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JOURNEY™ II CR Total Knee System

Primary Purpose

Osteoarthritis, Knee

Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
JOURNEY™ II CR Total Knee System (J II CR TKS)
Sponsored by
Smith & Nephew, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee focused on measuring Osteoarthritis, TKA, Degenerative Knee Disease

Eligibility Criteria

22 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subjects MUST meet ALL of the following criteria for inclusion in the study:

  • Has signed the IRB/EC approved ICF specific to this study prior to study participation
  • Is a male or female ≥ 22 and ≤ 75 years of age presenting with degenerative joint disease (DJD) of the knee
  • Is a candidate for primary total knee arthroplasty with the JOURNEY™ II CR Total Knee System due to DJD, defined by one of the following:

    • Post-traumatic arthritis
    • Osteoarthritis
    • Degenerative arthritis
  • Is able to read and understand the approved Informed Consent Form and Patient Reported Outcome (PRO) assessments (written and oral)
  • Is in general good health (as determined by the Investigator) based on screening assessments and medical history
  • Is independent, ambulatory, and can comply with all post-operative evaluations
  • plans to be available through ten (10) years post-operative follow-up

Exclusion Criteria:

  • Subjects will be excluded from the study, if they meet ANY one (1) of the following criteria:
  • Any of the following conditions in the index joint:

    • does not require patella resurfacing
    • has received a TKA or unicondylar arthroplasty
    • has inadequate bone stock to support the device (e.g. severe osteopenia/osteoporosis)
  • Any of the following conditions in the contralateral joint:

    • has enrolled in the study for the contralateral knee
    • has received TKA as a revision for a failed total or unicondylar knee arthroplasty
    • has received a primary TKA or unicondylar knee arthroplasty that is not fully healed and well-functioning, as determined by Investigator
  • Any of the following conditions of the hip:

    • received contralateral or ipsilateral revision hip arthroplasty
    • has ipsilateral hip arthritis resulting in flexion contracture
    • has received a ipsilateral or contralateral primary total hip arthroplasty or hip resurfacing arthroplasty, that is not fully healed and well-functioning, as determined by Investigator
  • Has diagnosis of an immunosuppressive disorder
  • Has presence of malignant tumor, metastatic, or neoplastic disease
  • Has family history of severe osteoporosis/osteopenia
  • Has a known allergy to study device or one or more of its components
  • Has conditions that may interfere with the TKA survival or outcome (e.g. Paget's or Charcot's disease, vascular insufficiency, lupus, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease)
  • Is receiving medication for the diagnosis of fibromyalgia
  • has a lower extremity condition causing abnormal or restricted ambulation (e.g. ankle fusion, ankle arthroplasty, previous hip fracture)
  • Is pregnant or plans to become pregnant during the study
  • Has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study and complete PROs, as determined by Investigator
  • Has a BMI>40
  • Is currently enrolled in or has participated in another investigational drug, biologic, or device study within 3 months of enrollment
  • Is currently involved in personal injury litigation or a worker's compensation claim
  • Is facing current or impending incarceration
  • Is known to be at risk for lost to follow-up, or failure to return for scheduled visits

Sites / Locations

  • Orthopedic Institute of the West
  • Rush University Medical Center
  • Anne Arundel Health System Research Institute, Inc
  • Center for Hip and Knee Replacement at Columbia University Medical Center
  • Wake Forest University
  • The Lindner Research Center, Musculo-Skeletal Division - The Christ Hospital Health Network
  • Hospital Parc Taulí Servei de Cirurgia Ortopèdica I Traumatologia
  • Royal National Orthopaedic Hospital NHS Trust
  • Barts Health NHS Trust

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Device:JOURNEY™ II CR Total Knee System (J II CR TKS)

Arm Description

Subjects having TKA with JOURNEY™ II CR Total Knee System

Outcomes

Primary Outcome Measures

Equivalence in 1 year post-operative mean Range of Motion (ROM) in subjects receiving the J II CR TKS as compared to the literature reference mean ROM
Non-inferiority of the survival rate of the J II CR TKS with the reference survival rate of a literature reference at 5 and 10-years post-operatively

