Multicenter Trial of Antibiotic Eluting Graft for Promoting New Bone Growth In/near Infected Bone Cavities

Part of paid clinical trials in Los Angeles, California.

Sponsor
Elute, Inc.
Study ID
NCT05361941
Status
Recruiting

Conditions

  • Periprosthetic Joint Infections

Eligibility Criteria

Sex
ALL
Age
22 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • EP Granules with Tobramycin — DEVICE
    EP Granules with Tobramycin is a Ca-salt resorbable intended for orthopedic applications as a bone void filler for bone gaps or voids and in cases where risk of post-operative infection is high, such as the first stage of a 2-stage or 1.5 stage revision of an infected total joint.
  • empty voids — DEVICE
    Voids are left empty

Study Details

This is a pivotal, prospective, multi-center, randomized, concurrent control, patient and assessor-blinded study with two arms: a treatment arm (where subjects will be treated with the EP Granules with Tobramycin investigational device in the 1st stage of a staged revision for periprosthetic joint infection (PJIs), and a control arm (where subjects are treated with the standard-of-care revision for infected PJIs).

Key Dates

Start date
Aug 31, 2023
Status verified
Jan 2025
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025

Study Design

Enrollment
204 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Treatment Arm
    The device will be placed in voids at Stage 1. This will be followed by IV therapy for about six weeks, followed by assessment of infection, with a stage 2 surgery to follow. (For 1.5-stage, stage 2 procedure is optional). During the stage 2 surgery, the surgeon completes the procedure with affixing the revision implants.
  • Active Comparator: Control Arm
    In the standard of care arm, voids are left empty and a bone cement spacer placed during stage 1 surgery. This is followed by IV therapy for a minimum of six weeks, followed by a pathology assessment of infection by needle aspiration, after week 8, with a stage 2 surgery scheduled after week 9. During the stage 2 surgery, the spacer is removed and procedure completed by affixing the revision implants. For 1.5-stage procedures, the stage 2 procedure is optional.

Primary Outcome Measure

A single composite outcome of new bone growth and reduction in infection rates, with absence of serious device related adverse events. [ Time Frame: 24 months after stage 1 surgery ]

Central Contacts

Locations (12)

FacilityCityStateZIPSite coordinators
University of Southern CaliforniaLos AngelesCalifornia90033
Nathanael Heckmann, MD
800-872-2273
Jay Lieberman, MD
Daniel Oakes, MD
Donald Longjohn, MD
Endeavor Health Skokie HospitalSkokieIllinois60076
John Carroll
847-933-6328
Hristo Piponov, MD
OrthoIndyIndianapolisIndiana46278
Melanie Glover
317-802-2880
Christopher Pomeroy, MD
Greg Dikos, MD
Michael Cross, MD
Brigham & Womens HospitalBostonMassachusetts02115
Jeffrey Lange, MD
Massachusetts General HospitalBostonMassachusetts02114-
U Michigan Medical CenterAnn ArborMichigan48109
Christopher Ray
734-615-0934
Michael Kheir, MD
Christopher Carender, MD
Elizabeth Klag, MD
Hospital for Special SurgeryNew YorkNew York10021
Amar Ranawat, MD
212-606-1000
Alberto Carli, MD
Sanford South University Medical CenterFargoNorth Dakota58103
Kathy McEvoy
701-417-6928
Todd Sekundiak, MD
JIS OrthopedicsColumbusOhio43054
Michael Sneller
614-964-0348
David Crawford, MD
Zackary Byrd, MD
Adolph Lombardi, MD
UT Health San AntonioSan AntonioTexas78229
Ruby Samuel, MBBS
210-573-7687
Frank Buttacavoli, MD
Chance Moore, MD
Jordan Valley Medical CenterWest JordanUtah84088
Bruce Evans, MD
(801) 568-3480
West Virginia University Medical CenterMorgantownWest Virginia26506
Jennifer Eicher
304-293-2485
Adam Klein, MD
Matthew Dietz, MD
Benjamin Frye, MD
Timothy Murphy, MD

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