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NCT04338893

ROSA Total Knee Post Market Study EMEA

Completed NA Results posted Last updated 21 January 2026
What this trial tests

NA trial testing Device: Persona Total Knee in Knee Pain in 252 participants. Completed in 22 August 2025.

Timeline
15 December 2020
Primary endpoint
22 August 2025
22 August 2025

Quick facts

Lead sponsorZimmer Biomet
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment252
Start date15 December 2020
Primary completion22 August 2025
Estimated completion22 August 2025
Sites6 locations across Italy, Belgium, Israel, Germany, Switzerland

Drugs / interventions tested

Conditions studied

Sponsor

Zimmer Biomet — full company profile →

Who can join

18 and older, any sex, with Knee Pain or Chronic Osteoarthritis. 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.

Operative Workflow Efficiency Secondary · Intraoperative

Measure operative workflow efficiency by recording following time points during surgery: Patient in -and out time, incision - and incision closed time

Time from patient in to patient out
GroupValue95% CI
Robotic161.6± 30.9
Conventional138.8± 27.9
Time from incision cut to incision closed
GroupValue95% CI
Robotic91.5± 21.1
Conventional77.5± 20.3
Oxford Knee Score (OKS) Secondary · Pre-operative, 6 weeks, 3 months, 1 year

The OKS is a patient-reported outcome questionnaire that was developed to specifically assess the patient's perspective of outcome following TKA. The OKS consists of twelve questions covering function and pain associated with the knee. To calculate the total score, each question is scored from 0 (worst outcome) to 4 (best outcome) and the sum of all 12 items is reported with a maximum of 48, representing the best score possible. The outcome score can be categorized as Excellent: \> 41; Good: 34 - 41; Fair: 27 - 33; Poor: \< 27

Pre-operative
GroupValue95% CI
Robotic21.5± 7.5
Conventional20.6± 6.8
6 weeks
GroupValue95% CI
Robotic30.5± 7.1
Conventional29.0± 7.8
3 months
GroupValue95% CI
Robotic36.3± 8.0
Conventional35.0± 9.6
1 year
GroupValue95% CI
Robotic38.5± 8.9
Conventional38.2± 9.2
EuroQol 5D (EQ-5D) - Score Secondary · Pre-operative, 6 weeks, 3 months, 1 year

The EQ-5D is a standardized instrument widely used to measure health status, and it is a self-reported assessment about the patient's quality of life. The questionnaire includes 5 questions referring to mobility, self-care, daily/usual activities, pain/discomfort and anxiety/depression. For EQ-5D-5L, each question can be answered in five ways, indicating no, slight, moderate, severe or extreme pain. In the derived EQ-5D-5L score, the highest score is 1 and the lowest score is -0.573; negative numbers correspond to a self-assessed health state worse than being dead.

Pre-operative
GroupValue95% CI
Robotic0.371± 0.336
Conventional0.388± 0.303
6 weeks
GroupValue95% CI
Robotic0.717± 0.204
Conventional0.691± 0.232
3 months
GroupValue95% CI
Robotic0.816± 0.160
Conventional0.762± 0.266
1 year
GroupValue95% CI
Robotic0.865± 0.179
Conventional0.817± 0.238
EuroQol 5D (EQ-5D) VAS Scale Secondary · Pre-operative, 6 weeks, 3 months, 1 year

The EQ-5D is a standardized instrument widely used to measure health status. It is a self-reported assessment about the patient's quality of life composed of two parts: a questionnaire and a visual analogue scale (VAS). The VAS is a vertical scale ranging from 100 ('The best health you can imagine') to 0 ('The worst health you can imagine') where the patient reports his/her self-rated health.

