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RecruitingNCT06162195ACTIVEUpdated Aug 13, 2026

The ACTIVE Trial: A Prospective Randomised Control Trial Of The H1 Implant Versus Total Hip Replacement

An interventional study of The H1 Implant and Cementless total hip replacement in Osteoarthritis, Hip and Inflammatory Arthritis, sponsored by Embody Orthopaedic Limited. Recruiting at 3 sites in United Kingdom. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Embody Orthopaedic Limited · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Sex
All
01

Study summary

The goal of this randomised controlled trial is to compare the success of two types of hip replacement in patients with hip arthritis. The main question it aims to answer is whether a new type of hip replacement (called a hip resurfacing) can be as successful as an existing hip replacement (called a total hip replacement). Patients will be given either the new hip resurfacing or the existing total hip replacement and researchers will compare their function, complication rate and physical activity.

Read the detailed description

The H1 Implant is a cementless, ceramic hip resurfacing arthroplasty (HRA) device. The intended purpose of the H1 Implant is to provide an artificial substitute for a disease-damaged hip joint to replace the articulating surfaces of the hip while preserving the underlying femoral head and natural femoral neck. This is standard for a resurfacing hip prosthesis. This study will randomise patients to receive either The H1 Implant or a primary cementless ceramic-on-poly or ceramic-on-ceramic total hip replacement (THR). Composite clinical success (CCS) scores, physical activity levels and patient reported outcome measures (PROMs) will be compared for the two groups. The primary objective of the study is to determine whether the H1 Implant is non-inferior to cementless THR in terms of CCS. The key secondary objective is to determine whether the H1 Implant is superior compared to cementless THR in terms of physical activity and PROMs. Other secondary objectives are to compare the H1 Implant and THR with respect to: safety, through collection of all device-related, operative site-related and systemic adverse events; and noise generation, through patient survey.

02

Conditions studied

  • Osteoarthritis, Hip
  • Inflammatory Arthritis

Keywords

  • Hip
  • Resurfacing
  • Ceramic
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 200 is above the median of 90 across 457 interventional studies indexed under Osteoarthritis, Hip.

Browse Osteoarthritis, Hip studies →

Lead sponsor

Embody Orthopaedic Limited is the lead sponsor of 2 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
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Patient requires unilateral primary hip arthroplasty due to primary osteoarthritis, osteoarthritis secondary to e.g. trauma, avascular necrosis or developmental hip dysplasia, or inflammatory arthritis.
  • Patient is willing to comply with study requirements.
  • Patient plans to be available through 10 years postoperative follow-up.

Exclusion criteria

Exclusion Criteria:

  • Patient has a greater than 40 kg/m².
  • Patient has active infection or sepsis (treated or untreated).
  • Patient has insufficient bone stock at the hip (>1/3 necrosis of the femoral head or large and multiple cysts) or in general as in severe osteopenia or osteoporosis (t-score \< -2.5 as measured with BMD).
  • Patient is not skeletally mature.
  • Patient meets the criteria of the control device.
  • Patient already has another lower limb arthroplasty or arthrodesis or will require a further lower limb arthroplasty or arthrodesis within the subsequent 2 years.
  • Patient lacks capacity to consent.
  • Patient is unable to understand the native language of the country where their procedure is taking place
Terms in these criteria, in plain language(2)

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.

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.

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

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    The H1 Implant

    Cementless, ceramic-on-ceramic hip resurfacing arthroplasty (HRA) device.

    Device: The H1 Implant

  • Active comparator
    Cementless total hip replacement

    Cementless ceramic-on-poly or ceramic-on-ceramic total hip replacement

    Device: Cementless total hip replacement

Interventions

  • DeviceThe H1 Implant

    Patients allocated to The H1 Implant arm will be implanted with the H1 Implant which is a cementless, ceramic hip resurfacing device.

  • DeviceCementless total hip replacement

    Patients allocated to cementless total hip replacement arm will be implanted with a cementless ceramic-on-poly or ceramic-on-ceramic total hip replacement

06

What researchers measure

Primary outcomes

  1. Composite clinical success (CCS)

    The primary outcome is "composite clinical success". This is a binary outcome measure. Patients are deemed to have achieved CCS if they meet all of the following criteria at the 24 month timepoint: * Modified Harris Hip Score ≥80. * No revision or pending revision. * Acetabular radiolucencies: not in all zones. * Femoral radiolucencies: not in all zones. * Absence of subsidence/migration of the acetabular or femoral component \>5mm with clinical findings. * Absence of specific adverse device effects (ADEs) that are pre-cursors to revision of the device, namely: * Bone breakage around the implanted component(s) (periprosthetic fracture). * Breakage of the device component. * Device movement/migration of clinical consequence as defined by associated clinical findings as: a limp; leg length discrepancy; and restricted range of motion. * Dislocation of the hip joint.

    Time frame: 24 months post-operatively

Secondary outcomes

  1. Physical Activity

    Average daily minutes of activity and mean bouted daily moderate-vigorous physical activity (MVPA), minutes

    Time frame: 6 months, 12 months and 24 months post-operatively

  2. Physical Activity

    Physical performance assessment: number of chair stands in 30 seconds and time taken to perform stair climb test

    Time frame: Pre-operatively, 6 months, 12 months and 24 months post-operatively

  3. Physical Activity

    Hip Outcome Score (HOS) Questionnaire

    Time frame: Pre-operatively, 6 months, 12 months and 24 months post-operatively

  4. Physical Activity

    UCLA (University of California Los Angeles) Activity Score

    Time frame: Pre-operatively, 6 months, 12 months and 24 months post-operatively

  5. Noise

    Noise questionnaire

    Time frame: 6 weeks, 6 months, 12 months and 24 months post-operatively

07

Study locations

3 of 3 sites 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 Jul 2026 (actual). Primary completion is estimated for Dec 2028, 29 months after the start.

Of 226 interventional studies with no phase under Osteoarthritis, Hip, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 51. This study's planned 29 months is close to that.

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

Registered
Nov 29, 2023
First posted
Dec 8, 2023
StartActual
Jul 21, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2036
Last update
Aug 13, 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 Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06162195
Lead sponsor
Embody Orthopaedic Limited
Collaborators
Imperial College London, National Institute for Health Research, United Kingdom
Responsible party
Sponsor
First posted
Dec 8, 2023
Start date
Jul 21, 2026
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2036 (estimated)
Last update
Aug 13, 2026

Study contacts

Camilla Halewood, PhD
Contact
camilla.halewood@embody-ortho.com
+442035764981
Susannah Clarke, PhD
Contact
susannah.clarke@embody-ortho.com
+442035764981
Justin Cobb, Prof
principal investigator · Imperial College London

Oversight

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

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