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NCT03694925

Diagnostic Utility of a Novel Point-of-Care Test of Calprotectin for Revision Total Knee Arthroplasty

Completed Results posted Last updated 17 December 2020
What this trial tests

trial testing Calprotectin test in Prosthetic Joint Infection in 156 participants. Completed in 4 March 2020.

Timeline
29 October 2018
Primary endpoint
7 January 2020
4 March 2020

Quick facts

Lead sponsorThe Cleveland Clinic
StatusCompleted
Study typeOBSERVATIONAL
Enrollment156
Start date29 October 2018
Primary completion7 January 2020
Estimated completion4 March 2020
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

The Cleveland Clinic

Who can join

18 and older, any sex, with Prosthetic Joint Infection. 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.

Calprotectin POC Primary · Day of surgery

lateral flow point of care test

Positive at >50 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty1
Aseptic Revision Total Knee Arthroplasty3
Revision Septic Total Knee Arthroplasty52
Negative at >50 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty29
Aseptic Revision Total Knee Arthroplasty67
Revision Septic Total Knee Arthroplasty1
Positive at >14 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty1
Aseptic Revision Total Knee Arthroplasty9
Revision Septic Total Knee Arthroplasty52
Negative at >14 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty29
Aseptic Revision Total Knee Arthroplasty61
Revision Septic Total Knee Arthroplasty1
Calprotectin ELISA Secondary · Day of surgery

ELISA analysis

Positive at >50 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty1
Aseptic Revision Total Knee Arthroplasty3
Revision Septic Total Knee Arthroplasty52
Negative at >50 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty29
Aseptic Revision Total Knee Arthroplasty67
Revision Septic Total Knee Arthroplasty1
Positive at >14 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty1
Aseptic Revision Total Knee Arthroplasty12
Revision Septic Total Knee Arthroplasty52
Negative at >14 mg/L
GroupValue95% CI
Primary Total Knee Arthroplasty29
Aseptic Revision Total Knee Arthroplasty58
Revision Septic Total Knee Arthroplasty1
Area Under the Curve Secondary · From completion of first patient's ELISA and POC test to last patient's ELISA and POC test

Area under the curve (AUC) was calculated using receiver operator characteristic (ROC) curve using the two cut offs (\>14 mg/L and \>50 mg/L) for both the ELISA and POC tests. Data were collected intraoperatively during the patient's arthroplasty surgery. AUC - ROC curve is a performance measurement for classification problem at various thresholds settings. ROC is a probability curve and AUC represents degree or measure of separability. It tells how much model is capable of distinguishing between classes. Higher the AUC, better the model is at predicting 0s as 0s (aseptics that are negative)

POC Test >50 mg/L
GroupValue95% CI
Combined Revision Total Knee Arthroplasty0.9690.934 – 1.000
POC Test >14 mg/L
GroupValue95% CI
Combined Revision Total Knee Arthroplasty0.9260.875 – 0.978
ELISA Test >50 mg/L
GroupValue95% CI
Combined Revision Total Knee Arthroplasty0.9690.934 – 1.000
ELISA Test >14 mg/L
GroupValue95% CI
Combined Revision Total Knee Arthroplasty0.9050.847 – 0.962

Sponsor's own description

The purpose of this study is to investigate whether there are quantifiable differences in the level of calprotectin in the synovial fluid that allow separation of different modes of joint implant failure (e.g. infected, aseptic loosening). A subset of primary TKA patients (with history of OA) will be included as a baseline.

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 Prosthetic Joint Infection

Currently open trials in the same condition.

Other The Cleveland Clinic trials

Trials by the same sponsor.

Verify against primary sources

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/NCT03694925.

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