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Noninflammatory Degenerative Joint DiseaseNCT01754363

Survivorship of Attune Primary Total Knee Prosthesis

A study testing Attune Primary Total Knee Replacement in people with Noninflammatory Degenerative Joint Disease, run by DePuy International at 27 sites in 12 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This post-marketing investigation will evaluate the long term (up to 15 years) survivorship of the Attune Primary Knee Prosthesis in patients with non-inflammatory degenerative joint disease. Data from Subjects who receive one of four knee configurations will be pooled to establish a contemporary dataset. Read more about this study

Who is it for?
Ages 22 to 75 years
What is being tested?
Attune Primary Total Knee Replacement
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,542 participants
Where
27 sitesin 12 countries
Study dates
1 Feb 2013to 1 Feb 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 22 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is male or female and between the ages of 22 and 75 years at the time of surgery, inclusive.
  • Subject was diagnosed with NIDJD.
  • Subject is a suitable candidate for cemented primary total knee arthroplasty using the devices described in this protocol with either resurfaced or non-resurfaced patellae.
  • Subject has given voluntary, written informed consent to participate in this clinical investigation and has authorized the transfer of his/her information to DePuy.
  • Subject is currently not bedridden.
  • Subject in the opinion of the Clinical Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedure and follow-up visits and co-operate with investigational procedures.
  • Subject must be comfortable with speaking, reading and understanding questions and providing responses in an available translated language for the PROs in the protocol.
  • The devices specified in this protocol were implanted.

Who cannot join

  • Subject is a woman who is pregnant or lactating.
  • Contralateral knee has already been enrolled in this study.
  • Subject had a contralateral amputation.
  • Previous partial knee replacement (unilateral, bicompartmental or patellofemoral joint replacement), patellectomy, high tibial osteotomy or primary TKA in affected knee.
  • Subject is currently experiencing radicular pain from the spine.
  • Subject has participated in an IDE/IND clinical investigation with an investigational product in the last three months.
Show all 13Show fewer
  • Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  • Subject is a known drug or alcohol abuser or has a psychological disorder that could affect their ability to complete patient reported questionnaires.
  • Subject was diagnosed with fibromyalgia that is currently being treated with prescription medication.
  • Subject has significant neurological or musculoskeletal disorders or disease that may adversely affect gait or weight bearing (e.g. muscular dystrophy, multiple sclerosis, Charcot disease).
  • Subject is suffering from inflammatory arthritis (e.g. rheumatoid arthritis, juvenile rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosis, etc.).
  • Subject is not comfortable with speaking, reading, and understanding questions and providing responses in an available translated language for the PROs in the protocol.
  • Subject has a medical condition with less than 5 years of life expectancy.

Trial locations and contacts

27 sites in 12 countries.

