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Pilot Study Evaluating the Safety and Efficacy of a New Hard-on-Hard Total Hip Replacement System

Primary Purpose

Arthritis, Degenerative

Status
Active
Phase
Not Applicable
Locations
South Africa
Study Type
Interventional
Intervention
ODH Hip System
Sponsored by
Smith & Nephew, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Arthritis, Degenerative

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • At least 21 years old
  • Skeletally mature
  • Requires primary, unilateral total hip arthroplasty due to degenerative join disease
  • Preoperative Harris Hip Score of less than or equal to 70
  • Meets an acceptable preoperative medical clearance and is free or treated for conditions that would pose excessive operative risk
  • Given consent to participate in the study
  • Able to understand the purpose of the study, his/her role, and is available for follow-up

    10 year extension:

    • Subject has completed the 2 year primary study
    • Subject has signed an Independent Ethics Committee (IEC) approved Informed Consent Form agreeing to participate in the extension study after the nature, scope and possible consequences of the study have been explained in an understandable form
    • Subject is able to fully understand the purpose of the study, his/her role as a participant in the study, and plans to be available through ten years post-operative follow-up

Exclusion Criteria:

  • Diagnosis with high risk of Total Hip Arthroplasty (THA) failure
  • Requires bilateral THA
  • Requires revision of a prior hip replacement
  • Active infection or sepsis
  • History of local hip infection
  • Known metastatic or neoplastic disease
  • Conditions that may interfere with THA survival or outcomes
  • Need for structural bone grafts to support the implant
  • Contralateral lower extremity condition
  • Has other joint replacements or plans for other joint replacements within 2 years
  • Systemic steroid therapy within 3 months prior to surgery
  • Life expectancy less than 2 years
  • Intra-articular therapy within 6 months of enrollment
  • Female of child-bearing age not using contraception
  • Inadequate bone stock to support the device
  • Moderate to severe renal insufficiency
  • Emotional or neurological condition that would pre-empt ability or willingness to participate in the study
  • BMI >40
  • Above the knee amputation of the contralateral or ipsilateral leg
  • Known allergies to the components of the devices
  • Entered into another investigational study
  • Is a prisoner

    10 year extension:

    • In the opinion of the surgeon, the subject's health, safety or well-being may be compromised or harmed by continuation in the extension phase or participation may not be in the subject's best interests.

Sites / Locations

  • Entabeni Hospital
  • Zuid Afrikaans Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Control Total Hip Replacement Device

Investigational Hard-on-Hard Total Hip Replacement Device

Arm Description

Total Hip replacement surgery using control device consisting of a hard-on-soft bearing or a ceramic-on-ceramic bearing which includes: R3 acetabular cup, and an uncemented SYNERGY or ANTHOLOGY femoral stem OXINIUM heads on polyethylene liners or Ceramic heads on ceramic liners (all uncemented components)

Total Hip replacement surgery using an experimental device consisting of a hard-on-hard bearing which includes: R3 acetabular cup, and an uncemented SYNERGY or ANTHOLOGY femoral stem R3 ODH acetabular cup liners (sizes 38/50, 40/52, 42/54 and 44/56 mm) R3 ODH femoral heads (sizes 38, 40, 42 and 44 mm) Taper sleeves Ti -6AL-4V (sizes -4, +0, +4, and +8)

Outcomes

Primary Outcome Measures

Revision Rate
Reoperations that led to removal or replacement of any of the acetabular or femoral components.
Adverse Events
Metal Ion Concentration in Whole Blood

Secondary Outcome Measures

Harris Hip score
Hip Disability and Osteoarthritis Outcome Scores (HOOS)
Radiographic measures
Assessment of bone loss, radiolucencies, subsidence, and heterotopic ossification
Health economic outcomes-Surgical blood loss
Measured in ml blood
Health economic outcomes -Length of hospital stay
Measure of days spent in hospital
Health economic outcomes-Operative time
Operative time - first incision into skin to time when last suture is applied
Health economic outcomes - Re-hospitalisations
Re-hospitalisations-number of re-admissions to hospital

Full Information

First Posted
May 13, 2014
Last Updated
April 18, 2023
Sponsor
Smith & Nephew, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02154516
Brief Title
Pilot Study Evaluating the Safety and Efficacy of a New Hard-on-Hard Total Hip Replacement System
Official Title
A Consecutive Series Pilot Study Evaluating the Safety and Effectiveness of a New Hard-on-Hard Total Hip Replacement System in Patients With Non-inflammatory Arthritis With a Standard THA Metal Ion Control Group
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 4, 2011 (Actual)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
September 2023 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to assess the early and long term safety and efficacy of the hard-on-hard total hip replacement system (R3 ODH-ODH utilization) in patients with non-inflammatory arthritis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Arthritis, Degenerative

