Osteoarthritis, HipMISRSANCT01064531
Mini Stem Radiostereometric Analysis Study
An observational study of Osteoarthritis, Hip, run by Smith & Nephew, Inc. at 1 site in Canada.
Trial summary
The objectives of this study are to assess migration of the MIS Stem compared to the Synergy Hip System using Radiostereometric Analysis (RSA), and to assess the long-term safety and effectiveness of the study device. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Osteoarthritis, Hip
- What is being tested?
- MIS Femoral Neck Stem implant
- Type of treatment
- Medical device
- How many people
- 41 participants
- Where
- 1 siteCanada
- Study dates
- 30 Jun 2009to 22 Apr 2016
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: The purpose of the current investigation is to compare migration of the device after implantation with a modular, short hip stem called the "MIS Stem" or a standard THA using the Synergy Hip System using RSA. The intended use of this product is for patients with inflammatory and non-inflammatory degenerative joint disease who require a primary total hip replacement.
Who may be able to join
- Subject has hip disease that requires a total hip arthroplasty.
- Subject is willing to consent to participation in the study.
- Subject plans to be available for follow-up through study duration.
- Subject is of stable health and is free of or treated and stabilized for any condition that would prose excessive operating risk.
Who cannot join
- Subject has insufficient femoral bone stock.
- Subject has had major non-arthroscopic surgery to the study hip.
- Subject has physical, emotional or neurological conditions that would compromise the subjects compliance with postoperative rehabilitation and follow-up.
- Subject has a known sensitivity to materials in the device.
Trial locations and contacts
1 site in 1 country.
Canada1 site
London Health Sciences Center- University Hospital
London, Ontario, N6A 5A5
About this study
Official title: A Randomized Controlled Trial to Compare Implant Migration of the MIS Stem Versus The Synergy Total Hip System by Radiostereometric Analysis
The objectives of this study are to assess migration of the MIS Stem compared to the Synergy Hip System using Radiostereometric Analysis (RSA), and to assess the long-term safety and effectiveness of the study device. This study will document any device-related surgical or post-operative complications and adverse radiographic observations.
Subjects meeting the entrance criteria specified in this protocol will be randomized as they become available.
Read the detailed description
The purpose of the current investigation is to compare migration of the device after implantation with a modular, short hip stem called the "MIS Stem" or a standard THA using the Synergy Hip System using RSA. The intended use of this product is for patients with inflammatory and non-inflammatory degenerative joint disease who require a primary total hip replacement.
- Conditions
- Osteoarthritis, Hip
- Being tested
- MIS Femoral Neck Stem implant
- Medical subject headings
- Osteoarthritis, Hip
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MIS Femoral Neck Stem implantDevice
| Study group | Role | What they receive |
|---|---|---|
| MIS Femoral Neck Stem | Subject will be randomized to either MIS or Synergy implant. Receives: Device: MIS Femoral Neck Stem implant | |
| Synergy Hip System | Subject will be randomized to either Synergy or MIS implant. Receives: Device: MIS Femoral Neck Stem implant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Migration of the MIS Femoral Neck Stem Compared to the Synergy Hip System Using RSA (Translational Movement)
Migration, or micromovement of the implant, was measured using RSA to compare the modular, short hip stem called the MIS Stem against a standard THA using Synergy Hip System.
Measured: Discharge (baseline), 6 weeks, 3 and 6 months, 1 and 2 years postoperative, change from baseline at 2 years reported
Migration of the MIS Femoral Neck Stem Compared to the Synergy Hip System Using RSA (Rotational Movement)
Migration, or micromovement of the implant, was measured using RSA to compare the modular, short hip stem called the MIS Stem against a standard THA using Synergy Hip System.
