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NCT Number: NCT03450733

Wright Medical Technology Metal-on-Metal 522 Post-Market Surveillance Study

This study is in response to the Food and Drug Administration (FDA) call to all manufacturers with 510(k) clearance for metal-on-metal (MoM) total hip arthroplasty (THA) devices to conduct postmarket surveillance studies. MicroPort has various acetabular shells, acetabular liners, fixation screws, femoral heads, femoral stems, modular necks, and proximal bodies currently cleared for MoM indications. Together these components comprise the Wright Medical Technology (WMT) MoM THA System. The primary objective of the study is to determine the incidence of adverse local tissue reactions (ALTR) in each THA implanted with the WMT MoM THA System overall and to create cross-sectional epochs of ≤ 8 years and > 8 years, since implantation.

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Key information

Age range

21 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

TriWest Research Associates, El Cajon, California, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

To be included in Group 1, subjects must meet all of the following criteria:

  • Has been implanted with appropriate components of the WMT MOM THA System
  • Has previously undergone primary THA for any of the following:
  • non-inflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;
  • inflammatory degenerative joint disease including rheumatoid arthritis;
  • correction of functional deformity.
  • Is willing and able to complete required study visit(s) and assessments
  • Plans to be available for the required study visit
  • Is capable of providing sufficient blood for sampling according to blood draw procedures
  • Is willing to sign the approved Informed Consent document

Previously implanted bilateral subjects can have both THAs enrolled in the study provided: 1) the specified combination of components were implanted in both, 2) all other aspects of the Inclusion/Exclusion Criteria are satisfied, 3) enrollment does not exceed the subject count specified in the Clinical Trial Agreement and protocol enrollment strategy, and 4) the subject agrees to a second Informed Consent document and data collection specific to the second THA. Enrollment and treatment of a previously unimplanted hip is not permitted in this study.

To be included in Group 2, subjects must meet all of the following criteria:

  • Does not have a metal implant (total hip, total knee, spinal, etc.) with the exception of dental implants
  • Is not an employee of the Investigator
  • Is willing and able to provide Informed Consent document
  • Is willing and able to attend the requested study visit(s) and assessments
  • Is capable of providing sufficient blood for sampling according to blood draw procedures

Exclusion criteria

Subjects will be excluded from either study group if they meet any of the following criteria:

  • Subject is currently enrolled in another clinical investigation which could affect the endpoints of this protocol
  • Subject is unwilling or unable to sign the Informed Consent document
  • Subject has documented substance abuse issues
  • Subject has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study
  • Subject is currently incarcerated or has impending incarceration
  • Group 1 only: Subject has a condition or previously implanted medical device that contraindicates MRI (e.g. pacemaker, implantable defibrillator)
  • Group 1 only: Subject was skeletally immature (less than 21 years of age) at time of implantation

Treatment and study plan

Wright Medical Technology Metal-on-Metal Total Hip System

Device

Subjects in Group 1 previously implanted prior to the study start date will be identified from Investigator records. Collected data will be evaluated in aggregate and cross-sectioned by year of implantation. Subjects will be cross-sectioned by the time that has elapsed between implantation and the initial visit (e.g. 5 years, 6 years) using contiguous visit windows (number of years + 6 months). Subject data will be grouped in order to create cross-sectional epochs of ≤ 8 years and > 8 years.

Primary outcomes

  1. Rate of Adverse Local Tissue Reactions (ALTR)

    Time frame: ≤ 8 years and > 8 years, since implantation

    To determine the incidence rate of ALTR in subjects implanted with WMT MoM THA System (Group 1)

Secondary outcomes

  1. Determine chromium and cobalt whole blood and serum ion levels across time intervals

    Time frame: ≤ 8 years and > 8 years, since implantation

    Cobalt and chromium metal ion levels will be measured in whole blood and serum from subjects implanted with the WMT MoM THA System (Group 1) at each defined cross-section interval.

  2. Establish baseline for chromium and cobalt whole blood and serum ion levels across time intervals

    Time frame: ≤ 8 years and > 8 years, since implantation

    Analyze difference in chromium and cobalt whole blood and serum ion levels in subjects implanted with the WMT MoM THA System (Group 1) versus control subjects (Group 2) cross-sectionally.

  3. Compare functional outcomes of subjects implanted with the WMT MoM THA System with and without ALTR (Group-1 subjects).

    Time frame: ≤ 8 years and > 8 years, since implantation

    Calculate and compare composite hip outcomes scores, via the validated HOOS scores, in Group 1 subjects with ALTR versus Group 1 subjects without ALTR

  4. Compare cobalt and chromium metal ion levels in subjects implanted with the WMT MoM THA System with and without ALTR (Group-1 subjects).

    Time frame: ≤ 8 years and > 8 years, since implantation

    Analyze difference in cobalt and chromium metal ion levels from Group 1 subjects with ALTR versus Group 1 subjects without ALTR

Sponsors and collaborators

Lead sponsor

MicroPort Orthopedics Inc.

Industry

Registry information

Official study title

Post-Market Surveillance of the Wright Medical Technology Metal-on-Metal Total Hip System (FDA 522 Order)

Important dates

Study start
2018
Primary completion
2021
Study completion
2022
First posted
Mar 1, 2018
Registry last updated
Oct 13, 2022

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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