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Trial registered on ANZCTR
Registration number
ACTRN12613000629730
Ethics application status
Approved
Date submitted
14/05/2013
Date registered
3/06/2013
Date last updated
28/11/2022
Date data sharing statement initially provided
6/12/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
A prospective, multi-centre randomised comparative study of
implant fit, clinical outcomes and satisfaction with the Stryker Accolade II Hip Stem compared to the Corail Hip Stem
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Scientific title
A prospective, multi-centre randomised comparative study of
implant fit, clinical outcomes and satisfaction with the Stryker Accolade II Hip Stem compared to the Corail Hip Stem
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Secondary ID [1]
282500
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Nil known
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Universal Trial Number (UTN)
U1111-1143-0732
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Trial acronym
Accolade II-12
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Total Hip Replacement Surgery
289154
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Non-Inflammatory Degenerative Joint Disease of the Hip
289155
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Condition category
Condition code
Musculoskeletal
289626
289626
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients randomised to this group will recieve an Accolade II Hip Stem. Duration of surgery is approximately 1.5hours.
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Intervention code [1]
287152
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Treatment: Surgery
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Intervention code [2]
287153
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Treatment: Devices
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Comparator / control treatment
Patients randomised to this group will recieve a Depuy Corail Hip Stem. Duration of surgery is approximately 1.5hours.A second comparator the Anato hip stem will be investigated in the NZ substudy. Patients randomised to this group will receive an Anato hip stem. Duration of surgery is approximately 1.5 hours.
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Control group
Active
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Outcomes
Primary outcome [1]
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1. To compare the pre-operative plan with the intraoperative size preferance of femoral stem in patients randomised to either Accolade II or Corail femoral stem.
Radiolographs and surgical data
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Assessment method [1]
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Timepoint [1]
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Pre-Operative, Intra-Operative
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Primary outcome [2]
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2. To determine clinical outcomes of THR, using the Oxford Hip Score, in patients receiving the Accolade II femoral stem compared to Corail femoral stem
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Assessment method [2]
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Timepoint [2]
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Pre-Operative, Post - Operative - 6 weeks
6 months, 12 months, 24 months
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Primary outcome [3]
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NZ iDXA/Anato stem substudy primary outcome: To compare the % differences in pre-operative (BMD) over time, in the regions of interest (ROIs) based on the Gruen zones, around the Accolade II, Corail or Anato stems. This percent change in BMD will be measured using an iDXA machine.
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Assessment method [3]
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Timepoint [3]
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Pre-op, 6 week, 12 mnth, 24 mth
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Secondary outcome [1]
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1. To determine the femoral canal fit of Accolade II femoral stem compared to the Corail femoral stem, looking at metaphseal, diaphyseal or combined engagement of the stem during the first two years postoperatively.
Radiographs
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Assessment method [1]
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Timepoint [1]
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Pre-Operative, Post - Operative - 6 weeks, 24 months.
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Secondary outcome [2]
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2. To further determine clinical outcomes of THR (including pain, function and health related quality of life) with
Accolade II femoral stem compared to Corail femoral stem via: EQ5D a standardised instrument for use as a measure of health outcome, and VAS Pain scale.
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Assessment method [2]
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Timepoint [2]
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Pre-Operative, Post - Operative - 6 weeks
6 months, 12 months, 24 months
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Secondary outcome [3]
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To determine patient satisfaction with THR experience and compare satisfaction
with Accolade II femoral stem to that with the Corail stem. Likert scale
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Assessment method [3]
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Timepoint [3]
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Post - Operative - 6 months, 12 months, 24 months
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Secondary outcome [4]
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4. To determine surgeon satisfaction with use of the Accolade II femoral stem compared to use of the Corail femoral stem. Likert Scale
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Assessment method [4]
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Timepoint [4]
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Intra-Operative, Post - Operative - 6 months, 12 months, 24 months
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Secondary outcome [5]
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5. To compare incidence of loosening, thigh pain, reoperation and revision in patients receiving Accolade II femoral stem compared to Corail femoral stem.
Medical/Surgical Data, Radiography.
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Assessment method [5]
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Timepoint [5]
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Intra-Operative, Post - Operative - 6 weeks
6 months, 12 months, 24 months
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Secondary outcome [6]
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6. To determine length of hospital stay in patient receiving Accolade II femoral stem, compared to Corail femoral stem.
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Assessment method [6]
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Timepoint [6]
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Peri-Operative
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Secondary outcome [7]
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In a subgroup: to determine if serum metal ion levels are increased following implant with Accolade II femoral stem compared to Corail femoral stem.
