ClinicalTrials.gg
Active, not recruitingNCT04848896CORI RCT TKAUpdated Nov 3, 2026

Study to Evaluate the Safety and Effectiveness of the REAL INTELLIGENCE™ CORI™ in Total Knee Arthroplasty (TKA) Procedure

An interventional study of CORI Robotics and Conventional Procedure in Arthroplasty, Replacement and Knee, sponsored by Smith & Nephew, Inc.. Active, not recruiting at 4 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Smith & Nephew, Inc. · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026Now Active, not recruitingPrimary completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 33 studies in Osteoarthritis by Smith & Nephew, Inc. — 2 open to participants now, 7 under way, none of them phase 3. Osteoarthritis · Smith & Nephew, Inc..

Planned enrollment
4th of 12
140 · median 88
Started
2022
with 3 others
No phase
12 of 33
none open now
Registered
29th of 33
by date

Among the 33 studies in Osteoarthritis by Smith & Nephew, Inc., this one is the 4th largest by planned enrollment of the 12 interventional ones, is one of 4 that started in 2022, is one of 12 with no phase, and was the 29th registered.

By phase

33 studies; the count open now beside each. This study's row is marked.

Observational21 · 2 open
No phasethis study12 · 0 open

By the year they started

First in 2002; this study’s year is marked. 4 started in 2022.

Size and results

Median enrollment 88 across the 12 interventional studies, 131 across the 21 observational. Of the 24 that completed or were terminated, 10 (42%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 33 studies in Osteoarthritis by Smith & Nephew, Inc., or all of them as a file.
02

Study summary

Background:

REAL INTELLIGENCE™ CORI™ (CORI Robotics) is a computer-assisted orthopaedic surgical navigation and burring system. CORI Robotics is designed to help surgeons in planning and executing certain types of knee surgery involving bone preparation. These types of surgery are called 'unicondylar knee arthroplasty' (UKA) and 'total knee arthroplasty' (TKA).

Purpose:

This study is being carried out to demonstrate the safety and effectiveness of the CORI Robotics in TKA procedure. The data collected will be used to demonstrate the safety and effectiveness of CORI and to register CORI in China mainland. The primary objective of this study is to evaluate the use of CORI in TKA procedure in achieving post-operative leg alignment as compared to procedures using conventional manual instruments.

Research participants / locations:

80 research participants will be recruited from up to 8 sites in 3 countries globally (Australia, China Mainland, Hong Kong and New Zealand). There will be roughly 40 patients having TKA using CORI and 40 patients having TKA using conventional procedure.

03

Conditions studied

  • Arthroplasty
  • Replacement
  • Knee

Browse trials for

Keywords

  • Osteoarthritis
  • Total Knee Arthroplasty (TKA)
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. Subject is a suitable candidate for a TKA procedure using CORI and a corresponding S+N Knee Implant System.
  2. Subject requires a cemented TKA as a primary indication that meets any of the following condition:

    • Non-inflammatory degenerative joint disease, including osteoarthritis
    • Rheumatoid arthritis
    • Avascular necrosis
    • Requires correction of functional deformity
    • Requires treatment of fractures that were unmanageable using other techniques
  3. Subject is of legal age to consent and considered skeletally mature (≥ 18 years of age at the time of surgery)
  4. Subject agrees to consent to and to follow the study visit schedule (as defined in the study protocol and form), by signing the Ethical Committee (EC) or Institutional Review Board (IRB) approved informed consent form.
  5. Subject plans to be available through two (2) year postoperative follow-up.
  6. Applicable routine radiographic assessment is possible.

Exclusion criteria

Exclusion Criteria:

  1. Subject requires a TKA on the index joint as a revision for a previously failed surgery, or has the need for complex implants, or any other implant than a standard TKA (e.g. stems, augments, or custom-made devices).
  2. Subject has been diagnosed with post-traumatic arthritis.
  3. Subject receives simultaneous bilateral UKA OR a unilateral UKA with contralateral TKA.
  4. Subject has one or more of the following arthroplasties that are not fully healed and well-functioning, as determined by the investigator:-Contralateral primary TKA or UKA, however, the subject can only have one knee enrolled in this study.
  5. Subject does not understand the language used in the Form.
  6. Subject does not meet the indication or is for TKA according to the specific Smith+Nephew Knee System's Instructions For Use (IFU).
  7. Subject has active infection or sepsis (treated or untreated).
  8. Subject is morbidly obese with a (BMI) greater than 40.
  9. Subject is pregnant or breast feeding at the time of surgery.
  10. Subject, in the opinion of the Investigator, has advanced osteoarthritis or joint disease at the time of surgery and was better suited for an alternate procedure.
  11. Subject currently enrolled in another orthopedic clinical trial study.
  12. Subject has a condition(s) that may interfere with the TKA survival or outcome (i.e., Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease, or an active, local infection).
  13. Subject in the opinion of the Investigator has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study including mental illness, intellectual disability, drug or alcohol abuse.
  14. Subject, in the opinion of the Investigator, has a neuromuscular disorder that prohibited control of the index joint.
  15. Subject is a prisoner or meets the definition of a Vulnerable Subject per International Organization for Standardization (ISO) 14155:2020 Section 3.55.
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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    CORI

    Subjects in need for total knee arthroplasty (TKA) as decided by their doctor and treated with CORI Robotics System.

    Device: CORI Robotics

  • Active comparator
    Conventional Procedure

    Subjects in need for total knee arthroplasty (TKA) as decided by their doctor and treated with conventional approach with conventional manual instrumentation.

    Procedure: Conventional Procedure

Interventions

  • DeviceCORI Robotics

    Total knee arthroplasty (TKA) treated with CORI Robotics System.

  • ProcedureConventional Procedure

    Total knee arthroplasty (TKA) treated with conventional approach with conventional manual instrumentation.

06

What researchers measure

Primary outcomes

  1. Post-operative Leg Alignment

    Post-operative leg alignment via radiographic assessment. Post-operative leg alignment is achieved when the deviation from the subject specific target does not exceed ±3 degrees.

    Time frame: 6 weeks

Secondary outcomes

  1. Component Alignment

    Component alignment will be assessed on long leg standing antero-posterior (A/P) X-rays and standard non weight bearing lateral X-rays taken 6 weeks after surgery

    Time frame: 6 weeks

  2. Radiographic Assessment

    Radiographic assessment on antero-posterior (A/P) and lateral (L) views shall be performed to identify the presence of radiolucent lines, osteolysis \& implant migration.

    Time frame: 12 months and 24 months

  3. 2011 Knee Society Score (KSS)

    The Functional Knee Score is derived from assessments of walking and standing, standard activities, advanced activities, and discretionary activities in TKA subjects. The 2011 Knee Society Score consists of 4 separate subscales: 1. An "Objective" Knee Score (seven items: 100 points) 2. A Patient Satisfaction Score (five items: 40 points) 3. A Patient Expectation Score (three items: 15 points) 4. A Functional Activity Score (19 items: 100 points). A higher number is a better outcome.

    Time frame: Pre-op, 6 weeks, 6 months, 12 months and 24 months

  4. Oxford Knee Score (OKS)

    To specifically assess the patient's perspective of outcome following knee arthroplasty surgery in TKA subjects. Responses to each question ranges from 0-4 with a range of a possible overall score from 0-48. A score of 0 is the worst possible outcome while a score of 48 is the best possible outcome.

    Time frame: Pre-op, 6 weeks, 6 months, 12 months and 24 months

  5. Forgotten Joint Score (FJS)

    To assess joint-specific patient reported outcomes in TKA subjects. Responses to 12 questions are recorded with a five point Likert response format: "Never", "almost never", "seldom", "sometimes" and "mostly". The item scores are summed and linearly transformed in a 0 to 100 scale and then reversed with a high value reflecting the ability of the subject to forget about the replaced knee joint during the activities of daily living. A score of 100 is the best possible outcome.

    Time frame: 6 weeks, 6 months, 12 months and 24 months

  6. EuroQol Five-Dimensional Five-Level (EQ-5D-5L)

    To assess the subject's health state in TKA subjects. The EQ-5D-5L is composed of the EQ-5D-5L descriptive system and the EQ Visual Analogue scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded as single-digit numbers expressing the severity level selected in each dimension. For instance, 'slight problems' (e.g. 'I have slight problems in walking about') is always coded as '2'. The digits for the five dimensions are combined in a 5-digit code. The EQ- 5D-5L index value is derived by using the vendor supplied calculator to convert each 5-digit EQ-5D-5L profile. The EQ VAS corresponds to a 20 cm vertical, visual analogue scale ranging from 'the best health you can imagine' to 'the worst health you can imagine'. A higher number is a better outcome.

    Time frame: Pre-op, 6 weeks, 6 months, 12 months and 24 months

07

Study locations

4 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Feb 2022 to primary completion in Jun 2026, 51 months.

Of 135 industry-sponsored interventional studies with no phase under Osteoarthritis, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 81. This study's 51 months is above that.

Counting every sponsor, half of 713 studies reached it within 29 months; a quarter within 11 and three quarters within 58.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 3, 2026: primary completion Apr 2026 → Jun 2026 and completion Mar 2028 → Jul 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Apr 7, 2021
First posted
Apr 19, 2021
StartActual
Feb 12, 2022
Primary completionActual
Jun 2, 2026was Apr 2026
CompletionEst.
Jul 2, 2028was Mar 2028
Last update
Nov 3, 2026
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.
Status
Recruiting→Active, not recruiting
changed Nov 3, 2026
Primary completion
Apr 17, 2026→Jun 2, 2026 (actual)
Nov 3, 2026
Study completion
Mar 31, 2028→Jul 2, 2028
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    Recruiting→Active, not recruiting
    Primary completion Apr 17, 2026→Jun 2, 2026 (now actual)
    Study completion Mar 31, 2028→Jul 2, 2028
    + 4 other changes: verification date, description, contact details and site details

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
NCT04848896
Responsible party
Sponsor
First posted
Apr 19, 2021
Start date
Feb 12, 2022
Primary completion
Jun 2, 2026
Completion
Jul 2, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Laura Montani
study director · Smith & Nephew, Inc.

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 Oct 2026. 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