AzTrials
AzTrials

Transfemoral AmputeesNCT07898098

Early Rehabilitation After Transfemoral Amputation in Moderately Active Patients Using the Avior Knee

A study testing knee prothesis - Avior and knee prothesis - Kenevo in people with Transfemoral Amputees, run by Median at 1 site in Germany.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to compare microprocessor-controlled knee prostheses in early rehabilitation in amputees with transfemoral amputations and low mobility (K I-II). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Transfemoral Amputees
What is being tested?
knee prothesis - Avior and knee prothesis - Kenevo
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
1 siteGermany
Study dates
7 Jul 2026to Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Inpatient rehabilitation with a primary diagnosis of: transfemoral amputation or knee disarticulation
  • Expected level of mobility I or II
  • Body weight up to 125 kg (maximum body weight for the Avior prosthetic knee joint)
  • Patients who are capable of independently consenting to participate in the study and following the study protocol

Who cannot join

  • Participants who are unable to give consent
  • Insufficient knowledge of German to understand the questions in the assessed scores and to follow the study protocol

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Germany1 site
  • MEDIAN Reha-Zentrum Wiesbaden Sonnenberg

    Wiesbaden, Hesse, 65191

Other trials in Germany

About this study

Official title: "Comparison of Microprocessor-controlled Knee Prostheses in Early Rehabilitation Following Transfemoral Amputation and Low Mobility (I-II) - a Non-inferiority Study"

The goal of this clinical trial is to compare microprocessor-controlled knee prostheses in early rehabilitation in amputees with transfemoral amputations and low mobility (K I-II). The main question it aims to answer is:

  • Does the Avior knee prosthesis in early rehabilitation improve the mobility and well-being of the patients?
  • Is the Avior knee prothesis suitable for use in early rehabilitation?
  • Is the Avior knee prothesis suitable for use of amputees with low mobility (K I-II?
Read more

Researchers will compare the Avior knee prothesis to the Kenevo knee prothesis to see if the preious results are achieved or surpassed.

Participants will:

  • wear the knee protheses to be tested for 6 months
  • complete mobility tests during their 6 weeks stay at the rehabilitation facility (every 3 weeks --> total: 3 times)
  • fill out questionairs concerning their mobilty and pain perception
Being tested
knee prothesis - Avior, knee prothesis - Kenevo
Keywords
microprocessor-controlled knee protheses, early rehabilitation, low mobility (K I-II)

What participants receive

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

  • knee prothesis - AviorDevice

    Usage of the Avior knee prothesis for 6 month during the interim period

  • knee prothesis - KenevoDevice

    Usage of Kenevo knee prothesis for the duration of 6 months during the interim period

Study groups in NCT07898098
Study groupRoleWhat they receive
Avior KneeExperimentalThis group recieves the Avior-joint as a knee prosthesis and not the Kenevo-joint as the other group. Otherwise all interventions are the same as in the other group.
Receives: Device: knee prothesis - Avior
Kenevo-KneeExperimentalThis group recieves the Kenevo-joint as a knee prosthesis and not the Avior-joint as the other group. Otherwise all interventions are the same as in the other group. The data of this group is already available and published.
Receives: Device: knee prothesis - Kenevo

What is being measured

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

  1. Mobility of lower-limb prosthesis users: PLUS-M™ 12-Item Short Form T-score

    Mobility of lower-limb prosthesis users is assessed using the Prosthetic Limb Users Survey of Mobility (PLUS-M™) 12-Item Short Form (v1.2). The questionnaire consists of 12 items assessing the participant's ability to perform various mobility-related activities. Each item is rated on a 5-level response scale. The responses are scored according to the PLUS-M™ scoring procedure to obtain a standardized PLUS-M™ T-score. The raw score is used only to determine the corresponding T-score. Higher T-scores indicate greater mobility.

    Unit of Measure:

    PLUS-M™ T-score

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

Secondary outcomes (15)
  1. Health-related quality of life: EQ-5D-5L index score

    Health-related quality of life is assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L). The questionnaire assesses five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is rated on a 5-level scale ranging from 1 (no problems) to 5 (extreme problems or unable to perform the activity, as applicable). The responses across the five dimensions are converted into a single EQ-5D-5L index score using the German EQ-5D-5L value set (Ludwig et al., 2018).

