ClinicalTrials.gg
CompletedNCT02783274Actis14014Updated Aug 15, 2025Results posted

Actis Total Hip System 2 Year Follow-up

An interventional study of Actis Total Hip System in Osteoarthritis, Traumatic Arthritis and Rheumatoid Arthritis, sponsored by DePuy Orthopaedics. Completed at 9 sites in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-15.

Sponsored by DePuy Orthopaedics (part of Johnson & Johnson) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
266
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

Two-year (2 year) information regarding the performance of the commercially available Actis™ Total Hip System in order to obtain and evaluate the clinical outcomes on a series of cementless primary total hip arthroplasty (THA) and hemi-hip arthroplasty procedures using clinical, radiographic and device and procedure related adverse event assessments.

Read the detailed description

A minimum of 10 study sites.

A prospective, uncontrolled, non-randomized, multicenter study.

A total of 255 Subjects to include a minimum of 225 Primary THA Subjects and a Sub-group with a minimum of 30 hemi-hip arthroplasty Subjects will be prospectively enrolled into the study. All Subjects will be seen for a preoperative clinic visit at the time of consent, and evaluated at the time of surgery, 6 weeks (28-70 days), 3 months (71-132 days), minimum 1 year (304-668 days), and minimum 2 years (669-1,763 days) postoperatively.

02

Conditions studied

  • Osteoarthritis
  • Traumatic Arthritis
  • Rheumatoid Arthritis
  • Congenital Hip Dysplasia
  • Avascular Necrosis of the Femoral Head
  • Acute Traumatic Fracture of the Femoral Head or Neck
  • Certain Cases of Ankylosis
  • Non-union of Femoral Neck Fractures
  • Certain High Sub-Capital & Femoral Neck Fractures in Elderly
03

In context

Osteoarthritis

2,974 studies on the registry are indexed under Osteoarthritis; 438 are open to participants now.

This study's enrollment of 266 is above the median of 80 across 2,240 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

DePuy Orthopaedics is the lead sponsor of 45 studies on the registry; 1 is open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 8 (100%) have results posted.

First submitted after DePuy Orthopaedics became part of Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Total primary hip replacement is indicated in the following conditions:

  1. A severely painful and/or disable joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, or congenital hip dysplasia.
  2. Avascular necrosis of the femoral head.
  3. Acute traumatic fracture of the femoral head or neck.
  4. Certain cases of ankylosis.

    Hemi-hip arthroplasty is indicated in the following conditions:

  5. Acute fracture of the femoral head or neck that cannot be appropriately reduced and treated with internal fixation.
  6. Fracture dislocation of the hip that cannot be appropriately reduced and treated with internal fixation.
  7. Avascular necrosis of the femoral head.
  8. Non-union of femoral neck fractures.
  9. Certain high sub-capital and femoral neck fractures in the elderly.
  10. Degenerative arthritis involving only the femoral head in which the acetabulum does not require replacement.
  11. Pathology involving only the femoral head in which the acetabulum does not require replacement.

    Further inclusion criteria for individuals who, in the opinion of the Principal Investigator, are suitable candidates for using the devices specified in this protocol and they are as follows:

  12. Individuals who are able to speak, read, and comprehend the informed patient consent (IPC) document and willing and able to provide informed patient consent for participation in the study and have authorized the transfer of his/her information to DePuy Synthes (Joint Reconstruction).
  13. Individuals who are willing and able to return for follow-up as specified by the study protocol.
  14. Individuals who are a minimum age of 21 years at the time of consent.
  15. Individuals who are not bedridden.
  16. Individuals who are willing and able to complete the Subject Hip Outcomes questionnaires (i.e., FJS-12, HOOS and Hip Evaluation) as specified by the study protocol.
  17. Individuals interested in participating in the parallel and optional Patient Activity Tracking portion of the study are required to link the Patient Activity Tracking device to their own well-functioning smartphone (i.e., iPhone or Android phone) via a downloaded mobile application (i.e., ActiTrak™). If a Subject does not have a smartphone, and would like to participate in the Patient Activity Tracking portion of the study, the Sponsor will be able to provide an Android type tablet to which the required app can be downloaded.
  18. Individuals interested in participating in the optional Patient Activity Tracking (ActiTrak™) portion of the study must be willing to wear the Patient Activity Tracking device from the time of consent preoperative (if possible, based on date of consent) and for 3 months postoperative.
  19. Individuals interested in participating in the optional Patient Activity Tracking (ActiTrak™) portion of the study must have the ability to return at the 3 month follow-up visit in order to return the Patient Activity Tracking device, and if applicable, the Sponsor's Android tablet back to the study site.

