Prosthetic Joint InfectionPROFITHNCT05000723
Long Term Follow-up of Patients With Prosthetic Joint Infection of the Hip Treated at University Hospitals Leuven
An observational study of Prosthetic Joint Infection and Hip Prosthesis Infection, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
Trial summary
Prosthetic Joint Infection (PJI) of a Total Hip Replacement (THR) is a disastrous complication of an otherwise extremely successful surgical procedure. It is associated with a burdensome treatment for the patient, significant challenges for the medical team and high costs for society. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Prosthetic Joint Infection, Hip Prosthesis Infection
- How many people
- 50 participants
- Where
- 1 siteBelgium
- Study dates
- 14 Jul 2022to Dec 2099
- How long will I take part?
- 5 Years
- Phase
- Observational
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Every adult patient (> 18 years), regardless of sex or age, with a PJI of the hip, as based on the EBJIS 2021 criteria, is eligible for inclusion on this study. This would therefore also include women of childbearing age, although this would be extremely rare.
Who may be able to join
- 18 years or older
- patients diagnosed with PJI of the hip based on EBJIS 2021 criteria
Who cannot join
- Patients unable to provide written informed consent
- Patients who prefer treatment outside of University Hospitals Leuven
- Patients with infections of the native hip joint
- Patients with fracture-related infections (FRI)
- Patients with uncertain diagnosis of PJI according to the 2021 EBJIS criteria
- Patient younger than 18 years
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Belgium1 site, 1 recruiting
- Recruiting
University Hospitals Leuven - Gasthuisberg
Leuven, 3000
Georges Vles, MD, PhD
About this study
Prosthetic Joint Infection (PJI) of a Total Hip Replacement (THR) is a disastrous complication of an otherwise extremely successful surgical procedure. It is associated with a burdensome treatment for the patient, significant challenges for the medical team and high costs for society. As more joint replacements are being performed each year, due to an ageing population and lower thresholds for surgery, the number of PJIs is on the rise. Many of these patients will be referred to University Hospitals Leuven as the physicians have extensive experience with this particular pathology and can offer a multidisciplinary and patient-tailored treatment. Many controversies exist in the field of PJI treatment, both with regard to the surgical aspects as well as the antibiotic treatment. Setting up randomized controlled trials to answer these questions has been proven to be very difficult due to large variations in patients, implants, germs, soft and hard tissues, antibiotic resistance patterns, and so on. Also, surgery for PJIs is usually non-elective / semi-urgent and therefore time to include patients into different trials is limited. Therefore the investigators will prospectively collect data on patients with PJI treated at University Hospitals Leuven, starting 01/01/2022, in order to have knowledge of own results and inform patients about chances of success prior to treatment; perform internal audits and quality checks; answer questions in the field of PJI treatment not suitable for RCTs.
Read the detailed description
Prosthetic Joint Infection (PJI) of a Total Hip Replacement (THR) is a disastrous complication of an otherwise extremely successful surgical procedure. It is associated with a burdensome treatment for the patient, significant challenges for the medical team and high costs for society. As more joint replacements are being performed each year, due to an ageing population and lower thresholds for surgery, the number of PJIs is on the rise. Many of these patients will be referred to University Hospitals Leuven as the physicians have extensive experience with this particular pathology and can offer a multidisciplinary and patient-tailored treatment.
Many controversies exist in the field of PJI treatment, both with regard to the surgical aspects as well as the antibiotic treatment. Setting up randomized controlled trials to answer these questions has been proven to be very difficult due to large variations in patients, implants, germs, soft and hard tissues, antibiotic resistance patterns, and so on. Also, surgery for PJIs is usually non-elective / semi-urgent and therefore time to include patients into different trials is limited.
Nevertheless, prospectively collecting data on patients with PJI who are not involved in RCTs can already be helpful. It would allow the investigators to provide the patients with percentages of success of certain interventions based on historical results. At the moment the investigators have to rely on results reported by other groups, who might use different techniques or a facing a different germ spectrum.
Furthermore, prospectively collecting data on this cohort of patients, would make it possible for the investigators to do internal audits for quality control. Being able to perform simple checks, for example is every patient discussed in the multi-disciplinary team meeting, or is the hospital switching to targeted antibiotics soon enough, would already add to the quality of the service and could lead to adjustments in the protocols.
Also, certain scientific questions, which do not lend themselves to RCTs, such as the rate of success of treatment of PJI caused by rare germs (e.g. fungi) or in a specific population (e.g. octogenarians, transplant patients), could be answered by maintaining a prospective database
- Being tested
- Standard of care
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standard of careOther
Standard of care consisting of
- clearance of infection
- treatment with antibiotics (antisuppressive, DAIR) or surgery (1 stage, 2 stage Girdlestone)
- Radiology: X-ray pelvis and hip, X-ray pelvis with kingmark, CT scan pelvis/hip
| Study group | Role | What they receive |
|---|---|---|
| PJI patients | Patients (older than 18 years) with PJI of a total hip replacement treated at University Hospitals Leuven.
Diagnosis of PJI of the hip is made based on the EBJIS 2021 criteria. Patients will receive standard of care. Receives: Other: Standard of care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clearance of infection
Clearance of infection based on DELPHI criteria
Measured: within 5 years
Secondary outcomes (13)
Chosen treatment strategy
description of chosen treatments strategy such as suppressive antibiotics, Debridement Antibiotics Implant Retention (DAIR), 1 stage, 2 stage, Girdlestone
Measured: within 5 years
Surgical complications
Occurence of sugical complications such as fracture, dislocation, nerve damage, bleeding
Measured: within 5 years
Medical complications
Occurence of complications such as delirium, renal failure, deep venous thrombosis, hospital acquired pneumonia
Measured: within 5 years
Length of hospital stay
length of hospital stay in days
Measured: within 5 years
Discussion of patient in multi-disciplinary meeting
Whether or not patient is discussed in multi-disciplinary meeting
Measured: within 5 years
Readmissions within 30 days
Occurence of readmissions within 30 days
Measured: within 30 days
Mortality
Mortality of patients
Measured: within 5 years
EuroQol 5D -3L
Patients Reported Outcome Measures
Measured: within 5 years
General treatment discussion
Appropriate work-up performed? Unnecessary aspirations? Unnecessary nuclear imaging?
Measured: within 5 years
Hip disability and Osteoarthritis Outcome Score
Patients Reported Outcome Measures
Measured: within 5 years
Western Ontario and McMaster Universities Osteoarthritis Index
Patients Reported Outcome Measures
Measured: within 5 years
Readmissions within 90 days
Occurence of readmissions within 90 days
Measured: within 90 days
Changes in treatment
Whether or not there are changes in treatment consequent to multi-disciplinary meeting
Measured: within 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Aug 2021
- Study start14 Jul 2022
- Primary completionDec 2099 (estimated)
- Study completionDec 2099 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prosthetic Joint InfectionStudies of the same condition, open and under way.
- More trials run by Universitaire Ziekenhuizen KU LeuvenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 50 participants (estimated)
- Target duration
- 5 Years
Sponsor and investigators
- Lead sponsor
- Universitaire Ziekenhuizen KU Leuven
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Georges Vles, Md, PhD, Principal investigator, Universitaire Ziekenhuizen KU Leuven
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05000723
- Sponsor's protocol ID
- S65804
- Acronym
- PROFITH
- Status last verified
- Mar 2026
- First submitted
- 3 Aug 2021
- Last updated
- 16 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No