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Prosthesis SurvivalNCT04244929

Multicenter Perspective Study: Clinical Evaluation of the Persona MC® With Preservation or Sacrifice of the PCL

A study testing Total knee arthroplasty, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining and Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice in people with Prosthesis Survival, run by Istituto Ortopedico Rizzoli at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Prospective, multicenter study on the Total Knee Prosthesis available on the market "Persona Medial Congruent® knee". Primary endpoint -Evaluation of the survival of the implant after 5 years of follow-up Secondary endpoints Evaluation of the survival of the implant at 10 years of follow up. Read more about this study

Who is it for?
Any age
Conditions the study is for
Prosthesis Survival
What is being tested?
Total knee arthroplasty, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining and Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice
Could I receive a placebo?
No, everyone receives an active treatment
How many people
7 participants
Where
1 siteItaly
Study dates
20 Dec 2019to 1 Mar 2021
Phase
Interventional
Are there results?
None posted in the registry

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

Who may be able to join

  • Patient qualifies for a primary total knee arthroplasty based on physical exam and medical history, including diagnosis of severe knee pain and disability due to at least one of the following:
  • Rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis
  • Collagen disorders and/or avascular necrosis of the femoral condyle
  • Post-traumatic loss of joint configuration, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy
  • Moderate valgus, varus, or flexion deformities
  • The salvage of previously failed surgical attempts that did not include partial or total knee arthroplasty of the ipsilateral knee
Show all 9Show fewer
  • Patient is willing and able to complete scheduled study procedures and follow-up evaluations
  • Independent of study participation, patient is a candidate for commercially available Persona MC knee implants. Patient is willing and able to complete scheduled follow-up evaluations as described in the Informed Consent.
  • Patient has participated in the Informed Consent process and has signed the Ethics Committee approved 'Informed Consent'.

Who cannot join

  • Patient is currently participating in any other surgical intervention studies or pain management studies
  • Patient is unwilling or unable to give consent or to comply with the follow-up program.
  • Patient meets exclusion criteria of the Instruction for Use Patients who have any condition which would in the judgement of the Investigator place the patient at undue risk or interfere with the study. Any patient who is institutionalized, or is a known drug abuser, a known alcoholic or anyone who cannot understand what is required of them.
  • Previous history of infection in the affected joint and/or other local/systemic infection that may affect the prosthetic joint
  • Insufficient bone stock on femoral or tibial surfaces
  • Skeletal immaturity
Show all 12Show fewer
  • Neuropathic arthropathy
  • Osteoporosis or any loss of musculature or neuromuscular disease that compromises the affected limb
  • Stable, painless arthrodesis in a satisfactory functional position
  • Severe instability secondary to the absence of collateral ligament integrity
  • Rheumatoid arthritis accompanied by an ulcer of the skin or a history of recurrent breakdown of the skin
  • Patient has a known or suspected sensitivity or allergy to one or more of the implant materials

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • IRCCS Istituto Ortopedico Rizzoli

    Bologna, 40136

Other trials in Italy

About this study

Official title: Clinical Evaluation of the Total Knee Prosthesis Persona Medial Congruent® With Preservation or Sacrifice of the Posterior Cruciate Ligament: a Multicentric Perspective Study

Prospective, multicenter study on the Total Knee Prosthesis available on the market "Persona Medial Congruent® knee".

Primary endpoint

-Evaluation of the survival of the implant after 5 years of follow-up

Secondary endpoints

  • Evaluation of the survival of the implant at 10 years of follow up.
  • Evaluation of clinical and radiographic outcomes in Italian patients undergoing total knee replacement with the Persona Medial Congruent® implant with sacrifice or retention of the posterior cruciate ligament (PCL)
Read the detailed description

Prospective, multicenter study on the Total Knee Prosthesis available on the market "Persona Medial Congruent® knee" Up to 10 Italian centers will provide a maximum of 200 patients undergoing total knee replacement with Persona prosthesis and Medial Congruent® insert.

20 cases per center will be performed, 10 with posterior cruciate ligament sacrifice, 10 with posterior cruciate ligament preservation.

Patients will be recruited and enrolled in the study according to the inclusion and exclusion criteria specified below. In order to minimize the selection bias, patients will be enrolled consecutively; the first 10 patients will constitute a treatment group and the remaining 10 the complementary group.

Each patient will sign an informed consent for participation in the prospective study. The patients will be recruited at the Orthopedic and Traumatological Clinic 2nd of the Rizzoli Orthopedic Institute on an outpatient or hospitalization basis.

After the surgical treatment, the patient will continue his hospitalization at the Orthopedic and Traumatological Clinic 2nd of the Rizzoli Orthopedic Institute and, if deemed appropriate by the medical team, he will be discharged by planning the subsequent post-operative checks and diagnostic evaluations.

The data will be collected by investigators and provided to the Promoter center.

The Co-investigator who will evaluate the results will be blind to the assignment to the treatment group of the subjects in the study. The promoter of the study is the owner of the data and therefore responsible for data management. Study participants are identified with an identification code. All sensitive personal data will be stored in accordance with the current data privacy guidelines. All information will be treated with strict compliance with professional confidentiality standards. Participants will receive oral and written information relating to the processing of sensitive personal data.

The study is designed to have an alpha error of no more than 0.05. Based on an assumed 95% five-year survival, a sample size of n = 89 was calculated using SAS 9.4, Proc Power.

Assuming a 20% follow-up loss rate over five years, the study will enroll 100 patients in each patient group, then a total of 200 patients. The data collected from 200 patients (100 in each subgroup) will be archived in a descriptive way and will be the basis of all published study reports.