    Unit of Measure:

    EQ-5D-5L index score

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  2. Health-related quality of life: EQ Visual Analogue Scale (EQ VAS) score

    Self-rated health status is assessed using the EQ Visual Analogue Scale (EQ VAS) of the EQ-5D-5L questionnaire. Participants rate their current health status on a visual analogue scale ranging from 0 (the worst health you can imagine) to 100 (the best health you can imagine).

    Unit of Measure:

    EQ VAS score (0-100)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  3. Reintegration into normal living: Reintegration to Normal Living Index (RNLI) total score

    Reintegration into normal living is assessed using the 11-item Reintegration to Normal Living Index (RNLI). The questionnaire assesses the participant's perceived ability to participate in and manage activities, roles, and relationships in daily life. Each item is rated on a 10-point scale ranging from 0 (does not describe my situation at all) to 10 (describes my situation perfectly). The scores of the 11 items are summed to obtain a total RNLI score ranging from 0 to 110 points. Higher scores indicate greater reintegration into normal living.

    Unit of Measure:

    RNLI total score (0-110 points)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  4. Locomotor capabilities: Locomotor Capabilities Index-5 (LCI-5) total score

    Locomotor capabilities with a lower-limb prosthesis are assessed using the Locomotor Capabilities Index-5 (LCI-5). The questionnaire consists of 14 items assessing the participant's ability to perform basic and advanced locomotor activities while using a prosthesis. Each item is scored from 0 (not able to perform the activity) to 4 (able to perform the activity independently without walking aids). Item scores are summed to obtain the total LCI-5 score. Higher scores indicate greater locomotor capability.

    Unit of Measure:

    LCI-5 total score (0-56 points)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  5. Independence in activities of daily living: Barthel Index total score

    Independence in activities of daily living is assessed using the Barthel Index. The assessment covers 10 activities of daily living. Individual activities are scored according to the Barthel Index scoring procedure and combined to obtain a total Barthel Index score. Higher scores indicate greater independence in activities of daily living.

    Unit of Measure:

    Barthel Index total score (0-100 points)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  6. Functional mobility: Timed Up and Go (TUG) test completion time

    Functional mobility is assessed using the Timed Up and Go (TUG) test. The participant starts in a seated position, stands up, walks 3 meters, turns around, walks back, and sits down. The time required to complete the test is measured from initiation of the movement until the participant returns to the seated position.

    Unit of Measure:

    Seconds

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  7. Falls: number of falls

    The occurrence of falls is assessed using a study-specific fall survey. The number of falls experienced by the participant during the specified assessment period is recorded.

    Unit of Measure:

    Number of falls

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  8. Fear of falling: Numerical Rating Scale (NRS) score

    Fear of falling is assessed using a numerical rating scale (NRS) included in the study-specific fall survey. The participant rates their fear of falling on the NRS.

    Unit of Measure:

    NRS score

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).

  9. Residual limb wound healing: Pressure Ulcer Scale for Healing (PUSH) total score

    Residual limb wound healing is assessed using the Pressure Ulcer Scale for Healing (PUSH). The PUSH assesses three wound characteristics: wound surface area, wound exudate, and wound tissue type. Wound surface area is determined by measuring the maximum wound length and width and calculating length × width. The resulting wound area is categorized and scored from 0 to 10 points. Wound exudate is categorized as none, scant, moderate, or heavy and scored from 0 to 3 points. Wound tissue type is categorized and scored from 0 to 4 points. The three component scores are summed to obtain a total PUSH score ranging from 0 to 17 points.

    Unit of Measure:

    PUSH total score (0-17 points)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  10. Functional mobility: Amputee Mobility Predictor with Prosthesis (AMPPRO) total score

    Functional mobility of lower-limb prosthesis users is assessed using the Amputee Mobility Predictor with Prosthesis (AMPPRO). The AMPPRO is a 21-item performance-based assessment evaluating sitting and standing balance, transfers, gait initiation, gait pattern, turning, variable cadence, obstacle negotiation, stair negotiation, and use of walking aids. Individual item scores are combined according to the AMPPRO scoring procedure to obtain a total AMPPRO score ranging from 0 to 47 points. Higher scores indicate better functional mobility.

