NCT03227692

Brief Summary

The purpose of this study is to compare the accuracy of knee component alignment between patients operated with iASSIST Knee (Investigational group) versus patients operated without iASSIST Knee (Control group) using the same implant system.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
93

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2017

Typical duration for not_applicable

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 20, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 24, 2017

Completed
25 days until next milestone

Study Start

First participant enrolled

August 18, 2017

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 14, 2019

Completed
18 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 2, 2019

Completed
4 months until next milestone

Results Posted

Study results publicly available

March 19, 2020

Completed
Last Updated

July 2, 2020

Status Verified

January 1, 2020

Enrollment Period

2.2 years

First QC Date

July 20, 2017

Results QC Date

March 5, 2020

Last Update Submit

June 16, 2020

Conditions

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Alignment Accuracy of the Knee Femoral Components in Coronal Plain

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

    Postoperative 6 months

  • Number of Participants With Alignment Accuracy of the Knee Femoral Components in Sagittal Plain

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

    Postoperative 6 months

  • Number of Participants With Alignment Accuracy of the Knee Tibial Components in Coronal Plain

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

    Postoperative 6 months

  • Number of Participants With Alignment Accuracy of the Knee Tibial Components in Sagittal Plain

    Ratio of subject, whose knee implant is positioned within 3 degrees from preoperatively determined target angle, is compared between groups by CT data taken at 6 month after surgery.

    Postoperative 6 months

Secondary Outcomes (8)

  • Surgery Time

    Intraoperative, an average of 2 hours

  • Number of Instrument Trays Used

    Intraoperative

  • KSS - Objective Score at 6 Month Postoperatively

    6 month postoperative

  • KSS-Patient Satisfaction at 6 Month Postoperatively

    6 month postoperative

  • KSS-function Score at 6 Month Postoperatively

    6 month postoperative

  • +3 more secondary outcomes

Study Arms (2)

Persona with iASSIST Knee

EXPERIMENTAL

Having total knee arthroplasty (Persona Knee System) surgery with the use of a navigation system iASSIST Knee.

Device: Persona Knee SystemProcedure: Total Knee ArthroplastyDevice: iAssist Knee

Persona without iASSIST Knee

ACTIVE COMPARATOR

Having total knee arthroplasty surgery (Persona Knee System) with the use of conventional surgical instruments, and without a navigation system iASSIST Knee.

Device: Persona Knee SystemProcedure: Total Knee Arthroplasty

Interventions

Osteoarthritis will be enrolled and randomly assigned into one of two treatment groups. Patients in investigational group will be treated with total knee arthroplasty and the accelerometer-based navigational device. Patients in control group will be treated with total knee arthroplasty with conventional instrumentation.

Also known as: Persona Knee
Persona with iASSIST KneePersona without iASSIST Knee

Damaged cartilage due to degerative arthritis is replaced by knee joint prosthesis.

Also known as: TKA
Persona with iASSIST KneePersona without iASSIST Knee

Osteotomy of TKA is navigated by iAssist system, iAssist requires pin inserted in bone.

Persona with iASSIST Knee

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • In order to be eligible to participate in this study, a patient must meet all of the following criteria.
  • Knee (either unilateral or bilateral) osteoarthritis (varus deformity only)
  • Male or female
  • At least 20 years of age
  • Patients willing to return for follow-up evaluations.
  • Study Specific Requirements for Principal Investigator/Site
  • Principal Investigator (PI) must have experience of at least 5 TKAs of iASSIST Knee with Persona and Persona conventional instrument system before any study specific activities.
  • Site has sufficient resources to take limb CT scanning at 6 months follow-up visit.

You may not qualify if:

  • Absolute contraindications include:
  • Knee degenerative diseases other than knee osteoarthritis (such as necrosis/rheumatoid arthritis)
  • Too severe OA deformation (FTA: \> 190 degrees/\< 175 degrees)
  • Active infection (or within 6 weeks after infection)
  • Sepsis
  • Osteomyelitis
  • Any type of implant is inserted in the affected side of lower extremity
  • Hip and/or foot disease on the affected side
  • Additional contraindications include:
  • Uncooperative patient or patient with neurologic disorders who are incapable of following directions
  • Diagnosed osteoporosis or osteomalacia
  • Metabolic disorders which may impair bone formation
  • Distant foci of infections which may spread to the implant site
  • Rapid joint destruction, marked bone loss or bone resorption apparent on roentgenogram
  • Vascular insufficiency, muscular atrophy or neuromuscular disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Sumitomo Hopital

Osaka, Osaka, 530-0005, Japan

Location

Japanese Red Cross Medical Center

Shibuya City, Tokyo, 150-8935, Japan

Location

Yamaguchi Prefectural Grand Medical Center

Hōfu, Yamaguchi, 747-8511, Japan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Arthroplasty, Replacement, Knee

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

Arthroplasty, ReplacementArthroplastyOrthopedic ProceduresSurgical Procedures, OperativePlastic Surgery ProceduresProsthesis Implantation

Results Point of Contact

Title
Senior Manager of Clinical Affairs
Organization
Zimmer Biomet G.K.

Study Officials

  • Toshihiro Ohdera, M.D.

    Fukuoka Orthopaedic Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Persona TKA with iASSIST Knee system (Investigational group) or Persona TKA with conventional instrumentation (Control group). The randomization scheme is based on equal numbers per group. The randomization will occur via a random number generator (computer) using blocked randomization procedure. The PI or his/her team does not have influence on the randomization scheme. Sealed opaque envelopes, which will be prepared based on predetermined randomization assignment, will be provided to each study site before study initiation.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: At surgery, intervention group using iASSIST Knee system. At surgery, conventional group not using iASSIST Knee system.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 20, 2017

First Posted

July 24, 2017

Study Start

August 18, 2017

Primary Completion

November 14, 2019

Study Completion

December 2, 2019

Last Updated

July 2, 2020

Results First Posted

March 19, 2020

Record last verified: 2020-01

Locations