A Multi-Center Study Assessing the Safety and Efficacy of the LEGION Medial Stabilized (MS) Insert in Patients Undergoing a Total Knee Arthroplasty (TKA)

Study Purpose

The purpose of this study is to assess the long-term safety and performance of the LEGION Medial Stabilized insert and to generate clinical evidence to support and maintain product registration in global markets.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 18 Years - 80 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. A). Prospective Subjects: Subject needing primary Total Knee Arthroplasty (TKA) due to degenerative joint disease (primary diagnosis of osteoarthritis), post-traumatic arthritis or inflammatory arthritis. OR. B). Retro-prospective Subjects: Subject has undergone primary TKA using the investigational product in the past 12 months to repair degenerative joint disease, post-traumatic arthritis or inflammatory arthritis and all the following conditions have been met:
  • - Pre-operative Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS JR) has been obtained.
  • - Post-operative radiographs have been obtained, or these can be collected prospectively in window per schedule of events.
  • - 12-month post-operative KOOS JR have been obtained, or these can be collected prospectively in window per schedule of events.
2. Subject's treating clinician has decided the study device is suitable for the subjects TKA procedure and the study device is used in line with the applicable Instructions For Use (IFU) (listed in section 6). 3. Subject agrees to consent and follow the prospective study visit schedule up to 10 years post-surgery (as defined in the study protocol and informed consent form) by signing the Independent Review Board (IRB)/Independent Ethics Committee (IEC) approved consent form. 4. Subject is able to read, understand and communicate responses to Patient Reported Outcome Measure (PROM). 5. Subject is 18-80 years old at the time of consent (inclusive).

Exclusion Criteria:

1. Subject received revision TKA on the contralateral knee for a previously failed TKA, or Unicondylar Knee Arthroplasty (UKA). 2. Subject has a Body Mass Index (BMI) ≥ 40 at pre-operative visit. 3. Subject has ipsilateral hip arthritis resulting in flexion contracture of the hip joint. 4. At the time of surgery, subject has one or more of the following arthroplasties that are not fully healed and/or well-functioning, in the opinion of the Investigator: Ipsilateral or contralateral primary total hip arthroplasty or hip resurfacing arthroplasty; contralateral primary TKA or UKA. 5. Subject has a condition that may interfere with the TKA survival or outcome (e.g., Paget's or Charcot's disease, vascular insufficiency, lupus, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease). 6. Subject has a known allergy to one or more of the components of the study device. 7. Any subject with hardware present in ipsilateral distal femur or proximal tibia. 8. Any subject that meets the definition of a Vulnerable Subject per ISO 14155 Section 3.55. 9. Subject is entered in another drug, biologic, or device study or has been treated with an investigational product in the past 30 days (30 days from operation/dosing). 10. Subject, in the opinion of the Investigator, has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study, ability to consent or complete the PROMs, including mental illness, drug or alcohol abuse. 11. In the opinion of the Investigator, or site staff, Subject is at risk for lost to follow-up, or failure to return for scheduled visits. 12. Women who are pregnant, nursing, or of child-bearing potential who are not utilizing highly effective birth control measures at the time of screening or the time of surgery. 13. Subjects who have participated previously in this clinical trial and who have been withdrawn. 14. Subject does not meet the indication or is contraindicated for TKA according to specific Smith+Nephew LEGION Knee System IFU.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT07199738
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Smith & Nephew, Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Anasua Ganguly
Principal Investigator Affiliation Smith & Nephew, Inc.
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Not yet recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Inflammatory Arthritis, Primary Total Knee Arthroplasty Due to Degenerative Joint Disease (Primary Diagnosis of Osteoarthritis), Post-traumatic Arthritis
Additional Details

This is a post market, prospective and retro-prospective, multicentered 10-year observational study. The study is looking at the LEGION Medial Stabilized insert used in primary total knee arthroplasty alongside specific tibia and femur component combinations. There will be 144 knees enrolled across 3 cohorts in the study. All enrolled knees will undergo a primary knee arthroplasty due to degenerative joint disease (primary diagnosis of osteoarthritis), post-traumatic arthritis or inflammatory arthritis. Enrolled subjects will be followed up for 10 years post operation.

Arms & Interventions

Arms

: Cemented CoCr

LEGION MS with Cemented Tibia (JII) with LEGION CR non-porous (CoCr) Femoral component

: Cemented Oxinium

LEGION MS with Cemented Tibia (JII) with LEGION CR non-porous (Ox) Femoral component

: Cementless

LEGION MS with CONCELOC Tibia with LEGION CR porous (without HA) Femoral component

Interventions

Device: - Cemented CoCr

Primary TKA performed using the LEGION MS with Cemented Tibia (JII) with LEGION CR non-porous (CoCr) Femoral component

Device: - Cemented Oxinium

Primary TKA performed using the LEGION MS with Cemented Tibia (JII) with LEGION CR non-porous (Ox) Femoral component

Device: - Cementless

Primary TKA performed using the LEGION MS with CONCELOC Tibia with LEGION CR porous (without HA) Femoral component

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

The Core Institute, Phoenix 5308655, Arizona 5551752

Status

Address

The Core Institute

Phoenix 5308655, Arizona 5551752, 85023

Site Contact

David Markel

[email protected]

248-349-7015

Rothman Orthopedics-Advent Health, Orlando 4167147, Florida 4155751

Status

Address

Rothman Orthopedics-Advent Health

Orlando 4167147, Florida 4155751, 32803

Site Contact

Jeff Petrie

[email protected]

267-339-3500

Newton Wellesley Hospital, Newton 4945283, Massachusetts 6254926

Status

Address

Newton Wellesley Hospital

Newton 4945283, Massachusetts 6254926, 02462

Site Contact

Hayden Box

[email protected]

617-831-7143

New York University Hospital, New York 5128581, New York 5128638

Status

Address

New York University Hospital

New York 5128581, New York 5128638, 10016

Site Contact

Ran Schwarzkopf

[email protected]

212-513-7711

Medical University of South Carolina, Charleston 4574324, South Carolina 4597040

Status

Address

Medical University of South Carolina

Charleston 4574324, South Carolina 4597040, 29425

Site Contact

Erik Hansen

[email protected]

843-876-0111

University of Wisconsin, Madison 5261457, Wisconsin 5279468

Status

Address

University of Wisconsin

Madison 5261457, Wisconsin 5279468, 53715-1218

Site Contact

Brian Nickel

[email protected]

608-265-9132