-center study with each site initially having a cohort of approximately 20 Subjects to recruit. The study will enroll approximately 200 fixed bearing and approximately 200 rotating platform configurations. The 2-year KOOS-ADL (activities of daily living) was selected as the primary endpoint because it will evaluate the post-operative period during which outcomes typically plateau and will therefore provide a good indication of longer term outcomes Male and female Subjects, age 22-80 years, inclusive, who require a primary knee arthroplasty in a joint that, due to deformity, instability, bone loss etc., necessitates the use of implants found within the ATTUNE Revision knee system and are suitable candidates for TKA using the ATTUNE® Revision system are eligible for enrollment in this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Knee Arthroplasty
Keywords
complex primary, deformity, ligamentous laxity

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
400 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ATTUNE Revision knee system
Arm Type
Other
Arm Description
The ATTUNE Revision knees system is complementary to the ATTUNE primary knee portfolio and includes both rotating platform (RP) and fixed bearing (FB) configurations. The system includes a full compliment of implants designed to address the challenges faced in complex primary knee surgeries. These implants include Stemmable tibial and femoral components, augments, sleeves and offsets
Intervention Type
Device
Intervention Name(s)
ATTUNE Revision Knee System in Total Knee Arthroplasty
Other Intervention Name(s)
complex primary knee arthroplasty
Intervention Description
Implants from the ATTUNE Revision Knee System will be used to treat subjects whose surgeons have determined their anatomy is such that the use of revision components are required to perform primary total knee arthroplasty
Primary Outcome Measure Information:
Title
KOOS ADL
Description
Evaluate change from preoperative baseline to the 2 yr timepoint in patient reported functional outcome, KOOS-ADL for the ATTUNE® Revision TKA FB and RP configurations.
Time Frame
2 Years
Secondary Outcome Measure Information:
Title
Knee Injury and Osteoarthritis Outcome Score - Activities of Daily Living (KOOS-ADL)
Description
Evaluate change from preoperative baseline to the 5 yr timepoint in functional outcomes as measured using KOOS patient reported outcomes measure (PROM).
Time Frame
Baseline, 5 Year
Title
Patient's Knee Implant Performance (PKIP)
Description
Evaluate change from preoperative baseline to 5 yr timepoint in functional outcomes, satisfaction and quality of life assessments, as measured using the PKIP patient reported outcome measure
Time Frame
Baseline, 5 Year
Title
American Knee Society Score
Description
valuate change from preoperative baseline to 5 yr timepoint in functional outcomes assessments, patient satisfaction and expectations and clinical evaluations as measured using the AKS measure
Time Frame
Baseline, 5 Year
Title
EQ-5D-5L
Description
Evaluate change from preoperative baseline to 2 and 5 yr timepoints in functional outcomes and quality of life assessments, as measured using the EQ-5D-5L patient reported outcome measure
Time Frame
Baseline, 5 year
Title
VAS Pain Score
Description
Evaluate change from preoperative baseline to 5 yr timepoint in patient reported pain severity as measured using a modified VAS Pain Score (discrete numbers rather than a continual scale).
Time Frame
Baseline, 5 year
Title
American Knee Society Score
Description
Evaluate change from preoperative baseline to the 5 yr timepoint in patient reported satisfaction from the AKS 2011 over time as measured using a Likert scale.
Time Frame
Baseline, 5 year
Title
American Knee Society Score (surgeon evaluation)
Description
Estimate the change from preoperative baseline to the 5 yr timepoint in clinical outcomes using the 2011 AKS (surgeon evaluation)
Time Frame
Baseline, 5 year
Title
Adverse Events
Description
Evaluate type and frequency of Adverse Events
Time Frame
Intraoperative, 6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.
Title
Readmissions
Description
Evaluate the timing, duration and reason for any readmissions stratified by adverse event type (operative site vs. systemic).
Time Frame
6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.
Title
Survivorship
Description
Evaluate survivorship of the ATTUNE® Revision TKA system for the PS FB and PS RP configurations and the combined PS FB and PS RP configurations using Kaplan-Meier survival analysis at 1, 2, 3, 4 and 5 years.
Time Frame
1, 2, 3, 4 and 5 years
Title
Frequency of radiolucent line occurrence
Description
Evaluate ATTUNE® Revision TKA fixation through zonal radiographic analysis of the bone-implant interface at 1, 2 and 5 years after surgery compared to the first postoperative radiographs.
Time Frame
1, 2 and 5 years
Title
Anatomic Tibiofemoral Alignment
Description
Evaluate any changes in anatomic tibiofemoral alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Time Frame
1, 2 and 5 years
Title
Femoral component alignment
Description
Evaluate any changes in femoral component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Time Frame
1, 2 and 5 years
Title
Tibial component alignment
Description
Evaluate any changes in tibial component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
Time Frame
1, 2 and 5 years
Title
Restoration of joint line
Description
Radiographically evaluate the restoration of joint line using the first postoperative radiographs according to the methodology of Figgie.