Exclusion criteria

Exclusion Criteria:

  • Subjects will be excluded if in the opinion of the Investigator, the individual meets any of the following exclusions:

    1. Active local or systemic infection.
    2. Loss of musculature, neuromuscular compromise or vascular
    3. Poor bone quality, such as osteoporosis, where in the surgeon's opinion, there could be considerable migration of the prosthesis or a significant chance of fracture of the femoral shaft and/or the lack of adequate bone to support the implant(s).
    4. Charcot's or Paget's disease.
    5. For hemi-hip arthroplasty, any pathological condition of the acetabulum, such as distorted acetabuli with irregularities, protrusion acetabuli (arthrokatadysis), or migrating acetabuli, that would preclude the use of the natural acetabulum as an appropriate articular surface for the hemi-hip prosthesis.
    6. The Subject is a woman who is pregnant or lactating.
    7. Existing contralateral hip that was implanted less than 6 months from the date of surgery at the time of consent into this study.
    8. Subjects requiring a simultaneous bilateral hip at the time of consent will be excluded; there can be only one Actis™ study hip. This also means that even if another hip system is used for the contralateral hip during simultaneous THAs, the Subject will be excluded. As noted above, Subjects who have an existing contralateral total hip replacement greater than 6 months postoperatively at the time of consent may be entered into this study if they qualify based upon the eligibility criteria and the approved labeling requirements.
    9. Subject had a contralateral amputation.
    10. Subject has participated in a clinical investigation with an product (drug or device) in the last three months.
    11. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
    12. Subject, in the opinion of the Investigator, is a drug or alcohol abuser or has a psychological disorder that could affect their ability to complete patient reported questionnaires or be compliant with follow-up requirements.
    13. Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
    14. Subject has a medical condition with less than 2 years of . Note: Diabetes, at present, has not been established as a . However, because of the increased risk for complications such as infection, slow wound healing, etc., the physician should carefully consider the advisability of hip replacement in the severely diabetic patient.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
266 participants (actual)

Study arms

  • Other
    Actis Total Hip System

    The Actis DuoFix Femoral Stem can be used for both a Total and Hemi-hip Replacement

    Device: Actis Total Hip System

Interventions

  • DeviceActis Total Hip System

    Total Hip Replacement and Hemi-hip Replacement

    Also known as: Actis DuoFix Femoral Stem

06

What researchers measure

Primary outcomes

  1. Harris Hip Score- THA Subjects Per Protocol at 2 Years

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 2 Years

  2. Harris Hip Score- HHA Subjects Per Protocol at 2 Years

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 2 Years

Secondary outcomes

  1. Harris Hip Score- THA Subjects Per Protocol at 3 Months

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 3 months

  2. Harris Hip Score- HHA Subjects Per Protocol at 3 Months

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 3 months

  3. Harris Hip Score- THA Subjects Per Protocol at 1 Year

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 1 Year

  4. Harris Hip Score- HHA Subjects Per Protocol at 1 Year

    The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

    Time frame: 1 Year

  5. Post-Operative 2-Year Device Survivorship- THA Subjects Safety Population

    Device survivorship at 2 years post-operatively is a secondary endpoint in this study. A revision is defined as a revision for any reason and device survival is defined as the lack of revision. A 2-year Kaplan-Meier survivorship estimate of the Actis Hip System in implanted hips is provided.

    Time frame: 2 Years

  6. Post-Operative 2-Year Femoral Stem Survivorship- THA Subjects Safety Population

    A stem revision is defined as any stem revision for any reason and device survival is defined as the lack of revision. A 2-year Kaplan-Meier survivorship estimate of the Actis Hip System in implanted hips is provided.

    Time frame: 2 Years

  7. Acetabular Shell Version at 2-years Postoperatively- THA Subjects Per Protocol

    Acetabular cup version is the angle formed between the axis of the implant and the coronal plane of the body. Acetabular version typically ranges between 11.5 and 28.5 degrees.

    Time frame: 2 Years

  8. Acetabular Shell Inclination at 2-years Postoperatively- THA Subjects Per Protocol

    Acetabular cup inclination is the angle between the longitudinal axis of the patient and a perpendicular line to the major axis of the cup projection. The target acetabular cup inclination is between 30-50 degrees

    Time frame: 2 Years

  9. Number of Participants With >4 Degrees Change in Acetabular Cup Inclination Angle at 2 Years Postoperatively - THA Subjects

    Number of participants with greater than (\>) 4 degrees change in acetabular cup inclination angle at 2 years postoperatively was reported.

