ClinicalTrials.gg
RecruitingNCT05302934Pheno4U PilotUpdated Feb 27, 2026

Evaluation of the PHENO4U Data Platform in Patients Undergoing Total Knee Arthroplasty

An observational study in Degenerative Osteoarthritis, Rheumatoid Arthritis and Posttraumatic Arthropathy, sponsored by Aesculap AG. Recruiting at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-27.

Primary conditionArthritis, RheumatoidRegistry: Joint DiseasesReclassifiedWhy we changed it
Registry
Joint Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Arthritis, Rheumatoid
Why
  1. The study's listed conditions name Arthritis, Rheumatoid, a narrower term within Joint Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Aesculap AG (part of B. Braun) · Observational

From the registry’s dates

  • Started Sep 2022; still recruiting 4 years 1 month later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
600
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, multinational pilot study for evaluation of the Pheno4U data platform in Total Knee Arthroplasty (TKA) patients

Read the detailed description

The study will collect data for each patient receiving an Aesculap Total Knee Arthroplasty (TKA) implant. The data set will be analyzed for critical risk factors among implant and patient data in order to optimize patient-centered therapies.

The products under investigation will be used in routine clinical practice and according to the Instructions for Use (IFU). Data obtained in routine clinical use will be collected in the Pheno4U data platform. In addition, patients are expected to answer questionnaires about their health status. Furthermore, patients are asked to use the so called "BPMpathway" sensor and application in order to measure the active Range of Motion (ROM). The sensor can also be used for pre- and postoperative training .

02

Conditions studied

  • Degenerative Osteoarthritis
  • Rheumatoid Arthritis
  • Posttraumatic Arthropathy
  • Chronic Instability of Knee
  • Stiffness of Knee
  • Deformity Knee

Browse trials for

Keywords

  • bi-condylar knee replacement
  • severe knee joint conditions
  • patient reported outcome
03

In context

Arthritis, Rheumatoid Reclassified

3,332 studies on the registry are indexed under Arthritis, Rheumatoid; 443 are open to participants now.

This study's planned enrollment of 600 is above the median of 176 across 1,016 observational studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

Aesculap AG is the lead sponsor of 105 studies on the registry; 20 are open to participants now.

Compared within Arthritis, Rheumatoid, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Joint Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients will be recruited consecutively. No selection besides the inclusion and exclusion criteria will take place. Four different TKA implant systems can be used within the study: Columbus, E.motion, Enduro and VEGA according to the instructions for use.

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

  • Patient undergoing a total knee arthroplasty with a B. Braun knee implant system
  • Signed written
  • Patient's willingness \& ability to use the "BPMpathway"sensor
  • Patient's willingness \& ability to use the "4Patient" application

Exclusion criteria

Exclusion Criteria:

  • Patient age \< 18 years
  • Patient not willing to participate at the further follow-up
  • Pregnancy
  • If intraoperatively an implant from a different manufacturer is used, the study patient has to be excluded from the study.
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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
600 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pheno4U

    The study will collect data for each patient receiving an Aesculap TKA implant. The data set will be analyzed for critical risk factors among implant and patient data in order to optimize patient-centered therapies.

    Device: Pheno4U

Interventions

  • DevicePheno4U

    Total Knee Arthroplasty represents a well-established, reliable and successful treatment option for end-stage bicompartmental osteoarthritis or other indications resulting in joint destruction. In general, Implantation of a total knee prosthesis improves the quality of life through pain alleviation, deformity correction, joint stabilization, and/or functional range of motion (ROM) through restoration of normal knee kinematics and functionality

    Also known as: Total Knee Arthroplasty

06

What researchers measure

Primary outcomes

  1. Identification of any unknown risks or side effects in Total Knee Arthroplasty by using sensors and patient apps

    The study will collect data for each patient receiving an Aesculap TKA implant. The data set will be analyzed for critical risk factors among implant and patient data in order to optimize patient-centered therapies

    Time frame: up to 12 months postoperatively

Secondary outcomes

  1. Change of Knee Injury and Osteoarthritis Outcome score

    The Patient self-assessed Injury and Knee Osteoarthritis Outcome Scores (KOOS) is a joint-specific instrument: The KOOS evaluates both short-term and long-term consequences of knee injury. It holds 42 items in 5 separately scored subscales; Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL). The score is a percentage score from 0 to 100, 0 representing extreme problems and 100 representing no problems.

    Time frame: 2 weeks prior to surgery, 6 weeks postoperatively and approximately 1 year after surgery

  2. Change of Hospital for Special Surgery (HSS) Knee Surgery Expectations Survey

    The Hospital for Special Surgery (HSS) Knee Surgery Expectations Survey is a 17 item questionnaire. The survey is comprised of five different categories of expectations: pain, walking, psychological state, essential activities and non-essential activities. The responses range from ''very important'' (score: 1) to ''this does not imply to me'' (score: 5). The total summed raw score ranges from 0 to 76 and the transformed score \[ = (raw score/76)×100\] ranges from 0 to 100. Higher scores indicate expecting more improvement for more items.

