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NCT Number: NCT05144191

Insignia™ Hip Stem Outcomes Study

The objective of this study is to evaluate the safety and effectiveness of the Insignia™ Hip Stem for global market access and post-market clinical follow-up up to 10 years postoperative.

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This study is active but is not currently recruiting participants.

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Key information

About this study

This study is a prospective, post-market, multi-center clinical investigation of the Insignia™ Hip Stem for primary and revision total hip arthroplasty (THA) in a consecutive series of patients who meet the eligibility criteria. The total enrollment goal for the study is a minimum of 313 cases, all of which will receive the Insignia™ Hip Stem.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The subject has signed an Institutional Review Board (IRB)-approved, study specific Informed Consent Form (ICF).
  • The subject is skeletally mature
  • The subject has a diagnosis as listed in the instructions for use (IFU), which include non inflammatory degenerative joint disease (including osteoarthritis or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis, correction of functional deformity, treatment of nonunion, femoral neck and trochanteric fractures.
  • The subject is a candidate for a primary or revision cementless THA.
  • The subject is willing and able to comply with postoperative scheduled clinical evaluations.

Exclusion criteria

  • The subject is pregnant or breastfeeding
  • The subject has an active or suspected latent infection in or about the affected hip joint at the time of study device implantation.
  • The subject has any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure, or complications in postoperative care.
  • The subject has bone stock compromised by disease, infection or prior implantation which cannot provide adequate support and/or fixation to the prosthesis.
  • The subject is immunologically suppressed or receiving steroids in excess of normal physiological requirements (e.g. > 30 days).
  • The subject has a known sensitivity to device materials.
  • The subject is involved in any ongoing legal matter, investigation, or dispute pertaining to the operative site.
  • The subject is a prisoner.

Treatment and study plan

Insignia uncemented Hip Stem

Device

Device: Replacement of arthritic hip with Insignia uncemented Hip Stem

Primary outcomes

  1. Survival Rate

    Time frame: 10 years

    Evaluation of the survival rate for Insignia Hip Stem is defined as absence of femoral stem revision for aseptic loosening or device-related femoral fracture.

  2. Harris Hip Score (HHS)

    Time frame: 10 Years

    The Harris Hip Score (HHS) assesses pain, function, joint deformity and range of motion.

    Scores can range from 0 to 100 with 0 being the worst and 100 being the best score.

    A score of 80-100 is considered good-excellent and a score of less than or equal to 79 is considered fair-poor. 90-100 = excellent 80-89 = good 70-79 = fair 0-69 = poor

Secondary outcomes

  1. Harris Hip Score (HHS)

    Time frame: pre-op, 6 week, 1,2,5 and 7 years

    The Harris Hip Score (HHS) assesses pain, function, joint deformity and range of motion.

    Scores can range from 0 to 100 with 0 being the worst and 100 being the best score.

    A score of 80-100 is considered good-excellent and a score of less than or equal to 79 is considered fair-poor. 90-100 = excellent 80-89 = good 70-79 = fair 0-69 = poor

  2. EQ-5D - Descriptive System

    Time frame: pre-op, 6 week, 1,2,3, 4,5,7 and 10 years

    The EuroQol-5 Dimension (EQ-5D) is a subject-completed questionnaire designed to assess subject health state values.

    The EQ-5D descriptive system comprises the following five dimensions: mobility self care, usual activities, pain/comfort and anxiety/depression. Each dimension has 3 levels indicating no problems, some problems or extreme problems. The index values on a scale between -1 (low) and 1 (high) are showing the average health status according to the 5 dimensions: A low score shows worse health and a high score shows better health.

  3. EQ-5D - Visual analogue scale (VAS)

    Time frame: pre-op, 6 week, 1,2,3, 4,5,7 and 10 years

    The EuroQol-5 Dimension (EQ-5D) is a subject-completed questionnaire designed to assess subject health state values.

    With the EQ Visual Analogue Scale (VAS) the respondents can report their perceived health status with a grade ranging from 0 (the worst possible health status) to 100 (the best possible health status).

  4. Survival Rate

    Time frame: 2 years

    Evaluation of the survival rate for Insignia™ Hip Stem is defined as absence of femoral stem revision for aseptic loosening or device-related femoral fracture

    Success rate at two (2) years postoperative with the Insignia™ Hip Stem is not worse than 98 % with a non-inferiority margin of 3.5%.

    Success rate at 10 years postoperative with the Insignia™ Hip Stem is not worse than 95% with a non-inferiority margin of 5%.

Sponsors and collaborators

Lead sponsor

Stryker Orthopaedics

Industry

Registry information

Official study title

Insignia™ Hip Stem Outcomes Study - A Prospective, Post-market, Multi-center Evaluation of the Clinical Outcomes of the Insignia™ Hip Stem for Total Hip Replacement Surgery

Important dates

Study start
2022
Primary completion
2034
Study completion
2034
First posted
Dec 3, 2021
Registry last updated
May 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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