ClinicalTrials.gg
Active, not recruitingNCT04349046ExceptionUpdated Jun 18, 2025

Exception Cementless Hip Stem

An observational study in Osteoarthritis, Hip, Rheumatoid Arthritis and Inflammatory Arthritis, sponsored by Zimmer Biomet. Active, not recruiting at 6 sites in 2 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2025-06-18.

Sponsored by Zimmer Biomet · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
332
Ages
18 Years to 100 Years
Sex
All
01

Study summary

This study is a multicenter, retrospective and prospective, non-controlled, non-randomized post market clinical follow-up study. The objectives of this study are to confirm the long-term safety, performance and clinical benefits the Exception Cementless femoral stem (standard and varized) when used in primary total hip arthroplasty.

Read the detailed description

Six surgeons have prospectively collected clinical data for patients operated consecutively between January 2008 and September 2012. The patients have been operated based on the indications and contraindications listed in the Instructions For Use (IFUs) of the implant.

This study is an extension of the surgeons' data collection as an attempt from Zimmer-Biomet to fulfill its post-market surveillance obligations by recovering clinical data retrospectively and prospectively.

Study Procedure Flowchart - retrospective data collection: most patients had clinical follow-ups at pre-op, operative, immediate post-op, 3 Months, 1 year, 2, 3, 5, 7 years post-surgery during which their surgeons collected clinical data. This data will therefore only be collected by Zimmer-Biomet after the patients specifically consent to it.

Study Procedure Flowchart - prospective data collection: The informed consent signed by the patient for this study also allow Zimmer Biomet to collect the data of the standard clinical follow-up that will be conducted by the investigators at least 10 years post-surgery.

02

Conditions studied

  • Osteoarthritis, Hip
  • Rheumatoid Arthritis
  • Inflammatory Arthritis
  • Congenital Hip Dysplasia
  • Avascular Necrosis of Hip
  • Femoral Neck Fractures

Keywords

  • Total hip arthroplasty
  • Medical device
  • Performance
  • Safety
  • Hip prosthesis
  • Clinical benefits
03

In context

Osteoarthritis, Hip

641 studies on the registry are indexed under Osteoarthritis, Hip; 120 are open to participants now.

This study's planned enrollment of 332 is above the median of 135 across 158 observational studies indexed under Osteoarthritis, Hip.

Browse Osteoarthritis, Hip studies →

Lead sponsor

Zimmer Biomet is the lead sponsor of 275 studies on the registry; 28 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 19 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Six surgeons have prospectively collected clinical data for patients operated consecutively between January 2008 and September 2012. The patients have been operated based on the indications and contraindications listed in the Instructions For Use (IFUs) of the implant.

For this retrospective and prospective study, only the patients who had consented to the original data collection after their surgery will be contacted.

These the patients should be capable of understanding the surgeon's explanations and following his instructions, should be able and willing to participate in the last follow-up visit, and should give consent to take part in the study. The patients should meet all the inclusion criteria and none of the exclusion criteria.

Eligibility criteria

At the time of surgery, the inclusion criteria were based on the indications presented in the IFUs:

  • Primary or secondary osteoarthritis
  • Inflammatory impairment of the hip, rheumatoid arthritis, etc.
  • Fracture of the neck of the femur
  • Avascular necrosis of the femoral head
  • Sequelae from previous operations on the hip, osteotomies, etc.
  • Congenital hip dysplasia.
  • Patient is older than 18 years old
  • Patient had consented to the original data collection after his/her surgery

At the time of surgery, the exclusion criteria were based on the presented in the IFUs:

  • Local or systemic infections.
  • Serious muscular, neurological or vascular deficiencies in the limb concerned.
  • Bone destruction or poor quality bone likely to affect the stability of the implant (Paget's disease, osteoporosis, etc.)
  • Any concomitant disorder likely to affect the function of the implant.
  • Allergy to one of the implant components.
  • Patients weighing more than 110 kg.
  • Patient incapable of following the recommendations of the surgeon
Terms in these criteria, in plain language(1)

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.

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

Observational model
Cohort
Time perspective
Other
Enrollment
332 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patient who received the Exception stem

    Patient who received the Exception stem between January 2008 and September 2012 and consented to the original data collection.

    Device: Total hip arthoplasty (THA)

Interventions

  • DeviceTotal hip arthoplasty (THA)

    Total hip arthroplasty (THA) is a common operative treatment where an arthritic, degenerative or fractured hip joint is replaced with a prosthetic device if conservative options are unable to relieve pain and debilitating symptoms. THA was traditionally performed on patients over 60 years old, but now includes young and active patients, as well as very old ones thanks to the continuous improvement in implant design. Major indications of THA include osteoarthritis, rheumatoid arthritis, avascular necrosis and hip fractures. The THA surgical procedure involves replacing the head of the femur and acetabulum or socket with an artificial prosthesis. This system is composed of a femoral stem that is inserted into the femoral canal, a ball that attaches to the femoral stem, and an acetabular component or shell that replaces the acetabulum.

06

What researchers measure

Primary outcomes

  1. Implant survival based on removal or intended removal of the device and determined using the Kaplan-Meier method

    Time frame: 10 years post-surgery

Secondary outcomes

  1. Pain and functional performance based on the Harris Hip Score

    The score is given from 0 to 100 with Excellent: 90 - 100, Good: 80 - 89, Fair: 70 - 79, and Poor: \< 70

    Time frame: 10 years post-surgery

  2. Subject quality-of-life determined by the EQ-5D (EuroQoI) score

    The lowest score (0) corresponds to "the worst health the patient can imagine", and the highest rate (100) corresponds to "the best health he can imagine".

    Time frame: 10 years post-surgery

  3. X-rays evaluated for radiolucencies, osteolysis, hypertrophy, subsidence, heterotopic ossification, etc

    Time frame: 10 years post-surgery

  4. Safety based on eventual complications occurred including dislocations and revisions/removals

    Time frame: 10 years post-surgery]

07

Study locations

6 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2021 to primary completion in May 2024, 40 months.

Of 81 observational studies under Osteoarthritis, Hip, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 113. This study's 40 months is below that.

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

Registered
Apr 14, 2020
First posted
Apr 16, 2020
StartActual
Jan 1, 2021
Primary completionActual
May 1, 2024
CompletionEst.
Dec 2025
Last update
Jun 18, 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 Jun 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04349046
Lead sponsor
Zimmer Biomet
Responsible party
Sponsor
First posted
Apr 16, 2020
Start date
Jan 1, 2021
Primary completion
May 1, 2024
Completion
Dec 2025 (estimated)
Last update
Jun 18, 2025

Study contacts

Hassan Achakri
study director · Zimmer Biomet

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion