Clinical trial NCT04012567: Safety and Effectiveness of BIOSURE RG in Cruciate Ligaments Reconstruction in Chinese
Official title: A Prospective, Multi-center, Randomized Clinical Study to Evaluate the Safety and Effectiveness of Biosure Regenesorb Interference Screw in Arthroscopic Reconstruction of Cruciate Ligaments in Chinese Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cruciate Ligament Reconstruction
Knee
Keywords: Biosure Regenesorb
Chinese
Cruciate ligaments reconstruction
Prospective
Randomize
Evaluator-blinded
Lead sponsor: Smith & Nephew, Inc.
Sponsor class: INDUSTRY
First posted: 2019-07-09
Enrollment: 140
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of this study is to compare the safety and effectiveness of Biosure Regenesorb Interference Screw versus BIOSURE HA Interference Screw (control device) in patients requiring reconstruction of cruciate ligaments of the knee. The trial results will be used for registration of Biosure Regenesorb Interference Screw in China.

The primary efficacy endpoint of this study is Lysholm score at 12 months after operation. The non-inferiority testing is performed for efficiency of primary efficacy endpoint, and the test hypothesis is as follows:

Invalid hypothesis: H0: μ1-μ2 ≤-δ Alternative hypothesis: H1: μ1-μ2 \> -δ, where, μ1 and μ2 are the Lysholm scores in the investigational group and control group, respectively. δ is a non-inferiority critical value.

Detailed description: The clinical trial is designed to be a prospective, multi-center, randomized, evaluator-blinded, parallel-controlled, non-inferiority trial.

Eligibility criteria: Inclusion Criteria:

* Subjects must meet all of the inclusion criteria:

  1. Signing the Informed Consent Form (ICF) voluntarily;
  2. Patients aged 18-75 years;
  3. Patients clinically diagnosed with knee cruciate ligaments rupture or tear and suitable for cruciate ligaments reconstruction definitely;
  4. Normal contralateral knee joint.

Exclusion Criteria:

* Subjects with any of the following characteristics must be excluded from participation in the study:

  1. Patients not complying with the diagnosis criteria for cruciate ligaments rupture or tear;
  2. Patients with an unclosed epiphyseal plate shown on the X-ray film;
  3. Patients having underwent internal fixation or reconstruction due to a knee joint fracture;
  4. Patients with obvious knee joint degeneration shown on the X-ray film;
  5. Patients who cannot make a knee flexion of not less than 90° during operation;
  6. Patients undergoing autologous chondrocyte implantation;
  7. Patients with medial meniscus or lateral meniscus completely resected;
  8. Patients with significant anatomical abnormalities;
  9. Pregnant or breast-feeding females or those at a child-bearing age planning to become pregnant;
  10. Patients with serious osteoporosis that affects screw implantation;
  11. Patients with a malignant tumor that causes failure to effectively fix the implant;
  12. Known hypersensitivity to the implant materials;
  13. Patients not suitable for operation due to obvious local or systemic infection;
  14. Patients who cannot tolerate an operation due to severe malnutrition;
  15. Patients with severe coagulation disorder (judged by the investigator), e.g. the hemophiliac;
  16. Patients with immunodeficiency, including those who must receive immunosuppressant for a long time;
  17. Patients with extensive skin diseases;
  18. Obese patients having a Body Mass Index (BMI) \> 35;
  19. Patients who cannot cooperate in postoperative rehabilitation due to a severe mental disease or those who cannot tolerate the operation due to a cardiopulmonary disease;
  20. Patients who received operation on the injured lower limb within the past 1 year;
  21. Patients who participated in any other clinical trial within the past three months;
  22. Patients who cannot follow the requirements described in the study protocol; and
  23. Other patients who are considered by the investigator not suitable for this clinical study.

Primary outcomes:
measure: Lysholm Knee Scoring Scale 12 Months After Operation
timeFrame: 12 months
Secondary outcomes:
measure: Lysholm Knee Scoring Scale Pre-Operation and 6 Months & 24 Months After Operation
timeFrame: Pre-Operation, Post-Operation 6 months, 24 months
measure: International Knee Documentation Committee (IKDC) Score
timeFrame: Pre-Operation, Post-Operation 6 months, 12 months, 24 months
measure: Drawer Test: Anterior
timeFrame: Post-Operation 6 months, 12 months, 24 months
measure: Drawer Test: Posterior
timeFrame: Post-Operation 6 months, 12 months, 24 months
measure: Lachman Test
timeFrame: Post-Operation 6 months, 12 months, 24 months
measure: Imaging Evaluation: X-ray
timeFrame: Post-Operation 6 months, 12 months, 24 months
measure: Imaging Evaluation: Computed Tomography (CT)
timeFrame: Post-Operation 6 months, 12 months, 24 months
measure: Imaging Evaluation: Magnetic Resonance Imaging (MRI)
timeFrame: Post-Operation 6 months, 12 months, 24 months
Other outcomes:
Locations:
city: Guangzhou
country: China
facility: The Third Affiliated Hospital of Southern Medical University
state: Guangdong
city: Beijing
country: China
facility: Peking University Third Hospital
state: Haidian District
city: Changsha
country: China
facility: The Third Xiangya Hospital of Central South University
state: Hunan
city: Xi'an
country: China
facility: The First Affiliated Hospital of Xi'an Jiaotong University
state: Shaanxi
Study officials:
affiliation: Peking University Third Hospital
name: Xi Gong, Professor
role: PRINCIPAL_INVESTIGATOR
References: