Hip Replacement System (HRS-P) in Primary Total Hip Arthroplasty ((HRS-P))

A Multi-Center Prospective Study of the Hip Innovation Technology (HIT) Hip Replacement System in Primary Total Hip Arthroplasty

To evaluate effectiveness and safety of HHRS in subjects undergoing total hip arthroplasty (THA). Effectiveness will be evaluated using patient-reported, clinical, radiologic, and radiostereometric outcomes. Safety will be evaluated through the collection of device-related and unanticipated device-related adverse events.

Study Overview

• Status: Recruiting
• Conditions: Osteoarthritis of Hip
• Intervention / Treatment: Device: HIT Hip Replacement System

Detailed Description

The HIT Hip Replacement System (HHRS) is a Metal-on-Polyethylene (MoP) conventional hip prosthesis. The HHRS consists of a femoral stem, an acetabular cup and a Cobalt Chromium Molybdenum (CoCrMo) ball that articulates within a polyethylene liner. The ball sits on the acetabular cup, and the polyethylene liner is attached to the femoral cup, which attaches to the femoral stem, instead of the acetabular cup. The acetabular component of the HHRS consists of a hemispherical acetabular shell with a clustered screw-hole design. The outside of the shells are coated with titanium plasma to facilitate bone in-growth and provide secure intermediate fixation with the prepared bone surface at the site of implantation. The acetabular cup has a 3-hole design that accommodates three titanium alloy bone screws. Inside the acetabular cup is a male taper for assembly with the acetabular ball. The femoral component consists of a femoral stem manufactured from titanium and a mating cobalt chrome femoral cup lined with a highly cross-linked ultra-high-molecular-weight polyethylene (UHMWPE). As with the acetabular cup, the femoral stem is porous coated using a plasma spray of pure titanium, which is intended to facilitate bone in-growth and provide secure intermediate fixation with the prepared bone surface at the site of implantation. The femoral stem incorporates a female taper for assembly with the male taper of the femoral cup.

The device has undergone extensive pre-clinical testing. There is no clinical experience with the HRS.

• Study Type: Interventional
• Enrollment (Estimated): 100
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Linda Braddon, PhD; Phone Number: 770-837-2681; Email: LGB@SecureBME.com
• Study Contact Backup: Name: Thomas Turgeon, MD; Phone Number: 204-926-1218; Email: tturgeon@cjrg.ca

Study Locations

• Canada
  • Manitoba
    • Winnipeg, Manitoba, Canada, R2K 2M9
      • Recruiting
      • Orthopaedic Innovation Centre
      • Contact: Thomas Turgeon, MD; Phone Number: (204) 926-1218; Email: tturgeon@cjrg.ca
      • Contact: Sarah Tran; Phone Number: (204) 926-1231; Email: stran@orthoinno.com
      • Principal Investigator: Thomas Turgeon, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years to 79 years (Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patient has a non-inflammatory degenerative joint disease (NIDJD) or any of its composite diagnoses such as osteoarthritis, avascular necrosis, traumatic arthritis, slipped capital epiphysis, fracture of the pelvis, and diastrophic variant requiring unilateral primary total hip replacement.
• Age between 65 and 79 years (inclusive) at the time of enrollment.
• Patient is a suitable candidate for primary total hip replacement at the discretion of the Investigator.
• Pre-surgery (within 28 days before surgery) WOMAC Global Score of 40 or larger on a scale from 0 (best) to 96 (worst)
• Signed and dated informed consent document.
• Patient is willing and able to participate in required follow-up visits at the Investigational site and to complete study procedures and questionnaires.

Exclusion Criteria:

• Patient has had total hip replacement, hemi-arthroplasty, or fusion in either hip in the last 12 months;
• Patient has planned total hip arthroplasty on a contra-lateral joint in the next 12 months;
• Patient has a known allergy to any component of the study device;
• Patient has a history of active sepsis in the joint;
• Patient has an insufficient acetabular or femoral bone stock in which good anchorage of the implants are unlikely or impossible;
• Patient has total or partial absence of the muscular or ligamentous apparatus;
• Patient has known moderate to severe renal insufficiency;
• Patient has vascular insufficiency, muscular atrophy, or neuromuscular disease in either leg (based on the Investigator's discretion);
• Patient has a deformity of the affected limb or significant anatomic variance of the affected hip;
• Patient has an active malignancy or history of invasive malignancy within the last five years, with the exception of superficial basal cell carcinoma or squamous cell carcinoma of the skin that has been definitively treated. Patients with carcinoma in situ of the uterine cervix definitively treated more than 1 year prior to enrollment may enter the study;
• Patient has any condition which may, in the opinion of the Investigator, interfere with the total hip replacement survival or patient outcomes (e.g. Paget's disease, Charcot's disease);
• Patient has rheumatoid arthritis or other autoimmune condition that affect joints (e.g. Lupus Arthritis);
• Patient has any condition that would interfere with patient self-assessment or pain, the function or quality of life required for patient reported outcomes during the study (based on the Investigator's discretion);
• Body Mass Index (BMI) of 40 or more;
• Patient has an active infection (e.g. hepatitis, AIDS, ARC) - systemic or at the site of intended surgery;
• Patient is currently participating in any investigational study not related to this study's pre-operative or post-operative care;
• Patient has any other severe acute or chronic medical condition that may interfere with the interpretation of the study results, in the judgment of the Investigator, which would make the patient inappropriate for entry into this study;
• Patient has a history of metabolic bone disease (e.g. Paget's disease or osteomalacia);
• Patient is currently pregnant or is planning to become pregnant.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: HIT Hip Replacement System (HRS); Single group assignment with historical controls.	Device: HIT Hip Replacement System; HIT Hip Replacement System

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) v3.0 Likert Scale Functional Limitations Score between baseline (pre-operative) and the 730- day post-operative follow-up time point.	between pre-operative and 730 days (24 months)
Change in Harris Hip Score between baseline (pre-operative) and the 730-day post-operative follow-up time point.	between pre-operative and 730 days (24 months)

Secondary Outcome Measures

Outcome Measure	Time Frame
Change in Oxford Hip Score between 730-day post-operative and baseline (pre-surgery)	between 730-days post-operative and baseline (pre-surgery)
Change in Short Form 36 v2 Physical Component Score (PCS) between 730-days post-operative and baseline (pre-surgery)	between 730-days post-operative and baseline (pre-surgery)

Collaborators and Investigators

• Sponsor: Hip Innovation Technology
• Investigators: Principal Investigator: Thomas Turgeon, MD, Orthopaedic Innovation Centre; Study Director: Branko Kopjar, MD, PhD, Nor Consult, LLC

Study record dates

Study Major Dates

• Study Start (Actual): August 25, 2017
• Primary Completion (Estimated): August 25, 2025
• Study Completion (Estimated): August 25, 2026

Study Registration Dates

• First Submitted: July 14, 2016
• First Submitted That Met QC Criteria: July 15, 2016
• First Posted (Estimated): July 18, 2016

Study Record Updates

• Last Update Posted (Estimated): March 1, 2024
• Last Update Submitted That Met QC Criteria: February 29, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Hip
• Other Study ID Numbers: HIT-001

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No