Time Frame
First post-operative radiograph (1 day)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive. The decision to have knee replacement with the study device is regardless of the research. The devices are to be used according to the approved indications. Subject that is willing to give voluntary, written informed consent to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor Subject is currently not bedridden. Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with investigational procedures. Subject is able to read, and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations. Subject has not been diagnosed with an inflammatory arthritis (including gout, rheumatoid, psoriatic etc.) Exclusion Criteria: The Subject is a woman who is pregnant or lactating. Contralateral knee has already been enrolled in this study. If the Investigator plans to treat a potential study subject with either simultaneous (two (2) knees in one (1) surgical setting) or staged bilateral TKA, then this subject may be enrolled; however, only the first knee may be enrolled into this study. Subject had a contralateral amputation. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement) or primary TKA in affected knee. Subject is currently diagnosed with radicular pain from the spine that radiates into the limb to receive TKA. Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three (3) months. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims. Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last 5 years) or has a psychological disorder that could affect his/her ability to complete patient reported questionnaires or be compliant with follow-up requirements. Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia. Subject has a significant neurological or musculoskeletal disorder(s) or disease that may adversely affect gait or weight bearing activities (e.g., muscular dystrophy, multiple sclerosis, Charcot disease). Subject has a medical condition with less than five (5) years life expectancy as determined by the Investigator. Subject has been diagnosed with an inflammatory arthritis (including uncontrolled gout, rheumatoid, psoriatic etc.). -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Grant Jamgochian
Phone
+1 484-685-6404
Email
gjamgoch@its.jnj.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Grant Jamgochian
Organizational Affiliation
Sponsor GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Scripps Clinic Torrey Pines
City
San Diego
State/Province
California
ZIP/Postal Code
92037
Country
United States
Individual Site Status
Recruiting
Facility Name
Colorado Joint Replacement
City
Denver
State/Province
Colorado
ZIP/Postal Code
80210
Country
United States
Individual Site Status
Recruiting
Facility Name
Orthopaedic Center of the Rockies
City
Fort Collins
State/Province
Colorado
ZIP/Postal Code
80525
Country
United States
Individual Site Status
Recruiting
Facility Name
Orthopedic Partners
City
Niantic
State/Province
Connecticut
ZIP/Postal Code
06357
Country
United States
Individual Site Status
Recruiting
Facility Name
Florida Orthopedic Associates
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Individual Site Status
Recruiting
Facility Name
Arthroplasty Foundation
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40215
Country
United States
Individual Site Status
Terminated
Facility Name
University of Mississippi Medical Center
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216
Country
United States
Individual Site Status
Recruiting
Facility Name
Mery Hospital
City
Ozark
State/Province
Missouri
ZIP/Postal Code
65721
Country
United States
Individual Site Status
Recruiting
Facility Name
Dartmouth-Hitchcock Medical Center
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Individual Site Status
Recruiting
Facility Name
Rothman Institute
City
Egg Harbor Township
State/Province
New Jersey
ZIP/Postal Code
08234
Country
United States
Individual Site Status
Recruiting
Facility Name
UNC Orthopaedics
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Individual Site Status
Terminated
Facility Name
OrthoCarolina Hip and Knee Center
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Individual Site Status
Recruiting
Facility Name
The Ohio State University Wexner Medical Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Name
Southern Joint Replacement Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
Texas Institute for Hip & Knee Surgery
City
Austin
State/Province
Texas
ZIP/Postal Code
78751
Country
United States
Individual Site Status
Recruiting
Facility Name
Fondren Orthopedic Group
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Finders Private Hospital
City
Adelaide
Country
Australia
Individual Site Status
Withdrawn
Facility Name
St. John of God Murdoch Hospital
City
Perth
Country
Australia
Individual Site Status
Recruiting
Facility Name
Krankenhaus der Barmherzigen Schwestern Linz Betriebsgesellschaft m.b.H.
City
Linz
Country
Austria
Individual Site Status
Recruiting
Facility Name
MoRe Foundation
City
Antwerp
Country
Belgium
Individual Site Status
Withdrawn
Facility Name
London Health Sciences Centre University Hospital
City
London
State/Province
Ontario
Country
Canada
Individual Site Status
Terminated
Facility Name
Concordia Joint Replacement
City
Winnipeg
Country
Canada
Individual Site Status
Terminated
Facility Name
Centre Hospitalier Universitaire de Rennes
City
Rennes
Country
France
Individual Site Status
Recruiting
Facility Name
Klinik und Poliklinik für Orthopädie und Sportorthopädie am Klinikum rechts der Isar der Technischen Universität Münche
City
Munich
Country
Germany
Individual Site Status
Recruiting
Facility Name
Asklepios Orthopädische Klinik Lindenlohe
City
Schwandorf
Country
Germany
Individual Site Status
Recruiting
Facility Name
South Infirmary Public Hospital
City
Cork
Country
Ireland
Individual Site Status
Recruiting
Facility Name
Ospedale Sacro Cuore
City
Verona
Country
Italy
Individual Site Status
Withdrawn
Facility Name
University Hospital Maastricht
City
Maastricht
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Wellington Hospital
City
Wellington
Country
New Zealand
Individual Site Status
Recruiting
Facility Name
Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Department of Orthopaedic Surgery and Traumatology
City
Basel
Country
Switzerland
Individual Site Status
Withdrawn
Facility Name
Hampshire Hospitals NHS Foundation Trust
City
Basingstoke
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Victoria Hospital NHS Fife
City
Kirkcaldy
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Chapel Allerton Orthopaedic Centre
City
Leeds
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
James Cook University Hospital
City
Middlesbrough
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
City
Oswestry
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Nuffield Orthopaedic Centre
City
Oxford
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Wrightington Hospital
City
Wigan
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population

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