ClinicalTrials.gg
Active, not recruitingNCT03153449Updated Nov 3, 2026

ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population

An interventional study of ATTUNE Revision Knee System in Total Knee Arthroplasty in Primary Knee Arthroplasty, sponsored by DePuy Orthopaedics. Active, not recruiting at 34 sites in 10 countries. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Primary conditionCongenital Abnormalities(the registry's first term)UnverifiedIs this wrong?Congenital Abnormalities is a broad heading, used only when no more specific condition is named. No better condition is named, so the registry's term is kept.

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

Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Not applicable
Ages
22 Years to 80 Years
Sex
All
01

Study summary

Five-year, Prospective, multi-center, non-randomized, non-controlled study of the ATTUNE® Revision total knee prostheses, utilizing the fixed bearing (FB) and rotating platform (RP) tibial component with the posterior stabilizing (PS) femoral component in complex primary total knee arthroplasty.

Read the detailed description

Within primary TKA, there are factors that lead to more complex procedures that include patients with high BMIs, advanced preoperative deformities and ligamentous laxity. Such cases may require the surgeon to treat using ancillary components, such as stems and/or augments and/or additional constraint.

This post-market study will evaluate the short/medium term clinical performance and medium term survivorship of the ATTUNE Revision system system, which includes instrumentation, in complex primary TKA. The study is designed as a worldwide non-comparative, multi-center study with each site initially having a cohort of approximately 20 Subjects to recruit. The study will enroll approximately 200 fixed bearing and approximately 200 rotating platform configurations.

The 2-year KOOS-ADL (activities of daily living) was selected as the primary endpoint because it will evaluate the post-operative period during which outcomes typically plateau and will therefore provide a good indication of longer term outcomes

Male and female Subjects, age 22-80 years, inclusive, who require a primary knee arthroplasty in a joint that, due to deformity, instability, bone loss etc., necessitates the use of implants found within the ATTUNE Revision knee system and are suitable candidates for TKA using the ATTUNE® Revision system are eligible for enrollment in this study.

02

Conditions studied

  • Primary Knee Arthroplasty

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Keywords

  • complex primary, deformity, ligamentous laxity
03

In context

Congenital Abnormalities Unverified

781 studies on the registry are indexed under Congenital Abnormalities; 77 are open to participants now.

This study's enrollment of 400 is above the median of 40 across 466 interventional studies indexed under Congenital Abnormalities.

Browse Congenital Abnormalities 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.

Compared within Congenital Abnormalities, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
22 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive.
  2. The decision to have knee replacement with the study device is regardless of the research.
  3. The devices are to be used according to the approved indications.
  4. Subject that is willing to give voluntary, written to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor
  5. Subject is currently not bedridden.
  6. Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with procedures.
  7. Subject is able to read, and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations.
  8. Subject has not been diagnosed with an inflammatory arthritis (including gout, rheumatoid, psoriatic etc.)

Exclusion criteria

Exclusion Criteria:

  1. The Subject is a woman who is pregnant or lactating.
  2. Contralateral knee has already been enrolled in this study. If the Investigator plans to treat a potential study subject with either simultaneous (two (2) knees in one (1) surgical setting) or staged bilateral TKA, then this subject may be enrolled; however, only the first knee may be enrolled into this study.
  3. Subject had a contralateral amputation.
  4. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement) or primary TKA in affected knee.
  5. Subject is currently diagnosed with radicular pain from the spine that radiates into the limb to receive TKA.
  6. Subject has participated in a clinical investigation with an product (drug or device) in the last three (3) months.
  7. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
  8. Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last 5 years) or has a psychological disorder that could affect his/her ability to complete patient reported questionnaires or be compliant with follow-up requirements.
  9. 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.
  10. Subject has a significant neurological or musculoskeletal disorder(s) or disease that may adversely affect gait or weight bearing activities (e.g., muscular dystrophy, multiple sclerosis, Charcot disease).
  11. Subject has a medical condition with less than five (5) years as determined by the Investigator.
  12. Subject has been diagnosed with an inflammatory arthritis (including uncontrolled gout, rheumatoid, psoriatic etc.).

