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Trial registered on ANZCTR
Registration number
ACTRN12624000855527
Ethics application status
Approved
Date submitted
25/06/2024
Date registered
10/07/2024
Date last updated
13/10/2024
Date data sharing statement initially provided
10/07/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A 2 year clinical study to compare the clinical results of a new design to existing designs of an acetabular hip cup aimed to resist dislocation while allowing normal motion, after joint replacement surgery for patients suffering a fracture of the neck of the femur.
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Scientific title
A registry-nested study of the Inovaris Constrained Dual Mobility Acetabular Cup for patients receiving total joint replacement treatment for a fractured neck of femur.
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Secondary ID [1]
312399
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027INO
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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:
Fractured neck of femur
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Dislocation following total hip arthroplasty
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Condition category
Condition code
Injuries and Accidents
330873
330873
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0
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Fractures
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Musculoskeletal
330874
330874
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Following a fractured neck of femur, patients agreeing to participate in the study will undergo surgery by a trained Orthopaedic surgeon for implantation of a polyethylene liner within a cobalt-chrome liner, which is inserted into a titanium outer shell fitted into the acetabulum. The inner liner has a containment mechanism that provides full movement with secure constraint at the terminal range. This is mated with a new or existing standard femoral stem and head that completes the joint replacement. This is a single procedure taking approximately 1 to 2 hours. Patients will be assessed immediately post-operatively and subsequently their medical records will be further reviewed and assessed at 30 days, 1 year and 2 years.
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Intervention code [1]
328902
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Treatment: Devices
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Intervention code [2]
328904
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Rehabilitation
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Comparator / control treatment
Modern dual mobility or conventional acetabular prostheses in current use since 2021, implanted as a total hip arthroplasty for fractured neck of femur recorded in the AOA National Joint Replacement Registry between December 2000 and December 2024.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Revision surgery for any reason.
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Assessment method [1]
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Outcomes will be recorded by the study coordinator via regular patient medical record follow-ups at 30 days and 1 and 2 years, and also routinely collected within the AOA NJRR registry. The outcomes will be assessed and the overall risk of revision at 2 years will be measured via the Cumulative Percent Revision method.
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Timepoint [1]
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2 years following primary surgery.
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Secondary outcome [1]
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Revision surgery for dislocation.
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Assessment method [1]
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Patients followed by their surgeon will be medically assessed for their mobility performance at the stated time periods noting any incidence of dislocation. Patient details will be collected at those follow-up periods by the questionnaire and their medical records reviewed and any revision surgery for dislocation recorded both in the study notes as well as entry in the AOANJRR registry. The overall risk of revision will be measured via the Cumulative Percent Revision method.
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Timepoint [1]
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Participant will be contacted and reviewed at 30 days, 1 year and 2 years following primary surgery.
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Secondary outcome [2]
436724
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Revision surgery for any reason.
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Assessment method [2]
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Should the need arise after medical assessment that the implant needs to be revised for any reason, this will be recorded by the study coordinator via regular patient medical record follow-ups at 30 days and 1 and 2 years, and also routinely collected within the AOA NJRR registry. The overall risk of revision at 1 year will be measured via the Cumulative Percent Revision method.
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Timepoint [2]
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1 year following primary surgery.
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Secondary outcome [3]
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Death.
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Assessment method [3]
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This will be assessed by follow-up contact with the patient and their medical records at the stated time periods, as well as reference to national birth/death records.
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Timepoint [3]
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30 days, 1 year and 2 years following primary surgery.
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Secondary outcome [4]
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Complications as a result of the surgery or associated treatment including admission for infection; dislocation; stiffness; fracture; wound dehiscence; implant loosening, migration or failure; wound bleeding; other non-joint surgery; reoperation on the same joint for the same reasons.
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Assessment method [4]
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Readmission related to original surgery or reoperation for same joint as assessed by patient medical records or questionnaire at stated periods.
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Timepoint [4]
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At any time during 2 years post original surgery, and specifically at 30 days, 1 year and 2 years.
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Eligibility
Key inclusion criteria
Patients with displaced femoral neck fracture suitable for standard total hip arthroplasty.
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Minimum age
50
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
Inability to walk independently pre-fracture.
Dementia or significant cognitive impairment.
Permanent resident of aged care facility.
Pathological femoral fracture.
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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)
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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
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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2024
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Actual
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Date of last participant enrolment
Anticipated
1/11/2025
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Actual
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Date of last data collection
Anticipated
1/11/2027
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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)
ACT,NSW,QLD,SA,WA,VIC
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Funding & Sponsors
Funding source category [1]
316807
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Commercial sector/Industry
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Name [1]
316807
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R R Medical Pty Ltd
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Address [1]
316807
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Country [1]
316807
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
R R Medical Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
319033
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Address [1]
319033
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Country [1]
319033
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney Local Health District Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
315577
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https://www.slhd.nsw.gov.au/rpa/research/
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Ethics committee country [1]
315577
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Australia
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Date submitted for ethics approval [1]
315577
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23/06/2024
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Approval date [1]
315577
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02/10/2024
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Ethics approval number [1]
315577
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REGIS ID 2024/ETH01322
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Summary
Brief summary
A 2 year clinical study to compare the clinical results of a new design to existing designs, of an acetabular hip cup aimed to resist dislocation while allowing normal motion, after total hip replacement surgery for patients 50 and over suffering a fracture of the neck of the femur. The study hypothesis is that at a minimum of 2 years, the new design is at least as safe and effective as existing standard total hip cups used to treat femoral neck fractures, and the new design reduces the risk of revision for dislocation in the first year versus those standard cups.
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Trial website
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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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Dr Neil Bergman
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Address
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c/- AOA NJRR SAHMRI North Terrace, Adelaide, SA 5000
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Country
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Australia
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Phone
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+61 417307794
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Fax
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Email
135134
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[email protected]
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Contact person for public queries
Name
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RR Medical Pty Ltd
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Address
135135
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c/- AOA NJRR SAHMRI North Terrace, Adelaide, SA 5000
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Country
135135
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Australia
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Phone
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+61 08 8128 4280
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Fax
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Email
135135
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[email protected]
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Contact person for scientific queries
Name
135136
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AOA NJRR
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Address
135136
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c/- AOA NJRR SAHMRI North Terrace, Adelaide, SA 5000
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Country
135136
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Australia
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Phone
135136
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+61 08 8128 4280
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Fax
135136
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Email
135136
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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)?
Yes
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What data in particular will be shared?
Non-identifiable final data sets for Primary outcome.
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When will data be available (start and end dates)?
Data will be available once results have been published. No end date will be in place.
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Available to whom?
Will be available to people who have ethical or other approvals to use the data sets, and as approved by the data custodian.
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Available for what types of analyses?
Will be available for analyses that reflect the original intent of the data collection, and have appropriate ethical or other approvals in place.
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How or where can data be obtained?
Will be supplied by the data custodian, AOANJRR if approved by RR Medical Pty. Ltd. Information about the data set, including a DOI, will be publicly available once data set is available. The AOA NJRR is published annually. AOA NJRR SAHMRI North Terrace, Adelaide, SA 5000,
[email protected]
.
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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
No additional documents have been identified.
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