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Meniscus TearNOVOSTITCH PRONCT04361487

Circumferential Compression STITCH Repairs of Complex and Horizontal Cleavage Meniscal Tears

An observational study of Meniscus Tear and Retention; Meniscus, run by Smith & Nephew, Inc. at 6 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to understand the benefits and safety of the NOVOSTITCH PRO Meniscal Repair (NOVOSTITCH PRO) system. The meniscus is a tissue in the knee joint. The NOVOSTITCH PRO is used during surgery to fix meniscus tears in the knee. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Meniscus Tear, Retention; Meniscus
What is being tested?
NOVOSTITCH™ PRO Meniscal Repair System
Type of treatment
Medical device
How many people
33 participants
Where
6 sitesUnited States
Study dates
13 Nov 2020to 25 Apr 2024
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Subjects will be recruited at the sports medicine/orthopedic clinic.

Who may be able to join

  • Subjects will be eligible for the study if they meet all of the following criteria at the Baseline Screening:
  • Able and willing to give informed consent by voluntarily providing written informed consent in accordance with governing Institutional Review Board;
  • 18 to 70 years of age, inclusive at the time of screening;
  • History indicative of meniscal pathology (e.g., pain, mechanical symptoms described as locking, clicking or giving way);
  • Physical exam consistent with meniscus tear (e.g., locked joint, joint line tenderness and/or pain on meniscal compression);
  • If prior ligament reconstruction, the study knee is clinically stable;
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  • Meniscal repair to be performed arthroscopically;
  • Preoperative MRI evidence consistent with a horizontal cleavage or complex meniscus tear in the symptomatic compartment;
  • Willing and able to comply with all study procedures and visit requirements, including MRIs, X-rays, and Case Report Forms (CRFs) completed by the subject.
  • Consented subjects may be included in the study only if, upon arthroscopic inspection during the procedure, their meniscal study lesion meets all of the following criteria:
  • Meniscal tear amenable to repair with NOVOSTITCH PRO with or without the use of adjunct devices per the exclusion criteria;
  • Tear pattern is one of the following:
  • Horizontal cleavage tear (HCT), or
  • Complex multi-planar tear (combination of at least two of the following tears: horizontal, oblique, radial, vertical).

Who cannot join

  • Subjects will be excluded from the study if they meet any of following criteria at the Baseline Screening:
  • Arthritis in the study knee (Kellgren-Lawrence Grade 3 or higher);
  • Body Mass Index (BMI) ≥40 kg/m2;
  • Previous surgical meniscal repair or meniscectomy of the study meniscus;
  • Unstable knee;
  • Clinically significant malalignment of the study knee, and/or requiring osteotomy, and/or correction;
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  • History of constitutional/systemic inflammatory/arthritic problem or pain condition, history of knee infection, vascular condition of legs, benign neoplasms of knee, hepatitis, and/or HIV;
  • Currently on any immunosuppressive therapy;
  • Expected to undergo any other surgical treatment of either knee;
  • Previously enrolled in the study (no bilateral knee surgeries);
  • Surgical procedures other than those listed in the Indications for Use;
  • Patient conditions including insufficient quantity or quality of tissue;
  • Insufficient blood supply or previous infections which may hinder the healing process;
  • Foreign body sensitivity. If material sensitivity is suspected, testing should be completed prior to suture implantation;
  • Conditions which may limit the patient's ability or willingness to follow postoperative care instructions;
  • Any concomitant painful or disabling disease, condition or post-procedure status of either lower extremity that would interfere with evaluation or rehabilitation of the study knee;
  • Pregnant or planning to become pregnant in the next 2 years;
  • Subject does not understand a language in which the PROs and EQ-5D-5L are available.
  • Subjects will be excluded from the study if their study meniscus lesion meets any of the following criteria at arthroscopy:
  • Ramp tears;
  • Root or other tear type requiring tibial fixation;
  • Tears requiring repair of both meniscus in the study knee;
  • Intact or partially intact meniscus tear that, in the opinion of the Investigator, does not require repair;
  • Poor meniscal tissue quality such that it will not hold a suture;
  • For HCTs:
  • Use of any capsular fixation device; OR
  • Any portion of the meniscal tear is repaired using a device to place stitches other than NOVOSTITCH PRO, Meniscus Mender II, or Meniscal Stitcher, or FIRSTPASS MINI marketed by Smith + Nephew Inc.;
  • For complex tears:
  • Any portion of the meniscal tear is repaired using a device to place stitches other than NOVOSTITCH PRO, Meniscus Mender II, Meniscal Stitcher, FIRSTPASS MINI, FAST-FIX 360, or ULTRA FAST-FIX marketed by Smith + Nephew Inc.;
  • Clinically significant (zone 1 and/or zone 2) tear in the contralateral compartment to the study meniscus;
  • Performance of a significant concomitant procedure (e.g. ACL reconstruction or repair, cartilage repair or restoration) intended as a therapeutic intervention on the study knee;
  • Presence of infection;
  • Articular cartilage damage in the study knee, defined as Modified Outerbridge Grade III or higher.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Rush University Medical Center / Midwest Orthopaedics at Rush

    Chicago, Illinois, 60612

  • Ohio State University/Jameson Crane Sports Medicine Institute

    Columbus, Ohio, 43202

  • Hawai'i Pacific Health / Straub Medical Center

    Honolulu, Hawaii, 96813

  • University of Kansas Medical Center

    Overland Park, Kansas, 66211

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • CAO Research Foundation

    Washington D.C., District of Columbia, 20037

Other trials in United States

About this study

The purpose of this study is to understand the benefits and safety of the NOVOSTITCH PRO Meniscal Repair (NOVOSTITCH PRO) system. The meniscus is a tissue in the knee joint. The NOVOSTITCH PRO is used during surgery to fix meniscus tears in the knee. It is unknown whether fixing a meniscus tear is better than the approach of removing the tear. Data will be collected on participants prior to surgery, at surgery, and for 2 years after surgery.

Read the detailed description

The purpose of this study is to understand the benefits and safety of the NOVOSTITCH PRO Meniscal Repair (NOVOSTITCH PRO) system. The meniscus is a tissue in the knee joint. The NOVOSTITCH PRO is used during surgery to fix meniscus tears in the knee. It is unknown whether fixing a meniscus tear is better than the approach of removing the tear. Data will be collected on participants prior to surgery, at surgery, and for 2 years after surgery.

There are different types of tears in the meniscus. This study includes 2 of the tear types: horizontal cleavage and complex meniscal tears.

Participants will be consented and enrolled in the study prior to knee surgery. Participants will complete surveys before surgery and data obtained from the medical record. In addition, standard of care x-rays and MRIs of the knee will be sent to the study. Participants will have their standard of care surgery to repair the knee using NOVOSTITCH PRO. Images and videos inside the knee during surgery may be sent to the study.

Participants will be followed 2 years after surgery. There are a total of 5 follow-up visits: 2 weeks, 3 months, 6 months, 1 year, and 2 years after surgery. Data will be obtained from medical records, surveys, MRIs, and radiographs. Up to 30 participants will have an optional needle endoscopy at the 6-month follow-up visit.

Being tested
NOVOSTITCH™ PRO Meniscal Repair System
Keywords
NOVOSTITCH, meniscal, meniscus, repair, knee, horizontal cleavage, complex tear, arthroscopy

What participants receive

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

  • NOVOSTITCH™ PRO Meniscal Repair SystemDevice

    Standard of care surgery with in which the meniscus is repaired using NOVOSTITCH™ PRO Meniscal Repair System

Study groups in NCT04361487
Study groupRoleWhat they receive
NOVOSTITCH™ PRO Meniscal Repair SystemParticipants with horizontal cleavage meniscal tears or complex meniscal tears treated with NOVOSTITCH™ PRO Meniscal Repair System
Receives: Device: NOVOSTITCH™ PRO Meniscal Repair System

What is being measured

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

  1. Rate of Freedom From Reoperation at 12 Months After Surgery

    Percentage of participants with freedom from reoperation due to meniscal repair failure at 12 months after surgery (i.e., no re-operation required). Freedom from reoperation was defined as no re-operation required due to meniscal repair failure for any reason.

    Measured: 12 months

Secondary outcomes (12)
  1. Rate of Freedom From Reoperation at 6 & 24 Months After Surgery

    Percentage of participants with freedom from reoperation due to meniscal repair failure at 6 months \& 24 months after surgery (i.e., no re-operation required). Freedom from reoperation was defined as no re-operation required due to meniscal repair failure for any reason.

    Measured: 6 months, 24 months

  2. Structural Integrity of Meniscus Assessed by MRI

    Structural integrity of the meniscus was identified using Magnetic Resonance Imaging (MRI) by the results of the Meniscal Signal Index Meniscus grading. Participants were categorized using the following grading:

    • Grade 0: Low signal intensity indicative of a normal meniscus.
    • Grade 1: Irregularly marginated elevated signal with globular shape, suggestive of early meniscal degeneration.
    • Grade 2: Linear elevated signal (i.e. confirmed fluid signal) not extending into the tibial or femoral articular surface.
    • Grade 3: Linear elevated signal (i.e. confirmed fluid signal) extending into the tibial or femoral articular surface, suggestive of a tear

    Measured: Baseline, 12 months, and 24 months

  3. Change in Tibiofemoral Joint Space Narrowing (JSN) in Medial Compartment From Baseline to 24 Months

    Change in Tibiofemoral Joint Space Narrowing (JSN) in the medial compartment was measured in millimeters (mm) as assessed by x-rays.

    Measured: Baseline to 24 months

  4. Change in Tibiofemoral Joint Space Narrowing (JSN) in Lateral Compartment From Baseline to 24 Months

    Change in Tibiofemoral Joint Space Narrowing (JSN) in the lateral compartment was measured in millimeters (mm) as assessed by x-rays.

    Measured: Baseline to 24 months

  5. In-Office Needle Endoscopy at 6 Months

    In-office needle endoscopy is a minimally invasive procedure in which a needle-sized camera is inserted into tissue for observation and/or biopsy purposes. For this study, a needle-sized endoscopy was inserted to record video and images of the meniscal repair site and visually assess healing. Healing by participant was categorized as:

    • Healed
    • Incompletely Healed
    • Failure

    Measured: 6 months

  6. Patient Reported Outcome (PRO): International Knee Documentation Committee (IKDC) Subjective Score

    The International Knee Documentation Committee (IKDC) Subjective score was developed to detect improvement or deterioration in symptoms, function, and sports activities due to knee impairment, including patients with meniscal injuries. Possible scores range from 0-100, where 100 indicated the highest level of function and lowest level of symptoms (i.e., better outcome), and 0 indicated the lowest level of function or highest level of symptoms (i.e., worse outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  7. Patient Reported Outcome (PRO): Knee Injury and Osteoarthritis Outcome Score (KOOS) - Symptoms Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) consists of five patient-relevant subscales with each scored separately. The subscales are Pain (9 items), Symptoms (7 items), ADL function (17 items), Sport and Recreation Function (5 items), and Quality of Life (4 items).

    A Likert scale is used for each subscale with five possible answer options scored from 0 (no problems) to 4 (extreme problems). Each of the 5 scores is calculated as the sum of the items included and then each score is transformed to a 0-100 scale with 0 representing extreme knee problems (i.e., worse outcome) and 100 representing no knee problems (i.e., better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  8. Patient Reported Outcome (PRO): Knee Injury and Osteoarthritis Outcome Score (KOOS) - Pain Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) consists of five patient-relevant subscales with each scored separately. The subscales are Pain (9 items), Symptoms (7 items), ADL function (17 items), Sport and Recreation Function (5 items), and Quality of Life (4 items).