Pre-operative
GroupValue95% CI
Robotic64.8± 18.0
Conventional64.6± 20.0
6 weeks
GroupValue95% CI
Robotic73.8± 15.1
Conventional73.9± 15.6
3 months
GroupValue95% CI
Robotic78.6± 15.4
Conventional78.1± 14.7
1 year
GroupValue95% CI
Robotic76.1± 18.8
Conventional78.6± 17.7
NRS (Numeric Rating Scale) Pain Secondary · Pre-operative, 6 weeks, 3 months, 1 year

The NRS Pain is an outcome measure of pain intensity in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Scores range from 0-10 points, with 0 representing "no pain" to 10 representing "worst imaginable pain".

Pre-operative
GroupValue95% CI
Robotic7.2± 2.0
Conventional7.5± 1.5
6 weeks
GroupValue95% CI
Robotic3.4± 2.0
Conventional3.2± 2.1
3 months
GroupValue95% CI
Robotic2.3± 2.2
Conventional2.3± 2.1
1 year
GroupValue95% CI
Robotic1.5± 2.0
Conventional1.7± 1.9
Forgotten Joint Score (FJS) Secondary · Pre-operative, 6 weeks, 3 months, 1 year

The FJS-12 is a patient-reported outcome questionnaire that was developed to specifically assess the patient's level of awareness of having a joint prosthesis during daily activities. The FJS consists of twelve questions covering function and pain associated with the knee. For each question, there is a choice of five answers between never (0), almost never (1), seldom (2), sometimes (3) and mostly (4). All scores are summed up and divided by the number of completed items. This value is then multiplied by 25 and thereafter subtracted from 100. An outcome score of 100 (highest possible score) in

Pre-operative
GroupValue95% CI
Robotic21.3± 14.5
Conventional17.6± 13.1
6 weeks
GroupValue95% CI
Robotic42.4± 22.5
Conventional37.1± 22.1
3 months
GroupValue95% CI
Robotic60.5± 24.6
Conventional55.3± 26.2
1 year
GroupValue95% CI
Robotic67.4± 25.2
Conventional64.7± 27.2
Patient Satisfaction - Question 1 Secondary · 6 weeks, 3 months, 1 year

Patients were asked to answer the following question: "How satisfied are you with the results of your surgery?" by selecting from the answers: very satisfied, somewhat satisfied, somewhat dissatisfied and very dissatisfied.

6 weeks
GroupValue95% CI
Robotic54
Conventional49
Robotic42
Conventional29
Robotic8
Conventional10
Robotic2
Conventional1
3 months
GroupValue95% CI
Robotic62
Conventional48
Robotic35
Conventional33
Robotic6
Conventional4
Robotic1
Conventional3
1 year
GroupValue95% CI
Robotic50
Conventional44
Robotic31
Conventional25
Robotic3
Conventional4
Robotic0
Conventional1
Patient Satisfaction - Question 2 Secondary · 6 weeks, 3 months, 1 year

Patients were asked to answer the following question: "How satisfied are you with the results of your surgery for improving your pain?" by selecting from the answers: very satisfied, somewhat satisfied, somewhat dissatisfied and very dissatisfied.

6 weeks
GroupValue95% CI
Robotic41
Conventional31
Robotic51
Conventional43
Robotic11
Conventional15
Robotic3
Conventional0
3 months
GroupValue95% CI
Robotic63
Conventional49
Robotic31
Conventional31
Robotic9
Conventional5
Robotic0
Conventional3
1 year
GroupValue95% CI
Robotic51
Conventional53
Robotic28
Conventional14
Robotic4
Conventional4
Robotic1
Conventional3
Patient Satisfaction - Question 3 Secondary · 6 weeks, 3 months, 1 year

Patients were asked to answer the following question: "How satisfied are you with the results of your surgery for improving your ability to do home or yard work?" by selecting from the answers: very satisfied, somewhat satisfied, somewhat dissatisfied and very dissatisfied.

6 weeks
GroupValue95% CI
Robotic34
Conventional13
Robotic57
Conventional60
Robotic12
Conventional15
Robotic3
Conventional1
3 months
GroupValue95% CI
Robotic56
Conventional33
Robotic40
Conventional42
Robotic6
Conventional8
Robotic2
Conventional5
1 year
GroupValue95% CI
Robotic46
Conventional36
Robotic32
Conventional29
Robotic4
Conventional9
Robotic1
Conventional0
Patient Satisfaction - Question 4 Secondary · 6 weeks, 3 months, 1 year

Patients were asked to answer the following question: "How satisfied are you with the results of your surgery for improving your ability to do recreational activities?" by selecting from the answers: very satisfied, somewhat satisfied, somewhat dissatisfied and very dissatisfied.

