Vivacit-E Post-market Follow-up Study
Primary Purpose
Osteoarthritis, Avascular Necrosis of Bone of Hip, Post-traumatic; Arthrosis
Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Vivacit-E Liner
Sponsored by
About this trial
This is an interventional treatment trial for Osteoarthritis
Eligibility Criteria
Inclusion Criteria:
- Patient is 18 to 60 years of age, inclusive.
- Patient is skeletally mature.
- Patient qualifies for primary unilateral or bilateral total hip arthroplasty (THA) based on physical exam and medical history including at least one of the following:
- Osteoarthritis
- Avascular necrosis (AVN)
- Post-traumatic arthritis
- Congenital hip dysplasia
- Patient has no history of previous total hip replacement or arthrodesis of the affected hip joint(s).
- Patient is willing and able to provide written informed consent.
- Patient is willing and able to cooperate in the required post-operative therapy.
- Patient is willing and able to complete scheduled follow-up evaluations as described in the Informed Consent.
- Patient has participated in the Informed Consent process and has signed the IRB/EC approved informed consent.
Exclusion Criteria:
- Patient is unwilling or unable to give consent or to comply with the follow-up program.
- Patient has a total prosthetic hip replacement device (including surface replacement arthroplasty, endoprosthesis, etc. in the affected hip joint(s).
- Inflammatory Arthritis
- Rheumatoid Arthritis
The patient is:
- a prisoner mentally incompetent or unable to understand what participation in the study entails a known alcohol or drug abuser
- anticipated to be non-compliant
- The patient has an acute, chronic, or systemic infection(s).
- The patient has total or partial absence of the muscular or ligamentous apparatus.
- The patient has neuromuscular compromise, vascular deficiency or other conditions in the affected limb that may lead to inadequate skeletal fixation.
- The patient has osteoradionecrosis.
- The patient has lack of bony structures proximal or distal to the operative joint, so that good implant fixation is unlikely or impossible.
- The patient has local bone tumors/cysts in the bone to be retained that the implanting surgeon determines could inhibit implant fixation.
- The patient is skeletally immature.
- The patient has any concomitant disease that can jeopardize the functioning and the success of the implant.
- The patient is known to be pregnant.
- The patient has a known sensitivity or allergic reaction to one or more of the implanted materials which include metal (titanium, tivanium, tantalum, cobalt, chromium, nickel) and ceramic.
Sites / Locations
- Denver Hip and Knee, Inc.
- Department of Orthopaedics University of North Carolina at Chapel Hill
- OrthoCarolina Research Institute
- Rothman Institute
- Texas Institute for Hip and Knee Surgery
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
Vivacit-E Liner
Arm Description
All subjects enrolled receive the study implant.
Outcomes
Primary Outcome Measures
Survival of the study device; whether or not it is still implanted in the subject
Survival is classified as removal of the study device for any reason
Secondary Outcome Measures
Incidence of treatment-emergent Adverse Events (safety)
Safety is assessed by monitoring the frequency and incidence of all adverse events, with particular focus on those that may be related to the study device.
Harris Hip Score
Functional outcomes are measured with the Harris Hip Score, including range of motion, pain level, activity levels and patient satisfaction.
Patient activity level
Patient activity level is assessed with the High Activity Arthroplasty score, filled out by the patient.
Patient Quality of Life
This is another self-assessment by means of the EQ-5D score, which measures the patient's perceived quality of life.
Radiographic analysis
Patient x-rays will undergo a Martell analysis by Dr. John Martell to evaluate radiolucencies, osteolysis, sbusidence, cup migration and polyethylene wear.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03226808
Brief Title
Vivacit-E Post-market Follow-up Study
Official Title
Post Market Clinical Follow-up Study of the Zimmer Vivacit-E Highly Crosslinked Polyethylene Liner Used With the Continuum Acetabular Shell
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 1, 2013 (Actual)
Primary Completion Date
March 2, 2026 (Anticipated)
Study Completion Date
June 30, 2028 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zimmer Biomet
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
The objectives of this study are to obtain clinical performance (outcomes) data and survivorship for commercially available Vivacit-E (HXPE) liners. This will be done by analysis of polyethylene wear, validated outcome measurement tools, radiographs, and reported adverse events data.
Detailed Description
Safety will be evaluated by monitoring the frequency and incidence of adverse events.
Performance will be determined by assessment of the overall pain and functional performances, survivorship, health status and radiographic parameters of all enrolled study subjects who receive the Vivacit-E HXPE Liner with the Continuum acetabular shell.
