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Osteoarthritis of the KneeNCT04630262

ATTUNE Cementless FB Tibial Base Clinical Study

A study testing ATTUNE Cementless CR Fixed Bearing and ATTUNE Cementless PS Fixed Bearing in people with Osteoarthritis of the Knee, run by DePuy Orthopaedics at 15 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a prospective, multi-center, non-randomized, single arm observational study. The primary objective of this clinical investigation is to evaluate functional responder rates with an objective performance criteria (OPC) of 85% as measured by the KOOS questionnaire for the first 225 tibia (CR FB and PS FB… Read more about this study

Who is it for?
Ages 22 to 80 years
Conditions the study is for
Osteoarthritis of the Knee
What is being tested?
ATTUNE Cementless CR Fixed Bearing and ATTUNE Cementless PS Fixed Bearing
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
15 sitesUnited States
Study dates
9 May 2022to 31 Mar 2023
Phase
Interventional
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 22 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive.
  • Subject has a severely painful knee and/or impaired knee function resulting from osteoarthritis, post-traumatic arthritis, or a failed previous implant provided that adequate bone is present.
  • Subject that is willing to give voluntary, written informed consent to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor.
  • Subject is currently not bedridden.
  • Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with investigational procedures.
  • Subject is able to read and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations.

Who cannot join

  • a) The Subject is a woman who is pregnant or lactating. b) Contralateral knee has already been enrolled in this study . c) Revision knee that was previously enrolled in the study as a primary knee (ipsilateral).
  • Subject has participated in a clinical study with an investigational product (drug or device) in the last two (2) years.
  • Subject has had surgery on their contralateral knee within six (6) months of study enrolment or has surgery planned on their contralateral knee less than six (6) months of the study surgery.
  • Subject is suffering from inflammatory arthritis in any joint (e.g., rheumatoid arthritis, juvenile rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, etc.).
  • Active local or systemic infection. h) Loss of bone or musculature, inadequate bone quality (e.g. severe osteoporosis), neuromuscular compromise or vascular deficiency at the bone site in the affected limb in sufficient degree to render the procedure unjustifiable (e.g. absence of musculoligamentous supporting structures that could lead to implant instability, joint neuropathy).
  • Severe instability secondary to advanced loss of osteochondral structure or the absence of collateral ligament integrity.
Show all 9Show fewer
  • The inability to make bone cuts (e.g. inadequate bone stock) so as to assure correct component position, a firm press fit, and intimate apposition of the cut bone and prosthetic surfaces.
  • Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  • Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last five 5 years) or has a psychological disorder that could affect their ability to complete patient reported questionnaires or be compliant with follow-up requirements.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

United States15 sites
  • Anderson Clinic

    Alexandria, Virginia, 22306

  • Johns Hopkins Orthpaedic Surgery

    Baltimore, Maryland, 21044

  • Towson Orthopaedic Associates

    Baltimore, Maryland, 21204

  • Rubin Institute for Advanced Orthopedics

    Baltimore, Maryland, 21215

  • Coastal Orthopedics

    Bradenton, Florida, 34209

  • American Hip Institute & Orthopedic Specialists

    Chicago, Illinois, 60018

  • University of Missouri

    Columbia, Missouri, 65212

  • Florida Orthopaedic Associates

    DeLand, Florida, 32720

  • University of Florida

    Gainesville, Florida, 32611

  • Orlin & Cohen Orthopedics

    Garden City, New York, 11530

  • Orthopaedic Associates of Michigan

    Grand Rapids, Michigan, 49525

  • Orthopaedic Specialty Institute

    Irvine, California, 92618

  • Loyola University Medical Center

    Maywood, Illinois, 60153

  • Mercy Clinic Springfield

    Ozark, Missouri, 65721

  • University Orthopaedic Associates, LLC

    Somerset, New Jersey, 08873

Other trials in United States

About this study

Official title: Multi-Center Clinical Investigation of the ATTUNE® Cementless Fixed Bearing Tibial Base and Cementless Patella Implants in Total Knee Arthroplasty

This is a prospective, multi-center, non-randomized, single arm observational study. The primary objective of this clinical investigation is to evaluate functional responder rates with an objective performance criteria (OPC) of 85% as measured by the KOOS questionnaire for the first 225 tibia (CR FB and PS FB combined) implanted with the ATTUNE Cementless FB tray (primary and revision procedures) and will be analyzed when these patients have passed the 1 year preferred post-op window.

