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Trinity™ BIOLOX Delta™ CoC THR Multi-center Study

Primary Purpose

Osteoarthritis, Avascular Necrosis, Rheumatoid Arthritis

Status
Unknown status
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Trinity CoC Total Hip System
Trinity Ceramic-on-Poly THR
Sponsored by
Corin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis focused on measuring osteoarthritis, avascular necrosis, rheumatoid arthritis, correction of functional deformity, dysplasia of the hip

Eligibility Criteria

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

Inclusion Criteria:

  1. preoperative Harris Hip Score of ≤ 70.
  2. preoperative Harris Hip Total Pain score of at least moderate.
  3. diagnosed with non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis, rheumatoid arthritis, correction of functional deformity, developmental hip dysplasia (DDH) and congenital hip dysplasia (CDH).
  4. pain rating of none or slight and are at least 12 months post-operative in the contralateral hip, if applicable.
  5. have sufficient femoral and acetabular bone stock as determined by a clinician, and are suitable to receive implants as confirmed by x-rays.

Exclusion Criteria:

  1. have a nutritional problem (protein, calorie, or vitamin/mineral deficiency) that may impair wound healing mechanisms as determined by the clinician /investigator.
  2. have a neurological disorders which may interfere or adversely affect gait, balance, or weight bearing (e.g. muscular dystrophy, multiple sclerosis).
  3. diagnosed with metabolic disorders (e.g. osteomalacia), which may impair bone metabolism.
  4. diagnosed systemic disease that would affect their welfare or the overall outcome of study (i.e. Paget's disease, renal osteodystrophy)
  5. immunologically suppressed.
  6. receiving systemic steroid therapy, excluding inhalers, within 3 months prior to surgery.
  7. diagnosed Charcot's disease, metastatic or neoplastic disease.
  8. evidence of active infections that may spread to other areas of the body (e.g. osteomyelitis, pyogenic infection of the hip joint, overt infection, untreated urinary tract infection, etc.).
  9. presence of a previous prosthetic hip replacement device (any type, including surface replacement arthroplasty, endoprosthesis, etc.) in the hip joint to be operated.
  10. previous Girdlestone procedure (resection arthroplasty) or surgical fusion of the hip to be operated.
  11. diagnosed with systemic lupus erythematosus, pigmented villonodular synovitis, juvenile rheumatoid arthritis or other diagnoses with autoimmune etiology.
  12. diagnosed with osteoporosis or as evidenced on a DEXA scan for males over 75 or females over 65 years of age (within the last 12 months).
  13. require structural bone grafts in order to support the prosthetic component(s) or to shape the bone to receive the implant(s).
  14. have acute femoral neck fracture or hip fractures.
  15. have an above the knee amputation of the contralateral and/or ipsilateral leg.
  16. have an existing total hip arthroplasty in the contralateral hip with a pain rating of 3 or more on a scale of 0 to 10, where 0 is "no pain" and 10 is "severe pain".
  17. have had a total hip arthroplasty in the contralateral hip within the past 12 months.
  18. have previously received a metal-on-metal hip arthroplasty.
  19. have a highly communicable disease or diseases that may limit follow-up (e.g. immunocompromised conditions, hepatitis, active tuberculosis, etc.).
  20. have any known sensitivity to device material.
  21. Females who are pregnant.
  22. Patients who are prisoners.

Sites / Locations

  • Arkansas Specialty Orthopaedics
  • Denver Hip and Knee, Inc.
  • Connecticut Joint Replacement Institute (CJRI)
  • Mayo Clinic Jacksonville
  • Florida Orthopaedic Institute
  • FMC Orthopedic Division
  • Resurgens Orthopaedics
  • OrthoCarolina Hip & Knee Center
  • Memorial Bone & Joint
  • Elective Orthopaedic Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Trinity CoC Total Hip System

Trinity Ceramic-on-Poly THR

Arm Description

total hip replacement with a ceramic femoral head and ceramic acetabular cup liner

total hip replacement with a ceramic femoral head and polyethylene acetabular cup liner

Outcomes

Primary Outcome Measures

Composite Clinical Success
HHS ≥ 80 at Month 24 (good/excellent) No serious, definitely device related complications with onset on or prior to Month 24 No radiographic failure at Month 24 No removal, replacement, or modification of any component on or prior to Month 24.

Secondary Outcome Measures

HHS
• Individual components of the Harris Hip Score (total score, pain and function).
HOOS score
Hip injury and Osteoarthritis Outcome Score (HOOS).
Subjective pain
VAS pain score
survival
Kaplan-Meier survival curve
adverse events
Summary of device-related complications

Full Information

First Posted
June 10, 2013
Last Updated
March 10, 2021
Sponsor
Corin
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1. Study Identification

Unique Protocol Identification Number
NCT01921309
Brief Title
Trinity™ BIOLOX Delta™ CoC THR Multi-center Study
Official Title
Phase 3 Randomized Controlled Study to Demonstrate Safety and Effectiveness of the BIOLOX Delta CoC THR System
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Unknown status
Study Start Date
December 2012 (undefined)
Primary Completion Date
September 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Corin

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To demonstrate the safety and effectiveness of the Trinity™ BIOLOX delta™ Ceramic-on-Ceramic Total Hip System in comparison to the Trinity™ Acetabular Hip System,which is FDA cleared for use in the U.S. The comparison will be based upon clinical success at the Month 24 endpoint.
Detailed Description
The clinical research results for the Trinity™ BIOLOX delta™ Ceramic-on-Ceramic Total Hip System will be compared to the control device Clinical success is based upon Harris Hip Scores to evaluate functional status, adverse events, radiological assessments and no device failure (defined as removal, replacement, or modification of any device component).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Avascular Necrosis, Rheumatoid Arthritis, CDH
Keywords
osteoarthritis, avascular necrosis, rheumatoid arthritis, correction of functional deformity, dysplasia of the hip

