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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03153449
Registration number
NCT03153449
Ethics application status
Date submitted
7/05/2017
Date registered
15/05/2017
Titles & IDs
Public title
ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population
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Scientific title
Multi-Center Clinical Evaluation of the ATTUNE Revision System in Complex Primary Total Knee Arthroplasty
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Secondary ID [1]
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DSJ-2016-03
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Knee Arthroplasty
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - ATTUNE Revision Knee System in Total Knee Arthroplasty
Other: ATTUNE Revision knee system - The ATTUNE Revision knees system is complementary to the ATTUNE primary knee portfolio and includes both rotating platform (RP) and fixed bearing (FB) configurations. The system includes a full compliment of implants designed to address the challenges faced in complex primary knee surgeries. These implants include Stemmable tibial and femoral components, augments, sleeves and offsets
Treatment: Devices: ATTUNE Revision Knee System in Total Knee Arthroplasty
Implants from the ATTUNE Revision Knee System will be used to treat subjects whose surgeons have determined their anatomy is such that the use of revision components are required to perform primary total knee arthroplasty
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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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KOOS ADL
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Assessment method [1]
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Evaluate change from preoperative baseline to the 2 yr timepoint in patient reported functional outcome, KOOS-ADL for the ATTUNE® Revision TKA FB and RP configurations.
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Timepoint [1]
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2 Years
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Secondary outcome [1]
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Knee Injury and Osteoarthritis Outcome Score - Activities of Daily Living (KOOS-ADL)
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Assessment method [1]
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Evaluate change from preoperative baseline to the 5 yr timepoint in functional outcomes as measured using KOOS patient reported outcomes measure (PROM).
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Timepoint [1]
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Baseline, 5 Year
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Secondary outcome [2]
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Patient's Knee Implant Performance (PKIP)
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Assessment method [2]
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Evaluate change from preoperative baseline to 5 yr timepoint in functional outcomes, satisfaction and quality of life assessments, as measured using the PKIP patient reported outcome measure
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Timepoint [2]
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Baseline, 5 Year
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Secondary outcome [3]
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American Knee Society Score
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Assessment method [3]
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valuate change from preoperative baseline to 5 yr timepoint in functional outcomes assessments, patient satisfaction and expectations and clinical evaluations as measured using the AKS measure
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Timepoint [3]
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Baseline, 5 Year
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Secondary outcome [4]
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EQ-5D-5L
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Assessment method [4]
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Evaluate change from preoperative baseline to 2 and 5 yr timepoints in functional outcomes and quality of life assessments, as measured using the EQ-5D-5L patient reported outcome measure
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Timepoint [4]
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Baseline, 5 year
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Secondary outcome [5]
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VAS Pain Score
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Assessment method [5]
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Evaluate change from preoperative baseline to 5 yr timepoint in patient reported pain severity as measured using a modified VAS Pain Score (discrete numbers rather than a continual scale).
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Timepoint [5]
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Baseline, 5 year
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Secondary outcome [6]
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American Knee Society Score
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Assessment method [6]
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Evaluate change from preoperative baseline to the 5 yr timepoint in patient reported satisfaction from the AKS 2011 over time as measured using a Likert scale.
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Timepoint [6]
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Baseline, 5 year
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Secondary outcome [7]
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American Knee Society Score (surgeon evaluation)
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Assessment method [7]
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Estimate the change from preoperative baseline to the 5 yr timepoint in clinical outcomes using the 2011 AKS (surgeon evaluation)
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Timepoint [7]
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Baseline, 5 year
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Secondary outcome [8]
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Adverse Events
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Assessment method [8]
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Evaluate type and frequency of Adverse Events
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Timepoint [8]
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Intraoperative, 6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.
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Secondary outcome [9]
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Readmissions
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Assessment method [9]
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Evaluate the timing, duration and reason for any readmissions stratified by adverse event type (operative site vs. systemic).
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Timepoint [9]
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6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.
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Secondary outcome [10]
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Survivorship
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Assessment method [10]
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Evaluate survivorship of the ATTUNE® Revision TKA system for the PS FB and PS RP configurations and the combined PS FB and PS RP configurations using Kaplan-Meier survival analysis at 1, 2, 3, 4 and 5 years.
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Timepoint [10]
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1, 2, 3, 4 and 5 years
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Secondary outcome [11]
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Frequency of radiolucent line occurrence
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Assessment method [11]
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Evaluate ATTUNE® Revision TKA fixation through zonal radiographic analysis of the bone-implant interface at 1, 2 and 5 years after surgery compared to the first postoperative radiographs.
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Timepoint [11]
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1, 2 and 5 years
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Secondary outcome [12]
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Anatomic Tibiofemoral Alignment
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Assessment method [12]
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Evaluate any changes in anatomic tibiofemoral alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
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Timepoint [12]
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1, 2 and 5 years
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Secondary outcome [13]
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Femoral component alignment
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Assessment method [13]
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Evaluate any changes in femoral component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
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Timepoint [13]
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1, 2 and 5 years
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Secondary outcome [14]
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Tibial component alignment
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Assessment method [14]
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Evaluate any changes in tibial component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.