Read the detailed description

The primary objective of this clinical investigation is to evaluate functional responder rates with an objective performance criteria (OPC) of 85% as measured by the KOOS questionnaire for the first 225 tibia (CR FB and PS FB combined) implanted with the ATTUNE Cementless FB tray (primary and revision procedures) and will be analyzed when these patients have passed the 1 year preferred post-op window. Study success will be determined using the primary TKA (CR FB and PS FB combined) analysis group.

The secondary objectives of this study are to establish the surgical effectiveness of the ATTUNE Cementless Tibial Base by evaluating type and frequency of Adverse Events and Device Deficiencies, functional responder rates with an objective performance criteria (OPC) of 85% as measured by the KOOS questionnaire for all subjects (CR FB and PS FB combined) at the 1-year timepoint, the change from preoperative baseline to the 6-week, 6-month, 1-year, 2-year and 5-year timepoints in functional outcomes and quality of life assessments, as measured using additional patient reported outcomes measures (PROMS), implant survivorship of the ATTUNE Cementless FB Tibial base using Kaplan-Meier survival analysis at 1, 2 and 5-year timepoints, and investigator-conducted radiographic analysis of the tibial and patellar components at 6 weeks/6 months 1, 2 and 5 years after surgery.

Being tested
ATTUNE Cementless CR Fixed Bearing, ATTUNE Cementless PS Fixed Bearing
Keywords
Osteoarthritis, Post-traumatic arthritis, Failed total knee, Knee, Total knee arthroplasty
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis

What participants receive

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

  • ATTUNE Cementless CR Fixed BearingDevice

    Subjects Implanted with the ATTUNE Cementless Femoral, Cementless Tibia, and CR or (Medial Stabilized) MS Tibial Insert.

  • ATTUNE Cementless PS Fixed BearingDevice

    Subjects Implanted with the ATTUNE Cementless Femoral, Cementless Tibia, and PS Tibial Insert.

Study groups in NCT04630262
Study groupRoleWhat they receive
ATTUNE Cementless CR Fixed BearingActive comparatorSubjects enrolled who undergo TKA with the ATTUNE Cementless Fixed Bearing Cruciate Retaining Configuration.
Receives: Device: ATTUNE Cementless CR Fixed Bearing
ATTUNE Cementless PS Fixed BearingActive comparatorSubjects enrolled who undergo TKA with the ATTUNE Cementless Fixed Bearing Posterior Stabilizing Configuration.
Receives: Device: ATTUNE Cementless PS Fixed Bearing

What is being measured

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

  1. One Year Functional Responder Rate of First 225 Subjects

    Functional Responder Rate with an Objective Performance Criteria of 85% as measured by the KOOS questionnaire for the first 225 tibia

    Measured: through study completion, up to 10 months

Secondary outcomes (32)
  1. Measure of Knees With Adverse Events

    This measure will assess the percentage of knees with reported AEs throughout the duration of the study.

    Measured: Through study completion, up to 10 months

  2. Mean Number of Adverse Events Per Knee for Knees With Reported AEs

    This measure will assess the mean number of AEs per Knee for those knees with reported AEs throughout the duration of the study.

    Measured: Through study completion, up to 10 months

  3. Measure of Knees With Device Deficiencies

    This measure will assess count of knees with various types of device deficiencies reported throughout the duration of the study.

    Measured: Through study completion, up to 10 months

  4. Mean Number of Device Deficiencies Per Knee

    This measure will assess the mean number of device deficiencies (DD) per knee reported throughout the duration of the study.

    Measured: Through study completion, up to 10 months

  5. One Year Functional Responder Rate All Subjects

    Functional Responder Rate with an Objective Performance Criteria of 85% as measured by the KOOS questionnaire for all subjects.

    Measured: Through study completion, up to 10 months.

  6. One Year Kaplan-Meier Implant Survivorship

    Number/rate of subjects with all implants remaining implanted at the 1 year timepoint.

    Measured: Through study completion, up to 10 months

  7. Two Year Kaplan-Meier Implant Survivorship

    Number/rate of subjects with all implants remaining implanted at the 2- year timepoint.

