NCT04191733

Brief Summary

This is a post-market prospective, 1:1 randomized, multicenter non-inferiority study to compare the femoral broaching time for THA with the Anterior Advantage approach with KINCISE vs. without KINCISE. Follow-up will continue through 24 weeks post-op.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
250

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2020

Typical duration for not_applicable

Geographic Reach
1 country

11 active sites

Status
terminated

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

October 28, 2019

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 10, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

January 28, 2020

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 13, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2022

Completed
1 year until next milestone

Results Posted

Study results publicly available

September 15, 2023

Completed
Last Updated

September 15, 2023

Status Verified

September 1, 2023

Enrollment Period

2.5 years

First QC Date

October 28, 2019

Results QC Date

July 13, 2023

Last Update Submit

September 11, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean Femoral Broach Time

    Mean femoral broach time (in minutes) was collected intraoperatively and begun at the time the box osteotome first enters the femoral canal and ended with seating of the final broach trial within the femoral canal.

    Day 0 (operative day)

Secondary Outcomes (19)

  • Skin-to-skin Time

    Day 0 (operative day)

  • Number of Participants With Optimal Acetabular Cup Abduction Angle at Week 6

    At Week 6 (post operative)

  • Number of Participants With Optimal Acetabular Cup Version Angle at Week 6

    At Week 6 (post operative)

  • Change From Pre-operative Baseline in Harris Hip Score (HHS) at Weeks 6 and 24

    Pre-operative baseline (6 months before operative day), 6 weeks and 24 weeks post-operative

  • Change From 6-week Post-surgery in Forgotten Joint Score (FJS-12) at Week 24

    6-week post-operative to 24 weeks post-operatively

  • +14 more secondary outcomes

Study Arms (2)

Anterior Approach with KINCISE

EXPERIMENTAL

Anterior Approach THA using KINCISE(TM) Surgical Automated System

Device: KINCISE(TM) Surgical Automated System

Anterior Approach without KINCISE

ACTIVE COMPARATOR

Anterior Approach THA with a mallet (without KINCISE)

Device: KINCISE(TM) Surgical Automated System

Interventions

Uncemented Total Hip Arthroplasty via Anterior Approach with and without the KINCISE(TM) Surgical Automated System

Anterior Approach with KINCISEAnterior Approach without KINCISE

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The patient is undergoing a standard of care primary cementless hip replacement with the Pinnacle cup and a Corail or Actis stem via the Anterior Advantage approach. All devices are to be used according to the approved indications.
  • Individuals who are able to speak, read, and comprehend the Institutional Review Board approved Informed Consent Document and willing and able to provide informed patient consent for participation in the study and have authorized the transfer of his/her information to DePuy Synthes.
  • Individuals who are willing and able to complete follow-up visits and questionnaires as specified by the study protocol.
  • Individuals who are not bedridden per the discretion of the investigator (The intent of "not bedridden" means a permanent situation, not a temporary situation as in a hip fracture or trauma case).
  • Individuals who are a minimum age of 21 years at the time of consent.

You may not qualify if:

  • Active local or systemic infection.
  • Loss of musculature, neuromuscular compromise or vascular deficiency in the affected limb rendering the procedure unjustified.
  • Poor bone quality, such as osteoporosis, where, in the surgeon's opinion, there could be considerable migration of the prosthesis or a significant chance of fracture of the femoral shaft and/or the lack of adequate bone to support the implant(s).
  • Charcot's or Paget's disease.
  • The Subject is a woman who is pregnant or lactating.
  • Subject had a contralateral amputation.
  • Previous partial hip replacement in affected hip.
  • Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three months.
  • Contralateral hip was replaced less than 3 months prior to surgery date, contralateral hip is already enrolled in the study, or simultaneous or staged hip replacement is planned
  • Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  • Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
  • Subject has a medical condition with less than 2 years of life expectancy.
  • Subject, in the opinion of the Investigator, is a drug or alcohol abuser or has a physical or psychological disorder that could affect their ability to complete patient reported questionnaires or be compliant with follow-up requirements.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

The Orthopedic Specialty Center of Northern California

Roseville, California, 95678, United States

Location

Colorado Joint Replacement

Denver, Colorado, 80210, United States

Location

Capital Region Orthopaedic Group

Albany, New York, 12208, United States

Location

Hospital for Special Surgery

New York, New York, 10021, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Carolina Orthopaedic & Sports Medicine

Gastonia, North Carolina, 28054, United States

Location

Southern Joint Replacement Institute

Nashville, Tennessee, 37203, United States

Location

Texas Institute for Hip and Knee Surgery

Austin, Texas, 78751, United States

Location

W.B. Carrell Memorial Clinic

Dallas, Texas, 75231, United States

Location

North Texas Medical Research Institute

Dallas, Texas, 75254, United States

Location

Jordan-Young Institute

Virginia Beach, Virginia, 23462, United States

Location

MeSH Terms

Conditions

OsteoarthritisArthritis, Rheumatoid

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Limitations and Caveats

Study was terminated early due to business decision and not related to any safety concerns.

Results Point of Contact

Title
FRANCHISE MEDICAL DIRECTOR
Organization
DePuy Orthopaedics

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: 1:1 Block Randomization
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2019

First Posted

December 10, 2019

Study Start

January 28, 2020

Primary Completion

July 13, 2022

Study Completion

August 31, 2022

Last Updated

September 15, 2023

Results First Posted

September 15, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will share

Johnson \& Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) Project to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu/

More information

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