UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005879
Receipt number R000006496
Scientific Title Wear of Oxidized Zirconium (OXINIUM) on Cross-linked Polyethylene in Primary Total Hip Arthroplasty: Multicenter Randomized controlled Trial Study
Date of disclosure of the study information 2011/07/01
Last modified on 2024/12/23 11:01:07

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Basic information

Public title

Wear of Oxidized Zirconium (OXINIUM) on Cross-linked Polyethylene in Primary Total Hip Arthroplasty: Multicenter Randomized controlled Trial Study

Acronym

Wear of OXINIUM on XLPE: Multicenter RCT Study

Scientific Title

Wear of Oxidized Zirconium (OXINIUM) on Cross-linked Polyethylene in Primary Total Hip Arthroplasty: Multicenter Randomized controlled Trial Study

Scientific Title:Acronym

Wear of OXINIUM on XLPE: Multicenter RCT Study

Region

Japan


Condition

Condition

Hip Disease

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate wear resistance of oxidized zirconium femoral head versus CoCr on cross-linked polyethylene for primary total hip arthroplasty

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Linear wear of polyethylene liner

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration

Institution is considered as a block.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Implantation of oxidized zirconium alloy femoral head

Interventions/Control_2

Implantation of cobalt-chrome alloy femoral head

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patient whose written consent was obtained to participate in the study
2. Patient with indication for THA
3. Patient younger than 75 y.o.
4. Patient able to implant 28mm femoral head
5. Patient with UCLA score higher than 3
6. Patient who has Japanese nationality

Key exclusion criteria

1. Revision THA
2. Implantation of all-polyethylene cup
3. THA case with need to use lateralized and anteverted liner in the pre-op planning
4. Patient unable to evaluate Oxford Hip Score
5. Patient expected to live less than 5 years

Target sample size

1308


Research contact person

Name of lead principal investigator

1st name Haruhiko
Middle name
Last name Akiyama

Organization

Gifu University Hospital

Division name

Orthopaedics

Zip code

501-1194

Address

1-1, Yanagi-to, Gifu-shi, Gifu-ken

TEL

058-230-6000

Email

akiyama.haruhiko.m3@f.gifu-u.ac.jp


Public contact

Name of contact person

1st name Wataru
Middle name
Last name Taguchi

Organization

Smith & Nephew K.K

Division name

Clinical Affairs

Zip code

105-5114

Address

14F, South Wing, World Trade Centre Building, 2-4-1 Hamamatsucho, Minato-ku, Tokyo

TEL

03-5403-8811

Homepage URL


Email

wataru.taguchi@smith-nephew.com


Sponsor or person

Institute

Gifu University Hospital

Institute

Department

Personal name



Funding Source

Organization

Smith & Nephew K.K

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Oita U, Kawasaki Medical U, Gifu U, Keio U, Saitama Medical U, Sapporo Medical U, Chiba U, Miyazaki U, Yamaguchi U, Yokohama City U

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University Certified Institutional Review Board

Address

3-9, Fukuura, Kanazawa-ku, Yokohama, Kanagawa

Tel

045-370-7627

Email

ycu_crb@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 07 Month 01 Day


Related information

URL releasing protocol

https://jrct.niph.go.jp/latest-detail/jRCTs032180273

Publication of results

Unpublished


Result

URL related to results and publications

https://jrct.niph.go.jp/latest-detail/jRCTs032180273

Number of participants that the trial has enrolled

1302

Results

The primary endpoint of polyethylene liner wear at 5 years postoperatively was an average of -0.027 mm in the OX group (420 subject hips) and -0.036 mm in the CoCr group (407 subject hips). No statistically significant difference between the 2 groups (p = 0.6433) was observed.There was no significant difference in PRO (Patient report results: Harris Hip Score, Oxford Hip Score, UCLA Score) between the two groups.

Results date posted

2024 Year 12 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

1056 subject hips were included in the analysis, excluding subjects with inappropriate informed consent process or subjects who were not allocated to the intervention. The mean age was 61.5 years, 852 subject hips (80.7%) were female, and the primary diagnosis was secondary osteoarthritis in 748 (70.8%), idiopathic osteonecrosis of the femoral head in 140 (13.3%), primary osteoarthritis in 01 (9.6%), and others in 67 (6.3%).

Participant flow

Between August 2011 and June 2015, 1056 patients were enrolled (excluding 246 excluded from the analysis). 536 and 520 patients were allocated to the OXINIUM femoral head (OX) and cobalt-chromium alloy femoral head (CoCr) groups, respectively, for surgery and follow-up.

Adverse events

No AE attributable to this study were noted.

Outcome measures

Primary Efficacy Variables: Evaluation of linear wear of polyethylene liner at 5 years postoperatively. Clinical success was the significant reduction of linear wear of OXINIUM against CoCr.
Secondary Efficacy Variables:Outcome of Harris Hip Score(HHS), UCLA Score, Oxford Hip Score(OHS), Operation record, AE, X ray, Demography

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 04 Month 01 Day

Date of IRB

2011 Year 09 Month 27 Day

Anticipated trial start date

2011 Year 07 Month 01 Day

Last follow-up date

2020 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 06 Month 29 Day

Last modified on

2024 Year 12 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006496