In addition, the implanted Vivacit-E HXPE Liners will be evaluated for bedding in, and linear and volumetric wear by the Martell 2-D method at 6 weeks and 1, 2, 4, & 5 years postoperatively.
Pain and functional performance will be measured using the Harris Hip and High Activity Arthroplasty Scores. Survivorship will be based on removal or intended removal of the device and through analysis of radiographs, and health status will be determined by evaluation of the EQ-5D.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Avascular Necrosis of Bone of Hip, Post-traumatic; Arthrosis, Congenital Hip Dysplasia
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
258 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vivacit-E Liner
Arm Type
Other
Arm Description
All subjects enrolled receive the study implant.
Intervention Type
Device
Intervention Name(s)
Vivacit-E Liner
Intervention Description
All subjects enrolled will receive the Vivacit-E liner.
Primary Outcome Measure Information:
Title
Survival of the study device; whether or not it is still implanted in the subject
Description
Survival is classified as removal of the study device for any reason
Time Frame
10 years
Secondary Outcome Measure Information:
Title
Incidence of treatment-emergent Adverse Events (safety)
Description
Safety is assessed by monitoring the frequency and incidence of all adverse events, with particular focus on those that may be related to the study device.
Time Frame
10 years
Title
Harris Hip Score
Description
Functional outcomes are measured with the Harris Hip Score, including range of motion, pain level, activity levels and patient satisfaction.
Time Frame
10 years
Title
Patient activity level
Description
Patient activity level is assessed with the High Activity Arthroplasty score, filled out by the patient.
Time Frame
10 years
Title
Patient Quality of Life
Description
This is another self-assessment by means of the EQ-5D score, which measures the patient's perceived quality of life.
Time Frame
10 years
Title
Radiographic analysis
Description
Patient x-rays will undergo a Martell analysis by Dr. John Martell to evaluate radiolucencies, osteolysis, sbusidence, cup migration and polyethylene wear.
Time Frame
2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient is 18 to 60 years of age, inclusive.
Patient is skeletally mature.
Patient qualifies for primary unilateral or bilateral total hip arthroplasty (THA) based on physical exam and medical history including at least one of the following:
Osteoarthritis
Avascular necrosis (AVN)
Post-traumatic arthritis
Congenital hip dysplasia
Patient has no history of previous total hip replacement or arthrodesis of the affected hip joint(s).
Patient is willing and able to provide written informed consent.
Patient is willing and able to cooperate in the required post-operative therapy.
Patient is willing and able to complete scheduled follow-up evaluations as described in the Informed Consent.
Patient has participated in the Informed Consent process and has signed the IRB/EC approved informed consent.
Exclusion Criteria:
Patient is unwilling or unable to give consent or to comply with the follow-up program.
Patient has a total prosthetic hip replacement device (including surface replacement arthroplasty, endoprosthesis, etc. in the affected hip joint(s).
Inflammatory Arthritis
Rheumatoid Arthritis
The patient is:
a prisoner mentally incompetent or unable to understand what participation in the study entails a known alcohol or drug abuser
anticipated to be non-compliant
The patient has an acute, chronic, or systemic infection(s).
The patient has total or partial absence of the muscular or ligamentous apparatus.
The patient has neuromuscular compromise, vascular deficiency or other conditions in the affected limb that may lead to inadequate skeletal fixation.
The patient has osteoradionecrosis.
The patient has lack of bony structures proximal or distal to the operative joint, so that good implant fixation is unlikely or impossible.
The patient has local bone tumors/cysts in the bone to be retained that the implanting surgeon determines could inhibit implant fixation.
The patient is skeletally immature.
The patient has any concomitant disease that can jeopardize the functioning and the success of the implant.
The patient is known to be pregnant.
The patient has a known sensitivity or allergic reaction to one or more of the implanted materials which include metal (titanium, tivanium, tantalum, cobalt, chromium, nickel) and ceramic.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ryan Boylan, MBA
Organizational Affiliation
Zimmer Biomet
Official's Role
Study Director
Facility Information:
Facility Name
Denver Hip and Knee, Inc.
City
Parker
State/Province
Colorado
ZIP/Postal Code
80134
Country
United States
Facility Name
Department of Orthopaedics University of North Carolina at Chapel Hill
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
OrthoCarolina Research Institute
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Facility Name
Rothman Institute
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Texas Institute for Hip and Knee Surgery
City
Austin
State/Province
Texas
ZIP/Postal Code
78751
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Vivacit-E Post-market Follow-up Study
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