Osteoarthritis, Knee Clinical Trial
Official title:
Comparative Effectiveness of the Journey Total Knee Arthroplasty Relative to Two Standard of Care Total Knee Arthroplasty Prostheses: A Randomized Controlled Trial
The purpose of the study is to determine if knee replacement performed using Journey II implant is different from two other standard-of-care knee replacements using Stryker and Zimmer in terms of knee movements and forces, walking patterns, pain, and function after surgery.
Status | Recruiting |
Enrollment | 75 |
Est. completion date | December 2027 |
Est. primary completion date | June 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years to 75 Years |
Eligibility | Inclusion Criteria: 1. Participant has signed an approved informed consent form. 2. Participant is a male or non-pregnant female and aged 50 to 75 years at the time of study device implantation. 3. Participant has a diagnosis of Non-Inflammatory Degenerative Joint Disease (NIDJD). 4. Participant is a candidate for a primary posterior-stabilized total knee replacement. 5. Participant is willing and able to comply with postoperative scheduled clinical and radiographic evaluations and rehabilitation. Exclusion Criteria: 1. Participant has a Body Mass Index (BMI) = 40 kg/m2. 2. Participant has a varus or valgus deformity greater than 15º or flexion contracture greater than 20º or knee flexion range of motion < 90º in either lower extremity. 3. Participant has an active or suspected latent infection in or about the affected knee joint at time of study device implantation. 4. Participant has received any orthopaedic surgical intervention to the lower extremities within the past 6 months or is expected to require any orthopaedic surgical intervention to the lower extremities, other than the TKA, within the next year. 5. Participant requires bilateral total knee replacements, or has a history of contralateral partial or total knee replacement within the past 6 months. 6. Participant has other medical conditions which limit the ability to evaluate the safety and efficacy of the device. 7. Participant requires revision surgery of a previously implanted total knee replacement or knee fusion to the affected joint. 8. Participant has a known sensitivity to device materials. |
Country | Name | City | State |
---|---|---|---|
Canada | Edmonton Bone and Joint Centre | Edmonton | Alberta |
Lead Sponsor | Collaborator |
---|---|
University of Alberta |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | knee flexion-extension range of motion (ROM) during level treadmill walking | Angle of knee measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Degree |
1 month preoperative | |
Primary | knee flexion-extension range of motion (ROM) during level treadmill walking | Angle of knee measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Degree |
1 year post-operative | |
Primary | knee abduction-adduction range of motion (ROM) during level treadmill walking | Angle of knee measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Degree |
1 month preoperative | |
Primary | knee abduction-adduction range of motion (ROM) during level treadmill walking | Angle of knee measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Degree |
1 year post-operative | |
Primary | Max velocity of knee flexion-extension during level treadmill walking | Knee velocity measured using the Computer-Assisted Rehabilitation Environment (CAREN). Unit: degree/s | 1 month preoperative | |
Primary | Max velocity of knee flexion-extension during level treadmill walking | Knee velocity measured using the Computer-Assisted Rehabilitation Environment (CAREN). Unit: degree/s | 1 year post-operative | |
Primary | Max velocity of knee abduction-adduction during level treadmill walking | Knee velocity measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: degree/s |
1 month preoperative | |
Primary | Max velocity of knee abduction-adduction during level treadmill walking | Knee velocity measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: degree/s |
1 year post-operative | |
Primary | Max moment of knee flexion-extension during level treadmill walking | Knee moment measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Newton meter |
1 month preoperative | |
Primary | Max moment of knee flexion-extension during level treadmill walking | Knee moment measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Newton meter |
1 year post-operative | |
Primary | Max moment of knee abduction-adduction during level treadmill walking | Knee moment measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Newton meter |
1 month preoperative | |
Primary | Max moment of knee abduction-adduction during level treadmill walking | Knee moment measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Newton meter |
1 year post-operative | |
Secondary | Walking velocity during level treadmill walking | Walking velocity (the quotient of the distance traveled by the time) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: m/s |
1 month preoperative | |
Secondary | Walking velocity during level treadmill walking | Walking velocity (the quotient of the distance traveled by the time) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: m/s |
1 year post-operative | |
Secondary | Cadence during level treadmill walking | Cadence (the quotient of the number of steps taken per minute) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Steps/min |
1 month preoperative | |
Secondary | Cadence during level treadmill walking | Cadence (the quotient of the number of steps taken per minute) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: Steps/min |
1 year post-operative | |
Secondary | Stride length during level treadmill walking | Stride length (the distance between the position (e.g., heel strike) of one foot to the next similar position in the same foot (e.g. next heel strike)) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: meter |
1 month preoperative | |
Secondary | Stride length during level treadmill walking | Stride length (the distance between the position (e.g., heel strike) of one foot to the next similar position in the same foot (e.g. next heel strike)) measured using the Computer-Assisted Rehabilitation Environment (CAREN).
