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Status unknownNCT05297175AIR2Updated Mar 28, 2022

AIR (Artificial Implant to Restore the Medial Meniscus Function)2 Clinical Investigation

An interventional study of Trammpolin medial meniscus prosthesis in Knee Injuries and Disorders, sponsored by ATRO Medical B.V.. Status unknown at 3 sites in Netherlands. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-03-28.

Sponsored by ATRO Medical B.V. · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2022), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Oct 2021, registered Feb 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The AIR2 Study is a multi-center, prospective, interventional clinical trial with the objective to evaluate the safety and performance of the Trammpolin® medial meniscus prosthesis.

Read the detailed description

The Trammpolin® meniscus prosthesis is intended to replace the native medial meniscus to provide pain relief in the medial compartment of the knee joint, when this is caused by medial partial meniscectomy.

Patients who meet the inclusion/exclusion criteria and who are implanted with the Trammpolin® medial meniscus prosthesis will be followed for 2 years. The patient reported outcome measures for knee pain and function, and knee clinical condition by MRI and X-ray is assessed post-operative compared to pre-operative.

02

Conditions studied

  • Knee Injuries and Disorders

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Keywords

  • Medial meniscus prosthesis
  • Symptomatic uni-compartmental pain
03

In context

Knee Injuries

249 studies on the registry are indexed under Knee Injuries; 48 are open to participants now.

This study's planned enrollment of 10 is below the median of 50 across 160 interventional studies indexed under Knee Injuries.

Browse Knee Injuries studies →

Lead sponsor

ATRO Medical B.V. is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Has medial compartment knee pain and had a medial partial or total meniscectomy > 6 months ago. The lack of meniscus tissue is confirmed by patient history and MRI
  2. Has a KOOS Pain of ≤ 75 (100 being no pain and the highest attainable score)
  3. Is between age 18 and 70 years (inclusive) at the time of screening
  4. Has neutral alignment ± 5° of the mechanical axis, i.e., the angle formed by a line drawn from the center of the femoral head to the medial tibial spine and a line drawn from the medial tibial spine to the center of the ankle joint, as confirmed by X-ray
  5. Is willing to be implanted with the Trammpolin® medial meniscus prosthesis
  6. Is willing and able to comply to the clinical investigation required follow up visits, questionnaires, X-rays and MRI's
  7. Is able and willing to understand and sign the clinical investigation Informed Consent Form
  8. Is able to read and understand the national language of the country in which the relevant clinical site is located

Exclusion criteria

Exclusion Criteria:

  1. Has a symptomatic knee because of a tear that could potentially be addressed by a repeat partial meniscectomy
  2. Has evidence of a modified Outerbridge Grade IV cartilage loss on the medial tibial plateau or femoral condyle that potentially could contact a Trammpolin® medial meniscus prosthesis
  3. Has lateral compartment pain and Grade III or Grade IV modified Outerbridge cartilage score in the lateral compartment
  4. Has a varus or valgus knee deformity of > 5° requiring a tibial or femoral osteotomy
  5. Has a varus alignment that is not passively correctable
  6. Has a laxity level of more than Grade II (IKDC), primary or secondary to an injury of the anterior cruciate ligament (ACL) and/or posterior cruciate ligament (PCL) and/or lateral collateral ligament (LCL) and/or medial collateral ligament (MCL)
  7. Has significant trochlear dysplasia, patellar instability or symptomatic patellar misalignment
  8. Has patellar compartment pain and Grade III or Grade IV modified Outerbridge cartilage score in the patellar compartment.
  9. Compared to a normal knee, has obvious radiological evidence of medial femoral squaring, anatomical variance in the medial tibial plateau, or irregularly shaped cartilage surface
  10. Had an ACL reconstruction performed \< 9 months prior to surgery
  11. Has a BMI > 30 at the time of screening
  12. Has a knee flexion contracture > 10°
  13. Has a knee flexion \< 90°
  14. Had a previous High Tibial Osteotomy (HTO) \< 1 year ago
  15. Has insufficiency fractures or avascular necrosis of the medial compartment
  16. Has an active infection or tumor (local or systemic)
  17. Has any type of knee joint inflammatory disease including Sjogren's syndrome
  18. Has neuropathic knee osteoarthropathy, also known as Charcot joint
  19. Has any medical condition that does not allow possible arthroscopy of the knee
  20. Has neurological deficit (sensory, motor, or reflex)
  21. Is currently involved in another investigation of the lower extremity
  22. Anticipates having another lower extremity surgery during the clinical investigation period
  23. Has received any corticosteroid knee injections ≤ 3 months prior to surgery
  24. Has proven osteoporosis
  25. Is on immunostimulating or immunosuppressing agents
  26. Has ipsilateral or contralateral lower limb joint conditions that may affect ambulation or KOOS (e.g. have a leg length discrepancy > 2.5 cm [1 inch], causing a noticeable limp)
  27. Is a female who is lactating, expecting, or is intending to become pregnant during the clinical investigation period
  28. Is mentally incapacitated (incapable of appraising or controlling conduct) or have mental disability (e.g., dementia or Alzheimer's)
  29. Has a condition or be in a situation that, in the Investigator's opinion, may confound the clinical investigation results, may risk the safety of the patient, or may interfere significantly with the subject's participation in the clinical investigation
05