    Time frame: 2 Years

  10. Number of Participants With Acetabular Shell Migration >2mm at 2 Years Postoperatively - THA Subjects Per Protocol

    Number of participants with acetabular shell migration \>2mm at 2 years postoperatively were reported. Acetabular migration is the superior migration of the implant within the pelvic bone.

    Time frame: 2 Years

  11. Acetabular Radiolucent Lines- THA Subjects Per Protocol

    Radiolucent lines are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack on bone ingrowth or possible loosening of the implant. Radiolucent lines greater than 1mm wide were considered reportable for this study.

    Time frame: 2 Years

  12. Acetabular Osteolysis- THA Subjects Per Protocol

    Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

    Time frame: 2 Years

  13. Acetabular Sclerotic Lines- THA Subjects Per Protocol

    Acetabular sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

    Time frame: 2 Years

  14. Acetabular Porous Coating Integrity- THA Subjects Per Protocol

    Acetabular Cup Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

    Time frame: 2 Years

  15. Femoral Stem Position- THA Subjects Per Protocol

    Femoral stem position is categorized as neutral, valgus, or varus. A neutral stem is centered within the femoral canal that runs through the center of the femur's long axis. A valgus femoral stem is positioned slightly towards the medial side of the femoral canal, and a varus femoral stem is positioned slightly towards the lateral side of the femoral canal.

    Time frame: 2 Years

  16. Femoral Stem Position- HHA Subjects Per Protocol

    Femoral stem position is categorized as neutral, valgus, or varus. A neutral stem is centered within the femoral canal that runs through the center of the femur's long axis. A valgus femoral stem is positioned slightly towards the medial side of the femoral canal, and a varus femoral stem is positioned slightly towards the lateral side of the femoral canal.

    Time frame: 2 Years

  17. Number of Participants With Femoral Stem Tilt - THA Subjects Per Protocol

    Number of participants with femoral stem tilt were reported. Femoral stem tilt is a measurement taken at each post-operative year and compared against baseline images collected at 6-weeks post-operative. The measurement captures changes in the position of the femoral stem over time.

    Time frame: 2 Years

  18. Number of Participants With Femoral Stem Tilt- HHA Subjects Per Protocol

    Number of participants with femoral stem tilt were reported. Femoral stem tilt is a measurement taken at each post-operative year and compared against baseline images collected at 6-weeks post-operative. The measurement captures changes in the position of the femoral stem over time.

    Time frame: 2 Years

  19. Number of Participants With Femoral Stem Subsidence- THA Subjects Per Protocol

    Femoral stem subsidence is the inferior movement of the stem within the femoral canal. Subsidence greater than 2 mm was considered reportable for this study.

    Time frame: 2 Years

  20. Number of Participants With Femoral Stem Subsidence- HHA Subjects Per Protocol

    Femoral stem subsidence is the inferior movement of the stem within the femoral canal. Subsidence greater than 2 mm was considered reportable for this study.

    Time frame: 2 Years

  21. Femoral Stem Heterotopic Ossification- THA Subjects Per Protocol

    Heterotopic ossification is the abnormal formation of bone in soft tissues, such as muscles, tendons, or ligaments and can occur around the hip joint, leading to pain, stiffness, and restricted range of motion. It is grade as Class 0 through Class IV, with Class 0 being least impactful and Class IV being most impactful.

    Time frame: 2 Years

  22. Femoral Stem Heterotopic Ossification- HHA Subjects Per Protocol

    Heterotopic ossification is the abnormal formation of bone in soft tissues, such as muscles, tendons, or ligaments and can occur around the hip joint, leading to pain, stiffness, and restricted range of motion. It is grade as Class 0 through Class IV, with Class 0 being least impactful and Class IV being most impactful.

    Time frame: 2 Years

  23. Femoral Radiolucent Lines- THA Subjects Per Protocol

    Radiolucencies are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack of bone ingrowth into the implant or possible loosening of the implant.

    Time frame: 2 Years

  24. Femoral Radiolucent Lines- HHA Subjects Per Protocol

    Radiolucencies are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack of bone ingrowth into the implant or possible loosening of the implant.

    Time frame: 2 Years

  25. Femoral Osteolysis- THA Subjects Per Protocol

    Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

    Time frame: 2 Years

  26. Femoral Osteolysis- HHA Subjects Per Protocol

    Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

    Time frame: 2 Years

  27. Femoral Stem Sclerotic Lines- THA Subjects Per Protocol

    Sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

    Time frame: 2 Years

  28. Femoral Stem Sclerotic Lines- HHA Subjects Per Protocol

    Sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

    Time frame: 2 Years

  29. Femoral Stem Porous Coating Integrity- THA Subjects Per Protocol

    Acetabular Cup Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

    Time frame: 2 Years

  30. Femoral Stem Porous Coating Integrity- HHA Subjects Per Protocol

    Femoral Stem Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

    Time frame: 2 Years

  31. Femoral Stem Calcar Resorption- THA Subjects Per Protocol

    Femoral calcar resorption occurs when the bone around the prosthesis is partially shielded from bearing loads and begins to resorb

    Time frame: 2 Years

  32. Femoral Stem Calcar Resorption- HHA Subjects Per Protocol

    Femoral calcar resorption occurs when the bone around the prosthesis is partially shielded from bearing loads and begins to resorb

    Time frame: 2 Years

  33. Femoral Stem Calcar Fracture- THA Subjects Per Protocol

    Near the top of the femur is a region of bone called the calcar femorale that provides strength to the femur when compressive forces are applied. During preparation of the femur to receive the femoral implant there is the possibility of fractures occurring in this region.

    Time frame: 2 Years

  34. Femoral Stem Calcar Fracture- HHA Subjects Per Protocol

    Near the top of the femur is a region of bone called the calcar femorale that provides strength to the femur when compressive forces are applied. During preparation of the femur to receive the femoral implant there is the possibility of fractures occurring in this region.

    Time frame: 2 Years

  35. Perceived Leg Length Discrepancy- THA Subjects Per Protocol

    The number of subjects who perceived a Leg Length Discrepancy at Two Years

    Time frame: 2 Years

  36. Perceived Leg Length Discrepancy- HHA Subjects Per Protocol

    The number of subjects who perceived a Leg Length Discrepancy at Two Years

    Time frame: 2 Years

  37. Number of Participants With True Leg Length Discrepancy- THA Subjects Per Protocol

    True LLD is defined as a difference of 3 cm or greater as reviewed via postoperative radiographs. The measurement is the distance between the superior-most aspects of the left and right femoral heads

    Time frame: 2 Years

  38. Number of Participants With True Leg Length Discrepancy- HHA Subjects Per Protocol

    True LLD is defined as a difference of 3 cm or greater as reviewed via postoperative radiographs. The measurement is the distance between the superior-most aspects of the left and right femoral heads

    Time frame: 2 Years

07

Results

Posted May 22, 2025

Participant flow

All eligible patients were asked if they were interested in study participation. 266 Hips in 266 Patients were enrolled into the study.

Participant flow — Overall Study
MilestoneActis Total Hip System
Started266
Treated255
Total hip replacement participants (tha)232
Hemi-hip replacement participants (hha)23
Completed191
Not completed75
Withdrew: Withdrawal by subject16
Withdrew: Physician decision6
Withdrew: Death9
Withdrew: Lost to follow-up22
Withdrew: Other22

Outcome measures

PrimaryHarris Hip Score- THA Subjects Per Protocol at 2 Years

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
2 Years
Reported as:
Mean · units on a scale
Harris Hip Score- THA Subjects Per Protocol at 2 Years
units on a scaleActis Total Hip System
Harris Hip Score- THA Subjects Per Protocol at 2 Years95.7 ± 9.3
PrimaryHarris Hip Score- HHA Subjects Per Protocol at 2 Years

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
2 Years
Reported as:
Mean · units on a scale
Harris Hip Score- HHA Subjects Per Protocol at 2 Years
units on a scaleActis Total Hip System
Harris Hip Score- HHA Subjects Per Protocol at 2 Years83.2 ± 15.3
SecondaryHarris Hip Score- THA Subjects Per Protocol at 3 Months

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
3 months
Reported as:
Mean · Units on a scale
Harris Hip Score- THA Subjects Per Protocol at 3 Months
Units on a scaleActis Total Hip System
Harris Hip Score- THA Subjects Per Protocol at 3 Months93.5 ± 8.7
SecondaryHarris Hip Score- HHA Subjects Per Protocol at 3 Months

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
3 months
Reported as:
Mean · units on a scale
Harris Hip Score- HHA Subjects Per Protocol at 3 Months
units on a scaleActis Total Hip System
Harris Hip Score- HHA Subjects Per Protocol at 3 Months85.3 ± 14.3
SecondaryHarris Hip Score- THA Subjects Per Protocol at 1 Year

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
1 Year
Reported as:
Mean · Units on a scale
Harris Hip Score- THA Subjects Per Protocol at 1 Year
Units on a scaleActis Total Hip System
Harris Hip Score- THA Subjects Per Protocol at 1 Year95.7 ± 9.0
SecondaryHarris Hip Score- HHA Subjects Per Protocol at 1 Year

The Harris Hip Score (HHS) is a standardized tool used to evaluate hip pain, function, and mobility. The HHS is score from 0 to 100, with higher scores indicating better outcomes. A score of less than 70 is considered poor, 70-80 is fair, 80-90 is good, 90-100 is excellent.

Time frame:
1 Year
Reported as:
Mean · units on a scale
Harris Hip Score- HHA Subjects Per Protocol at 1 Year
units on a scaleActis Total Hip System
Harris Hip Score- HHA Subjects Per Protocol at 1 Year85.8 ± 12.6
SecondaryPost-Operative 2-Year Device Survivorship- THA Subjects Safety Population

Device survivorship at 2 years post-operatively is a secondary endpoint in this study. A revision is defined as a revision for any reason and device survival is defined as the lack of revision. A 2-year Kaplan-Meier survivorship estimate of the Actis Hip System in implanted hips is provided.

Time frame:
2 Years
Reported as:
Number · Percentage of hip Implants
Post-Operative 2-Year Device Survivorship- THA Subjects Safety Population
Percentage of hip ImplantsActis Total Hip System
Post-Operative 2-Year Device Survivorship- THA Subjects Safety Population97.7 (94.5 to 99.0)
SecondaryPost-Operative 2-Year Femoral Stem Survivorship- THA Subjects Safety Population

A stem revision is defined as any stem revision for any reason and device survival is defined as the lack of revision. A 2-year Kaplan-Meier survivorship estimate of the Actis Hip System in implanted hips is provided.

Time frame:
2 Years
Reported as:
Number · Percentage of hip Implants
Post-Operative 2-Year Femoral Stem Survivorship- THA Subjects Safety Population
Percentage of hip ImplantsActis Total Hip System
Post-Operative 2-Year Femoral Stem Survivorship- THA Subjects Safety Population99.6 (96.9 to 99.9)
SecondaryAcetabular Shell Version at 2-years Postoperatively- THA Subjects Per Protocol

Acetabular cup version is the angle formed between the axis of the implant and the coronal plane of the body. Acetabular version typically ranges between 11.5 and 28.5 degrees.

Time frame:
2 Years
Reported as:
Mean · Degrees
Acetabular Shell Version at 2-years Postoperatively- THA Subjects Per Protocol
DegreesActis Total Hip System
Acetabular Shell Version at 2-years Postoperatively- THA Subjects Per Protocol25.9 ± 3.89
SecondaryAcetabular Shell Inclination at 2-years Postoperatively- THA Subjects Per Protocol

Acetabular cup inclination is the angle between the longitudinal axis of the patient and a perpendicular line to the major axis of the cup projection. The target acetabular cup inclination is between 30-50 degrees

Time frame:
2 Years
Reported as:
Mean · Degrees
Acetabular Shell Inclination at 2-years Postoperatively- THA Subjects Per Protocol
DegreesActis Total Hip System
Acetabular Shell Inclination at 2-years Postoperatively- THA Subjects Per Protocol39.9 ± 4.87
SecondaryNumber of Participants With >4 Degrees Change in Acetabular Cup Inclination Angle at 2 Years Postoperatively - THA Subjects

Number of participants with greater than (\>) 4 degrees change in acetabular cup inclination angle at 2 years postoperatively was reported.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With >4 Degrees Change in Acetabular Cup Inclination Angle at 2 Years Postoperatively - THA Subjects
ParticipantsActis Total Hip System
Number of Participants With >4 Degrees Change in Acetabular Cup Inclination Angle at 2 Years Postoperatively - THA Subjects1 (4.87 to —)
SecondaryNumber of Participants With Acetabular Shell Migration >2mm at 2 Years Postoperatively - THA Subjects Per Protocol

Number of participants with acetabular shell migration \>2mm at 2 years postoperatively were reported. Acetabular migration is the superior migration of the implant within the pelvic bone.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With Acetabular Shell Migration >2mm at 2 Years Postoperatively - THA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With Acetabular Shell Migration >2mm at 2 Years Postoperatively - THA Subjects Per Protocol0 (4.87 to —)
SecondaryAcetabular Radiolucent Lines- THA Subjects Per Protocol

Radiolucent lines are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack on bone ingrowth or possible loosening of the implant. Radiolucent lines greater than 1mm wide were considered reportable for this study.