6 weeks
GroupValue95% CI
Robotic34
Conventional17
Robotic54
Conventional52
Robotic14
Conventional16
Robotic4
Conventional4
3 months
GroupValue95% CI
Robotic55
Conventional37
Robotic37
Conventional36
Robotic10
Conventional10
Robotic2
Conventional5
1 year
GroupValue95% CI
Robotic45
Conventional43
Robotic33
Conventional22
Robotic3
Conventional9
Robotic1
Conventional0

Adverse events — posted to ClinicalTrials.gov

Time frame: From study start up to 1 year post-operatively. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Robotic
Serious: 19/120 (16%)
Deaths: 0/120
Conventional
Serious: 13/101 (13%)
Deaths: 1/101

Serious adverse events (21 terms)

ReactionSystemRoboticConventional
Stiffness/Limited ROMMusculoskeletal and connective tissue disorders
Effusion/Swelling/EdemaBlood and lymphatic system disorders
Contralateral Knee ReplacementSurgical and medical procedures
Infection (knee)Surgical and medical procedures
Post-operative cement leftoverSurgical and medical procedures
Robotic malfunctionProduct Issues
Vastus Lateralis QuerrupturMusculoskeletal and connective tissue disorders
Knee painMusculoskeletal and connective tissue disorders
Wound complicationSkin and subcutaneous tissue disorders
DiverticulitisGastrointestinal disorders
Coronary heart diseaseCardiac disorders
Cardiac catheterizationSurgical and medical procedures
Shoulder replacementSurgical and medical procedures
Myocardial infarctionCardiac disorders
Kidney FailureRenal and urinary disorders
CholecystitisSurgical and medical procedures
Ureteral stenosisSurgical and medical procedures
NephrostomySurgical and medical procedures
Post-operative encephalopathyNervous system disorders
Gastric bypassSurgical and medical procedures
DiscectomySurgical and medical procedures
Other adverse events (9 terms — click to expand)

ReactionSystemRoboticConventional
Restricted Mobility Patella / Abnormal Patellar TrackingMusculoskeletal and connective tissue disorders
Covid infectionInfections and infestations
Dental-related problemsMusculoskeletal and connective tissue disorders
Stiffness/Limited ROMMusculoskeletal and connective tissue disorders
Effusion/Swelling/EdemaVascular disorders
Spinal stenosisMusculoskeletal and connective tissue disorders
TachycardiaCardiac disorders
Heart surgerySurgical and medical procedures
Eye surgerySurgical and medical procedures

Most-reported serious reactions: Stiffness/Limited ROM, Effusion/Swelling/Edema, Contralateral Knee Replacement, Infection (knee), Post-operative cement leftover, Robotic malfunction, Vastus Lateralis Querruptur, Knee pain.

Data from ClinicalTrials.gov NCT04338893 adverse events section.

Sponsor's own description

This is a prospective, multicenter clinical study designed to facilitate the collection and evaluation of surgical workflow efficiency, patient pain and function outcome and adverse events data. This study might include Persona, Nexgen and Vanguard product families using the ROSA Total Knee Robotic system or conventional instrumentation. The primary objective is to evaluate the accuracy of implant alignment for ROSA Total Knee robotic instrumentation compared to conventional instrumentation.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Short-term clinical outcomes of robotic-assisted total knee arthroplasty at 12-month follow-up: a prospective, multicenter, concomitant comparison to conventional total knee arthroplasty.
    Nöth U, Rivkin G, Caldora P, Heller KD, et al · · 2026 · PMID 42091681 · DOI 10.1007/s00402-026-06338-9

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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/NCT04338893.

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