ClinicalTrials.gg
RecruitingNCT07839403MOVE-HIPUpdated Sep 24, 2026

MOVE-HIP: Ceramic Hip Resurfacing Versus Total Hip Arthroplasty Using Activity Monitoring

An interventional study of Ceramic-on-Ceramic Hip Resurfacing Arthroplasty and Contemporary Total Hip Arthroplasty in Hip Osteoarthritis, sponsored by Danderyd Hospital. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Danderyd Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

MOVE-HIP is a pragmatic, multicenter randomized clinical trial comparing ceramic hip resurfacing arthroplasty with contemporary total hip arthroplasty in adults with symptomatic hip osteoarthritis who are considered clinically eligible for both procedures. Participants in the randomized cohort are allocated 1:1 to either ceramic hip resurfacing or total hip arthroplasty and are kept blinded to treatment allocation where feasible through the 24-month primary follow-up.

The primary objective is to determine whether ceramic hip resurfacing results in greater objectively measured mean daily walking distance over the postoperative period from 3 to 24 months. Activity is assessed during standardized 7-day wearable monitoring periods at 3, 12, and 24 months. The primary estimand is the adjusted overall between-group difference across these postoperative time points. A parallel observational preference cohort may include otherwise eligible patients who decline randomization; this cohort is analyzed separately and does not contribute to the primary randomized inference.

Read the detailed description

The trial is designed to test whether a contemporary ceramic-on-ceramic hip resurfacing strategy provides a clinically meaningful advantage over modern total hip arthroplasty in real-world physical activity. Randomization is stratified by study site and sex. All participants undergo baseline assessment including patient-reported outcomes, radiographs, clinical data, and 7-day wearable activity monitoring before surgery.

The randomized cohort includes 220 participants, 110 per treatment group. Follow-up is planned at 3 months, 12 months, 24 months, 5 years, and 10 years. Secondary outcomes include walking distance at 24 months, daily step count, patient-reported outcomes, radiographic outcomes, perioperative outcomes, complications, reoperations, revisions, implant survival, and health-economic outcomes. The study is academically led, and the observational preference cohort follows the same assessment schedule but is analyzed separately.

02

Conditions studied

  • Hip Osteoarthritis

Keywords

  • Hip Resurfacing Arthroplasty
  • Total Hip Arthroplasty
  • Ceramic-on-Ceramic
  • Physical Activity
  • Accelerometry
  • Wearable Activity Monitoring
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 220 is above the median of 90 across 457 interventional studies indexed under Osteoarthritis, Hip.

Browse Osteoarthritis, Hip studies →

Lead sponsor

Danderyd Hospital is the lead sponsor of 60 studies on the registry; 13 are open to participants now.

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

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

  • Adults aged 18 years or older.
  • Symptomatic hip osteoarthritis for which primary hip arthroplasty is indicated according to routine clinical practice.
  • Considered suitable for both ceramic hip resurfacing arthroplasty and uncemented total hip arthroplasty by the treating surgeon.
  • Ability and willingness to comply with study procedures, including patient-reported outcome measures, radiographs, registry linkage, and repeated wearable monitoring.
  • Provision of written .

Exclusion criteria

Exclusion Criteria:

  • Anatomical or pathological conditions that clearly preclude hip resurfacing arthroplasty or total hip arthroplasty, including severe deformity requiring non-standard implants or techniques.
  • Insufficient femoral head or acetabular bone quality, including large or multiple cysts, advanced femoral head necrosis, severe osteopenia, or osteoporosis where this would contraindicate hip resurfacing arthroplasty.
  • greater than 40 kg/m\^2.
  • Requirement for specialized implants outside routine study procedures.
  • Medical comorbidity rendering the patient unfit for surgery.
  • Cognitive impairment, severe psychiatric disease, alcohol or substance abuse, language barrier, or other reason judged to prevent or compliance with follow-up.
  • Inability to complete patient-reported outcome measures or to participate in wearable monitoring.
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.

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.

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
Single (Participant)
Enrollment
220 participants (estimated)

Study arms

  • Experimental
    Ceramic Hip Resurfacing Arthroplasty

    Participants undergo cementless ceramic-on-ceramic hip resurfacing arthroplasty using the selected study system according to manufacturer instructions, surgeon training requirements, and local surgical routines.

    Procedure: Ceramic-on-Ceramic Hip Resurfacing Arthroplasty

  • Active comparator
    Total Hip Arthroplasty

    Participants undergo contemporary standard primary total hip arthroplasty using established implants and bearing combinations according to local routine and individual clinical assessment. Cementless fixation is expected in most cases where clinically appropriate.

    Procedure: Contemporary Total Hip Arthroplasty

Interventions

  • ProcedureCeramic-on-Ceramic Hip Resurfacing Arthroplasty

    Cementless ceramic-on-ceramic hip resurfacing arthroplasty. The currently planned study implant is H1, or a subsequent equivalent generation if applicable. Procedures are performed by surgeons with documented arthroplasty experience and system-specific training.

    Also known as: H1 ceramic hip resurfacing

  • ProcedureContemporary Total Hip Arthroplasty

    Contemporary standard primary total hip arthroplasty using established implants and bearing combinations according to local routine and individual clinical assessment. Implant choice remains clinically appropriate for the individual participant.

06

What researchers measure

Primary outcomes

  1. Mean Daily Walking Distance Over the Postoperative Period From 3 to 24 Months

    Mean daily walking distance is assessed during standardized 7-day wearable monitoring periods at each postoperative time point. The primary estimand is the adjusted overall between-group difference in mean daily walking distance across 3, 12, and 24 months, with adjustment for preoperative walking distance and prespecified covariates.

