Clinical trial NCT02399046: A Clinical Trial Study of Knee System in Primary Total Knee Arthroplasty in China
Official title: A Prospective, Randomized, Multicenter, Controlled Study Comparing the Outcomes of Primary Total Knee Arthroplasty Devices Manufactured in China Versus Devices Manufactured Outside of China
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Arthritis, Rheumatoid
Osteoarthritis
Post-traumatic; Arthrosis
Lead sponsor: Johnson & Johnson Medical (Suzhou) Ltd.
Sponsor class: INDUSTRY
First posted: 2015-03-26
Enrollment: 160
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: A clinical trial of total knee system used in Primary Total Knee Arthroplasty in China.

Detailed description: A prospective, Randomized, Multicenter, Controlled Study Comparing the Outcomes of Primary Total Knee Arthroplasty Devices Manufactured in China versus Devices Manufactured Outside of China.

Eligibility criteria: Inclusion Criteria:

1. . The subject is ≥18years old
2. . The Subject must be of Chinese ethnic descent and be willing to return on three occasions for clinical evaluations.
3. . Subject is a suitable candidate for cemented primary TKA using the devices described in this CIP with either resurfaced or non-resurfaced patellae.
4. . Subject must meet all criteria specified in BOTH China Knee stem and P.F.C.® Sigma knee instructions for use (IFU)
5. . Before surgery, subject is willing and able to sign the informed consent form approved by the Institutional Review Board (IRB), Ethics Committee (EC) or Ethical Review Board (ERB).
6. . Subject, in the opinion of the Clinical Investigator, is able to understand this clinical investigation and co-operate with investigational procedures.
7. . Subject must be comfortable with speaking, reading, and understanding questions and providing responses in an available translated language for the patient reported outcomes (PROs) in the CIP.
8. . Subject is receiving a unilateral knee replacement or, if a contralateral knee replacement is anticipated, the surgery must occur within 6 months of the first study knee TKA. The second knee will not be enrolled in the study.

Exclusion Criteria:

1. Subject does not provide written voluntary consent to participate in the clinical study.
2. The Subject is a woman who is pregnant or lactating.
3. Subject is anticipated to require a contralateral TKA between 6 months and 1 year.
4. Contralateral knee has already been enrolled in this study.
5. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement), patellectomy, high tibial osteotomy or primary TKA in affected knee.
6. Subject has a malignant disease, severe condition, alcohol or drug addiction and/or mental disorders that the investigator believes will interfere with the study participation.
7. Subjects with severe osteoporosis, metabolic bone disease, radioactive bone disease or tumor in bone surrounding knee joint that, in the opinion of the investigator, will negatively impact implant fixation and the outcome of the investigation
8. Subject has significant neurological or musculoskeletal disorders or disease that may adversely affect gait or weight bearing (e.g. muscular dystrophy, multiple sclerosis, cerebral infarction, hemiplegia, Charcot disease).
9. Subject is not comfortable with speaking, reading, and understanding questions and providing responses in an available translated language for the PROs in the CIP.
10. Subject has a medical condition with less than 2 years of life expectancy.
11. The Subject has comorbid condition(s) that could limit the Subject's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study.
12. The Subject is currently participating in another investigational drug or device study.
13. Subject is a prisoner.
14. The Subject has a known allergy to any implant components (metal for example).
15. Hemoglobin \< 11 g/dL
16. Albumin \< 90% normal low limit
17. CRP \> 2 times normal upper limit
18. ESR \> 2 times normal upper limit
19. Subjects who have abnormal coagulation exam results and cannot be corrected by drugs or plasma replacement

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Primary outcomes:
measure: 12-month post-op AKS
timeFrame: 12 months postoperatively
Secondary outcomes:
measure: Non-revision rates(revision for any reason) through the end of the study
timeFrame: 12 months postoperatively
measure: One year non-revision rate where revision is defined as removal of any component secondary to infection
timeFrame: 12 months postoperatively
measure: American Knee Society Total Score success (where success is defined as a score of 80 points or higher)at the 1 year follow-up inerval
timeFrame: 12 months postoperatively
measure: Short-form 12(SF-12) general health questionnaire each of 8 dimensions and the overall Physical and Mental health domains, at 1-year follow-up interval.
timeFrame: Preoperation to12 months postoperatively
measure: WOMAC scores at the 1-year follow-up interval
timeFrame: Preoperation to12 months postoperatively
measure: Radiogrphic assessment of clinically relevant radiolucent line(RLL)and osteolysis,migration and subsidence, by comparing the 3 month post-operative x-ray to the 1 year follow up x-ray inerval.
timeFrame: Preoperation to12 months postoperatively
Other outcomes:
measure: The proportion of Composite Successes in each treatment group will be assessed at the 1year follow-up interval
timeFrame: 12 months postoperatively
measure: Blood samplets will be collected and data will be summarized
timeFrame: pre-operative and immediate post-operatively
Locations:
city: Hefei
country: China
facility: The First Affiliated Hospital of Anhui Medical University
state: Anhui
city: Beijing
country: China
facility: Peking Union Medical College Hospital
state: Beijing
city: Guangzhou
country: China
facility: General Hospital of Guangzhou Military Command of PLA
state: Guangdong
city: Changsha
country: China
facility: Xiangya Hospital Central South University
state: Hunan
city: Yinchuan
country: China
facility: The affiliated hosoital of Ningxia Medical University
state: Ningxia
city: Qingdao
country: China
facility: The Affiliated Hospital of Qingdao University
state: Shandong
city: Xi'an
country: China
facility: Xijing Hospital
state: Shanxi
city: Chengdu
country: China
facility: The West China Hospital of Sichuan University
state: Sichuan
city: Urumqi
country: China
facility: The First Teaching Hospital of Xinjiang Medical University
state: Xinjiang
Study officials:
affiliation: The West China Hospital of Sichuan University
name: Fuxing Pei
role: PRINCIPAL_INVESTIGATOR
References: