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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04325022
Registration number
NCT04325022
Ethics application status
Date submitted
25/03/2020
Date registered
27/03/2020
Titles & IDs
Public title
Safety and Effectiveness Study of OR3O™ Dual Mobility System in THA
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Scientific title
Prospective, Multi-center Study to Evaluate the Safety and Effectiveness of the OR3O™ Dual Mobility System in Primary and Revision Total Hip Arthroplasty (THA) Procedures
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Secondary ID [1]
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OR3O.2019.08
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Universal Trial Number (UTN)
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Trial acronym
OR3O
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Degeneration of the Hip Joint
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Revision of the Hip Joint
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Devices - Primary Total Hip Arthroplasty
Treatment: Devices - Revision Total Hip Arthroplasty
Primary Total Hip Arthroplasty (THA) - OR3O Dual Mobility System used in primary THA
Revision Total Hip Arthroplasty (THA) - OR3O Dual Mobility System used in revision THA
Treatment: Devices: Primary Total Hip Arthroplasty
Primary Total Hip Arthroplasty using the OR3O Dual Mobility System in combination with compatible components
Treatment: Devices: Revision Total Hip Arthroplasty
Revision Total Hip Arthroplasty using the OR3O Dual Mobility System in combination with compatible components
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Survivorship of Primary Total Hip Arthroplasty (THA)
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Assessment method [1]
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Assess survivorship of the OR3O™ Dual Mobility System at 2 years post implantation in Primary THA procedures. Survivorship is defined as no revision of the Acetabular Implant and OR3O™ Liner.
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Timepoint [1]
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2 years
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Secondary outcome [1]
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Survivorship of individual Total Hip Arthroplasty (THA) components (OR3O Dual Mobility, acetabular shell, femoral head)
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Assessment method [1]
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Survivorship of the following specific components will be presented individually: OR3O™Dual Mobility System, Acetabular Shell, Femoral head. The endpoint of interest is time to occurrence of a revision of the specific component due to any reason.
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Timepoint [1]
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up to 10 years
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Secondary outcome [2]
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Harris Hip Score (HHS)
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Assessment method [2]
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The Harris Hip Score is a joint specific score that consists of 10 items covering domains of pain (1 item, 0-44 points), function (7 items, 0-47 points), functional activities, absence of deformity (1 item, 0 or 4 points), and hip range of motion (2 items, 0-5 points). Total scores range from 0 (worst) to 100 (best). The total scores and scores for each of the domains will be presented. The modified Harris Hip Score (mHHS) includes all the same domains as the HHS except for the hip range of motion (2 items, 0-5 points). Total mHHHs scores range from 0 (worst) to 95 (best). The total mHHS score maybe used in place of the total HHS score.
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Timepoint [2]
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Pre-Op, 6 weeks, 6 months, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [3]
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Five-level EuroQol five-dimensional (EQ-5D-5L) score
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Assessment method [3]
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The EQ-5D-5L score consists of two parts: a descriptive system and a visual analogue scale. The descriptive system is used to describe the subject's health state and consists of five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels to choose the most appropriate answer: no problems, slight problems, moderate problems, severe problems and extreme problems. The subject is asked to indicate his/her health state by marking the most appropriate statement in each of the five areas.
The visual analogue scale records the subject's self-rated health on a vertical visual analogue scale.The endpoints on the scale are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome as judged by the individual respondents.
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Timepoint [3]
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Pre-Op, 6 weeks, 6 months, 1 year, 2 years, 3 years, 5 years, 7 years, and 10 years
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Secondary outcome [4]
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Hip Disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR.)
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Assessment method [4]
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The HOOS JR. is a short-form survey based on the Hip Disability and Osteoarthritis Outcome Score (HOOS) that specifically focuses on the outcome after THA. HOOS JR. consists of 2 areas: pain (2 items) and function, daily living (4 items). The last week is taken into consideration when answering the questions. Standardized answer options are given (5 Likert boxes - no, mild, moderate, severe, extreme) and each question gets a score from 0 to 4. An interval score from 0-100 (0 indicating total hip disability and 100 indicating perfect hip health) is calculated (15).
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Timepoint [4]
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Pre-Op, 6 weeks, 6 months, 1 year, 2 years, 3 years, 5 years, 7 years, and 10 years
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Secondary outcome [5]
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Forgotten Joint Score 12 (FJS-12)
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Assessment method [5]
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The Forgotten Joint Score 12 (FJS-12) is a self-administered score where subjects are asked to rate their awareness of their hip arthroplasty in 12 questions with a five-point Likert response format: "Never", "almost never", "seldom", "sometimes" and "mostly". The item scores are summed and linearly transformed in a 0 to 100 scale with a high value reflecting the ability of the subject to forget about the replaced hip joint during the activities of daily living (i.e., higher score is a better outcome).
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Timepoint [5]
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Pre-Op, 6 weeks, 6 months, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [6]
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Radiographic Assessment - Acetabular Cup Migration
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Assessment method [6]
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Acetabular Cup Migration will be assessed from radiographs with the following definitions:
0 - Absent: No evidence of acetabular cup migration = 3 mm from baseline
1 - Present: Presence of acetabular cup migration = 3mm from baseline
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Timepoint [6]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [7]
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Radiographic Assessment - Femoral Stem Subsidence
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Assessment method [7]
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Femoral Stem Subsidence will be assessed from radiographs with the following definitions:
0 - Absent: No evidence of inferior movement of the femoral stem = 3mm.
1 - Present: Presence of inferior movement of the femoral stem compared to previously available imaging = 3mm.
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Timepoint [7]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [8]
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Radiographic Assessment - Osseointegration Status - Acetabular Cup
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Assessment method [8]
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Osseointegration Status - Acetabular Cup will be assessed from radiographs with the following definitions:
0 - Absent: Absence of all radiographic signs or presence of only one radiographic sign of acetabular cup osseointegration
1. - Partial: Presence of two radiographic signs of acetabular cup osseointegration.
2. - Complete: Presence of three or more radiographic signs of acetabular cup osseointegration.
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Timepoint [8]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [9]
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Radiographic Assessment - Acetabular Cup Loosening
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Assessment method [9]
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Acetabular Cup Loosening will be assessed from radiographs with the following definitions:
0 - Absent: No evidence of specific imaging features of loosening at the acetabular bone-implant interface including significant radiolucency or change in position of the acetabular cup indicating a loss of fixation.
1 - Present: Presence of apparent imaging features of loosening at the acetabular bone-implant interface including significant radiolucency or change in position of the acetabular cup indicating a loss of fixation.
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Timepoint [9]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [10]
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Radiographic Assessment - Device Integrity
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Assessment method [10]
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Device Integrity will be assessed from radiographs with the following definitions:
0 - Intact: No evidence of fracture, breakage or disassembly of any device component.
1 - Failed: Presence of fracture, breakage or disassembly of one or more device components.
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Timepoint [10]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [11]
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Radiographic Assessment - Progressive Radiolucency Acetabular Zones
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Assessment method [11]
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Progressive Radiolucency in all acetabular zones will be assessed from radiographs with the following definitions:
0 - None: No evidence of an increase in width of the radiolucency \> 1 mm
1 - Present: Presence of an increase in width of the radiolucency \> 1 mm
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Timepoint [11]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [12]
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Radiographic Assessment - Progressive Radiolucency Femoral Zones
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Assessment method [12]
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Progressive Radiolucency in all femoral zones will be assessed from radiographs with the following definitions:
0 - None: No evidence of an increase in width of the radiolucency \> 1 mm
1 - Present: Presence of an increase in width of the radiolucency \> 1 mm
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Timepoint [12]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [13]
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Radiographic Assessment - Osteolysis - Acetabular Cup
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Assessment method [13]
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Osteolysis Acetabular Cup will be assessed from radiographs with the following definitions:
0 - None: No evidence of a ballooning / scalloping, progressive, periacetabular, bony destructive lesion with a maximum dimension \> 5mm.
1 - Present: Presence of a ballooning / scalloping, progressive, periacetabular, bony destructive lesion with a maximum dimension \> 5mm.
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Timepoint [13]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [14]
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Radiographic Assessment - Osteolysis - Femoral Stem
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Assessment method [14]
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Osteolysis Femoral Stem will be assessed from radiographs with the following definitions:
0 - None: No evidence of a ballooning / scalloping, progressive, perifemoral, bony destructive lesion with a maximum dimension \> 5mm.
1 - Present: Presence of a ballooning / scalloping, progressive, perifemoral, bony destructive lesion with a maximum dimension \> 5mm.
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Timepoint [14]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [15]
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Radiographic Assessment - Anatomic Fracture
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Assessment method [15]
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Anatomic Fracture will be assessed from radiographs with the following definitions:
0 - Absent: No evidence of anatomic fracture or other related complication.
1 - Present: One or more of the following conditions are present: pelvic bone fracture or femoral bone fracture.
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Timepoint [15]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Secondary outcome [16]
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Radiographic Assessment - Heterotopic Ossification
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Assessment method [16]
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Heterotopic Ossification will be assessed from radiographs with the following definitions:
0 - None: No evidence of heterotopic bone formation
1. - Grade 1: (Class I) Islands of bone within the soft tissue about the hip
2. - Grade 2: (Class II) Bone spurs from the pelvis or proximal end of the femur, leaving at least a centimeter between opposing bone surfaces.
3. - Grade 3: (Class III) Bone spurs from the pelvis or proximal end of the femur, reducing the space between opossing bone surfaces to less than 1 cm.
