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Active, not recruitingNCT03078543ANTHEM PSUpdated Mar 11, 2026

Ten Year Implant Survivorship of the ANTHEM™ PS Total Knee System

An observational study in Arthroplasty, Replacement, Knee, sponsored by Smith & Nephew, Inc.. Active, not recruiting at 8 sites in 5 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-03-11.

Sponsored by Smith & Nephew, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
148
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The ANTHEM™PS Total Knee System is being conducted to demonstrate non-inferiority of 10 year implant survivorship in patients undergoing total knee arthroplasty for osteoarthritis compared to reported literature

Read the detailed description

The ANTHEM PS Study is a prospective, multicentre, cohort study to collect relevant patient reported, clinical, surgical and radiological data from 143 subjects implanted with the ANTHEM™PS Knee System for degenerative joint disease in up to 6 clinical sites globally. Total study duration for study participants will be 10 years with post-operative follow-up visits planned for 6 weeks, 1 year, 2 years, 5 years, 7.5 years and 10 years. The study will evaluate the 10 year implant survivorship and the safety and outcome of the ANTHEM™PS Knee System over 10 years. This is a post-market study of the ANTHEM™PS Total Knee System.

The primary objective of the study is to demonstrate non-inferiority (8% margin) of 10 year implant survivorship of the ANTHEM™PS Total Knee System in patients undergoing total knee arthroplasty for osteoarthritis compared to reported literature.

The secondary objectives of the study are to evaluate shorter and long term safety and outcomes of the ANTHEM™ PS Total Knee System.

  • Knee injury and Osteoarthritis Outcomes Score (KOOS)
  • 2011 Knee Society Score (2011 KSS)
  • EQ-5D - 3L
  • Femoral Fit ('Perfect Fit' rate)
  • Radiographic Assessment
  • Revision for any reason
  • Adverse Events (AEs)
02

Conditions studied

  • Arthroplasty, Replacement, Knee
03

In context

Lead sponsor

Smith & Nephew, Inc. is the lead sponsor of 132 studies on the registry; 10 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 10 (91%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Subjects undergoing primary total knee arthroplasty.

Inclusion criteria

  1. Subject is a candidate for primary total knee arthroplasty due to degenerative joint disease
  2. Subject is willing to sign and date an EC-approved consent form
  3. Subject is male or female between the ages of 18 and 75 years of age
  4. Subject plans to be available through ten (10) years post-operative follow-up
  5. Subject agrees to follow the study protocol

Exclusion criteria

Exclusion Criteria:

  1. Subject would receive the ANTHEM™ Total Knee System on the affected knee as a revision for a previously failed total or unicondylar knee arthroplasty
  2. Subject received TKA on the contralateral knee as a revision for a previously failed total or unicondylar knee arthroplasty
  3. Subject has a history of patellar fracture, patellectomy, patello-femoral instability
  4. Subject has inflammatory arthritis
  5. Subject possesses a contralateral or ipsilateral revision hip arthroplasty
  6. Subject has ipsilateral hip arthritis resulting in flexion contracture
  7. Subject has one or more of the following arthroplasties that are not fully healed and well-functioning, as determined by the Investigator:

    • Ipsilateral or contralateral primary total hip arthroplasty or hip resurfacing arthroplasty
    • Contralateral primary total knee or unicondylar knee arthroplasty
  8. Subject has an active infection or sepsis (treated or untreated)
  9. Subject has presence of malignant tumor, either primary or metastatic, or benign tumor on leg with the knee to be treated
  10. Subject has conditions that may interfere with the TKA survival or outcome (e.g. Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes mellitus i.e. not under treatment with oral/injectable medications to control blood glucose levels, fibromyalgia, moderate to severe renal insufficiency or neuromuscular disease)
  11. Subject has a chronic, contralateral lower extremity condition causing abnormal ambulation, which is not related to the knee (e.g. ankle fusion, ankle arthroplasty, previous hip fracture).
  12. Subject is pregnant or plans to become pregnant during the study
  13. Subject has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study, including mental illness, mental retardation, drug or alcohol abuse
  14. Subject has a BMI>40
  15. Subject is enrolled in another investigational drug, biologic, or device study
  16. Subject is facing current or impending incarceration
  17. Subject has an inadequate bone stock to support the device which would make the procedure unjustifiable, including but not limited to: severe osteopenia/osteoporosis or family history of severe osteoporosis/osteopenia
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
148 participants (actual)
Patient registry
No

Groups and cohorts

  • ANTHEM™ PS Total Knee System implant

    The ANTHEM™ PS Total Knee System will demonstrate non-inferiority of 10 year implant survivorship in patients undergoing total knee arthroplasty for osteoarthritis compared to reported literature

    Device: ANTHEM™ PS Total Knee System implant

Interventions

  • DeviceANTHEM™ PS Total Knee System implant

    The ANTHEM™ PS Total Knee System is a comprehensive system which allows surgeons to address simple to complex knee arthroplasties. The ANTHEM™ PS Total Knee System consists of the following components: * Cobalt-Chrome (Co-Cr) femoral components - Posterior stabilised * Titanium primary tibial components * Posterior-stabilised ultra-high molecular weight polyethylene (UHMWPE) * Polyethylene patella components The resulting product is sufficient to accommodate a wide range of clinical applications.