27 sites in 12 countries

United States9 sites
  • Texas Institute for Hip and Knee Surgery, LLC

    Austin, Texas, 78705

  • Orthopedic One

    Columbus, Ohio, 43213

  • Florida Research Associates, LLC

    DeLand, Florida, 32720

  • Penn State Hershey Bone & Joint Institute

    Hershey, Pennsylvania, 17033

  • University of Iowa Hospitals & Clinics

    Iowa City, Iowa, 52242

  • Center for Hip and Knee Surgery

    Mooresville, Indiana, 46158

  • OrthoNeuro

    New Albany, Ohio, 43054

  • Orthopaedic Specialty Institute

    Orange, California, 92868

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

Other trials in United States

United Kingdom5 sites
  • Queen Mary Hospital

    Dunfermline, Fife, KY12 OSU

  • New Royal Infirmary of Edinburgh

    Edinburgh, Scotland, EH16 4SA

  • Robert Jones & Agnes Hunt Orthopaedic Hospital

    Gobowen, Oswestry, SY10 7AG

  • Princess Alexandria Hospital

    Harlow, CM20 1QX

  • Clifton Park NHS Treatment Centre

    York, YO30 5RA

Other trials in United Kingdom

Austria2 sites
  • Krankenhaus der Barmherzigen

    Linz, Upper Austria, 4010

  • Univ.-Klinik für Orthopädie

    Vienna, Lower Austria, 1090

Other trials in Austria

Germany2 sites
  • Orthopädische Klinik für die Universität Regensburg

    Bad Abbach, Bavaria, 3077

  • UniversitatsKlinikum Heidelberg

    Heidelberg, 69118

Other trials in Germany

South Korea2 sites
  • Seoul National University Boramae Hospital

    Seoul, Dongjak-gu, 156-707

  • Seoul National University Hospital

    Seoul, 110-714

Other trials in South Korea

Australia1 site
  • Canberra Hospital-Trauma & Orthopaedic Research Unit

    Adelaide, South Australia, ACT 2600

Other trials in Australia

Belgium1 site
  • Monica Camputs O.L.V. Middelares

    Antwerp, 2100

Other trials in Belgium

Canada1 site
  • University of Western Ontario-Department of Orthopaedic Surgery

    London, Ontario, N6A 5A5

Other trials in Canada

Hong Kong1 site
  • Queen Mary Hospital

    Hong Kong

Other trials in Hong Kong

Malaysia1 site
  • University Malaya Medical Centre

    Kuala Lumpur, 59100

Other trials in Malaysia

New Zealand1 site
  • Ascot Hospital

    Auckland

Other trials in New Zealand

Singapore1 site
  • Singapore General Hospital-Dept of Orthopaedic Surgery

    Singapore, 169608

Other trials in Singapore

About this study

Official title: Short, Medium and Long Term Survivorship of Attune Primary Knee Prosthesis

This post-marketing investigation will evaluate the long term (up to 15 years) survivorship of the Attune Primary Knee Prosthesis in patients with non-inflammatory degenerative joint disease. Data from Subjects who receive one of four knee configurations will be pooled to establish a contemporary dataset.

Read the detailed description

Approximately 30 sites, worldwide, will recruit 1200 patients (1200 knees). Each study site is expected to enroll approximately 50 patients (50 knees). An additional 10 subjects per site may be recruited at sites which have Sub-Investigators participating in the study. Cohort reallocation is permitted. There is no control group. One thousand two hundred (1200) Subjects will be stratified into 4 subgroups of 300: cruciate retaining fixed bearing(CR FB), cruciate retaining rotating platform (CR RP), posterior stabilized fixed bearing (PS FB), and posterior stabilized rotating platform (PS RP).

Treatment assignment in this study is not randomized. Each site will only enroll patients in one of the four knee configuration sub-groups most commonly used as their standard of care.

This study allowed for enrolment into the study by two methods. The first method was by enroling subjects to receive the implant under study with the expectation to follow them out to 15 years. The second method was done to offset follow-up attrition. The second method allowed additional interested sites that had previously participated in a two-year follow-up study (NCT01746524) on this implant (subjects implanted and followed for two years) to reconsent interested subjects to be further followed out to 15 years in this study. The original 29 sites enroled 1232 subjects. Adding of the interested sites from the 2-yr follow-up study (NCT01746524) increased the sites from 29 to 37 sites. As of the last study update, the current enrolment is now1538.

Being tested
Attune Primary Total Knee Replacement
Keywords
Osteoarthritis
Medical subject headings
Osteoarthritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Attune Primary Total Knee ReplacementDevice

    Patients will undergo a primary total knee replacement using one of the four configurations of the Attune knee (CR FB, CR RP, PS FB, PS RP).

Study groups in NCT01754363
Study groupRoleWhat they receive
Attune Primary Total Knee ReplacementExperimentalSubjects will receive one of the following Attune total knee implants: Cruciate retaining fixed bearing (CR FB) Cruciate retaining rotating platform (CR RP) Posterior stabilized fixed bearing (PS FB) Posterior stabilized rotating platform (PS RP)
Receives: Device: Attune Primary Total Knee Replacement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Survivorship of each configuration.

    Kaplan-Meier survival analysis will be used to calculate the survivorship of all 4 configurations (CR FB, CR RP, PS FB, PS RP).

    Measured: Minimum 15 years (5414 - 5658 days)

Secondary outcomes (15)
  1. Survivorship

    Kaplan-Meier survival analysis will be used to calculate the survivorship of all 4 configurations (CR FB, CR RP, PS FB, PS RP).

    Measured: Minimum 5 years (1764 - 3588 days)

  2. Survivorship

    Kaplan-Meier survival analysis will be used to calculate the survivorship of all 4 configurations (CR FB, CR RP, PS FB, PS RP).

    Measured: Minimum 10 years (3589 - 5413 days)

  3. Implant fixation: Radiographic assessment of bone-implant interface performance

    Radiographic success is defined as: absence of progressive radiolucent lines greater than or equal to 2mm in any one zone; absence of lytic lesions in any zone; absence of individual component position change >3degrees in any plane.

    Measured: Minimum 1 year (304 - 668 days)

  4. Implant fixation: Radiographic assessment of bone-implant interface performance

    Radiographic success is defined as: absence of progressive radiolucent lines greater than or equal to 2mm in any one zone; absence of lytic lesions in any zone; absence of individual component position change >3degrees in any plane.

