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NCT03317834

Navio With Total Knee Arthroplasty

Completed Results posted Last updated 8 October 2024
What this trial tests

trial testing Navio ™ Robotic-assisted Surgical System in Total Knee Arthroplasty in 122 participants. Completed in 27 May 2021.

Timeline
13 November 2017
Primary endpoint
25 October 2018
27 May 2021

Quick facts

Lead sponsorSmith & Nephew, Inc.
StatusCompleted
Study typeOBSERVATIONAL
Enrollment122
Start date13 November 2017
Primary completion25 October 2018
Estimated completion27 May 2021
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Smith & Nephew, Inc. — full company profile →

Who can join

Under 80, any sex, with Total Knee Arthroplasty or Arthroplasty of Knee. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Count of Participants With Post-operative Mechanical Alignment Primary · 1 month

The number of participants achieving post-operative mechanical alignment within ±3 degrees from target with "Yes" indicating mechanical alignment was achieved and "No" indicating mechanical alignment was not achieved.

GroupValue95% CI
Study Population106
Study Population9
Count of Participants With Implant Survival Secondary · 2 years

Number of participants with implant survivorship where "No" indicates a revision surgery was not required and "Yes" indicates a revision surgery was required by the 2 year postoperative visit.

GroupValue95% CI
Study Population117
Study Population5
Knee Society Score 2011 Secondary · Baseline, 1 month, 6 months, 1 year, and 2 years

The Functional Knee Score is derived from assessments of walking and standing, standard activities, advanced activities, and discretionary activities in Total Knee Arthroplasty (TKA) participants. The 2011 Knee Society Score consists of 4 separate subscales with a higher number indicating a better outcome: * A Patient Expectation Score (5items: 15 points, range 0-15) * A Functional Activity Score (19 items: 100 points, range 0-100) * An "Objective" Knee Score (7 items: 100 points, range 0-100) * A Patient Satisfaction Score (5 items: 40 points, range 0-40)

Patient Expectation: Baseline
GroupValue95% CI
Study Population14.21± 1.627
Patient Expectation: 1 Month
GroupValue95% CI
Study Population8.42± 2.819
Patient Expectation: 6 Months
GroupValue95% CI
Study Population9.78± 3.391
Patient Expectation: 1 Year
GroupValue95% CI
Study Population9.39± 3.040
Patient Expectation: 2 Years
GroupValue95% CI
Study Population9.97± 2.485
Functional Activity: Baseline
GroupValue95% CI
Study Population42.13± 15.914
Functional Activity: 1 Month
GroupValue95% CI
Study Population46.55± 16.155
Functional Activity: 6 Months
GroupValue95% CI
Study Population72.28± 15.819
Quality of Life EQ-5D-5L Secondary · Baseline, 1 Month, 6 Months, 1 Year, 2 Years

Patient Reported Outcomes using EuroQol Five Dimensions Questionnaire (EQ-5D-5L) was graded on a scale of 0 to 100, with 100 being the best health you can imagine and 0 indicating the worst.

Baseline
GroupValue95% CI
Study Population73.44± 16.643
1 Month
GroupValue95% CI
Study Population75.01± 12.251
6 Months
GroupValue95% CI
Study Population78.44± 13.462
1 Year
GroupValue95% CI
Study Population81.82± 10.012
2 Years
GroupValue95% CI
Study Population84.18± 9.364
Forgotten Joint Score (FJS) Secondary · Baseline, 1 month, 6 months, 1 year, 2 years

Forgotten Joint Score (FJS) is a patient-reported outcome measure intended to determine a patient's ability to "forget" about their affected joint after surgery or treatment. The Forgotten Joint Score consists of 12 questions and is scored on a 0-100 scale. The higher the score, the less the patient is aware of their affected joint when performing daily activities.

Baseline
GroupValue95% CI
Study Population11.84± 12.084
1 Month
GroupValue95% CI
Study Population17.31± 19.603
6 Months
GroupValue95% CI
Study Population51.45± 25.377
1 Year
GroupValue95% CI
Study Population66.31± 26.598
2 Years
GroupValue95% CI
Study Population78.56± 26.095
Hospital Length of Stay Secondary · During hospitalization, up to 6 days

Hospital length of stay measured in days

GroupValue95% CI
Study Population2.04± 0.837
Operative Time Secondary · During surgery, up to 235 minutes

Operative time taken for the surgery measured in minutes.

GroupValue95% CI
Study Population90.48± 29.316
Radiographic Assessment - Anteroposterior (AP) Angle Secondary · Baseline, 1 month, 6 months, 1 year, and 2 years

AP Angle mechanical alignment of femoral flexion, tibial angle, and total valgus angle

Femoral Flexion: Baseline
GroupValue95% CI
Study Population65.39± 40.711
Femoral Flexion: 1 Month
GroupValue95% CI
Study Population71.77± 37.265
Femoral Flexion: 6 Months
GroupValue95% CI
Study Population70.10± 38.357
Femoral Flexion: 1 Year
GroupValue95% CI
Study Population73.41± 35.754
Femoral Flexion: 2 Years
GroupValue95% CI
Study Population72.89± 36.198
Tibial Angle: Baseline
GroupValue95% CI
Study Population62.34± 38.578
Tibial Angle: 1 Month
GroupValue95% CI
Study Population69.07± 37.639
Tibial Angle: 6 Months
GroupValue95% CI
Study Population66.59± 38.915
Radiographic Assessment - Lateral Angle Secondary · Baseline, 1 month, 6 months, 1 year, and 2 years

Lateral Angle mechanical alignment of femoral flexion and tibial angle.

