Evaluation of The Safety And Performance of The Freedom Total Knee® System With The PEEK-OPTIMA Femoral Component
Primary Purpose
Osteoarthritis, Knee, Rheumatoid Arthritis of Knee, Traumatic Arthritis of Knee (Diagnosis)
Status
Recruiting
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
PEEK-Optima Femoral Component
Sponsored by
About this trial
This is an interventional other trial for Osteoarthritis, Knee
Eligibility Criteria
INCLUSION CRITERIA:
- Male and female subjects aged 50 years of age or older and less than 75 years of age (>50 and <75 years).
- Subjects who require a uni-lateral knee prosthesis and have been evaluated as appropriate candidates for a total knee arthroplasty by the Investigator.
- Subjects with a primary diagnosis of end-stage symptomatic primary knee osteoarthritis
- Subjects who, in the opinion of the Investigator, are able to understand this clinical investigation, co-operate with the investigational procedures and are willing to return to the hospital for all the required post-operative follow-ups.
- Subjects who are able to give voluntary, written informed consent to participate in this clinical investigation and from whom consent has been obtained.
EXCLUSION CRITERIA:
- Subjects who, in the opinion of the Investigator, have an existing condition that would compromise their participation and follow-up in this clinical investigation.
- Subjects who are known drug or alcohol abusers or with psychological disorders that could affect follow-up care or treatment outcomes.
- Subjects who have participated in a clinical study with an investigational product in the last 6 months.
- Subjects with other significant disabling problems from the muscular-skeletal system other than in the knees (i.e muscular dystrophy, polio, neuropathic joints).
- Subjects with a BMI of 32 or above.
- Subjects with a current or active history of malignancy, active or suspected infection, Paget's disease, renal osteodystrophy, immunologically suppressed, rheumatoid arthritis, sickle cell anemia, and systemic lupus erythematosus.
- Subjects with a primary or secondary diagnosis of inflammatory or traumatic arthritis.
- Subjects defined by the Investigator as ASA Grade III or IV.
- Subjects who have a neuromuscular or neurosensory deficit.
- Female subjects who are pregnant or lactating.
- Subjects with an anatomical limb alignment of above 20 degrees varus or valgus.
- Subjects with a fixed flexion deformity of over 20 degrees.
- Subjects with recurvatum (definition: hyperextension ≥ 5 degrees).
- Subjects who have previously undergone total or unicondylar knee arthroplasty, high tibial osteotomy, ligament reconstruction, ORIF or with previous fracture in the ipsilateral knee joint.
Sites / Locations
- More Institue, Department of Orthopedic SurgeryRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
PEEK Femoral
Arm Description
Subjects with a primary diagnosis of end-stage symptomatic primary knee osteoarthritis who require a uni-lateral knee prosthesis and have been evaluated as appropriate candidates for a total knee arthroplasty by the Investigator will be invited to take part in this clinical investigation.
Outcomes
Primary Outcome Measures
Knee Society Score (KSS)
Pre-and post-operative function and patient and mechanical assessment. The KSS contains questions in 2 sections: knee joint (pain, range of motion, stability) and function (walking distance, ability to climb stairs). The greater score correlates to better outcome.
Secondary Outcome Measures
Visual Analog Scale (VAS)
Patient self administered overall satisfaction (scale from 1 worse -10 best)
SF-36
Assessment domains to explain variations in patient outcomes. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
Assessment of OA of the knee or hip. Possible score range of 0- 20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function
Radiographic assessment
Subjective review and assessment of serial radiographs. Items include presence or absence of radiographic evidence of component loosening, malposition, migration and periprosthetic osteolysis, bone loss or interface composite (bone-cement-component) breakdown.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03224689
Brief Title
Evaluation of The Safety And Performance of The Freedom Total Knee® System With The PEEK-OPTIMA Femoral Component
Official Title
A Multi-Centre Clinical Investigation To Evaluate The Safety And Performance Of The Freedom Total Knee® System With The PEEK-OPTIMA Femoral Component
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Recruiting
Study Start Date
January 1, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
March 1, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Maxx Orthopedics Inc
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Prospective, multi-centre, non-comparative, post-market surveillance clinical study
Detailed Description
PRIMARY ENDPOINT:
The primary endpoint is to evaluate the procedural success ie successful implantation of the device in the opinion of the surgeon
SECONDARY ENDPOINTS:
The secondary endpoints are to evaluate:
KSS Knee scores and KSS Function scores at 6 weeks, 6, 12 and 24 months post-treatment compared to pre-treatment
Subject reported outcomes (SF-36, Oxford Knee Score and WOMAC) at 6 weeks, 6, 12 and 24 months post-treatment compared to pre-treatment
Stability of the device through radiographic analysis to assess alignment and component position at immediate post-treatment, 6 weeks, 6, 12 and 24 months post-treatment
Safety in terms of adverse events and device deficiencies throughout the clinical investigation including any additional knee treatments and/or surgery
Survivorship analysis of the device at 12 and 24 months and annually thereafter
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Knee, Rheumatoid Arthritis of Knee, Traumatic Arthritis of Knee (Diagnosis), Polyarthritis, Fractures, Bone
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
PEEK Femoral
Arm Type
Experimental
Arm Description
Subjects with a primary diagnosis of end-stage symptomatic primary knee osteoarthritis who require a uni-lateral knee prosthesis and have been evaluated as appropriate candidates for a total knee arthroplasty by the Investigator will be invited to take part in this clinical investigation.