06

What researchers measure

Primary outcomes

  1. Ten year Anthem knee implant survivorship

    The ANTHEM™ Total Knee System will demonstrate non-inferiority of 10 year implant survivorship in patients undergoing total knee arthroplasty for osteoarthritis compared to reported literature

    Time frame: Study participants will be followed for 10 years

Secondary outcomes

  1. Knee injury and Osteoarthritis Outcomes Score (KOOS)

    Participant Questionnaire to assess the patients opinion about their knee and associated problems.

    Time frame: Participant questionnaire completed at the Baseline timepoint, 6 weeks, 1,2, 5 and 10 years

  2. 2011 Knee Society Score (2011 KSS)

    Participant questionnaire including a pre-operative section supplying information relating to the current symptoms, knee function, satisfaction with their pre-operative functional activities, and the expectations they have of the results of the total knee arthroplasty. The surgeon then completes information on objective measures such as joint alignment, instability, motions and symptoms.

    Time frame: Participant questionnaire completed at the Baseline timepoint, 6 weeks, 1,2, 5 and 10 years

  3. EQ-5D-3L

    Participant Questionnaire\_ The EQ-5D-3L questionnaire is a self-rating evaluation questionnaire made up of health status measurements of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participants also evaluate their overall health status using a visual analogue scale.

    Time frame: Participant questionnaire completed at the Baseline timepoint, 6 weeks, 1,2, 5, 7.5 and 10 years

  4. Femoral Fit ('Perfect Fit' rate)

    For each individual knee, 'overall femoral component fit' across the combined three femur levels; condylar, junctional and trochlear will be characterised under three classifications: 1. Perfect Fit: just fit at all three levels or just fit at two levels and underhang at one 2. Overhang: overhang observed on at least one of the three levels 3. Underhang: underhang at all three levels or underhang at two and just fit at one

    Time frame: Femoral Fit will be measured at surgery, assessed for an estimated 1 hour

  5. Radiographic Assessments to adequately assess the component position, prosthesis-bone interface, and the knee alignment.

    The Knee X Rays taken during the course of the study will include Full leg weight-bearing, bilateral anteroposterior (AP), lateral and patellar radiographs. The knee assessments to be made from radiographs will include: Radiographic findings; Component orientation; Radiolucencies; Migration; Osteolysis and Stress shielding.

    Time frame: Radiographic assessments to be conducted at Pre-operation timepoint (Baseline), post-operative (Day 1), 6 weeks, 1,2, 5, and 10 years

  6. Revision for any reason

    Anthem implant revision done for any reason

    Time frame: Anytime during the 10 year study period

  7. Adverse Events

    All adverse events captured during the entire study period to provide patient safety oversight

    Time frame: Adverse events are collected at any time during the study with formal timepoints being at surgery, 6 weeks, 1,2, 5, 7.5 and 10 years

07

Study locations

8 sites
  • Beijing Jishuitan Hospital, Institute of Orthopedics & Traumatology,
    Beijing, Beijing Municipality 100035, China
  • Instituto Clinico Sant'Ambrogio
    Milan, Milan 20149, Italy
  • Fatebenefratelli Isola Tiberina Gemelli Hospital - Isle of Rome
    Roma, 00186, Italy
  • Westville Hospital
    Durban, KwaZulu-Natal 3630, South Africa
  • Pusan National University Yangsan Hospital
    Yangsan, Gyeongsangnam 626-770, South Korea
  • Chonnam National University Hwasun Hospital
    Hwasan, South Korea
  • Severance Hospital, Yonsei University Health System
    Seoul, South Korea
  • Siriraj Hospital
    Bangkok, Bangkok 10700, Thailand
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03078543
Lead sponsor
Smith & Nephew, Inc.
Responsible party
Sponsor
First posted
Mar 13, 2017
Start date
Jun 28, 2017
Primary completion
Apr 30, 2029 (estimated)
Completion
Apr 30, 2029 (estimated)
Last update
Mar 11, 2026

Study contacts

Julian Yang
study director · Smith & Nephew Medical (Shanghai) Limited

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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