    A Likert scale is used for each subscale with five possible answer options scored from 0 (no problems) to 4 (extreme problems). Each of the 5 scores is calculated as the sum of the items included and then each score is transformed to a 0-100 scale with 0 representing extreme knee problems (i.e., worse outcome) and 100 representing no knee problems (i.e., better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  9. Patient Reported Outcome (PRO): Knee Injury and Osteoarthritis Outcome Score (KOOS) - Activities of Daily Life Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) consists of five patient-relevant subscales with each scored separately. The subscales are Pain (9 items), Symptoms (7 items), ADL function (17 items), Sport and Recreation Function (5 items), and Quality of Life (4 items).

    A Likert scale is used for each subscale with five possible answer options scored from 0 (no problems) to 4 (extreme problems). Each of the 5 scores is calculated as the sum of the items included and then each score is transformed to a 0-100 scale with 0 representing extreme knee problems (i.e., worse outcome) and 100 representing no knee problems (i.e., better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  10. Patient Reported Outcome (PRO): Knee Injury and Osteoarthritis Outcome Score (KOOS) - Sport Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) consists of five patient-relevant subscales with each scored separately. The subscales are Pain (9 items), Symptoms (7 items), ADL function (17 items), Sport and Recreation Function (5 items), and Quality of Life (4 items).

    A Likert scale is used for each subscale with five possible answer options scored from 0 (no problems) to 4 (extreme problems). Each of the 5 scores is calculated as the sum of the items included and then each score is transformed to a 0-100 scale with 0 representing extreme knee problems (i.e., worse outcome) and 100 representing no knee problems (i.e., better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  11. Patient Reported Outcome (PRO): Knee Injury and Osteoarthritis Outcome Score (KOOS) - Quality of Life Score

    The Knee Injury and Osteoarthritis Outcome Score (KOOS) consists of five patient-relevant subscales with each scored separately. The subscales are Pain (9 items), Symptoms (7 items), ADL function (17 items), Sport and Recreation Function (5 items), and Quality of Life (4 items).

    A Likert scale is used for each subscale with five possible answer options scored from 0 (no problems) to 4 (extreme problems). Each of the 5 scores is calculated as the sum of the items included and then each score is transformed to a 0-100 scale with 0 representing extreme knee problems (i.e., worse outcome) and 100 representing no knee problems (i.e., better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

  12. Patient Reported Outcome (PRO): Lysholm Knee Scoring Scale Score

    The Lysholm Knee Scoring Scale measures the participant's symptoms and functioning of daily activities by assessing 8 items: limping, using cane or crutches, locking sensation in the knee, giving way sensation from the knee, pain, swelling, climbing stairs, and squatting. The scale is scored on a scale from 0 to 100, with a higher score indicating fewer symptoms and higher level of functioning (i.e., a better outcome).

    Measured: Baseline, 6 months, 12 months, and 24 months

Timeline

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

  1. First posted24 Apr 2020
  2. Study start13 Nov 2020
  3. Primary completion25 Apr 2024
  4. Study completion25 Apr 2024

Why it stopped: Slow enrollment resulted in the decision to prematurely terminate the study

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04361487
Sponsor's protocol ID
NOVOSTITCH.2019.09
Acronym
NOVOSTITCH PRO
Status last verified
Nov 2024
First submitted
22 Apr 2020
Last updated
24 Feb 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

An observational study of Meniscus Tear and Retention; Meniscus, run by Smith & Nephew, Inc. at 6 sites in United States.

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 14 inclusion and 33 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: stopped early, as of the sponsor's last update on 24 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. 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?

Yes. Results are posted in the registry (first posted 24 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Rate of Freedom From Reoperation at 12 Months After Surgery (time frame: 12 months). 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 24 Feb 2026.

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