Time frame:
2 Years
Reported as:
Count of units · Hips
Acetabular Radiolucent Lines- THA Subjects Per Protocol
HipsActis Total Hip System
Acetabular Radiolucent Lines- THA Subjects Per Protocol5 (4.87 to —)
SecondaryAcetabular Osteolysis- THA Subjects Per Protocol

Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

Time frame:
2 Years
Reported as:
Count of units · Hips
Acetabular Osteolysis- THA Subjects Per Protocol
HipsActis Total Hip System
Acetabular Osteolysis- THA Subjects Per Protocol0 (4.87 to —)
SecondaryAcetabular Sclerotic Lines- THA Subjects Per Protocol

Acetabular sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

Time frame:
2 Years
Reported as:
Count of units · Hips
Acetabular Sclerotic Lines- THA Subjects Per Protocol
HipsActis Total Hip System
Acetabular Sclerotic Lines- THA Subjects Per Protocol38 (4.87 to —)
SecondaryAcetabular Porous Coating Integrity- THA Subjects Per Protocol

Acetabular Cup Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

Time frame:
2 Years
Reported as:
Count of units · Hips
Acetabular Porous Coating Integrity- THA Subjects Per Protocol
HipsActis Total Hip System
Acetabular Porous Coating Integrity- THA Subjects Per Protocol0 (4.87 to —)
SecondaryFemoral Stem Position- THA Subjects Per Protocol

Femoral stem position is categorized as neutral, valgus, or varus. A neutral stem is centered within the femoral canal that runs through the center of the femur's long axis. A valgus femoral stem is positioned slightly towards the medial side of the femoral canal, and a varus femoral stem is positioned slightly towards the lateral side of the femoral canal.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Position- THA Subjects Per Protocol
HipsActis Total Hip System
Neutral160 (4.87 to —)
Valgus3 (4.87 to —)
Varus5 (4.87 to —)
SecondaryFemoral Stem Position- HHA Subjects Per Protocol

Femoral stem position is categorized as neutral, valgus, or varus. A neutral stem is centered within the femoral canal that runs through the center of the femur's long axis. A valgus femoral stem is positioned slightly towards the medial side of the femoral canal, and a varus femoral stem is positioned slightly towards the lateral side of the femoral canal.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Position- HHA Subjects Per Protocol
HipsActis Total Hip System
Neutral5 (4.87 to —)
Valgus0 (4.87 to —)
Varus1 (4.87 to —)
SecondaryNumber of Participants With Femoral Stem Tilt - THA Subjects Per Protocol

Number of participants with femoral stem tilt were reported. Femoral stem tilt is a measurement taken at each post-operative year and compared against baseline images collected at 6-weeks post-operative. The measurement captures changes in the position of the femoral stem over time.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With Femoral Stem Tilt - THA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With Femoral Stem Tilt - THA Subjects Per Protocol1
SecondaryNumber of Participants With Femoral Stem Tilt- HHA Subjects Per Protocol

Number of participants with femoral stem tilt were reported. Femoral stem tilt is a measurement taken at each post-operative year and compared against baseline images collected at 6-weeks post-operative. The measurement captures changes in the position of the femoral stem over time.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With Femoral Stem Tilt- HHA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With Femoral Stem Tilt- HHA Subjects Per Protocol0
SecondaryNumber of Participants With Femoral Stem Subsidence- THA Subjects Per Protocol

Femoral stem subsidence is the inferior movement of the stem within the femoral canal. Subsidence greater than 2 mm was considered reportable for this study.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With Femoral Stem Subsidence- THA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With Femoral Stem Subsidence- THA Subjects Per Protocol0
SecondaryNumber of Participants With Femoral Stem Subsidence- HHA Subjects Per Protocol

Femoral stem subsidence is the inferior movement of the stem within the femoral canal. Subsidence greater than 2 mm was considered reportable for this study.