    Measured: Through study completion, up to 10 months

  8. Five Year Kaplan-Meier Implant Survivorship

    Number/rate of subjects with all implants remaining implanted at the 5- year timepoint.

    Measured: Through study completion, up to 10 months

  9. 6 Week Knee Society Score

    Mixed outcome measure that derives a score using physician input and patient input including current symptoms, knee function, patient satisfaction and expectations.

    Measured: Through study completion, up to 6 weeks

  10. 6 Month Knee Society Score

    Mixed outcome measure that derives a score using physician input and patient input including current symptoms, knee function, patient satisfaction and expectations.

    Measured: Through study completion, up to 6 Months

  11. One Year Knee Society Score

    Mixed outcome measure that derives a score using physician input and patient input including current symptoms, knee function, patient satisfaction and expectations. The higher the score, the better the function, satisfaction, and expectations.

    Measured: Through study completion, up to 10 months

  12. Two Year Knee Society Score

    Mixed outcome measure that derives a score using physician input and patient input including current symptoms, knee function, patient satisfaction and expectations. The higher the score, the better the function, satisfaction, and expectations.

    Measured: Through study completion, up to 10 months

  13. Five Year Knee Society Score

    Mixed outcome measure that derives a score using physician input and patient input including current symptoms, knee function, patient satisfaction and expectations. The higher the score, the better the function, satisfaction, and expectations.

    Measured: Through study completion, up to 10 months

  14. Six Week Knee Injury and Osteoarthritis Outcome Score (KOOS)

    A knee-specific instrument that derives a score developed to assess the patients' opinion about their knee and associated problems. The scores for each dimension are calculated by summing the answers to the questions. The resulting scores are then transferred to a scale from 0 to 100 with 0 representing extreme knee problems and 100 representing no problems.

    Measured: Through study completion, up to 6 weeks

  15. Six Month Knee Injury and Osteoarthritis Outcome Score (KOOS)

    A knee-specific instrument that derives a score developed to assess the patients' opinion about their knee and associated problems. The scores for each dimension are calculated by summing the answers to the questions. The resulting scores are then transferred to a scale from 0 to 100 with 0 representing extreme knee problems and 100 representing no problems.

    Measured: Through study completion, up to 6 Months

  16. One Year Knee Injury and Osteoarthritis Outcome Score (KOOS)

    A knee-specific instrument that derives a score developed to assess the patients' opinion about their knee and associated problems. The scores for each dimension are calculated by summing the answers to the questions. The resulting scores are then transferred to a scale from 0 to 100 with 0 representing extreme knee problems and 100 representing no problems.

    Measured: Through study completion, up to 10 months

  17. Two Year Knee Injury and Osteoarthritis Outcome Score (KOOS)

    A knee-specific instrument that derives a score developed to assess the patients' opinion about their knee and associated problems. The scores for each dimension are calculated by summing the answers to the questions. The resulting scores are then transferred to a scale from 0 to 100 with 0 representing extreme knee problems and 100 representing no problems.

    Measured: Through study completion, up to 10 months

  18. Five Year Knee Injury and Osteoarthritis Outcome Score (KOOS)

    A knee-specific instrument that derives a score developed to assess the patients' opinion about their knee and associated problems. The scores for each dimension are calculated by summing the answers to the questions. The resulting scores are then transferred to a scale from 0 to 100 with 0 representing extreme knee problems and 100 representing no problems.

    Measured: Through study completion, up to 10 months

  19. Six Week Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores comprise measures for the assessment of joint-specific patient-reported outcome (PRO). These PRO questionnaires focus on patients' awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. This may include strong sensations like pain, but also includes more subtle feelings like mild stiffness, subjective dysfunction, or any discomfort. The FJS-12 score ranges from 0 to 100, with 0 being the worst score and 100 being the best. A higher score means the patient is better able to forget about the artificial joint in daily life. So, the higher the score, the better the outcome is

    Measured: Through study completion, up to 6 weeks

  20. Six Month Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores comprise measures for the assessment of joint-specific patient-reported outcome (PRO). These PRO questionnaires focus on patients' awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. This may include strong sensations like pain, but also includes more subtle feelings like mild stiffness, subjective dysfunction, or any discomfort. The FJS-12 score ranges from 0 to 100, with 0 being the worst score and 100 being the best. A higher score means the patient is better able to forget about the artificial joint in daily life. So, the higher the score, the better the outcome is