Measured: Discharge (baseline), 6 weeks, 3 and 6 months, 1 and 2 years postoperative, change from baseline at 2 years reported
Secondary outcomes (18)
Preoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: Preoperative
3 Months Postoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: 3 months postoperative
1 Year Postoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: 1 year postoperative
2 Years Postoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: 2 years postoperative
3 Years Postoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: 3 years postoperative
5 Years Postoperative Total Harris Hip Score (HHS)
The HHS is a physician tool to measure how a subject is doing after their hip was replaced. The HHS had a total range of 0-100 points and consisted of categories to assess Pain, Function, Absence of Deformity, Range of Motion, and Total Score. Each category was summarized and stratified into scores of Excellent (90-100), Good (80-89), Fair (70-79), Poor (60-69), and Very Poor (<60). Higher scores delineated better results for the subject.
Measured: 5 years postoperative
Preoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: Preoperative
3 Months Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: 3 months postoperative
1 Year Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: 1 year postoperative
2 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: 2 years postoperative
3 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: 3 years postoperative
5 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
The HOOS was a questionnaire that the subject completed focusing on hip pain, stiffness, and function relating to osteoarthritis of the hip. The HOOS consisted of 40 items assessing 5 subscales; Symptoms and Stiffness, Pain, Function of Daily Living, Function in Sport and Recreation, and hip-related Quality of Life.
Pain included 10 items with a total score of 40 points Symptoms included 5 items with a total score of 20 points Function of Daily Living included 17 items with a total score of 68 points Function in Sport and Recreation included 4 items with a total score of 16 points Hip-related Quality of Life included 4 items with a total score of 16 points
Each subscore was transformed into a worst-to-best scale (0-100), where 100 indicated no symptoms and 0 indicated extreme symptoms.
Measured: 5 years postoperative
Preoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: Preoperative
3 Months Postoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: 3 months postoperative
1 Year Postoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: 1 year postoperative
2 Years Postoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: 2 years postoperative
3 Years Postoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: 3 years postoperative
5 Years Postoperative Radiographic Assessments
Radiographs were obtained from the anteroposterior (AP) view as well as the lateral view.
Measured: 5 years postoperative
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2010 (estimated)
- Study start30 Jun 2009
- Primary completion22 Apr 2016
- Study completion22 Apr 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Osteoarthritis, HipStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- Smith & Nephew, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Richard McCalden, MD, Principal investigator, London Health Science CenterBeate Hanson, MD, PhD, Study chair, Vice President, Global Clinical Strategy and Global Clinical Operations
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01064531
- Sponsor's protocol ID
- US-CR-130
- Acronym
- MISRSA
- Status last verified
- Apr 2020
- First submitted
- 5 Feb 2010
- Last updated
- 9 Apr 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 9 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Controlled Trial to Compare Implant Migration of the MIS Stem Versus The Synergy Total Hip System by Radiostereometric Analysis
- ClinicalTrials.gov ID
- NCT01064531
- Acronym / sponsor ID
- MISRSA / US-CR-130
- Conditions
- Osteoarthritis, Hip
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- Smith & Nephew, Inc.Industry (pharma, biotech, devices)
- Study start
- 30 Jun 2009 (actual)
- Primary completion
- 22 Apr 2016 (actual)
- Study completion
- 22 Apr 2016 (actual)
- First posted
- 8 Feb 2010 (estimated)
- Results
- Posted 9 Apr 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objectives of this study are to assess migration of the MIS Stem compared to the Synergy Hip System using Radiostereometric Analysis (RSA), and to assess the long-term safety and effectiveness of the study device. This study will document any device-related surgical or post-operative complications and adverse radiographic observations.
Subjects meeting the entrance criteria specified in this protocol will be randomized as they become available.