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With Femoral Stem Subsidence- HHA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With Femoral Stem Subsidence- HHA Subjects Per Protocol0
SecondaryFemoral Stem Heterotopic Ossification- THA Subjects Per Protocol

Heterotopic ossification is the abnormal formation of bone in soft tissues, such as muscles, tendons, or ligaments and can occur around the hip joint, leading to pain, stiffness, and restricted range of motion. It is grade as Class 0 through Class IV, with Class 0 being least impactful and Class IV being most impactful.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Heterotopic Ossification- THA Subjects Per Protocol
HipsActis Total Hip System
Class 098
Class I55
Class II11
Class III3
Unable to Assess1
SecondaryFemoral Stem Heterotopic Ossification- HHA Subjects Per Protocol

Heterotopic ossification is the abnormal formation of bone in soft tissues, such as muscles, tendons, or ligaments and can occur around the hip joint, leading to pain, stiffness, and restricted range of motion. It is grade as Class 0 through Class IV, with Class 0 being least impactful and Class IV being most impactful.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Heterotopic Ossification- HHA Subjects Per Protocol
HipsActis Total Hip System
Class 02
Class I2
Class II0
Class III2
SecondaryFemoral Radiolucent Lines- THA Subjects Per Protocol

Radiolucencies are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack of bone ingrowth into the implant or possible loosening of the implant.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Radiolucent Lines- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Radiolucent Lines- THA Subjects Per Protocol1
SecondaryFemoral Radiolucent Lines- HHA Subjects Per Protocol

Radiolucencies are seen on x-rays and represent an area that is absent of bone. Radiolucent lines seen adjacent to an implant may suggest a lack of bone ingrowth into the implant or possible loosening of the implant.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Radiolucent Lines- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Radiolucent Lines- HHA Subjects Per Protocol0
SecondaryFemoral Osteolysis- THA Subjects Per Protocol

Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Osteolysis- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Osteolysis- THA Subjects Per Protocol0
SecondaryFemoral Osteolysis- HHA Subjects Per Protocol

Osteolysis is seen on x-rays and represent an area where bone has been resorbed by the body in response to small particles of debris that are created as an implant wears over time. Osteolysis greater than 5mm was considered to be reportable for this study.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Osteolysis- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Osteolysis- HHA Subjects Per Protocol0
SecondaryFemoral Stem Sclerotic Lines- THA Subjects Per Protocol

Sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Sclerotic Lines- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Sclerotic Lines- THA Subjects Per Protocol102
SecondaryFemoral Stem Sclerotic Lines- HHA Subjects Per Protocol

Sclerotic lines are seen on x-rays and are radio-dense areas of bone that have remodeled due to loads close to the implant.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Sclerotic Lines- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Sclerotic Lines- HHA Subjects Per Protocol5
SecondaryFemoral Stem Porous Coating Integrity- THA Subjects Per Protocol

Acetabular Cup Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Porous Coating Integrity- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Porous Coating Integrity- THA Subjects Per Protocol0
SecondaryFemoral Stem Porous Coating Integrity- HHA Subjects Per Protocol

Femoral Stem Porous Coating Integrity is defined as the presence of one or more beads of the porous coating observed away from the component in the soft tissue adjacent to the device.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Porous Coating Integrity- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Porous Coating Integrity- HHA Subjects Per Protocol0
SecondaryFemoral Stem Calcar Resorption- THA Subjects Per Protocol

Femoral calcar resorption occurs when the bone around the prosthesis is partially shielded from bearing loads and begins to resorb

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Calcar Resorption- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Calcar Resorption- THA Subjects Per Protocol73
SecondaryFemoral Stem Calcar Resorption- HHA Subjects Per Protocol

Femoral calcar resorption occurs when the bone around the prosthesis is partially shielded from bearing loads and begins to resorb

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Calcar Resorption- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Calcar Resorption- HHA Subjects Per Protocol3
SecondaryFemoral Stem Calcar Fracture- THA Subjects Per Protocol

Near the top of the femur is a region of bone called the calcar femorale that provides strength to the femur when compressive forces are applied. During preparation of the femur to receive the femoral implant there is the possibility of fractures occurring in this region.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Calcar Fracture- THA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Calcar Fracture- THA Subjects Per Protocol3
SecondaryFemoral Stem Calcar Fracture- HHA Subjects Per Protocol

Near the top of the femur is a region of bone called the calcar femorale that provides strength to the femur when compressive forces are applied. During preparation of the femur to receive the femoral implant there is the possibility of fractures occurring in this region.