    Measured: Through study completion, up to 6 months

  21. 1 Year Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores comprise measures for the assessment of joint-specific patient-reported outcome (PRO). These PRO questionnaires focus on patients' awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. This may include strong sensations like pain, but also includes more subtle feelings like mild stiffness, subjective dysfunction, or any discomfort. The FJS-12 score ranges from 0 to 100, with 0 being the worst score and 100 being the best. A higher score means the patient is better able to forget about the artificial joint in daily life. So, the higher the score, the better the outcome is

    Measured: Through study completion, up to 10 months

  22. Two Year Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores comprise measures for the assessment of joint-specific patient-reported outcome (PRO). These PRO questionnaires focus on patients' awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. This may include strong sensations like pain, but also includes more subtle feelings like mild stiffness, subjective dysfunction, or any discomfort. The FJS-12 score ranges from 0 to 100, with 0 being the worst score and 100 being the best. A higher score means the patient is better able to forget about the artificial joint in daily life. So, the higher the score, the better the outcome is

    Measured: Through study completion, up to 10 months

  23. Five Year Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores comprise measures for the assessment of joint-specific patient-reported outcome (PRO). These PRO questionnaires focus on patients' awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. This may include strong sensations like pain, but also includes more subtle feelings like mild stiffness, subjective dysfunction, or any discomfort. The FJS-12 score ranges from 0 to 100, with 0 being the worst score and 100 being the best. A higher score means the patient is better able to forget about the artificial joint in daily life. So, the higher the score, the better the outcome is

    Measured: Through study completion, up to 10 months

  24. Six Week EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. Scores are derived by a 5 digit code. The higher the number, the better the overall health status of the patient.

    Measured: Through study completion, up to 6 weeks

  25. Six Month EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. Scores are derived by a 5 digit code. The higher the number, the better the overall health status of the patient.

    Measured: Through study completion, up to 6 months

  26. One Year EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. Scores are derived by a 5 digit code. The higher the number, the better the overall health status of the patient.

    Measured: Through study completion, up to 10 months

  27. Two Year EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. Scores are derived by a 5 digit code. The higher the number, the better the overall health status of the patient.

    Measured: Through study completion, up to 10 months

  28. Five Year EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. Scores are derived by a 5 digit code. The higher the number, the better the overall health status of the patient.

    Measured: Through study completion, up to 10 months

  29. Six Month Investigator-conducted Radiographic Analysis

    Rate of radiolucencies and other significant radiographic findings identified by clinical investigators.

    Measured: Through study completion, up to 6 Months

  30. One Year Investigator-conducted Radiographic Analysis

    Rate of radiolucencies and other significant radiographic findings identified by clinical investigators.

    Measured: Through study completion, up to 10 months

  31. Two Year Investigator-conducted Radiographic Analysis

    Rate of radiolucencies and other significant radiographic findings identified by clinical investigators.

    Measured: Through study completion, up to 10 months

  32. Five Year Investigator-conducted Radiographic Analysis

    Rate of radiolucencies and other significant radiographic findings identified by clinical investigators.

    Measured: Through study completion, up to 10 months

Timeline

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

  1. First posted16 Nov 2020
  2. Study start9 May 2022
  3. Primary completion31 Mar 2023
  4. Study completion31 Mar 2023

Why it stopped: Study was unfunded.

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
Parallel groups
Model description
ATTUNE Cementless Fixed Bearing
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04630262
Sponsor's protocol ID
DSJ_2019_05
Status last verified
Mar 2025
First submitted
28 Oct 2020
Last updated
4 Mar 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: 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.

Questions about this trial

What is this clinical trial studying?

A study testing ATTUNE Cementless CR Fixed Bearing and ATTUNE Cementless PS Fixed Bearing in people with Osteoarthritis of the Knee, run by DePuy Orthopaedics at 15 sites in United States.

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 6 inclusion and 9 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: stopped early, as of the sponsor's last update on 4 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States. 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 3 Feb 2025). 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?

One Year Functional Responder Rate of First 225 Subjects (time frame: through study completion, up to 10 months). 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 4 Mar 2025; AzTrials last refreshed its copy on 27 Oct 2026.

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