    Unit of Measure:

    AMPPRO total score (0-47 points)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  11. Walking capacity: 2-Minute Walk Test distance

    Walking capacity is assessed using the 2-Minute Walk Test (2MWT). The distance walked by the participant during 2 minutes is measured.

    Unit of Measure:

    Meters (m)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  12. Walking capacity: 6-Minute Walk Test distance

    Walking capacity is assessed using the 6-Minute Walk Test (6MWT). The distance walked by the participant during 6 minutes is measured.

    Unit of Measure:

    Meters (m)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  13. Phantom limb pain intensity

    Phantom limb pain intensity is assessed during clinical examination using a numerical rating scale (NRS). The participant rates the intensity of phantom limb pain.

    Unit of Measure:

    NRS score (0-10)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  14. Residual limb pain intensity

    Residual limb pain intensity is assessed during clinical examination using a numerical rating scale (NRS). The participant rates the intensity of pain experienced in the residual limb.

    Unit of Measure:

    NRS score (0-10)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

  15. Other pain intensity

    Pain other than phantom limb pain or residual limb pain is assessed during clinical examination using a numerical rating scale (NRS). The location and description of the pain are documented, and the participant rates its intensity.

    Unit of Measure:

    NRS score (0-10)

    Measured: Baseline (beginning of rehabilitation); 3 weeks after baseline; and 6 weeks after baseline (end of rehabilitation).

Timeline

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

  1. First posted27 Oct 2026
  2. Study start7 Jul 2026
  3. Primary completionJun 2027 (estimated)
  4. Study completionJul 2027 (estimated)

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
Supportive care
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
It's a non-inferior study and the current recruitment is for the same intervention, which will be compared to already existing and published data from a previous group with different intervention.
Masking
None (open label)
Enrolment
33 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07898098
Sponsor's protocol ID
Avior2026
Status last verified
Oct 2026
First submitted
3 Jun 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Raisig N, Schröter J, Hahn A, Traub F. Presented at: AOPA National Assembly; 2025 Sep 5; Orlando, USA. "Clinical experience with using MPKs as the first prosthetic knee in patients after transfemoral amputation in Germany"

  • Schröter J, Raisig N, Hahn A, Traub F. Presented at: ISPO World Congress; 2025 Jun 16; Stockholm, Sweden. "Specialized rehabilitation including early MPK mobilization: Impact of quality of life of limited community ambulators after transfemoral amputation"

  • Hafner BJ, Morgan SJ, Askew RL, Salem R. Psychometric evaluation of self-report outcome measures for prosthetic applications. J Rehabil Res Dev. 2016;53(6):797-812. doi: 10.1682/JRRD.2015.12.0228.

    PubMed 28273329
  • Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie e.V. (DGOOC) (Hrsg.). Sk2-Leitlinie "Rehabilitation nach Majoramputation an der unteren Extremität (proximal des Fußes)" (AMWFLeitlinienregister Nr. 033-044). Stand 24.06.2019 2019. Accessed 30/10/2025. https://www.awmf.org/uploads/tx_szleitlinien/033-044l_S2k_Rehabilitation_Majoramputation-untere_Extremitaet_2019-09.pdf

  • Chow, S.-C., Shao, J., Wang, H., & Lokhnygina, Y. (2017). Sample Size Calculations in Clinical Research (3rd ed.). Chapman and Hall/CRC. https://doi.org/10.1201/9781315183084

Questions about this trial

What is this clinical trial studying?

A study testing knee prothesis - Avior and knee prothesis - Kenevo in people with Transfemoral Amputees, run by Median at 1 site in Germany.

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 2 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: enrolling by invitation, as of the sponsor's last update on 27 Oct 2026. 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 Germany. 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?

This study is still under way. Results are not available in the source record yet.

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?

Mobility of lower-limb prosthesis users: PLUS-M™ 12-Item Short Form T-score (time frame: Baseline (beginning of rehabilitation); 3 weeks after baseline; 6 weeks after baseline (end of rehabilitation); 12 weeks after baseline (first follow-up); 18 weeks after baseline (second follow-up); and 24 weeks after baseline (last follow-up).). 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 NCT07898098, which also lists 5 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 27 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in