Pathology
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Assessment method [7]
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Timepoint [7]
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Pre-operative, 6 months, 12 months, 24 months post-operatively
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Secondary outcome [8]
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(NZ iDXA/Anato stem substudy ONLY): HAAS High activity arthroplasty score
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Assessment method [8]
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Timepoint [8]
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Pre-Op, 6 week, 6 mth, 12mth, 24 mth
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Eligibility
Key inclusion criteria
1.Patient are male or non-pregnant females requiring a cementless THR for non-inflammatory degenerative joint disease of the hip.
2.Must be older than 18 years
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patient has a cognitive impairment, an intellectual disability or a mental illness
2. People whose primary language is other than English
3. Pregnant Women
4. Children and or/young people (ie. <18 years)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/06/2013
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Actual
13/08/2013
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Date of last participant enrolment
Anticipated
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Actual
7/12/2018
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Date of last data collection
Anticipated
9/12/2020
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Actual
7/11/2020
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Sample size
Target
250
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Accrual to date
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Final
304
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Recruitment in Australia
Recruitment state(s)
QLD,WA,VIC
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Recruitment outside Australia
Country [1]
7040
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New Zealand
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State/province [1]
7040
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Canterbury
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Stryker Australia Pty Ltd
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Address [1]
287282
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8 Herbert Street
St Leonards
NSW 2065
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Stryker Australia Pty Ltd
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Address
8 Herbert Street
St Leonards
NSW 2065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
286036
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Address [1]
286036
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Country [1]
286036
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297370
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Southern Health Ethics
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Ethics committee address [1]
297370
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Monash Medical Centre 246 Clayton Road Clayton Victoria 3168
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Ethics committee country [1]
297370
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Australia
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Date submitted for ethics approval [1]
297370
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23/11/2012
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Approval date [1]
297370
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20/02/2013
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Ethics approval number [1]
297370
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HREC/12/SHB/19
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Ethics committee name [2]
297371
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Monash Health
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Ethics committee address [2]
297371
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Monash Health Monash Medical Centre 246 Clayton Road Clayton Victoria 3168
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Ethics committee country [2]
297371
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Australia
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Date submitted for ethics approval [2]
297371
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11/11/2014
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Approval date [2]
297371
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23/01/2015
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Ethics approval number [2]
297371
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HREC/12/SHB/19
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Ethics committee name [3]
297372
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South Metropolitan Health Service
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Ethics committee address [3]
297372
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Research Ethics and Governance Unit South Metropolitan Health Service Level 3 Perkins South Building, Fiona Stanley Hospital Campus Locked Bag 100, PALMYRA DC WA 6961
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Ethics committee country [3]
297372
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Australia
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Date submitted for ethics approval [3]
297372
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11/12/2012
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Approval date [3]
297372
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14/03/2013
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Ethics approval number [3]
297372
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13/2
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Ethics committee name [4]
297373
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Southern Health and Disability Ethics Committee
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Ethics committee address [4]
297373
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C/- Medsafe, level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington
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Ethics committee country [4]
297373
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New Zealand
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Date submitted for ethics approval [4]
297373
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25/02/2014
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Approval date [4]
297373
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06/03/2014
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Ethics approval number [4]
297373
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12/STH/56/AM02
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Summary
Brief summary
This study is a prospective, multi-centre, randomised clinical study comparing the preoperative radiographic plan to the intra-operative femoral stem sizing, and assessing post-operative fit, clinical and satisfaction outcomes. The study will be conducted in patients with Non-inflammatory Degenerative Joint Disease. In addition, a substudy is running in NZ to evaluate the differences in peri-prosthetic bone remodelling post hip replacement in 3 different femoral component implants. The Lunar iDXA (GE Healthcare, Madison, WI) densitometer is a Food and Drug Administration (FDA) - approved device for measuring BMD and body composition. The relationship between bone loss, patient functional outcome and implant survival across the 3 femoral stems will also be investigated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ton Tran
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Address
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Dandenong Hospital
David Street
Dandenong VIC 3175
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Country
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Australia
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Phone
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+61 3 9554 8945
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Fax
40038
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Email
40038
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[email protected]
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Contact person for public queries
Name
40039
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Natascha Millard
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Address
40039
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Stryker
8 Herbert Street
St Leonards
NSW 2065
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Country
40039
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Australia
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Phone
40039
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+61 2 9467 1073
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Fax
40039
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Email
40039
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[email protected]
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Contact person for scientific queries
Name
40040
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Natascha Millard
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Address
40040
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Stryker
8 Herbert Street
St Leonards
NSW 2065
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Country
40040
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Australia
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Phone
40040
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+61 2 9467 1073
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Fax
40040
0
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Email
40040
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No IPD will be provided as matter of patient confidentiality.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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