Unit: meter |
1 year post-operative | |
Secondary | The new Knee Society Clinical Rating Scores (KSCRS) | The function subscale of this scorning system (KSCRS) quantifies the function of the knee.
Score: 100 |
1 month preoperative | |
Secondary | The new Knee Society Clinical Rating Scores (KSCRS) | The function subscale of this scorning system (KSCRS) quantifies the function of the knee.
Score: 100 |
1 year post-operative | |
Secondary | The new Knee Society Clinical Rating Scores (KSCRS) | The function subscale of this scorning system (KSCRS) quantifies the function of the knee.
Score: 100 |
2 years post-operative | |
Secondary | Euro-Quality of Life five dimensions questionnaire (EQ-5D) | Standardized instrument that measures health-related quality of life. consists of 2 parts:
EQ-5D-5L: self-report, generic health utility instrument with 5 domains (mobility, self-care, pain/discomfort, depression/anxiety, and usual activities) and 5 levels in each domain (no problems, slight problems, moderate problems, severe problems, and extreme problems). EQ Visual Analogue scale (EQ VAS): Scores: 100 = the best health you can imagine and 0 = the worst health you can imagine. |
1 month preoperative | |
Secondary | Euro-Quality of Life five dimensions questionnaire (EQ-5D) | Standardized instrument that measures health-related quality of life. consists of 2 parts:
EQ-5D-5L: self-report, generic health utility instrument with 5 domains (mobility, self-care, pain/discomfort, depression/anxiety, and usual activities) and 5 levels in each domain (no problems, slight problems, moderate problems, severe problems, and extreme problems). EQ Visual Analogue scale (EQ VAS): Scores: 100 = the best health you can imagine and 0 = the worst health you can imagine. |
1 year post-operative | |
Secondary | Euro-Quality of Life five dimensions questionnaire (EQ-5D) | Standardized instrument that measures health-related quality of life. consists of 2 parts:
EQ-5D-5L: self-report, generic health utility instrument with 5 domains (mobility, self-care, pain/discomfort, depression/anxiety, and usual activities) and 5 levels in each domain (no problems, slight problems, moderate problems, severe problems, and extreme problems). EQ Visual Analogue scale (EQ VAS): Scores: 100 = the best health you can imagine and 0 = the worst health you can imagine. |
2 years post-operative | |
Secondary | UCLA activity-level rating (UCLA) | Scale to assess activity ranging from 1 to 10. The patient indicates her or his most appropriate activity level, with 1 defined as ''wholly inactive and dependent on others'' and 10 defined as ''regular participation in impact sports.'' | 1 month preoperative | |
Secondary | UCLA activity-level rating (UCLA) | Scale to assess activity ranging from 1 to 10. The patient indicates her or his most appropriate activity level, with 1 defined as ''wholly inactive and dependent on others'' and 10 defined as ''regular participation in impact sports.'' | 1 year post-operative | |
Secondary | UCLA activity-level rating (UCLA) | Scale to assess activity ranging from 1 to 10. The patient indicates her or his most appropriate activity level, with 1 defined as ''wholly inactive and dependent on others'' and 10 defined as ''regular participation in impact sports.'' | 2 years post-operative | |
Secondary | knee injury and osteoarthritis outcome score (KOOS) | Questionnaire to assess knee outcomes: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL).
A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. |
1 month preoperative | |
Secondary | knee injury and osteoarthritis outcome score (KOOS) | Questionnaire to assess knee outcomes: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL).
A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. |
1 year post-operative | |
Secondary | knee injury and osteoarthritis outcome score (KOOS) | Questionnaire to assess knee outcomes: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL).
A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. |
2 years post-operative | |
Secondary | Forgotten Joint Score | Scale that shows how aware patients are of their artificial hip/knee joint in everyday life. Total score range: 0 to 100. Finally, the score is subtracted from 100, to change the direction of the final score in a way that high scores indicate a high degree of "forgetting" the artificial joint, that is, a low degree of awareness. | 1 month preoperative | |
Secondary | Forgotten Joint Score | Scale that shows how aware patients are of their artificial hip/knee joint in everyday life. Total score range: 0 to 100. Finally, the score is subtracted from 100, to change the direction of the final score in a way that high scores indicate a high degree of "forgetting" the artificial joint, that is, a low degree of awareness. | 1 year post-operative | |
Secondary | Forgotten Joint Score | Scale that shows how aware patients are of their artificial hip/knee joint in everyday life. Total score range: 0 to 100. Finally, the score is subtracted from 100, to change the direction of the final score in a way that high scores indicate a high degree of "forgetting" the artificial joint, that is, a low degree of awareness. | 2 years post-operative |
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