Secondary Outcome Measures

Clinical Outcomes: EuroQol 5D (EQ-5D) scale
Clinical Outcomes: 2011 Knee Society Score (2011 KSS) clinical evaluation
Clinical Outcomes: Self-Administered Patient Satisfaction Scale for Primary Hip and Knee Arthroplasty (SAPSS
Health Economic Endpoints : Physical therapy visit quantification/duration
Health Economic Endpoints: Discharge destination(s)/length of stay
Health Economic Endpoints: Unscheduled professional visits (e.g. hospital, emergency room, orthopedic clinic, primary care physician)
Health Economic Endpoints: Concomitant medications/procedures associated with the knee
Safety Endpoints:Adverse events, to be evaluated by type, frequency, severity, and relatedness to the study treatment.
Safety Endpoints: Manipulations under anesthesia
Safety Endpoints: Radiographic analysis

Full Information

First Posted
April 28, 2015
Last Updated
June 15, 2023
Sponsor
Smith & Nephew, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02440672
Brief Title
JOURNEY™ II CR Total Knee System
Official Title
A Prospective, Non-randomized, Single Cohort, Multicenter Study to Evaluate the Clinical Outcomes of Total Knee Arthroplasty (TKA) Using the JOURNEY™ II CR Total Knee System
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 2015 (undefined)
Primary Completion Date
December 2026 (Anticipated)
Study Completion Date
February 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Smith & Nephew, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and effectiveness of the JOURNEY™ II CR Total Knee System in subjects with degenerative joint disease (DJD) requiring primary total knee replacement.
Detailed Description
This is a prospective, non-randomized, single cohort, multicenter study to evaluate the clinical outcomes of TKA using the JOURNEY™ II CR Total Knee System in subjects with degenerative joint disease (DJD) requiring primary total knee replacement. One hundred and seventy (170) subjects will be enrolled at up to 18 clinical sites globally. Follow-up clinical assessments will be performed at 3 months, 1 year, 2 years, 5 years, and 10 years post-operatively.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Knee
Keywords
Osteoarthritis, TKA, Degenerative Knee Disease

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Device:JOURNEY™ II CR Total Knee System (J II CR TKS)
Arm Type
Other
Arm Description
Subjects having TKA with JOURNEY™ II CR Total Knee System
Intervention Type
Device
Intervention Name(s)
JOURNEY™ II CR Total Knee System (J II CR TKS)
Other Intervention Name(s)
JOURNEY™ II CR, (J II CR TKS)
Intervention Description
TKA with Journey II CR Total Knee System
Primary Outcome Measure Information:
Title
Equivalence in 1 year post-operative mean Range of Motion (ROM) in subjects receiving the J II CR TKS as compared to the literature reference mean ROM
Time Frame
1 year post-op analysis
Title
Non-inferiority of the survival rate of the J II CR TKS with the reference survival rate of a literature reference at 5 and 10-years post-operatively
Time Frame
Up to 10 year post-operative analysis
Secondary Outcome Measure Information:
Title
Clinical Outcomes: EuroQol 5D (EQ-5D) scale
Time Frame
Pre-Op to 10 yrs
Title
Clinical Outcomes: 2011 Knee Society Score (2011 KSS) clinical evaluation
Time Frame
Pre-Op to 10 yrs
Title
Clinical Outcomes: Self-Administered Patient Satisfaction Scale for Primary Hip and Knee Arthroplasty (SAPSS
Time Frame
Pre-Op to 10 yrs
Title
Health Economic Endpoints : Physical therapy visit quantification/duration
Time Frame
30, 60, and 90-day hospital re-admission rate
Title
Health Economic Endpoints: Discharge destination(s)/length of stay
Time Frame
30, 60, and 90 days
Title
Health Economic Endpoints: Unscheduled professional visits (e.g. hospital, emergency room, orthopedic clinic, primary care physician)
Time Frame
30, 60, and 90 days
Title
Health Economic Endpoints: Concomitant medications/procedures associated with the knee
Time Frame
30, 60, and 90 days
Title
Safety Endpoints:Adverse events, to be evaluated by type, frequency, severity, and relatedness to the study treatment.
Time Frame
Pre-Op to 10 yrs
Title
Safety Endpoints: Manipulations under anesthesia
Time Frame
Pre-Op to 10 yrs
Title
Safety Endpoints: Radiographic analysis
Time Frame
Pre-Op to 10 yrs