Lateral Angle Femoral Flexion: Baseline
GroupValue95% CI
Study Population6.12± 2.233
Lateral Angle Femoral Flexion: 1 Month
GroupValue95% CI
Study Population2.68± 2.600
Lateral Angle Femoral Flexion: 6 Months
GroupValue95% CI
Study Population2.41± 2.499
Lateral Angle Femoral Flexion: 1 Year
GroupValue95% CI
Study Population3.10± 9.465
Lateral Angle Femoral Flexion: 2 Years
GroupValue95% CI
Study Population3.31± 9.763
Tibial Angle: Baseline
GroupValue95% CI
Study Population80.18± 19.654
Tibial Angle: 1 Month
GroupValue95% CI
Study Population66.30± 37.277
Tibial Angle: 6 Months
GroupValue95% CI
Study Population63.79± 38.965
Radiographic Assessment - Count of Participant Displacements Secondary · 6 months

Number of participants with either no displacement or displacement observed at the 6-month follow-up visit.

GroupValue95% CI
Study Population62
Study Population24
Radiographic Assessment - Displacement Measurement Secondary · 6 months

Degree of displacement measured in millimeters (mm) for participants with displacement observed at the 6-month follow-up visit.

GroupValue95% CI
Study Population3.95± 2.663

Adverse events — posted to ClinicalTrials.gov

Time frame: Time of surgery (i.e., device implantation) through end of the study (2 year post-operative follow-up).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Study Population
Serious: 26/122 (21%)
Deaths: 2/122

Serious adverse events (26 terms)

ReactionSystemStudy Population
Recurrent dislocation, right hipMusculoskeletal and connective tissue disorders
Quadricep tendon ruptureMusculoskeletal and connective tissue disorders
Delayed wound healingBlood and lymphatic system disorders
Arthrofibrosis of total knee arthroplastyMusculoskeletal and connective tissue disorders
Arthrofibrosis right kneeMusculoskeletal and connective tissue disorders
Instability of internal left knee prosthesis, init. encounterMusculoskeletal and connective tissue disorders
Patellar tendon tear right kneeMusculoskeletal and connective tissue disorders
Prostate cancer (reoccurence)Reproductive system and breast disorders
Deceased, unknown causeInvestigations
Rt knee effusionMusculoskeletal and connective tissue disorders
Ischemic stroke in left MCA regionCardiac disorders
GI bleedGastrointestinal disorders
Pulmonary atelectasis J98.11Skin and subcutaneous tissue disorders
Right ankle fractureRespiratory, thoracic and mediastinal disorders
Periprosthetic infectionBlood and lymphatic system disorders
Macular Pucker with surgical repairEye disorders
CataractsEye disorders
Right knee pain, lumbar sprain / strainMusculoskeletal and connective tissue disorders
Pain in left kneeMusculoskeletal and connective tissue disorders
Fall causing torn tendonMusculoskeletal and connective tissue disorders
Infection right kneeBlood and lymphatic system disorders
Acquired instability, left kneeMusculoskeletal and connective tissue disorders
Arthrofibrosis (R) kneeMusculoskeletal and connective tissue disorders
Left stiffness of knee with history of replacementMusculoskeletal and connective tissue disorders
Arthrofibrosis left kneeMusculoskeletal and connective tissue disorders
Other adverse events (11 terms — click to expand)

ReactionSystemStudy Population
Tooth abcessGastrointestinal disorders
Wound complication due to suture reactionBlood and lymphatic system disorders
Wound dehiscenceBlood and lymphatic system disorders
Pain in left kneeMusculoskeletal and connective tissue disorders
Pain in right knee, effusion right kneeMusculoskeletal and connective tissue disorders
Iliotibial band friction syndrome - left kneeMusculoskeletal and connective tissue disorders
Left knee painMusculoskeletal and connective tissue disorders
BronchitisRespiratory, thoracic and mediastinal disorders
DermatitisSkin and subcutaneous tissue disorders
Pain in left hipMusculoskeletal and connective tissue disorders
Right knee pain, lumbar sprain / strainMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Recurrent dislocation, right hip, Quadricep tendon rupture, Delayed wound healing, Arthrofibrosis of total knee arthroplasty, Arthrofibrosis right knee, Instability of internal left knee prosthesis, init. encounter, Patellar tendon tear right knee, Prostate cancer (reoccurence).

Data from ClinicalTrials.gov NCT03317834 adverse events section.

Sponsor's own description

The purpose of this study is to demonstrate superior accuracy with the Navio ™ Robotic-assisted Surgical System in achieving desired post-operative mechanical alignment, compared to TKA procedures using standard instruments. An additional study purpose is to document clinical and patient-reported outcomes in subjects receiving TKA with the Navio ™ system.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Total Knee Arthroplasty

Currently open trials in the same condition.

Other Smith & Nephew, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03317834.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing