"Composite success: 1) Revision free (life of study) 2) No evidence of radiographic failure (life of study) 3) Harris Hip score =\> 80 at 24 months"
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 82 | |
| Pinnacle Acetabular Cup System | 92 |
Last reviewed · How we verify
Multi-Center Comparative Trial of the ASR™-XL Acetabular Cup System vs. the Pinnacle™ Metal- on- Metal Total Hip System
NA trial testing ASR™-XL Modular Acetabular Cup System in Non-inflammatory Degenerative Joint Disease in 265 participants. Completed in 1 January 2012.
| Lead sponsor | DePuy Orthopaedics |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 265 |
| Start date | 1 November 2006 |
| Primary completion | 1 January 2012 |
| Estimated completion | 1 January 2012 |
| Sites | 8 locations across United States |
DePuy Orthopaedics — full company profile →
Adults 20 to 75, any sex, with Non-inflammatory Degenerative Joint Disease. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
"Composite success: 1) Revision free (life of study) 2) No evidence of radiographic failure (life of study) 3) Harris Hip score =\> 80 at 24 months"
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 82 | |
| Pinnacle Acetabular Cup System | 92 |
T-Test of Harris Hip total score means at 24 months
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 94.8 | ± 9.4 |
| Pinnacle Acetabular Cup System | 96.4 | ± 6.4 |
Mean Harris Hip Pain sub score
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 41.5 | ± 6.0 |
| Pinnacle Acetabular Cup System | 42.7 | ± 3.3 |
Mean Harris Hip Function sub score at 24 months
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 31.4 | ± 3.6 |
| Pinnacle Acetabular Cup System | 31.6 | ± 3.7 |
Serum Cobalt
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.10 | 0.07 – 0.18 |
| Pinnacle Acetabular Cup System | 0.10 | 0.06 – 0.40 |
Serum Chromium
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.12 | 0.07 – 1.30 |
| Pinnacle Acetabular Cup System | 0.12 | 0.07 – 2.73 |
Erythrocyte cobalt
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.07 | 0.05 – 1.26 |
| Pinnacle Acetabular Cup System | 0.08 | 0.04 – 0.20 |
Erythrocyte Chromium
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.55 | 0.20 – 59.45 |
| Pinnacle Acetabular Cup System | 0.62 | 0.15 – 2.23 |
Serum Cobalt
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 1.39 | 0.06 – 10.52 |
| Pinnacle Acetabular Cup System | 0.51 | 0.22 – 2.14 |
Serum Chromium
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 1.38 | 0.17 – 7.67 |
| Pinnacle Acetabular Cup System | 0.72 | 0.25 – 2.48 |
Erythrocyte Cobalt
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.85 | 0.06 – 8.41 |
| Pinnacle Acetabular Cup System | 0.26 | 0.17 – 0.92 |
Erythrocyte Chromium
| Group | Value | 95% CI |
|---|---|---|
| ASR XL Acetabular Cup System | 0.45 | 0.24 – 11.53 |
| Pinnacle Acetabular Cup System | 0.50 | 0.15 – 2.59 |
Time frame: AE data were collected at 1 month, 4 months, 12 months, 24 months, and annually until study closure. Longest post operative interval with AE data was 60 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | ASR XL Acetabular Cup System | Pinnacle Acetabular Cup Sy… |
|---|---|---|---|
| Bursitis | Musculoskeletal and connective tissue disorders | — | — |
| Arthralgia | Musculoskeletal and connective tissue disorders | — | — |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | — | — |
| Device component issue | General disorders | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — |
| Medical device site reaction | General disorders | — | — |
| Groin pain | Musculoskeletal and connective tissue disorders | — | — |
| Hip arthroplasty | Surgical and medical procedures | — | — |
| Pain | General disorders | — | — |
| Wound complication | Injury, poisoning and procedural complications | — | — |
| Blood heavy metal increased | Investigations | — | — |
| Atrial fibrillation | Cardiac disorders | — | — |
| Infection | Infections and infestations | — | — |
| Fracture | Injury, poisoning and procedural complications | — | — |
| Laceration | Injury, poisoning and procedural complications | — | — |
| Myalgia | Musculoskeletal and connective tissue disorders | — | — |
| Myocardial infarction | Cardiac disorders | — | — |
| Iliotibial band syndrome | Injury, poisoning and procedural complications | — | — |
| Meniscus injury | Injury, poisoning and procedural complications | — | — |
| Muscle strain | Injury, poisoning and procedural complications | — | — |
| Pain in extremity | Musculoskeletal and connective tissue disorders | — | — |
| Tendonitis | Musculoskeletal and connective tissue disorders | — | — |
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Paresthesia | Nervous system disorders | — | — |
| Sciatica | Nervous system disorders | — | — |
| Rash | Skin and subcutaneous tissue disorders | — | — |
| Knee arthroplasty | Surgical and medical procedures | — | — |
| Hypotension | Vascular disorders | — | — |
| Atrial flutter | Cardiac disorders | — | — |
| Cardiac failure | Cardiac disorders | — | — |
| Coronary artery occlusion | Cardiac disorders | — | — |
| Sinus tachycardia | Cardiac disorders | — | — |
| Tachycardia | Cardiac disorders | — | — |
| Hip dysplasia | Congenital, familial and genetic disorders | — | — |
| Abdominal pain | Gastrointestinal disorders | — | — |
| Colitis | Gastrointestinal disorders | — | — |
| Ileus | Gastrointestinal disorders | — | — |
| Pancreatitis | Gastrointestinal disorders | — | — |
| Asthenia | General disorders | — | — |
Data from ClinicalTrials.gov NCT00561600 adverse events section.
The primary objective of this investigation is to evaluate the clinical and radiographic outcomes of the ASR™-XL Acetabular Cup System compared to the Pinnacle™ Acetabular Cup with a 28mm or 36mm ULTAMET™ metal insert.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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