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects MUST meet ALL of the following criteria for inclusion in the study: Has signed the IRB/EC approved ICF specific to this study prior to study participation Is a male or female ≥ 22 and ≤ 75 years of age presenting with degenerative joint disease (DJD) of the knee Is a candidate for primary total knee arthroplasty with the JOURNEY™ II CR Total Knee System due to DJD, defined by one of the following: Post-traumatic arthritis Osteoarthritis Degenerative arthritis Is able to read and understand the approved Informed Consent Form and Patient Reported Outcome (PRO) assessments (written and oral) Is in general good health (as determined by the Investigator) based on screening assessments and medical history Is independent, ambulatory, and can comply with all post-operative evaluations plans to be available through ten (10) years post-operative follow-up Exclusion Criteria: Subjects will be excluded from the study, if they meet ANY one (1) of the following criteria: Any of the following conditions in the index joint: does not require patella resurfacing has received a TKA or unicondylar arthroplasty has inadequate bone stock to support the device (e.g. severe osteopenia/osteoporosis) Any of the following conditions in the contralateral joint: has enrolled in the study for the contralateral knee has received TKA as a revision for a failed total or unicondylar knee arthroplasty has received a primary TKA or unicondylar knee arthroplasty that is not fully healed and well-functioning, as determined by Investigator Any of the following conditions of the hip: received contralateral or ipsilateral revision hip arthroplasty has ipsilateral hip arthritis resulting in flexion contracture has received a ipsilateral or contralateral primary total hip arthroplasty or hip resurfacing arthroplasty, that is not fully healed and well-functioning, as determined by Investigator Has diagnosis of an immunosuppressive disorder Has presence of malignant tumor, metastatic, or neoplastic disease Has family history of severe osteoporosis/osteopenia Has a known allergy to study device or one or more of its components Has conditions that may interfere with the TKA survival or outcome (e.g. Paget's or Charcot's disease, vascular insufficiency, lupus, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease) Is receiving medication for the diagnosis of fibromyalgia has a lower extremity condition causing abnormal or restricted ambulation (e.g. ankle fusion, ankle arthroplasty, previous hip fracture) Is pregnant or plans to become pregnant during the study Has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study and complete PROs, as determined by Investigator Has a BMI>40 Is currently enrolled in or has participated in another investigational drug, biologic, or device study within 3 months of enrollment Is currently involved in personal injury litigation or a worker's compensation claim Is facing current or impending incarceration Is known to be at risk for lost to follow-up, or failure to return for scheduled visits
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rebecca McDonald
Organizational Affiliation
Smith & Nephew, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Orthopedic Institute of the West
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Anne Arundel Health System Research Institute, Inc
City
Annapolis
State/Province
Maryland
ZIP/Postal Code
21401
Country
United States
Facility Name
Center for Hip and Knee Replacement at Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Wake Forest University
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
The Lindner Research Center, Musculo-Skeletal Division - The Christ Hospital Health Network
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Hospital Parc Taulí Servei de Cirurgia Ortopèdica I Traumatologia
City
Barcelona
Country
Spain
Facility Name
Royal National Orthopaedic Hospital NHS Trust
City
Stanmore
Country
United Kingdom
Facility Name
Barts Health NHS Trust
City
Whitechapel
Country
United Kingdom

12. IPD Sharing Statement

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JOURNEY™ II CR Total Knee System

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