    Time frame: 2 weeks prior to surgery, 6 weeks postoperatively and approximately 1 year after surgery

  3. Change of Pain

    Information on pain is collected by the so called "painDETECT" questionnaire, a self-reported screening tool for the identification of neuropathic pain. The questionnaire contains seven weighted sensory descriptors, one item relating to spatial pain characteristics and one item relating to temporal characteristics. A total score ranging from -1 to 38 can be calculated. The total score is divided into three categories (unlikely neuropathic pain (\<13), unclear (13-18), likely neuropathic pain (\>18)).

    Time frame: 2 weeks prior to surgery, 6 weeks postoperatively and approximately 1 year after surgery

  4. Patient satisfaction

    Based on a single question 9 months after surgery patients are asked to grade their level of satisfaction with the methodology and rehabilitation procedure. They can choose between "very dissatisfied", "dissatisfied", "satisfied" or "very satisfied".

    Time frame: approximately 9 months after surgery

  5. Net Promoter Score

    The Net Promoter Score (NPS) is an index ranging from -100 to 100 that measures the willingness of patients to recommend the treatment to others. It is used as a proxy for gauging the patient's overall satisfaction with a treatment. Patients are surveyed on one single question. They are asked to rate on an 11-point scale the likelihood of recommending the treatment to a friend or colleague. "On a scale of 0 to 10, how likely are you to recommend the same treatment to a friend or a colleague?" Based on their rating, customers are then classified in 3 categories: detractors, passives and promoters. 'Detractors' gave a score lower or equal to 6. 'Passives' gave a score of 7 or 8. 'Promoters' answered 9 or 10. The NPS is determined by subtracting the percentage of customers who are detractors from the percentage who are promoters.

    Time frame: approximately 12 months after surgery

  6. Change of Depression, Anxiety and Stress Scale - 21 Items

    The Depression, Anxiety and Stress Scale - 21 Items (DASS-21) is a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. Each of the three DASS-21 scales contains 7 items with a four point rating scale (ranging 0 - 3 points) for each item. The depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest / involvement, anhedonia and inertia. The anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect. The stress scale assesses difficulty relaxing, nervous arousal, and being easily upset / agitated, irritable / over-reactive and impatient. The total score is calculated by summing the scores for the relevant items, the minimum score is 0 points, the maximum score for each section is 21. A lower score represents less depression, anxiety and stress.

    Time frame: 1 week prior to surgery and 2 weeks postoperatively

  7. Development of Active Range of Motion

    The active Range of Motion (ROM) is measured with the BPMpathway sensor and application 3 times per day for the entire duration of usage of the sensor. In general, the sensor is used for pre- and postoperative training. Patients are expected to use the sensor from pre-op consultation up to 3 month after surgery.

    Time frame: up to 3 months after surgery

Other outcomes

  1. Cumulative Radiological Evaluation

    Imaging will be used to evaluate the implant status as well as device condition and potential presence of device-related Adverse Events including fracture, wear, loosening or radiolucencies.

    Time frame: for each x-ray taken in clinical routine up to last follow-up approximately 12 months postoperatively

  2. Cumulative Rate of (Serious) Adverse Events

    During the course of the study any upcoming intra- or postoperative (serious) adverse events directly or possibly related to the products under investigation will be documented in the dedicated electronic case report forms (eCRFs). Recorded complications will be categorized and analyzed in order to assess the safety of the investigational products.

    Time frame: up to last follow-up approximately 12 months postoperatively

07

Study locations

2 of 4 sites recruiting
  • Vincentius Krankenhaus
    Konstanz, Baden-Wurttemberg 78464, Germany
    Recruiting
    • Gunnar B Ochs, Prof. Dr. · Contactgunnar.ochs@glkn.de
    • Gunnar B Ochs, Prof. Dr. · Principal investigator
  • Universitätsklinikum Carl Gustav Carus
    Dresden, Saxony 01307, Germany
    Not yet recruiting
  • Waldkliniken Eisenberg
    Eisenberg, Thuringia 07607, Germany
    Recruiting
  • Nottingham University Hospital NHS Trust
    Nottingham, NG7 2UH, United Kingdom
    Not yet recruiting
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

Started Sep 2022 (actual). Primary completion is estimated for Jun 2027, 57 months after the start.

Of 155 industry-sponsored observational studies under Arthritis, Rheumatoid, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 116. This study's planned 57 months is close to that.

Counting every sponsor, half of 389 studies reached it within 50 months; a quarter within 25 and three quarters within 113.

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

Registered
Mar 22, 2022
First posted
Mar 31, 2022
StartActual
Sep 28, 2022
Primary completionEst.
Jun 2027
CompletionEst.
Mar 2028
Last update
Feb 27, 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.
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05302934
Lead sponsor
Aesculap AG
Responsible party
Sponsor
First posted
Mar 31, 2022
Start date
Sep 28, 2022
Primary completion
Jun 2027 (estimated)
Completion
Mar 2028 (estimated)
Last update
Feb 27, 2026

Study contacts

Stefan Maenz
Contact
studies@aesculap.de
+49746195 ext. 0
Jörg Lützner, Prof. Dr.
principal investigator · Universitätsklinikum Carl Gustav Carus

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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