RecruitingNot ApplicableNCT05361941

Multicenter Trial of Antibiotic Eluting Graft for Promoting New Bone Growth In/near Infected Bone Cavities


Sponsor

Elute, Inc.

Enrollment

204 participants

Start Date

Aug 31, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a pivotal, prospective, multi-center, randomized, concurrent control, patient and assessor-blinded study with two arms: a treatment arm (where subjects will be treated with the EP Granules with Tobramycin investigational device in the 1st stage of a staged revision for periprosthetic joint infection (PJIs), and a control arm (where subjects are treated with the standard-of-care revision for infected PJIs).


Eligibility

Min Age: 22 Years

Inclusion Criteria6

  • Ages and sexes eligible: at least 22 years, male and female
  • Candidates with known infected TKA
  • Life expectancy of at least 1 year
  • Patient is willing to provide informed consent, is geographically stable and able to comply with the required follow up visits, testing schedule and medication regimen
  • Adequate soft tissue coverage
  • Signed institutional review board approved informed consent

Exclusion Criteria11

  • Severe renal impairment with eGFR \<50 ml/min/1.73 m2, or being treated with dialysis
  • Known hypersensitivity to aminoglycoside antibiotics, or calcium hydroxyapatite
  • Pre-existing calcium metabolism disorder
  • Uncontrolled diabetes mellitus (hemoglobin A1c levels \> 8)
  • A current endocrine or metabolic disorder known to affect osteogenesis (e.g., Paget's disease, renal osteodystrophy, hyperthyroid parathyroid hormone disorder, Ehler- Danlos syndrome, osteogenesis imperfecta)
  • Neuromuscular disorders such as myasthenia gravis
  • Untreated malignant neoplasm(s), or currently undergoing radiation chemotherapy
  • Inadequate neurovascular status in the involved limb that may jeopardize healing
  • HIV
  • Pregnancy
  • Adult patients requiring a legal guardian to sign informed consent form

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Interventions

DEVICEEP Granules with Tobramycin

EP Granules with Tobramycin is a Ca-salt resorbable intended for orthopedic applications as a bone void filler for bone gaps or voids and in cases where risk of post-operative infection is high, such as the first stage of a 2-stage or 1.5 stage revision of an infected total joint.

DEVICEempty voids

Voids are left empty


Locations(12)

University of Southern California

Los Angeles, California, United States

Endeavor Health Skokie Hospital

Skokie, Illinois, United States

OrthoIndy

Indianapolis, Indiana, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Brigham & Womens Hospital

Boston, Massachusetts, United States

U Michigan Medical Center

Ann Arbor, Michigan, United States

Hospital for Special Surgery

New York, New York, United States

Sanford South University Medical Center

Fargo, North Dakota, United States

JIS Orthopedics

Columbus, Ohio, United States

UT Health San Antonio

San Antonio, Texas, United States

Jordan Valley Medical Center

West Jordan, Utah, United States

West Virginia University Medical Center

Morgantown, West Virginia, United States

View Full Details on ClinicalTrials.gov

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NCT05361941