Intervention Type
Device
Intervention Name(s)
PEEK-Optima Femoral Component
Intervention Description
TKA Surgery
Primary Outcome Measure Information:
Title
Knee Society Score (KSS)
Description
Pre-and post-operative function and patient and mechanical assessment. The KSS contains questions in 2 sections: knee joint (pain, range of motion, stability) and function (walking distance, ability to climb stairs). The greater score correlates to better outcome.
Time Frame
Change from Pre-op versus 6 weeks, 3 months, 6 months,12 months and 24 months
Secondary Outcome Measure Information:
Title
Visual Analog Scale (VAS)
Description
Patient self administered overall satisfaction (scale from 1 worse -10 best)
Time Frame
Change from Pre-op versus 6 weeks, 3 months, 6 months,12 months and 24 months
Title
SF-36
Description
Assessment domains to explain variations in patient outcomes. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.
Time Frame
Change from Pre-op versus 6 weeks, 3 months, 6 months,12 months and 24 months
Title
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
Description
Assessment of OA of the knee or hip. Possible score range of 0- 20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function
Time Frame
Change from Pre-op versus 6 weeks, 3 months, 6 months,12 months and 24 months
Title
Radiographic assessment
Description
Subjective review and assessment of serial radiographs. Items include presence or absence of radiographic evidence of component loosening, malposition, migration and periprosthetic osteolysis, bone loss or interface composite (bone-cement-component) breakdown.
Time Frame
Change from Pre-op versus 6 weeks, 3 months, 6 months,12 months and 24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
INCLUSION CRITERIA:
Male and female subjects aged 50 years of age or older and less than 75 years of age (>50 and <75 years).
Subjects who require a uni-lateral knee prosthesis and have been evaluated as appropriate candidates for a total knee arthroplasty by the Investigator.
Subjects with a primary diagnosis of end-stage symptomatic primary knee osteoarthritis
Subjects who, in the opinion of the Investigator, are able to understand this clinical investigation, co-operate with the investigational procedures and are willing to return to the hospital for all the required post-operative follow-ups.
Subjects who are able to give voluntary, written informed consent to participate in this clinical investigation and from whom consent has been obtained.
EXCLUSION CRITERIA:
Subjects who, in the opinion of the Investigator, have an existing condition that would compromise their participation and follow-up in this clinical investigation.
Subjects who are known drug or alcohol abusers or with psychological disorders that could affect follow-up care or treatment outcomes.
Subjects who have participated in a clinical study with an investigational product in the last 6 months.
Subjects with other significant disabling problems from the muscular-skeletal system other than in the knees (i.e muscular dystrophy, polio, neuropathic joints).
Subjects with a BMI of 32 or above.
Subjects with a current or active history of malignancy, active or suspected infection, Paget's disease, renal osteodystrophy, immunologically suppressed, rheumatoid arthritis, sickle cell anemia, and systemic lupus erythematosus.
Subjects with a primary or secondary diagnosis of inflammatory or traumatic arthritis.
Subjects defined by the Investigator as ASA Grade III or IV.
Subjects who have a neuromuscular or neurosensory deficit.
Female subjects who are pregnant or lactating.
Subjects with an anatomical limb alignment of above 20 degrees varus or valgus.
Subjects with a fixed flexion deformity of over 20 degrees.
Subjects with recurvatum (definition: hyperextension ≥ 5 degrees).
Subjects who have previously undergone total or unicondylar knee arthroplasty, high tibial osteotomy, ligament reconstruction, ORIF or with previous fracture in the ipsilateral knee joint.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Robert Eberle
Phone
+1 (919) 280-6900
Email
robert.eberle@maxxortho.com
First Name & Middle Initial & Last Name or Official Title & Degree
Corey Perine
Phone
+1 (484) 342-0092
Ext
2100
Email
corey.perine@maxxortho.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Verdonk, MD, PhD
Organizational Affiliation
More Institute, Antwerp, Belgium
Official's Role
Principal Investigator
Facility Information:
Facility Name
More Institue, Department of Orthopedic Surgery
City
Antwerp
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peter Verdonk, MD, PhD
Email
pverdonk@yahoo.com
12. IPD Sharing Statement
Plan to Share IPD
No
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Evaluation of The Safety And Performance of The Freedom Total Knee® System With The PEEK-OPTIMA Femoral Component
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