Trial Outcomes & Findings for Study Comparing BoneMaster Hydroxyapatite Coating With Plasma-sprayed Hydroxyapatite Coating on Acetabular Cups (NCT NCT00859976)

NCT ID: NCT00859976

Last Updated: 2019-03-05

Results Overview

DEXA scan cohort - DEXA scan was used to measure bone density. Below is the calculated net average bone mineral density (BMD) percentage change from baseline at 2 years.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

167 participants

Primary outcome timeframe

2 years.

Results posted on

2019-03-05

Participant Flow

Participant milestones

Participant milestones
Measure
Plasma-sprayed Shell
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Overall Study
STARTED
82
85
Overall Study
COMPLETED
66
67
Overall Study
NOT COMPLETED
16
18

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study Comparing BoneMaster Hydroxyapatite Coating With Plasma-sprayed Hydroxyapatite Coating on Acetabular Cups

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Plasma-sprayed Shell
n=82 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=85 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Total
n=167 Participants
Total of all reporting groups
Age, Continuous
67 years
STANDARD_DEVIATION 7 • n=99 Participants
70 years
STANDARD_DEVIATION 9 • n=107 Participants
68.55 years
STANDARD_DEVIATION 8.52 • n=206 Participants
Sex: Female, Male
Female
43 Participants
n=99 Participants
51 Participants
n=107 Participants
94 Participants
n=206 Participants
Sex: Female, Male
Male
39 Participants
n=99 Participants
34 Participants
n=107 Participants
73 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 2 years.

Population: DEXA scan cohort: Bonemaster group, n = 7; Plasma-Sprayed group, n = 7

DEXA scan cohort - DEXA scan was used to measure bone density. Below is the calculated net average bone mineral density (BMD) percentage change from baseline at 2 years.

Outcome measures

Outcome measures
Measure
Plasma-sprayed Shell
n=7 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=7 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Record and Measure Bone Density Using DEXA Scans at 24 Months.
-11.0 Net average BMD %change from baseline
Standard Deviation 4.0
5.7 Net average BMD %change from baseline
Standard Deviation 57.3

PRIMARY outcome

Timeframe: 2 years.

34 patient cases without duplicated data were the basis for the radiographic analysis that was conducted: Bonemaster group, n = 12; Plasma-Sprayed group, n = 22. The degree of osseous-fixation was determined by grading: 1-2 mm radiolucencies, classed as not fixated; \>2mm radiolucencies, classed as unstable.

Outcome measures

Outcome measures
Measure
Plasma-sprayed Shell
n=22 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=12 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Radiography to Determine Radiolucency in All Three DeLee & Charnley Zones of the Acetabulum.
1-2 mm radiolucency in Zone B1
3 Participants
0 Participants
Radiography to Determine Radiolucency in All Three DeLee & Charnley Zones of the Acetabulum.
>2 mm radiolucency in zone B2
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 2 years

Population: 2 years post-op

Modified Harris Hip Score, total score 0-100. A score of \<70 is poor, 70-79 is fair, 80-89 is good, 90-100 is excellent.

Outcome measures

Outcome measures
Measure
Plasma-sprayed Shell
n=59 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=60 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Secondary Outcomes Are Functional Assessment Using Harris Hip Score
83.92 Units on a scale
Standard Deviation 15.82
81.83 Units on a scale
Standard Deviation 20.79

SECONDARY outcome

Timeframe: 2 years.

Population: 2 years post-op

Oxford Hip Score, scored 12-60. The Oxford hip score - this score was based on the original publication where each answer gives a score of 1-5. A score of 1 for each question, represented best outcome/least symptoms. Therefore a total score of 12 was the best overall outcome.

Outcome measures

Outcome measures
Measure
Plasma-sprayed Shell
n=59 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=61 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Secondary Outcomes Are Clinical Assessment Using Oxford Hip Score
19.2 Units on a scale
Standard Deviation 8
19.8 Units on a scale
Standard Deviation 9.2

SECONDARY outcome

Timeframe: 2 years

Population: 2 years post-op

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Hip Score, Each question is scored on a scale of 0 (best health state) to 4 (worst health state); total WOMAC hip score, 0 being the best and 96 being the worst.

Outcome measures

Outcome measures
Measure
Plasma-sprayed Shell
n=41 Participants
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=47 Participants
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Secondary Outcomes Are Clinical Assessment Using WOMAC Hip Score
14.2 Units on a Scale
Standard Deviation 16.5
12.1 Units on a Scale
Standard Deviation 17.4

Adverse Events

Plasma-sprayed Shell

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

BoneMaster Coated Shell

Serious events: 2 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Plasma-sprayed Shell
n=82 participants at risk
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=85 participants at risk
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
General disorders
Death
0.00%
0/82
2.4%
2/85
Musculoskeletal and connective tissue disorders
Dislocation
1.2%
1/82
0.00%
0/85

Other adverse events

Other adverse events
Measure
Plasma-sprayed Shell
n=82 participants at risk
Exceed ABT plasma-sprayed hydroxyapatite coated acetabular cup. Plasma Coated Acetabular Shell: Plasma HA coated Exceed Acetabular Shell
BoneMaster Coated Shell
n=85 participants at risk
Exceed ABT BoneMaster hydroxyapatite coated acetabular cup. BoneMaster coated acetabular shell.: Bonemaster coated Exceed Acetabular Shell
Cardiac disorders
Cardiovascular - stroke
0.00%
0/82
1.2%
1/85
Musculoskeletal and connective tissue disorders
Fractured pelvis
0.00%
0/82
1.2%
1/85
General disorders
Fall - patient confused
0.00%
0/82
2.4%
2/85
Renal and urinary disorders
Urogenital adverse event with diarrhoea
0.00%
0/82
1.2%
1/85
Renal and urinary disorders
Urogenital
0.00%
0/82
1.2%
1/85
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Stomach cancer
0.00%
0/82
1.2%
1/85
Respiratory, thoracic and mediastinal disorders
Respiratory problems post-op; has COPD
0.00%
0/82
1.2%
1/85
General disorders
Antibiotics given imm post-op
0.00%
0/82
1.2%
1/85
Blood and lymphatic system disorders
2 units of blood given post-op
0.00%
0/82
1.2%
1/85
Respiratory, thoracic and mediastinal disorders
Pulmonary
1.2%
1/82
0.00%
0/85
General disorders
Fall - soft tissue injury
1.2%
1/82
0.00%
0/85
General disorders
Hernia
1.2%
1/82
0.00%
0/85
General disorders
Non-traumatic bruising
1.2%
1/82
0.00%
0/85
Skin and subcutaneous tissue disorders
Needs scar revised
1.2%
1/82
0.00%
0/85

Additional Information

Clinical Project Lead

Zimmer Biomet

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place