Time frame:
2 Years
Reported as:
Count of units · Hips
Femoral Stem Calcar Fracture- HHA Subjects Per Protocol
HipsActis Total Hip System
Femoral Stem Calcar Fracture- HHA Subjects Per Protocol0
SecondaryPerceived Leg Length Discrepancy- THA Subjects Per Protocol

The number of subjects who perceived a Leg Length Discrepancy at Two Years

Time frame:
2 Years
Reported as:
Count of participants · Participants
Perceived Leg Length Discrepancy- THA Subjects Per Protocol
ParticipantsActis Total Hip System
Perceived Leg Length Discrepancy- THA Subjects Per Protocol11
SecondaryPerceived Leg Length Discrepancy- HHA Subjects Per Protocol

The number of subjects who perceived a Leg Length Discrepancy at Two Years

Time frame:
2 Years
Reported as:
Count of participants · Participants
Perceived Leg Length Discrepancy- HHA Subjects Per Protocol
ParticipantsActis Total Hip System
Perceived Leg Length Discrepancy- HHA Subjects Per Protocol0
SecondaryNumber of Participants With True Leg Length Discrepancy- THA Subjects Per Protocol

True LLD is defined as a difference of 3 cm or greater as reviewed via postoperative radiographs. The measurement is the distance between the superior-most aspects of the left and right femoral heads

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With True Leg Length Discrepancy- THA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With True Leg Length Discrepancy- THA Subjects Per Protocol0
SecondaryNumber of Participants With True Leg Length Discrepancy- HHA Subjects Per Protocol

True LLD is defined as a difference of 3 cm or greater as reviewed via postoperative radiographs. The measurement is the distance between the superior-most aspects of the left and right femoral heads

Time frame:
2 Years
Reported as:
Count of participants · Participants
Number of Participants With True Leg Length Discrepancy- HHA Subjects Per Protocol
ParticipantsActis Total Hip System
Number of Participants With True Leg Length Discrepancy- HHA Subjects Per Protocol0

Adverse events

Collected over Adverse events were collected throughout the course of the study and continued until the 2-year interval when the study closed. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Actis Total Hip System9/255 (3.5%)8/255 (3.1%)22/255 (8.6%)
Most frequent serious events
Most frequent serious events
EventActis Total Hip System
Post procedural infectionInfections and infestations2/255
Wound AbscessInfections and infestations1/255
Wound decompositionInjury, poisoning and procedural complications1/255
Cardiac arrestCardiac disorders1/255
Medical device site joint infectionInfections and infestations1/255
Joint dislocationInjury, poisoning and procedural complications1/255
Device dislocationProduct Issues1/255
Device failureProduct Issues1/255
Pulmonary embolismRespiratory, thoracic and mediastinal disorders1/255
Wound dehiscenceInjury, poisoning and procedural complications1/255
Most frequent other events
Most frequent other events
EventActis Total Hip System
ArthralgiaMusculoskeletal and connective tissue disorders8/255
Joint dislocationInjury, poisoning and procedural complications5/255
FallInjury, poisoning and procedural complications3/255
BursitisMusculoskeletal and connective tissue disorders2/255
Impaired healingGeneral disorders2/255
PyrexiaGeneral disorders2/255

Baseline characteristics

All Implanted Participants (n=255)

Age, Continuous
Age, Continuous(Years)Actis Total Hip System
Mean62.6 ± 11.66
Sex: Female, Male
Sex: Female, Male(Participants)Actis Total Hip System
Female119
Male136
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Actis Total Hip System
Hispanic or Latino8
Not Hispanic or Latino247
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Actis Total Hip System
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander1
Black or African American20
White231
More than one race2
Unknown or Not Reported1
Implanted Participant Primary Diagnosis
Implanted Participant Primary Diagnosis(Participants)Actis Total Hip System
Acute Fracture22
Avascular Necrosis8
Degenerative Joint Disease41
Hip Dysplasia2
Osteoarthritis179
Rheumatoid Arthritis1
Other2
08

Study locations

9 sites
  • Louisville, Kentucky 40241, United States
  • Boston, Massachusetts, United States
  • Rochester, Minnesota, United States
  • Lebanon, New Hampshire, United States
  • New York, New York, United States
  • Charlotte, North Carolina, United States
  • Philadelphia, Pennsylvania, United States
  • Austin, Texas, United States
  • Renton, Washington, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Johnson \& Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) Project to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu

Data sharing details ↗ · yoda.yale.edu

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02783274
Lead sponsor
DePuy Orthopaedics
Responsible party
Sponsor
First posted
May 26, 2016
Start date
Jul 1, 2016
Primary completion
Mar 13, 2024
Completion
Mar 13, 2024
Results posted
May 22, 2025
Last update
Aug 15, 2025

Study contacts

Deborah German, BS
study director · DePuy Synthes

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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