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Timepoint [14]
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1, 2 and 5 years
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Secondary outcome [15]
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Restoration of joint line
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Assessment method [15]
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Radiographically evaluate the restoration of joint line using the first postoperative radiographs according to the methodology of Figgie.
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Timepoint [15]
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First post-operative radiograph (1 day)
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Eligibility
Key inclusion criteria
1. Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive.
2. The decision to have knee replacement with the study device is regardless of the research.
3. The devices are to be used according to the approved indications.
4. Subject that is willing to give voluntary, written informed consent to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor
5. Subject is currently not bedridden.
6. Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with investigational procedures.
7. Subject is able to read, and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations.
8. Subject has not been diagnosed with an inflammatory arthritis (including gout, rheumatoid, psoriatic etc.)
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Minimum age
22
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
1. The Subject is a woman who is pregnant or lactating.
2. Contralateral knee has already been enrolled in this study. If the Investigator plans to treat a potential study subject with either simultaneous (two (2) knees in one (1) surgical setting) or staged bilateral TKA, then this subject may be enrolled; however, only the first knee may be enrolled into this study.
3. Subject had a contralateral amputation.
4. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement) or primary TKA in affected knee.
5. Subject is currently diagnosed with radicular pain from the spine that radiates into the limb to receive TKA.
6. Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three (3) months.
7. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
8. Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last 5 years) or has a psychological disorder that could affect his/her ability to complete patient reported questionnaires or be compliant with follow-up requirements.
9. Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
10. Subject has a significant neurological or musculoskeletal disorder(s) or disease that may adversely affect gait or weight bearing activities (e.g., muscular dystrophy, multiple sclerosis, Charcot disease).
11. Subject has a medical condition with less than five (5) years life expectancy as determined by the Investigator.
12. Subject has been diagnosed with an inflammatory arthritis (including uncontrolled gout, rheumatoid, psoriatic etc.).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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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
19/09/2017
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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
30/06/2028
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Actual
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Finders Private Hospital - Adelaide
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Recruitment hospital [2]
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St. John of God Murdoch Hospital - Perth
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Perth
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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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California
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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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Colorado
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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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Connecticut
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Country [4]
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0
United States of America
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State/province [4]
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Florida
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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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Kentucky
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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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Mississippi
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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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Missouri
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Country [8]
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0
United States of America
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State/province [8]
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New Hampshire
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Country [9]
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United States of America
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State/province [9]
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New Jersey
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Country [10]
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United States of America
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State/province [10]
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North Carolina
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Country [11]
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0
United States of America
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State/province [11]
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Ohio
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Country [12]
0
0
United States of America
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State/province [12]
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Tennessee
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Country [13]
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United States of America
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State/province [13]
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Texas
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Country [14]
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Austria
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State/province [14]
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Linz
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Country [15]
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Belgium
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State/province [15]
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Antwerp
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Country [16]
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Canada
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State/province [16]
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Ontario
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Country [17]
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Canada
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State/province [17]
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Winnipeg
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Country [18]
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France
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State/province [18]
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Rennes
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Country [19]
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Germany
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State/province [19]
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Munich
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Country [20]
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Germany
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State/province [20]
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Schwandorf
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Country [21]
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Ireland
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State/province [21]
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Cork
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Country [22]
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Italy
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State/province [22]
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Verona
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Country [23]
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Netherlands
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State/province [23]
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Maastricht
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Country [24]
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New Zealand
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State/province [24]
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Wellington
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Country [25]
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Switzerland
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State/province [25]
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Basel
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Country [26]
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United Kingdom
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State/province [26]
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Basingstoke
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Country [27]
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United Kingdom
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State/province [27]
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Kirkcaldy
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Country [28]
0
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United Kingdom
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State/province [28]
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Leeds
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Country [29]
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United Kingdom
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State/province [29]
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Middlesbrough
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Country [30]
0
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United Kingdom
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State/province [30]
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Oswestry
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Country [31]
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United Kingdom
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State/province [31]
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Oxford
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Country [32]
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United Kingdom
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State/province [32]
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Wigan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
DePuy Orthopaedics
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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
Five-year, Prospective, multi-center, non-randomized, non-controlled study of the ATTUNE® Revision total knee prostheses, utilizing the fixed bearing (FB) and rotating platform (RP) tibial component with the posterior stabilizing (PS) femoral component in complex primary total knee arthroplasty.
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Trial website
https://clinicaltrials.gov/study/NCT03153449
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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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Grant Jamgochian
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Address
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Sponsor GmbH
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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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Grant Jamgochian
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Address
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Country
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Phone
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+1 484-685-6404
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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)?
No
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No/undecided IPD sharing reason/comment
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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/NCT03153449