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Trial registered on ANZCTR
Registration number
ACTRN12609001068257
Ethics application status
Approved
Date submitted
3/12/2009
Date registered
14/12/2009
Date last updated
14/01/2020
Date data sharing statement initially provided
14/01/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Multi-Center, Open-Label, Interventional Study of Patients with Medial
Compartment Knee Osteoarthritis (OA) treated with the KineSpring (Registered Trademark) System
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Scientific title
A Multi-Center, Open-Label, Interventional Study to assess pain relief in Patients with Medial Compartment Knee Osteoarthritis (OA) treated with the KineSpring(Registered Trademark) System
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
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Trial acronym
OAKS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Medial Knee Osteoarthritis
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Condition category
Condition code
Musculoskeletal
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The currently used device name is the KineSpring System.
The device is a permanent implant that is fixed
on the femoral and tibial components of the
knee. The implant is achieved in a single surgery (which should take approximately two hours)
and left permanently in place.
Each subject will undergo a surgical procedure to
implant a permanent knee support device that is
an alternative to traditional knee surgeries to
treat osteoarthritis (OA) of the knee
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Intervention code [1]
241579
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Treatment: Devices
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Intervention code [2]
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Treatment: Surgery
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Comparator / control treatment
Single arm, patients serve as their own control
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary objective of this study is to demonstrate that the KineSpring System
provides pain relief Western Ontario and MacMaster University Osteoarthritis Index
(WOMAC LK 3.1A) over 26 weeks as compared to baseline, using
patients as their own controls.
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Assessment method [1]
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Timepoint [1]
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26 weeks following surgery
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Primary outcome [2]
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Safety will be determined using the incidence of treatment-emergent adverse events, and
physical examination findings.
Possible adverse events can include: 1-Irritation or inflammation to the surrounding tissues,
2 - Discomfort or sensitivity, 3 - Device failure, 4 - Infection which could lead to device removal
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Assessment method [2]
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Timepoint [2]
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6 weeks, 3 months, 6 months, 12 months, 24 months, 36 months, 48 months, and 60 months following surgery
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Secondary outcome [1]
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Procedural success - This outcome will be
assessed post-operatively based on successful
completion of implantation.
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Assessment method [1]
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Timepoint [1]
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Immediately post-operatively
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Secondary outcome [2]
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Determine benefits of the KineSpring System implant by assessing patient reported
symptom severity changes in WOMAC score, Oxford Knee Score, Knee pain severity
score, and patient global assessment, overall treatment outcome and patient satisfaction, and SF-36 General Health Outcomes
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Assessment method [2]
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Timepoint [2]
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6 weeks, 3 months, 6 months, 12 months, 24 months, 36 months, 48 months, and 60 months following surgery
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Secondary outcome [3]
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Determine benefits of the KineSpring System implant by assessing change in
investigator reported symptom severity in Knee Society Score, and physician global
assessment.
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Assessment method [3]
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Timepoint [3]
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6 weeks, 3 months, 6 months, 12 months, 24 months, 36 months, 48 months, and 60 months following surgery
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Secondary outcome [4]
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Evaluate changes in imaging outcomes as measured by Magnetic Resonance Imaging (MRI) and X-ray evaluations compared to baseline
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Assessment method [4]
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Timepoint [4]
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6 Months, 12 Months, 24 months, 36 months, 48 months, and 60 months following surgery
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Eligibility
Key inclusion criteria
Male or Female Subjects at least 30 years of age with a minimum 3 month history of primary OA in target knee, with radiographic evidence of OA, continuing pain despite conservative treatment, minimum WOMAC score (Q –A1) of 2, maximum weight of 300 pounds or 136.4 kg.
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Minimum age
30
Years
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Maximum age
No limit
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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. Active infection, sepsis, osteomyelitis or history of septic arthritis in any
Joint, 2. Rheumatoid arthritis or other forms of inflammatory joint disease, 3. Modified Kellgren-Lawrence Numerical grading System of grade IV in the patello-femoral compartment of the target, 4. Previous surgery in the target knee within the 3 months prior to screening, 5. Varus alignment >10 degrees, 6. Ligamentous laxity, or meniscal instability as assessed by the investigator, 7. Uncontrolled diabetes mellitus, 8. Moderate to severe osteoporosis, 9. Concomitant immunosuppressive therapy, 10. Metabolic disorders which may impair bone formation, 11. Osteomalacia
12. Distant foci of infections which may spread to the implant site, 13. Rapid joint destruction, marked bone loss or bone resorption apparent on x-ray, 14. Vascular insufficiency, muscular atrophy, neuromuscular disease, 15. Incomplete or deficient soft tissue surrounding the knee, 16. Flexion deformity greater than 15 degrees, 17. Pregnancy or lactation
18. Prisoners
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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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
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
6/11/2009
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Actual
24/11/2009
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Date of last participant enrolment
Anticipated
25/08/2011
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Actual
25/08/2011
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Date of last data collection
Anticipated
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Actual
24/08/2016
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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2010
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Recruitment postcode(s) [2]
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4000
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Moximed, Inc
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Address [1]
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46602 Landing Parkway, Fremont, CA 94539
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Country [1]
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Moximed, Inc
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Address
46602 Landing Parkway, Fremont, CA 94539
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Country
United States of America
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St. Vincent's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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406 Victoria Street Darlinghurst NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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21/04/2009
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Ethics approval number [1]
258153
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1/09/0029
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Ethics committee name [2]
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Mater Health Services
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Ethics committee address [2]
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Level 2 Aubigny Place Raymond Tce South Brisbane Qld 4101
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
258154
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Approval date [2]
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10/07/2009
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Ethics approval number [2]
258154
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1326E
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Summary
Brief summary
This study is a multi-center, prospective, open label, safety/efficacy study enrolling up to 30 patients. Safety and efficacy are the primary objectives based on analysis of reported and observed adverse events and the WOMAC validated OA questionnaire(pain component). A series of validated subject-completed questionnaires, a visual analogue scale for pain and formal orthopaedic examination, will be performed over the course of the 60 months at the following intervals: baseline, 6 weeks, 3 months, 6, 12, 24, 36, 48 and 60 months. X-ray and/or MRI data will be collected pre-operatively and the following post operative intervals 6 months, 12, 24, 36, 48, and 60 months.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr David Hayes
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Address
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Brisbane Orthopaedic and Sports Medicine Centre
Level 5, 259 Wickham Terrace
Brisbane QLD 4000
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Country
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Australia
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Phone
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+61 438347075
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Vijaya Krishnamoorthy
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Address
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Moximed Inc., 46602 Landing Parkway, Fremont, CA 94539
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Country
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United States of America
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Phone
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+1 510 887 3328
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Fax
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+1 510 372 0775
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anton Clifford
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Address
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Moximed Inc., 46602 Landing Parkway, Fremont, CA 94539
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Country
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United States of America
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Phone
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+1-510-887-3300
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Fax
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+1-510-880-7307
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The KineSpring<sup>®</sup> Knee Implant System: an implantable joint-unloading prosthesis for treatment of medial knee osteoarthritis
2013
https://doi.org/10.2147/mder.s44385
N.B. These documents automatically identified may not have been verified by the study sponsor.
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