4. - Grade 4: (Class IV) apparent bone ankylosis of the hip
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Timepoint [16]
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6 weeks, 1 year, 2 years, 5 years, and 10 years
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Eligibility
Key inclusion criteria
All subjects:
* Subject is a suitable candidate for implanting the OR3O™ Dual Mobility System in primary or revision total hip replacement in the Investigator's judgement.
* Subject is skeletally mature in the Investigator's judgement.
* Subject is 18 - 80 years old (inclusive).
* Subject has any of the following conditions:
* Advanced degeneration of the hip joint as a result of degenerative, post-traumatic, or rheumatoid arthritis (RA);
* Fracture or avascular necrosis of the femoral head;
* Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement;
* All forms of osteoarthritis (OA);
* Patients with hips at risk of dislocation;
* Femoral neck fracture or proximal hip joint fracture.
* Subject provides written informed consent for study participation using an Independent Ethical Committee (IEC) / Institutional Review Board (IRB) approved consent form before any study procedures are performed, including pre-operative data review and/or collection of data on electronic Case Report Forms (eCRFs).
* Subject is willing and able to participate in required follow-up visits and is able to complete study activities.
* Subject has all required study pre-operative and operative data available in their medical record for collection if consent is given after their THA surgery.
Revision Subjects:
* Subject has a REDAPT™ Modular Shell implanted which does not require revision or will receive a REDAPT™ Modular Shell during revision THA.
* Subject has a S+N compatible stem which does not require revision or will receive a S+N compatible stem during revision THA.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
All subjects:
* Subject has conditions that would eliminate or tend to eliminate adequate implant support or prevent the use of an appropriately-sized implant, e.g.:
* blood supply limitations;
* insufficient quantity or quality of bone support, e.g., osteoporosis, metabolic disorders which may impair bone formation, radioactive bone disease, tumor around hip joint, and osteomalacia;
* infections or other conditions which may lead to increased bone resorption.
* Subject has dysplasia of hip joint with CROWE Grade III, IV.
* Subject has bodily disease(s) that may interfere with THA survival or outcome.
* Subject has life expectancy of less than 10 years.
* Subject has mental or neurological conditions which impair the subject's ability or willingness to restrict activities that may put the affected limb at risk.
* Subject has physical conditions or activities which tend to place extreme loads on implants, e.g., Charcot joints, muscle deficiencies, multiple joint disabilities.
* Subject has neuromuscular dysfunctions (paralysis, myolysis and abductor muscle weakness) which will cause unstable hip joint or abnormal gait after surgery.
* Subject has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study.
* Subject has an active infection - systemic or at the site of intended surgery.
* Subject has a Body Mass Index > 40.0 kg/m².
* Subject has a known allergy to any component of the devices used in the study.
* Subject is pregnant or breast feeding.
* Subject is entered in another investigational drug, biologic, or device study within 30 days of active study participation.
Revision Subjects:
* Subject has inadequate implant support with an increased risk of implant failure if support is not achieved, poor bone quality exists, or smaller sized implants are utilized.
* Subject needs revision of a fractured ceramic head or liner.
* Subject was already enrolled into this study as primary THA case.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/07/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/01/2035
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Actual
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Sample size
Target
177
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Mater Health Services - Brisbane
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Recruitment hospital [2]
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Calvary John James Hospital - Deakin
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Recruitment hospital [3]
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Eastern Health - Melbourne
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Recruitment hospital [4]
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Orthopaedic Research Institute of Queensland - Pimlico
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Recruitment postcode(s) [1]
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4101 - Brisbane
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Recruitment postcode(s) [2]
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2600 - Deakin
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Recruitment postcode(s) [3]
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3128 - Melbourne
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Recruitment postcode(s) [4]
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4812 - Pimlico
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Georgia
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Country [2]
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United States of America
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State/province [2]
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Kentucky
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Country [3]
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United States of America
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State/province [3]
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Nebraska
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Country [4]
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United States of America
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State/province [4]
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Nevada
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Country [5]
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United States of America
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State/province [5]
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New York
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Country [6]
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United States of America
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State/province [6]
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North Carolina
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Country [7]
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United States of America
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State/province [7]
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Texas
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Country [8]
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Canada
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State/province [8]
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Alberta
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Country [9]
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Canada
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State/province [9]
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Ontario
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Country [10]
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Hong Kong
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State/province [10]
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Hong Kong
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Country [11]
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India
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State/province [11]
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Madhya Pradesh
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Country [12]
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India
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State/province [12]
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Pune
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Smith & Nephew, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to assess the safety and effectiveness of the OR3O™ Dual Mobility System. The study will evaluate the outcome of the Total Hip Arthroplasty using the OR3O™ Dual Mobility System over a ten year period. Survivorship of THA will be assessed up to ten years.
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Trial website
https://clinicaltrials.gov/study/NCT04325022
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ran Schwarzkopf, MD
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Address
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NYU Langone Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Maya Simons
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Address
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Country
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Phone
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+18482700187
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04325022