ClinicalTrials.gg
TerminatedNCT03289754Updated Oct 16, 2025Results posted

A Prospective Study to Evaluate the iTotal Knee and iPoly XE Tibial Inserts

An interventional study of iPoly XE tibial insert with ConforMIS iTotal KRS in Knee Osteoarthritis, sponsored by Restor3D. Terminated at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-16.

Sponsored by Restor3D · Not applicable, Interventional, and Basic science

Why this study was terminated
Decision of investigational team
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to evaluate the clinical outcomes of subjects who have recently undergone surgery with the iTotal® Cruciate Retaining (CR) Total Knee Replacement System (KRS) who have also had iPoly XE Tibial Inserts implanted.

Read the detailed description

The study is prospective and single-center. Subjects will be implanted with an iTotal® CR Knee Replacement System in conjunction with an iPoly XE insert. The study will include a minimum of 50 subjects and a maximum of 60 subjects at a single center. The study site will be located in Germany. The study subjects will be followed for 10 years post implant.

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • knee implant
  • osteoarthritis
  • patient-specific
  • knee osteoarthritis
03

In context

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's enrollment of 52 is below the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Restor3D is the lead sponsor of 24 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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. Clinical condition included in the approved Indications For Use for the iTotal® CR
  2. Osteoarthritis, as confirmed by the investigator's assessment of disease status at screening visit that warrants a TKR procedure. Disease status is assessed by Clinical and Radiographic assessment.
  3. Willingness to participate in the clinical study, to give , and to attend all follow-up visits
  4. > 18 years of age

Exclusion criteria

Exclusion Criteria:

  1. Simultaneous bilateral procedure required
  2. > 40
  3. Active (defined as a history of any invasive malignancy - except non-melanoma skin cancer), unless patient has been treated with curative intent and there have been no clinical signs or symptoms of the malignancy for at least 5 years
  4. Poorly controlled diabetes
  5. Neuromuscular conditions which prevent patient from participating in study activities
  6. Active local or systemic infection
  7. Fibromyalgia or other general body pain related condition
  8. Rheumatoid arthritis or other forms of inflammatory joint disease
  9. Loss of bone or musculature, osteonecrosis, neuromuscular or vascular compromise in the area of the joint to be operated on, to an extent that the procedure is unjustified
  10. Diagnosed with or receiving treatment for Osteoporosis
  11. Other physical disability affecting the hips, spine, or contralateral knee
  12. Severe instability due to advanced loss of osteochondral structure
  13. Prior arthroplasty of the affected knee, including High Tibial Osteotomy (HTO)
  14. Compromised PCL or collateral ligament
  15. Severe fixed valgus or varus deformity of >15º
  16. Extensor lag > 15º
  17. Fixed flexion contracture ≥ 15º
  18. Unwilling or unable to comply with study requirements
  19. Participation in another clinical study which would confound results
  20. Allergy to any of the implant materials
Terms in these criteria, in plain language(4)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    ConforMIS iTotal Knee with iPoly Insert

    The tibial insert being utilized in this study will be a highly-crosslinked, Vitamin-E enriched UHMWPE (iPoly XE) instead of traditional tibial inserts.

    Device: iPoly XE tibial insert with ConforMIS iTotal KRS

Interventions

  • DeviceiPoly XE tibial insert with ConforMIS iTotal KRS

    The implants are constructed to conform to the surface of the patient's femoral condyle and proximal tibia, replacing the damaged cartilage with a smooth articulating surface. The femoral component and tibial tray are manufactured from cobalt chromium molybdenum alloy. The tibial insert and patellar component are manufactured from ultra-high molecular weight polyethylene.

06

What researchers measure

Primary outcomes

  1. Incidence of Device-related Complications

    Adverse events were categorized as "Device Probably Related", "Device Possibly Related", Device All Related", or "Device Not Related" by the care team for all adverse events (as per the definitions of adverse events on clinicaltrials.gov). Outcome metrics are given in the form of "Events per Patient" which was calculated by dividing the number of adverse in each category by the number of baseline patients.