    Time frame: 3, 12, and 24 months after surgery

Secondary outcomes

  1. Mean Daily Walking Distance at 24 Months

    Mean daily walking distance derived from a standardized 7-day wearable monitoring period at 24 months.

    Time frame: 24 months after surgery

  2. Mean Daily Step Count Over the Postoperative Period From 3 to 24 Months

    Mean daily step count derived from standardized 7-day wearable monitoring periods at 3, 12, and 24 months.

    Time frame: 3, 12, and 24 months after surgery

  3. Forgotten Joint Score-12 (FJS-12) at 24 Months

    Joint awareness assessed using the Forgotten Joint Score-12 (FJS-12). Scores range from 0 to 100, with higher scores indicating less awareness of the operated joint during everyday activities and a better outcome.

    Time frame: 24 months after surgery

  4. Proportion of Participants With FJS-12 Score of 80 or Higher

    Proportion of participants achieving a Forgotten Joint Score-12 (FJS-12) of at least 80. The scale ranges from 0 to 100, with higher scores indicating less awareness of the operated joint during everyday activities and a better outcome.

    Time frame: 24 months after surgery

  5. Hip Disability and Osteoarthritis Outcome Score (HOOS) Subscales

    HOOS Pain, Symptoms, Activities of Daily Living, Sport/Recreation, and Quality of Life subscales at 24 months. Each subscale ranges from 0 to 100, with higher scores indicating better status.

    Time frame: 24 months after surgery

  6. University of California, Los Angeles (UCLA) Activity Score

    Self-reported habitual physical activity level assessed using the University of California, Los Angeles (UCLA) Activity Score. Scores range from 1 to 10, with higher scores indicating a higher level of physical activity and a better activity-related outcome.

    Time frame: 24 months after surgery

  7. High-Activity Arthroplasty Score (HAAS)

    Self-reported functional ability assessed using the High-Activity Arthroplasty Score (HAAS), covering walking, running, stair climbing, and activity level. Total scores range from 0 to 18, with higher scores indicating greater functional ability and a better outcome.

    Time frame: 24 months after surgery

  8. EuroQol 5-Dimension (EQ-5D-5L Index)

    Health-related quality of life assessed using the EQ-5D-5L questionnaire. Responses are converted into an index using the Swedish experience-based time trade-off value set (Burström et al., 2020). Index values range from approximately 0.243 to 0.975, with higher values indicating better health-related quality of life.

    Time frame: 24 months after surgery

  9. EuroQol Visual Analogue Scale (EQ VAS)

    Self-rated overall health assessed using the EuroQol Visual Analogue Scale (EQ VAS). Scores range from 0 (the worst health imaginable) to 100 (the best health imaginable), with higher scores indicating better perceived health.

    Time frame: 24 months after surgery

  10. Radiographic Implant and Hip Biomechanics Outcomes

    Radiographic assessment includes component orientation and fixation, radiolucent lines, migration or loosening, heterotopic ossification, leg length and offset where feasible. In the hip resurfacing group, femoral neck integrity, notching, narrowing, fracture, femoral head movement or crushing, and component alignment are additionally assessed.

    Time frame: 24 months after surgery

  11. Adverse Events and Postoperative Complications

    Incidence and type of adverse events and complications, including infection, dislocation, periprosthetic fracture, femoral neck fracture, implant fracture, thromboembolic events, nerve injury, wound complications, persistent pain, and other procedure- or implant-related events.

    Time frame: From surgery through 24 months

  12. Reoperations and Revisions of the Index Hip

    Number and proportion of participants undergoing reoperation or revision of the index hip, including reason and components exchanged or removed.

    Time frame: From surgery through 24 months

  13. Health-Economic Outcomes

    Quality-adjusted life years derived from EQ-5D and incremental cost-effectiveness comparing ceramic hip resurfacing with total hip arthroplasty over 24 months, using available direct and indirect cost data.

    Time frame: From surgery through 24 months

  14. Long-Term Implant Survival

    Revision-free implant survival assessed using study follow-up and registry data at 5 and 10 years.

    Time frame: 5 and 10 years after surgery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided — Undecided as of yet pending IRB approval.

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

Start is estimated for Sep 2026; primary completion for Dec 2031, 63 months later.

Of 200 non-industry interventional studies with no phase under Osteoarthritis, Hip, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 45. This study's planned 63 months is above that.

Counting every sponsor, half of 226 studies reached it within 29 months; a quarter within 14 and three quarters within 51.

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

Registered
Sep 16, 2026
First posted
Sep 24, 2026
StartEst.
Sep 25, 2026
Primary completionEst.
Dec 31, 2031
CompletionEst.
Dec 31, 2039
Last update
Sep 24, 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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07839403
Lead sponsor
Danderyd Hospital
Collaborators
Karolinska Institutet, Hässleholm Hospital, Ortopediskt Centrum
Responsible party
Olof Skoldenberg (Professor, Karolinska Institutet) — Principal investigator
First posted
Sep 24, 2026
Start date
Sep 25, 2026 (estimated)
Primary completion
Dec 31, 2031 (estimated)
Completion
Dec 31, 2039 (estimated)
Last update
Sep 24, 2026

Study contacts

Olof Sköldenberg, MD, PhD
Contact
olof.skoldenberg@ki.se
+46 8 123 572 45
Olof Sköldenberg, MD, PhD
principal investigator · Danderyd Hospital, Region Stockholm / Karolinska Institutet

Oversight

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

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