Study design

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

Study arms

  • Other
    Single arm

    Implantation of a medial meniscus prosthesis in the medial knee compartment of a post medial meniscectomy knee.

    Device: Trammpolin medial meniscus prosthesis

Interventions

  • DeviceTrammpolin medial meniscus prosthesis

    Implantation of the Trammpolin medial meniscus prosthesis in patients with a severe medial meniscus damage

06

What researchers measure

Primary outcomes

  1. Performance of the Trammpolin® medial meniscus prosthesis

    Performance of the Trammpolin® medial meniscus prosthesis in improving pain as assessed by the Knee Osteoarthritis and injury Outcome Score (KOOS) Pain Sub-scale at 24 months post-operative compared to baseline (pre-operative) The minimum value is 0 and maximum value is 100, a score of 100 is being no pain and the highest attainable score

    Time frame: 24 months

Secondary outcomes

  1. Knee Osteoarthritis and injury Outcome Score (KOOS) Pain

    • Knee Osteoarthritis and injury Outcome Score (KOOS) Pain Sub-scale at 6 weeks, 3 months, 6 months, 12 and 24 months post-operative compared to baseline (pre-operative). A score of 100 is being no pain.

    Time frame: 6 weeks, 3 months, 6 months, 12 months and 24 months

  2. Knee Osteoarthritis and injury Outcome Score (KOOS) overall

    at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). A score of 100 is being no pain .

    Time frame: at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative).

  3. PAIN Visual Analog Scale (VAS)

    at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between 0 "no pain" and 10 "worst pain"

    Time frame: at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative

  4. Lysholm Knee Scoring Scale

    scale at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). The Lysholm Knee Scoring Scale consists of eight items that asses: pain, instability, locking, swelling, limp, stair climbing, squatting, and need for support. Measurement level per item: mode of scoring (0-25); measurement level ordinal Measurement level total score: mode of scoring (0-100); measurement level ordinal 100 = no symptoms of impairment. Higher scores indicate a better outcome with fewer symptoms or disability.

    Time frame: at 6 weeks, 3 months, 6 months, 12 months and 24 months

  5. Oxford Knee Score

    at 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). The Oxford Knee Score questionnaire consists of 12 questions that cover function and pain of the knee. Each question is scored from 0 to 4 (0 being the worst outcome and 4 being the best). The overall score is the sum of all items and can range from 0 to 48, with higher scores corresponding to better outcomes.

    Time frame: at 6, 12 and 24 months

  6. Europol 5D health utility score

    at 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). Evaluates the generic quality of life, developed in Europe and widely used. Used for estimating QALY to make decisions in resource allocation. The EQ-5D questionnaire has two components: health state description and evaluation. Health state is measured in terms of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. In the evaluation part, the respondents evaluate their overall health status using the VAS.

