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ArthroplastyJIICRTKANCT04818840

Evaluate the Performance of JOURNEY II CR in TKA Populations

An observational study of Arthroplasty and Replacement, run by Smith & Nephew, Inc. at 8 sites in 5 countries.

Terminated

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

Official record
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Trial summary

Background: The JOURNEY II CR Total Knee System consists of femoral component made from oxidized zirconium (OXINIUM) Purpose: Post-market evidence generation for JOURNEY II CR Total Knee System Objectives: Evaluate the performance of JOURNEY II CR TKA in APAC populations Evaluate the impact of patella resurfacing on… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Arthroplasty, Replacement, Knee
What is being tested?
Resurfaced Patella and Un-resurfaced Patella
How many people
62 participants
Where
8 sitesin 5 countries
Study dates
3 Mar 2022to 15 Mar 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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: A total of up to 480 knees' information will be collected in up to 15 sites in India, China mainland, Hong Kong, Singapore, Thailand and Japan There will be up to 240 knees for resurfaced patella group and up to 240 knees for un-resurfaced patella group.

Who may be able to join

  • Subjects with degenerative osteoarthritis.
  • Subject is planning to have TKA using JOURNEY II CR.
  • Subject is able and willing to provide voluntary consent to study participation.
  • Subject is 18-80 years old (inclusive) * (* For Japan, the minimum inclusion age is 20 years old.)

Who cannot join

  • Subjects with rheumatoid arthritis/inflammatory arthritis, posttraumatic arthritis.
  • Previous surgeries including HTO, UKA or TKA on the subject knee.
  • Subject is pregnant or breast feeding or those at a child-bearing age planning to become pregnant during the follow up.
  • Subject does not meet the indication or is contraindicated for JOURNEY II CR's IFU.

Trial locations and contacts

8 sites in 5 countries.

8 sites in 5 countries

China2 sites
  • Peking University Third Hospital

    Beijing, 100083

  • Prince of Wales Hospital

    Hong Kong

Other trials in China

India2 sites
  • Aster RV Hospital, Bangalore

    Bengaluru, Karnataka, 560078

  • Arcus Hospital

    Pune, Maharashtra, 411040

Other trials in India

Japan2 sites
  • Toho University Omori Medical Center

    Tokyo, 1438540

  • Tokyo Women's Medical University

    Tokyo, 1628666

Other trials in Japan

Singapore1 site
  • Singapore General Hospital

    Singapore, 169608

Other trials in Singapore

Thailand1 site
  • Chulalongkorn Hospital

    Bangkok, 10330

Other trials in Thailand

About this study

Official title: A Prospective Multi-Centre Study in Patients Undergoing Total Knee Replacement With JOURNEY II CR Total Knee System

Background:

The JOURNEY II CR Total Knee System consists of femoral component made from oxidized zirconium (OXINIUM)

Purpose:

Post-market evidence generation for JOURNEY II CR Total Knee System

Objectives:

Evaluate the performance of JOURNEY II CR TKA in APAC populations Evaluate the impact of patella resurfacing on the outcomes of JOURNEY II CR TKA

Research participants / locations:

A total of up to 480 knees' information will be collected in up to 15 sites in India, China mainland, Hong Kong, Singapore, Thailand and Japan There will be up to 240 knees for resurfaced patella group and up to 240 knees for un-resurfaced patella group.

Being tested
Resurfaced Patella, Un-resurfaced Patella
Keywords
Osteoarthritis, Total knee arthroplasty (TKA)
Medical subject headings
Osteoarthritis

What participants receive

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

  • Resurfaced PatellaDevice

    JOURNEY II CR Total Knee System was used for Total Knee replacement

  • Un-resurfaced PatellaProcedure or surgery

    JOURNEY II CR Total Knee System was used for Total Knee replacement

Study groups in NCT04818840
Study groupRoleWhat they receive
Resurfaced/non patellaUndergoing Total Knee Replacement with JOURNEY II CR Total Knee System
Receives: Device: Resurfaced Patella
un-resurfaced patellaUndergoing Total Knee Replacement with JOURNEY II CR Total Knee System
Receives: Procedure: Un-resurfaced Patella

What is being measured

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

  1. Oxford Knee Score (OKS) at 2 Years

    The Oxford Knee Score (OKS) is a Patient Reported Outcome questionnaire that was developed to specifically assess the patient's perspective of outcome following Total Knee Arthroplasty (TKA). The OKS is a patient self-completion PRO containing 12 equally weighted questions on activities of daily living. The OKS has been developed and validated specifically to assess perceived function and pain answered on a Likert scale after TKA. Responses to each question ranges from 0-4 with a range of a possible overall score from 0-48. A score of 0 is the worst possible outcome while a score of 48 is the best possible outcome.

    Measured: 2 years

Secondary outcomes (19)
  1. Forgotten Joint Score (FJS)

    The Forgotten Joint Score (FJS) comprises measures for the assessment of joint-specific patient reported outcomes. This questionnaire focuses on the study participant's awareness of the partially or fully replaced knee joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. Participants are asked to rate their awareness of their knee arthroplasty in 12 questions with a five-point Likert response format: "Never", "almost never", "seldom", "sometimes" and "mostly". The item scores are summed and linearly transformed in a 0 to 100 scale with a high value reflecting the ability of the subject to forget about the replaced knee joint during the activities of daily living (i.e., a higher score is a better outcome).

    Measured: 6 months, 1 year, 2 years, 3 years

  2. Oxford Knee Score (OKS)

    The Oxford Knee Score (OKS) is a Patient Reported Outcome (PRO) questionnaire that was developed to specifically assess the patient's perspective of outcome following Total Knee Arthroplasty (TKA). The OKS is a patient self-completion PRO containing 12 equally weighted questions on activities of daily living. The OKS has been developed and validated specifically to assess perceived function and pain answered on a Likert scale after TKA. Overall scores range from 0 to 48, where a score of 0 is the worst possible outcome and a score of 48 is the best possible outcome.