    Time frame: 1 year

  2. Incidence of Procedure-Related Complications

    Adverse events were categorized as "Procedure Probably Related", "Procedure Possibly Related", Procedure All Related", or "Procedure Not Related" by the care team for all adverse events (as per the definitions of adverse events on clinicaltrials.gov). Outcome metrics are given in the form of "Events per Patient" which was calculated by dividing the number of adverse in each category by the number of baseline patients.

    Time frame: 1 year

07

Results

Posted Oct 16, 2025

Participant flow

Participant flow — Overall Study
MilestoneConforMIS iTotal Knee With iPoly Insert
Started52
Completed49
Not completed3
Withdrew: Screen failure or failure to meet follow-up3

Outcome measures

PrimaryIncidence of Device-related Complications

Adverse events were categorized as "Device Probably Related", "Device Possibly Related", Device All Related", or "Device Not Related" by the care team for all adverse events (as per the definitions of adverse events on clinicaltrials.gov). Outcome metrics are given in the form of "Events per Patient" which was calculated by dividing the number of adverse in each category by the number of baseline patients.

Time frame:
1 year
Reported as:
Number · Events per Patient
Incidence of Device-related Complications
Events per Patient"Device Probably Related" Adverse Event"Device Possibly Related" Adverse Event"Device All Related" Adverse Event"Device Not Related" Adverse Event
Incidence of Device-related Complications0.020.310.330.39
PrimaryIncidence of Procedure-Related Complications

Adverse events were categorized as "Procedure Probably Related", "Procedure Possibly Related", Procedure All Related", or "Procedure Not Related" by the care team for all adverse events (as per the definitions of adverse events on clinicaltrials.gov). Outcome metrics are given in the form of "Events per Patient" which was calculated by dividing the number of adverse in each category by the number of baseline patients.

Time frame:
1 year
Reported as:
Number · Events per Patient
Incidence of Procedure-Related Complications
Events per Patient"Procedure Probably Related" Adverse Event"Procedure Possibly Related" Adverse Event"Procedure All Related" Adverse Event"Procedure Not Related" Adverse Event
Incidence of Procedure-Related Complications0.10.140.240.47

Adverse events

Collected over Adverse Events were collected from surgery date until 1 year post-operation.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ConforMIS iTotal Knee With iPoly Insert1/49 (2%)15/49 (30.6%)12/49 (24.5%)
Most frequent serious events
Most frequent serious events
EventConforMIS iTotal Knee With iPoly Insert
HospitalizationGeneral disorders7/49
Medical InterventionGeneral disorders5/49
Life-threateningGeneral disorders2/49
DeathCongenital, familial and genetic disorders1/49
OtherGeneral disorders1/49
DisabilityGeneral disorders0/49
Most frequent other events
Most frequent other events
EventConforMIS iTotal Knee With iPoly Insert
Pain/Stiffness ComplicationsGeneral disorders6/49
Infection ComplicationsInfections and infestations3/49
Wound InfectionSkin and subcutaneous tissue disorders2/49
Thrombotic ComplicationsVascular disorders1/49

Baseline characteristics

Study terminated early.

Age, Continuous
Age, Continuous(years)ConforMIS iTotal Knee With iPoly Insert
Mean66.27 (45 to 87)
Sex: Female, Male
Sex: Female, Male(Participants)ConforMIS iTotal Knee With iPoly Insert
Female30
Male18
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)ConforMIS iTotal Knee With iPoly Insert
Region of Enrollment
Region of Enrollment(participants)ConforMIS iTotal Knee With iPoly Insert
Germany49
08

Study locations

1 site
  • University Medical Center of Johannes Gutenberg-University Mainz
    Mainz, Germany
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Jun 2022, 52 months.

Results were first posted in Oct 2025, 3 years 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 15, 2017
First posted
Sep 21, 2017
StartActual
Jan 24, 2018
Primary completionActual
Jun 9, 2022
CompletionActual
Jun 9, 2022
Results first posted
Oct 16, 2025
Last update
Oct 16, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03289754
Lead sponsor
Restor3D
Responsible party
Sponsor
First posted
Sep 21, 2017
Start date
Jan 24, 2018
Primary completion
Jun 9, 2022
Completion
Jun 9, 2022
Results posted
Oct 16, 2025
Last update
Oct 16, 2025

Study contacts

Philipp Drees
principal investigator · University- Mainz

Oversight

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

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This study is terminated, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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