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
342 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Trinity CoC Total Hip System
Arm Type
Experimental
Arm Description
total hip replacement with a ceramic femoral head and ceramic acetabular cup liner
Arm Title
Trinity Ceramic-on-Poly THR
Arm Type
Active Comparator
Arm Description
total hip replacement with a ceramic femoral head and polyethylene acetabular cup liner
Intervention Type
Device
Intervention Name(s)
Trinity CoC Total Hip System
Intervention Description
total hip replacement with a ceramic femoral head which moves on a ceramic acetabular cup liner
Intervention Type
Device
Intervention Name(s)
Trinity Ceramic-on-Poly THR
Intervention Description
total hip replacement with a ceramic femoral head which moves on a highly cross-linked ultra high molecular weight polyethylene acetabular cup liner
Primary Outcome Measure Information:
Title
Composite Clinical Success
Description
HHS ≥ 80 at Month 24 (good/excellent) No serious, definitely device related complications with onset on or prior to Month 24 No radiographic failure at Month 24 No removal, replacement, or modification of any component on or prior to Month 24.
Time Frame
24 months post-operative
Secondary Outcome Measure Information:
Title
HHS
Description
• Individual components of the Harris Hip Score (total score, pain and function).
Time Frame
24 months post-operative
Title
HOOS score
Description
Hip injury and Osteoarthritis Outcome Score (HOOS).
Time Frame
24 months
Title
Subjective pain
Description
VAS pain score
Time Frame
24 months
Title
survival
Description
Kaplan-Meier survival curve
Time Frame
24 months
Title
adverse events
Description
Summary of device-related complications
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: preoperative Harris Hip Score of ≤ 70. preoperative Harris Hip Total Pain score of at least moderate. diagnosed with non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis, rheumatoid arthritis, correction of functional deformity, developmental hip dysplasia (DDH) and congenital hip dysplasia (CDH). pain rating of none or slight and are at least 12 months post-operative in the contralateral hip, if applicable. have sufficient femoral and acetabular bone stock as determined by a clinician, and are suitable to receive implants as confirmed by x-rays. Exclusion Criteria: have a nutritional problem (protein, calorie, or vitamin/mineral deficiency) that may impair wound healing mechanisms as determined by the clinician /investigator. have a neurological disorders which may interfere or adversely affect gait, balance, or weight bearing (e.g. muscular dystrophy, multiple sclerosis). diagnosed with metabolic disorders (e.g. osteomalacia), which may impair bone metabolism. diagnosed systemic disease that would affect their welfare or the overall outcome of study (i.e. Paget's disease, renal osteodystrophy) immunologically suppressed. receiving systemic steroid therapy, excluding inhalers, within 3 months prior to surgery. diagnosed Charcot's disease, metastatic or neoplastic disease. evidence of active infections that may spread to other areas of the body (e.g. osteomyelitis, pyogenic infection of the hip joint, overt infection, untreated urinary tract infection, etc.). presence of a previous prosthetic hip replacement device (any type, including surface replacement arthroplasty, endoprosthesis, etc.) in the hip joint to be operated. previous Girdlestone procedure (resection arthroplasty) or surgical fusion of the hip to be operated. diagnosed with systemic lupus erythematosus, pigmented villonodular synovitis, juvenile rheumatoid arthritis or other diagnoses with autoimmune etiology. diagnosed with osteoporosis or as evidenced on a DEXA scan for males over 75 or females over 65 years of age (within the last 12 months). require structural bone grafts in order to support the prosthetic component(s) or to shape the bone to receive the implant(s). have acute femoral neck fracture or hip fractures. have an above the knee amputation of the contralateral and/or ipsilateral leg. have an existing total hip arthroplasty in the contralateral hip with a pain rating of 3 or more on a scale of 0 to 10, where 0 is "no pain" and 10 is "severe pain". have had a total hip arthroplasty in the contralateral hip within the past 12 months. have previously received a metal-on-metal hip arthroplasty. have a highly communicable disease or diseases that may limit follow-up (e.g. immunocompromised conditions, hepatitis, active tuberculosis, etc.). have any known sensitivity to device material. Females who are pregnant. Patients who are prisoners.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathy Trier, Ph.D.
Organizational Affiliation
Corin
Official's Role
Study Director
Facility Information:
Facility Name
Arkansas Specialty Orthopaedics
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Denver Hip and Knee, Inc.
City
Parker
State/Province
Colorado
ZIP/Postal Code
80134
Country
United States
Facility Name
Connecticut Joint Replacement Institute (CJRI)
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06105
Country
United States
Facility Name
Mayo Clinic Jacksonville
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Florida Orthopaedic Institute
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
FMC Orthopedic Division
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Resurgens Orthopaedics
City
Austell
State/Province
Georgia
ZIP/Postal Code
30106
Country
United States
Facility Name
OrthoCarolina Hip & Knee Center
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Facility Name
Memorial Bone & Joint
City
Houston
State/Province
Texas
ZIP/Postal Code
77043
Country
United States
Facility Name
Elective Orthopaedic Centre
City
Epsom
State/Province
Surrey
ZIP/Postal Code
KT18 7EG
Country
United Kingdom

12. IPD Sharing Statement

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Trinity™ BIOLOX Delta™ CoC THR Multi-center Study

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