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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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

05

Study design

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

Study arms

  • Other
    ATTUNE Revision knee system

    The ATTUNE Revision knees system is complementary to the ATTUNE primary knee portfolio and includes both rotating platform (RP) and fixed bearing (FB) configurations. The system includes a full compliment of implants designed to address the challenges faced in complex primary knee surgeries. These implants include Stemmable tibial and femoral components, augments, sleeves and offsets

    Device: ATTUNE Revision Knee System in Total Knee Arthroplasty

Interventions

  • DeviceATTUNE Revision Knee System in Total Knee Arthroplasty

    Implants from the ATTUNE Revision Knee System will be used to treat subjects whose surgeons have determined their anatomy is such that the use of revision components are required to perform primary total knee arthroplasty

    Also known as: complex primary knee arthroplasty

06

What researchers measure

Primary outcomes

  1. KOOS ADL

    Evaluate change from preoperative baseline to the 2 yr timepoint in patient reported functional outcome, KOOS-ADL for the ATTUNE® Revision TKA FB and RP configurations.

    Time frame: 2 Years

Secondary outcomes

  1. Knee Injury and Osteoarthritis Outcome Score - Activities of Daily Living (KOOS-ADL)

    Evaluate change from preoperative baseline to the 5 yr timepoint in functional outcomes as measured using KOOS patient reported outcomes measure (PROM).

    Time frame: Baseline, 5 Year

  2. Patient's Knee Implant Performance (PKIP)

    Evaluate change from preoperative baseline to 5 yr timepoint in functional outcomes, satisfaction and quality of life assessments, as measured using the PKIP patient reported outcome measure

    Time frame: Baseline, 5 Year

  3. American Knee Society Score

    valuate change from preoperative baseline to 5 yr timepoint in functional outcomes assessments, patient satisfaction and expectations and clinical evaluations as measured using the AKS measure

    Time frame: Baseline, 5 Year

  4. EQ-5D-5L

    Evaluate change from preoperative baseline to 2 and 5 yr timepoints in functional outcomes and quality of life assessments, as measured using the EQ-5D-5L patient reported outcome measure

    Time frame: Baseline, 5 year

  5. VAS Pain Score

    Evaluate change from preoperative baseline to 5 yr timepoint in patient reported pain severity as measured using a modified VAS Pain Score (discrete numbers rather than a continual scale).

    Time frame: Baseline, 5 year

  6. American Knee Society Score

    Evaluate change from preoperative baseline to the 5 yr timepoint in patient reported satisfaction from the AKS 2011 over time as measured using a Likert scale.

    Time frame: Baseline, 5 year

  7. American Knee Society Score (surgeon evaluation)

    Estimate the change from preoperative baseline to the 5 yr timepoint in clinical outcomes using the 2011 AKS (surgeon evaluation)

    Time frame: Baseline, 5 year

  8. Adverse Events

    Evaluate type and frequency of Adverse Events

    Time frame: Intraoperative, 6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.

  9. Readmissions

    Evaluate the timing, duration and reason for any readmissions stratified by adverse event type (operative site vs. systemic).

    Time frame: 6 weeks, 1 yr., 2 yr., 3 yr., 4 yr., 5 yr.

  10. Survivorship

    Evaluate survivorship of the ATTUNE® Revision TKA system for the PS FB and PS RP configurations and the combined PS FB and PS RP configurations using Kaplan-Meier survival analysis at 1, 2, 3, 4 and 5 years.

    Time frame: 1, 2, 3, 4 and 5 years

  11. Frequency of radiolucent line occurrence

    Evaluate ATTUNE® Revision TKA fixation through zonal radiographic analysis of the bone-implant interface at 1, 2 and 5 years after surgery compared to the first postoperative radiographs.

    Time frame: 1, 2 and 5 years

  12. Anatomic Tibiofemoral Alignment

    Evaluate any changes in anatomic tibiofemoral alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.

    Time frame: 1, 2 and 5 years

  13. Femoral component alignment

    Evaluate any changes in femoral component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.

    Time frame: 1, 2 and 5 years

  14. Tibial component alignment

    Evaluate any changes in tibial component alignment at 1, 2 and 5 yrs compared to the first postoperative radiographs.

    Time frame: 1, 2 and 5 years

  15. Restoration of joint line

    Radiographically evaluate the restoration of joint line using the first postoperative radiographs according to the methodology of Figgie.

    Time frame: First post-operative radiograph (1 day)

07

Study locations

34 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
2 updates, last Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    Minor edits only
    + 1 other change: verification date
  2. Sep 25, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03153449
Lead sponsor
DePuy Orthopaedics
Responsible party
Sponsor
First posted
May 15, 2017
Start date
Sep 19, 2017
Primary completion
Apr 17, 2028 (estimated)
Completion
Oct 17, 2030 (estimated)
Last update
Nov 3, 2026

Study contacts

Grant Jamgochian
study director · Sponsor GmbH

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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