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control Total Hip Replacement Device
Arm Type
Active Comparator
Arm Description
Total Hip replacement surgery using control device consisting of a hard-on-soft bearing or a ceramic-on-ceramic bearing which includes: R3 acetabular cup, and an uncemented SYNERGY or ANTHOLOGY femoral stem OXINIUM heads on polyethylene liners or Ceramic heads on ceramic liners (all uncemented components)
Arm Title
Investigational Hard-on-Hard Total Hip Replacement Device
Arm Type
Experimental
Arm Description
Total Hip replacement surgery using an experimental device consisting of a hard-on-hard bearing which includes: R3 acetabular cup, and an uncemented SYNERGY or ANTHOLOGY femoral stem R3 ODH acetabular cup liners (sizes 38/50, 40/52, 42/54 and 44/56 mm) R3 ODH femoral heads (sizes 38, 40, 42 and 44 mm) Taper sleeves Ti -6AL-4V (sizes -4, +0, +4, and +8)
Intervention Type
Device
Intervention Name(s)
ODH Hip System
Other Intervention Name(s)
Total Hip Replacement, THR, Total Hip Arthroplasty, THA
Primary Outcome Measure Information:
Title
Revision Rate
Description
Reoperations that led to removal or replacement of any of the acetabular or femoral components.
Time Frame
Up to 10 Years
Title
Adverse Events
Time Frame
Up to 10 Years
Title
Metal Ion Concentration in Whole Blood
Time Frame
Up to 10 years
Secondary Outcome Measure Information:
Title
Harris Hip score
Time Frame
Up to 10 years
Title
Hip Disability and Osteoarthritis Outcome Scores (HOOS)
Time Frame
Up to 10 years
Title
Radiographic measures
Description
Assessment of bone loss, radiolucencies, subsidence, and heterotopic ossification
Time Frame
Up to 10 years
Title
Health economic outcomes-Surgical blood loss
Description
Measured in ml blood
Time Frame
Intra-operative
Title
Health economic outcomes -Length of hospital stay
Description
Measure of days spent in hospital
Time Frame
Hospital admission to discharge
Title
Health economic outcomes-Operative time
Description
Operative time - first incision into skin to time when last suture is applied
Time Frame
Intra-operative
Title
Health economic outcomes - Re-hospitalisations
Description
Re-hospitalisations-number of re-admissions to hospital
Time Frame
Up to 10 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: At least 21 years old Skeletally mature Requires primary, unilateral total hip arthroplasty due to degenerative join disease Preoperative Harris Hip Score of less than or equal to 70 Meets an acceptable preoperative medical clearance and is free or treated for conditions that would pose excessive operative risk Given consent to participate in the study Able to understand the purpose of the study, his/her role, and is available for follow-up 10 year extension: Subject has completed the 2 year primary study Subject has signed an Independent Ethics Committee (IEC) approved Informed Consent Form agreeing to participate in the extension study after the nature, scope and possible consequences of the study have been explained in an understandable form Subject is able to fully understand the purpose of the study, his/her role as a participant in the study, and plans to be available through ten years post-operative follow-up Exclusion Criteria: Diagnosis with high risk of Total Hip Arthroplasty (THA) failure Requires bilateral THA Requires revision of a prior hip replacement Active infection or sepsis History of local hip infection Known metastatic or neoplastic disease Conditions that may interfere with THA survival or outcomes Need for structural bone grafts to support the implant Contralateral lower extremity condition Has other joint replacements or plans for other joint replacements within 2 years Systemic steroid therapy within 3 months prior to surgery Life expectancy less than 2 years Intra-articular therapy within 6 months of enrollment Female of child-bearing age not using contraception Inadequate bone stock to support the device Moderate to severe renal insufficiency Emotional or neurological condition that would pre-empt ability or willingness to participate in the study BMI >40 Above the knee amputation of the contralateral or ipsilateral leg Known allergies to the components of the devices Entered into another investigational study Is a prisoner 10 year extension: • In the opinion of the surgeon, the subject's health, safety or well-being may be compromised or harmed by continuation in the extension phase or participation may not be in the subject's best interests.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Baker
Organizational Affiliation
Entabeni Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Johannes de Beer
Organizational Affiliation
Zuid Afrikaans Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Entabeni Hospital
City
Durban
ZIP/Postal Code
4001
Country
South Africa
Facility Name
Zuid Afrikaans Hospital
City
Pretoria
ZIP/Postal Code
0002
Country
South Africa

12. IPD Sharing Statement

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Pilot Study Evaluating the Safety and Efficacy of a New Hard-on-Hard Total Hip Replacement System

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