    Measured: Pre-Operative, 6 months, 1 year, 3 years

  3. Knee Society Score (KSS): "Objective" Knee Score

    The KSS is a validated tool that combines an objective physician-derived component with a subjective subject-derived component and consists of 4 separate sub-scales: The "Objective" Knee Score sub-scale is assessed by the surgeon, focusing on clinical measures such as pain, range of motion, and stability. The score is 7 items on a scale of 0 to 100 where a higher score indicates a better outcome.

    Measured: Pre-Operative, 6 months, 1 year, 2 years, 3 years

  4. Knee Society Score (KSS): Patient Satisfaction Score

    The KSS is a validated tool that combines an objective physician-derived component with a subjective subject-derived component and consists of 4 separate sub-scales. The Patient Satisfaction sub-scale score evaluates the participant's satisfaction with their knee function and pain relief. The score is five items on a scale of 0 to 40 where a higher score indicates a better outcome.

    Measured: Pre-Operative, 6 months, 1 year, 2 years, 3 years

  5. Knee Society Score (KSS): Patient Expectation Score

    The KSS is a validated tool that combines an objective physician-derived component with a subjective subject-derived component and consists of 4 separate sub-scales. The Patient Expectation sub-scale score assesses the participant's expectations regarding their knee function and outcomes. The score is three items on a scale of 3 to 15 where a higher score indicates a better outcome.

    Measured: Pre-Operative, 6 months, 1 year, 2 years, 3 years

  6. Knee Society Score (KSS): Functional Knee Score

    The KSS is a validated tool that combines an objective physician-derived component with a subjective subject-derived component and consists of 4 separate sub-scales. The Functional Knee Score is derived from assessments of walking and standing, standard activities, advanced activities, and discretionary activities to evaluate the participant's ability to perform daily activities and their overall functional capabilities. The score is 19 items on a scale of 0 to 100 where a higher score indicates a better outcome.

    Measured: Pre-Operative, 6 months, 1 year, 2 years, 3 years

  7. Patient Expectation

    Patient expectation measured by asking participants to select "ONE activity that matters to you most and you expect to participate after the surgery?" Responses were categorized as:

    1. Regularly participate in impact sports (e.g., jogging, tennis, skiing, acrobatics, ballet, heavy labor, backpacking, basketball, mountain climbing or badminton with running \& jumping)
    2. Sometime participate in impact sports
    3. Regularly participate in very active events (e.g., bowling, golf, table tennis, badminton without running \& jumping or fitness walking)
    4. Regularly participate in active events (e.g., bicycling or square dancing)
    5. Regularly participate in moderate activities (e.g., swimming \& unlimited housework, shopping or Tai Chi)
    6. Sometimes participate in moderate activities
    7. Regularly participate in mild activities (e.g., walking, limited housework, \& limited shopping)
    8. Sometimes participate in mild activities
    9. Restricted to minimal activities of daily living
    10. Missing

    Measured: Pre-Operative

  8. Patient Satisfaction

    Patient satisfaction is measured by a corresponding question based on their expectation asking, "How satisfied are you with the surgery meeting your expectation?" Responses were categorized as:

    • Very Satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Very Dissatisfied
    • Missing

    Measured: 6 months, 1 year, 2 years, 3 years

  9. Radiographic Assessment: Presence of Radiographic Findings

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the number of participants with the presence of radiographic findings categorized as:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  10. Radiographic Assessment: Aseptic Loosening

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of aseptic loosening as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  11. Radiographic Assessment: Septic Loosening

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of septic loosening as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  12. Radiographic Assessment: Bone Fracture

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of bone fracture as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  13. Radiographic Assessment: Cement Fracture

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of cement fracture as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  14. Radiographic Assessment: Osteolysis

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of osteolysis as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  15. Radiographic Assessment: Subsidence

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of subsidence as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  16. Radiographic Assessment: Implant Migration

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of implant migration as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  17. Radiographic Assessment: Stress Shielding

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of stress shielding as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  18. Radiographic Assessment: Implant-Cement Debonding

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to identify the radiographic finding type by the presence of implant-cement debonding as one of the following:

    • Yes
    • No
    • Missing

    Measured: Immediate Post-op to 6 weeks, 6 months, 1 year, 2 years

  19. Radiographic Assessment: Mechanical Axis Alignment of the Knee Joint

    Standard radiographic evaluation on antero-posterior (A/P) and lateral views performed to determine mechanical axis alignment of the knee joint in degrees measured through the centre of the hip (centre of the spherical femoral head), centre of the knee (centre of the tibial plateau) and centre of the ankle (centre of the talus).

    Measured: Pre-Operative, 6 months, 1 year, 2 years

Timeline

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

  1. First posted26 Mar 2021
  2. Study start3 Mar 2022
  3. Primary completion15 Mar 2024
  4. Study completion15 Mar 2024

Why it stopped: It was terminated by sponsor for updated evidence needs

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
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04818840
Sponsor's protocol ID
Journey II CR.2020.11
Acronym
JIICRTKA
Status last verified
Aug 2024
First submitted
24 Mar 2021
Last updated
20 Aug 2025
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Arthroplasty and Replacement, run by Smith & Nephew, Inc. at 8 sites in 5 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 4 inclusion and 4 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 20 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in China, India, Japan, Singapore, Thailand. 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 20 Aug 2025). 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?

Oxford Knee Score (OKS) at 2 Years (time frame: 2 years). 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 20 Aug 2025.

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