Detailed description
The purpose of the current investigation is to compare migration of the device after implantation with a modular, short hip stem called the "MIS Stem" or a standard THA using the Synergy Hip System using RSA. The intended use of this product is for patients with inflammatory and non-inflammatory degenerative joint disease who require a primary total hip replacement.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MIS Femoral Neck Stem | – | Device: MIS Femoral Neck Stem implantSubject will be randomized to either MIS or Synergy implant. |
| Synergy Hip System | – | Device: MIS Femoral Neck Stem implantSubject will be randomized to either Synergy or MIS implant. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- The purpose of the current investigation is to compare migration of the device after implantation with a modular, short hip stem called the "MIS Stem" or a standard THA using the Synergy Hip System using RSA. The intended use of this product is for patients with inflammatory and non-inflammatory degenerative joint disease who require a primary total hip replacement.
Key inclusion criteria (4 listed)
- Subject has hip disease that requires a total hip arthroplasty.
- Subject is willing to consent to participation in the study.
- Subject plans to be available for follow-up through study duration.
- Subject is of stable health and is free of or treated and stabilized for any condition that would prose excessive operating risk.
Key exclusion criteria (4 listed)
- Subject has insufficient femoral bone stock.
- Subject has had major non-arthroscopic surgery to the study hip.
- Subject has physical, emotional or neurological conditions that would compromise the subjects compliance with postoperative rehabilitation and follow-up.
- Subject has a known sensitivity to materials in the device.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MIS Femoral Neck Stem implant | Device | MIS Femoral Neck Stem, Synergy Hip System |
Primary outcome
Migration of the MIS Femoral Neck Stem Compared to the Synergy Hip System Using RSA (Translational Movement)
Time frame: Discharge (baseline), 6 weeks, 3 and 6 months, 1 and 2 years postoperative, change from baseline at 2 years reported
Migration, or micromovement of the implant, was measured using RSA to compare the modular, short hip stem called the MIS Stem against a standard THA using Synergy Hip System.
Migration of the MIS Femoral Neck Stem Compared to the Synergy Hip System Using RSA (Rotational Movement)
Time frame: Discharge (baseline), 6 weeks, 3 and 6 months, 1 and 2 years postoperative, change from baseline at 2 years reported
Migration, or micromovement of the implant, was measured using RSA to compare the modular, short hip stem called the MIS Stem against a standard THA using Synergy Hip System.
18 secondary outcomes
Preoperative Total Harris Hip Score (HHS)
Time frame: Preoperative
3 Months Postoperative Total Harris Hip Score (HHS)
Time frame: 3 months postoperative
1 Year Postoperative Total Harris Hip Score (HHS)
Time frame: 1 year postoperative
2 Years Postoperative Total Harris Hip Score (HHS)
Time frame: 2 years postoperative
3 Years Postoperative Total Harris Hip Score (HHS)
Time frame: 3 years postoperative
5 Years Postoperative Total Harris Hip Score (HHS)
Time frame: 5 years postoperative
Preoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: Preoperative
3 Months Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: 3 months postoperative
1 Year Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: 1 year postoperative
2 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: 2 years postoperative
3 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: 3 years postoperative
5 Years Postoperative Hip Disability Osteoarthritis Outcome Score (HOOS)
Time frame: 5 years postoperative
Preoperative Radiographic Assessments
Time frame: Preoperative
3 Months Postoperative Radiographic Assessments
Time frame: 3 months postoperative
1 Year Postoperative Radiographic Assessments
Time frame: 1 year postoperative
2 Years Postoperative Radiographic Assessments
Time frame: 2 years postoperative
3 Years Postoperative Radiographic Assessments
Time frame: 3 years postoperative
5 Years Postoperative Radiographic Assessments
Time frame: 5 years postoperative
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Apr 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Richard McCalden, MD principal investigator
London Health Science Center
Beate Hanson, MD, PhD study chair
Vice President, Global Clinical Strategy and Global Clinical Operations
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Osteoarthritis, Hip, run by Smith & Nephew, Inc. at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Migration of the MIS Femoral Neck Stem Compared to the Synergy Hip System Using RSA (Translational Movement) (time frame: Discharge (baseline), 6 weeks, 3 and 6 months, 1 and 2 years postoperative, change from baseline at 2 years reported). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Apr 2020.