    Time frame: at 6, 12 and 24 months

  7. Work, Osteoarthritis or joint-Replacement Questionnaire (WORQ)

    at 6 weeks, 3 months, 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). The questionnaire consists of 13 items and has a total score from 0 ('very much trouble/ can't do') to 100 ('no trouble at all')

    Time frame: at 6 weeks, 3 months, 6 months, 12 months and 24 months

  8. Patient satisfaction on a 5-point Likert scale

    at 6 months, 12 months and 24 months post-operative compared to baseline (pre-operative). The Likert scale consists of a series of statements about a topic, on which the respondent can indicate their level of agreement. For each item, a respondent is asked, using a series of ordered answer options, to indicate the extent to which he agrees with the statement, for example 'totally agree' or 'disagree'. The separate items together indicate the attitude of a respondent towards a subject. The questions uses a 5 or 7 point scale, from one extreme to the other. It is also called a satisfaction scale or satisfaction survey

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

  9. Knee X-ray (weight-bearing)

    To evaluate the height of the joint space compared to baseline (pre-operative).

    Time frame: 12 months

  10. Knee MRI - Assessment of cartilage condition according to the modified Outerbridge Grading system at screening, 12 and 24 months - Assessment of relative position of the Trammpolin® medial meniscus prosthesis to the tibial plateau

    Reference 24 CIP: (Jones) Assessment of relative position of the Trammpolin® medial meniscus prosthesis to the tibial plateau, i.e. "extrusion" will be performed according to the method as described by Jones: L. D. Jones, S. J. Mellon, N. Kruger, A. P. Monk, A. J. Price, and D. J. Beard, "Medial meniscal extrusion: a validation study comparing different methods of assessment," Knee Surg Sports Traumatol Arthrosc, Apr. 2017, doi: 10.1007/s00167-017-4544-4.

    Time frame: At 12 and 24 months

  11. Biopsy of synovium and synovial fluid sample. In case the investigational device requires revision another biopsy is taken from the synovium and a second sample of the synovial fluid.

    The baseline samples are stored in the freezer, to be used as baseline values in case the investigational device requires revision during the course of the study. During any secondary surgical procedure, another biopsy is taken from the synovium and a second sample of the synovial fluid. Samples will be compared in a qualitative/descriptive manner according to the method as described by Krenn in PATHOLOGY RESEARCH AND PRACTICE, 2002;198(5):317-25: hyperplasia/enlargement of synovial lining cell layer, inflammatory infiltration, activation of synovial stroma/pannus formation will be assessed. Synovial fluid samples at baseline will be compared to any later sample with respect to the presence and nature of foreign body particles.

    Time frame: At implantation and if applicable at explantation

  12. Safety of the Trammpolin® medial meniscus prosthesis

    Incidence of adverse events (e.g. hospitalization)

    Time frame: 6 weeks, 3 months, 6 months, 12 months and 24 months

  13. Safety - Incidence of secondary surgery of the index knee

    Incidence of secondary surgery of the index knee

    Time frame: 6 weeks, 3 months, 6 months, 12 months and 24 months

07

Study locations

3 of 3 sites recruiting
  • Haaglanden Medisch Centrum
    Den Haag, 2597 AX, Netherlands
    Recruiting
  • MUMC+
    Maastricht, 6229 HX, Netherlands
    • L. Jutten · Contact · l.jutten@mumc.nl · +31 (0)43 387 7144
    • P.J. Emans, MD. PhD · Principal investigator
    • T. Boymans, MD. PhD · Sub investigator
    Recruiting
  • Sint Maartenskliniek
    Nijmegen, 6574 NA, Netherlands
    Recruiting
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 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05297175
Lead sponsor
ATRO Medical B.V.
Collaborators
Avania
Responsible party
Sponsor
First posted
Mar 28, 2022
Start date
Oct 19, 2021
Primary completion
Sep 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Mar 28, 2022

Study contacts

J. Lugies
Contact
jose.lugies@atromedical.com
+31650401596
A. Brinks
Contact
anita.brinks@atromedical.com
+31633665030
T. van Tienen, MD. PhD.
study director · Sponsor GmbH

Oversight

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

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This study is status unknown, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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