The categorical data (for example, gender) will be summarized using counts, percentages and the 95% confidence interval (CI), in the periods of interest. Continuous data, such as age, will be summarized using means, medians, standard deviation, minimum, maximum and 95% CI in the periods of interest. Implant survival and return to function will be summarized using the Kaplan-Meier method and presented as percentages and confidence intervals.

The expected duration of the study is 11 years, which corresponds to the time dedicated to the approval of the Ethics Committee, the enrollment of all patients, the completion of the 10-year follow-up, data analysis and preparation of the final report. The first 12 months will focus on patient enrollment. The study subjects will be involved from the moment of the intervention until the end of the 10-year follow-up (as per the current protocol 10 years FU ± 2 months).

Being tested
Total knee arthroplasty, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice
Medical subject headings
Prosthesis Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Total knee arthroplastyProcedure or surgery

    Total knee arthroplasty using standard anterior approach.

  • Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retainingDevice

    Patients will be implanted with this medial pivoting knee prosthesis. Posterior Cruciate Ligament will be retained

  • Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrificeDevice

    Patients will be implanted with this medial pivoting knee prosthesis. Posterior Cruciate Ligament will be sacrificed

Study groups in NCT04244929
Study groupRoleWhat they receive
PCL removalExperimentalPatients will undergo surgery by sacrificing the PCL
Receives: Procedure: Total knee arthroplasty; Device: Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice
PCL preservationActive comparatorPatients will undergo surgery with retaining the PCL
Receives: Procedure: Total knee arthroplasty; Device: Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluate the safety based on implant survivorship at 5 years follow up

    Implant survival will be evaluated by radiographic parameters on standard and long leg standing radiographs that indicate prosthesis mobilization (radiolucency lines, fracture, osteolysis)

    Measured: 72 months

Secondary outcomes (12)
  1. Evaluate the safety based on implant survivorship at 10 years follow up

    Implant survival will be evaluated by radiographic parameters on standard and long leg standing radiographs that indicate prosthesis mobilization (radiolucency lines, fracture, osteolysis)

    Measured: 132 months

  2. Evaluation of pain

    Clinical evaluation addresses the state of the studied knee before and after the surgery with respect to pain (VAS scale).

    Measured: 132 months

  3. Evaluation of medication taken by the patient

    Clinical evaluation addresses the state of the studied knee before and after the surgery with respect to medications.

    Measured: 132 months

  4. Evaluation of muscle strength

    Clinical evaluation addresses the state of the studied knee before and after the surgery with respect to muscle strength, evaluated with a subjective scale by the investigator

    Measured: 132 months

  5. Return to work

    Additional information regarding the returning of the patient to work is collected at 3 or 6 months follow up

    Measured: 132 months

  6. Patient Satisfaction Questionnaire

    It is a patient-reported short questionnaire for evaluating patient satisfaction with the knee replacement surgery

    Measured: 132 months

  7. Euro Quality of Life-5 Dimensions-5 Levels Health Questionnaire

    It is completed by the patient and assesses his/her general health status. The EQ-5D is used to derive a quality of life index used for health economics considerations

    Measured: 132 months

  8. Oxford Knee Score

    It is a patient-reported form and consists of 12 questions on the influence of the knee (surgical side) on daily activities or pain.

    Measured: 132 months

  9. American Knee Society Score

    It is used to assess knee functionality by investigator. It consists of both a clinical and a functional score

    Measured: 132 months

  10. Forgotten Joint Score

    is completed by the patient and assesses his/her ability to forget about his/ her knee joint prior and after treatment

    Measured: 132 months

  11. Adverse Event Report

    is completed as needed for each complication which is noted. Each complication shall be examined again at the next follow-up visit and further documented on a separate form for each visit.

    Measured: 132 months

  12. Explanted Device Form

    collects information on revision surgeries for study subjects.

    Measured: 132 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2020
  2. Study start20 Dec 2019
  3. Primary completion20 Dec 2020
  4. Study completion1 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Prospective, two arms, multicenter study that aims to involve up to 10 hospitals in Italy
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
7 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04244929
Sponsor's protocol ID
Persona-MC
Status last verified
May 2023
First submitted
20 Jan 2020
Last updated
31 May 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sabatini L, Risitano S, Parisi G, Tosto F, Indelli PF, Atzori F, Masse A. Medial Pivot in Total Knee Arthroplasty: Literature Review and Our First Experience. Clin Med Insights Arthritis Musculoskelet Disord. 2018 Jan 4;11:1179544117751431. doi: 10.1177/1179544117751431. eCollection 2018.

    PubMed 29326531
  • Van Overschelde PP, Fitch DA. Patient satisfaction at 2 months following total knee replacement using a second generation medial-pivot system: follow-up of 250 consecutive cases. Ann Transl Med. 2016 Sep;4(18):339. doi: 10.21037/atm.2016.08.41.

    PubMed 27761443
  • Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010 Jan;468(1):57-63. doi: 10.1007/s11999-009-1119-9.

    PubMed 19844772
  • Nam D, Nunley RM, Barrack RL. Patient dissatisfaction following total knee replacement: a growing concern? Bone Joint J. 2014 Nov;96-B(11 Supple A):96-100. doi: 10.1302/0301-620X.96B11.34152.

    PubMed 25381418

Questions about this trial

What is this clinical trial studying?

A study testing Total knee arthroplasty, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining and Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice in people with Prosthesis Survival, run by Istituto Ortopedico Rizzoli at 1 site in Italy.

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 9 inclusion and 12 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 31 May 2023. 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 Italy. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Evaluate the safety based on implant survivorship at 5 years follow up (time frame: 72 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04244929, which also lists 4 linked publications.

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 31 May 2023.

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