    Measured: Minimum 2 years (669 - 1763 days)

  5. Implant fixation: Radiographic assessment of bone-implant interface performance

    Radiographic success is defined as: absence of progressive radiolucent lines greater than or equal to 2mm in any one zone; absence of lytic lesions in any zone; absence of individual component position change >3degrees in any plane.

    Measured: Minimum 5 years (1764 - 3588 days)

  6. Implant fixation: Radiographic assessment of bone-implant interface performance

    Radiographic success is defined as: absence of progressive radiolucent lines greater than or equal to 2mm in any one zone; absence of lytic lesions in any zone; absence of individual component position change >3degrees in any plane.

    Measured: Minimum 10 years (3589 - 5413 days)

  7. Implant fixation: Radiographic assessment of bone-implant interface performance

    Radiographic success is defined as: absence of progressive radiolucent lines greater than or equal to 2mm in any one zone; absence of lytic lesions in any zone; absence of individual component position change >3degrees in any plane.

    Measured: Minimum 15 years (5414 - 5658 days)

  8. Patient Reported Outcome: EuroQol 5D 3L questionnaire (EQ-5D-3L)

    EuroQol 5D 3L questionnaire is a standardized instrument for use as a measure of health outcome that is designed for completion by the subject.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  9. Patient-reported Outcome: Oxford Knee Score

    The Oxford Knee Score (OKS) is a patient self-administered 12-item questionnaire with each question having a Likert-lie response option. Each item is scored from 0 to 4, and the items are summated, with lower total scores indicating poorer performance. The OKS measures pain and general activities of daily living.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  10. Patient-reported Outcome: Knee Injury and Osteoarthritis Outcome Score (KOOS)

    The Knee injury and Osteoarthritis Outcome Score (KOOS) is a patient self-administered questionnaire that consists of 42 questions and includes the WOMAC Osteoarthritis index. The KOOS consists of 5 subscales; pain, other symptoms, activities of daily living (ADL), sport and recreational function and knee related quality of life. Each question has 5 Likert- like response options. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  11. Patient-reported Outcome: Pre-surgical/Post-surgical Patient's Knee Implant Performance (PKIP)

    The Pre Surgical and/or Post-surgical Patient's Knee Implant Performance (PKIP) questionnaire is a patient self-administered questionnaire that consists of 25 questions relating to the patient's awareness of their knee. Questions include the patient's self-confidence about the current status of their knee performance, stability, and overall satisfaction. Each question has a 5, 6 or 10 Likert- like response option.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  12. Patient-reported Outcome: Knee Society Score

    The Knee Society Score is a self-administered questionnaire. The subject completes questions regarding: Symptoms (3 questions), Patient Satisfaction (5 questions), Patient Expectations (3 questions), Functional Activities (5 questions), Standard Activities (6 questions), Advanced Activities (5 questions), and Discretionary Knee Activities ( 4 questions). Likert responses are used, typically with five response options.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  13. Evaluate the impact of surgeon learning curve on clinical and functional outcomes

    A surgeon learning curve will be investigated by comparing learning curve cases (the pooled cohort of each surgeon's first 10 study Subjects) with all investigational Subjects. All primary and secondary outcomes will be compared across the learning curve and post-learning curve Subject cohorts.

    Measured: <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  14. Evaluate changes in femoral component and tibial component alignment

    Radiographs will be reviewed by an independent radiographic reviewer (IRR) in order to minimize bias of radiographic outcomes. Data from the IRR radiographic evaluations will be used to evaluate femoral and tibial component alignment over time.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

  15. Type and Frequency of Adverse Events (AEs) for all enrolled subjects

    All Serious AEs must be reported to Sponsor. All device-related or procedure-related adverse events must be reported to Sponsor.

    Measured: Pre-op (-90 to -1 days before surgery), <1 year (1 - 303 days), minimum 1 year (304 - 668 days), minimum 2 years (669 - 1763 days), minimum 5 years (1764 - 3588 days), minimum 10 years (3589 - 5413 days), minimum 15 years (5414 - 5658 days).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Dec 2012 (estimated)
  2. Study start1 Feb 2013
  3. Primary completion1 Feb 2030 (estimated)
  4. Study completion1 Feb 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,542 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01754363
Sponsor's protocol ID
10008
Status last verified
Nov 2026
First submitted
18 Dec 2012
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Attune Primary Total Knee Replacement in people with Noninflammatory Degenerative Joint Disease, run by DePuy International at 27 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, United Kingdom, Austria, Germany, South Korea and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Survivorship of each configuration. (time frame: Minimum 15 years (5414 - 5658 days)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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