Actively Recruiting

Phase Not Applicable
Age: 22Years +
All Genders
Healthy Volunteers
ID05361941

Study of EP Granules with Tobramycin Device to Promote Bone Growth and Reduce Infection in Patients Undergoing Surgery for Periprosthetic Joint Infections

Led by Elute, Inc. · Updated on 2025-01-08

204

Participants Needed

12

Research Sites

121 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a new treatment for patients with periprosthetic joint infections (PJIs) undergoing staged revision surgery. This study is a pivotal, prospective, multi-center, randomized, patient and assessor-blinded trial comparing the investigational device EP Granules with Tobramycin against the standard-of-care surgical treatment. The goal is to promote new bone growth and reduce recurring infections, improving outcomes for patients during the first stage of revision surgery. The study has two arms: one group receives the EP Granules with Tobramycin, a calcium-salt resorbable bone void filler with antibiotic properties used during the first stage of a 2-stage or 1.5-stage revision. The control group receives the standard treatment with empty bone voids left during surgery. Both approaches aim to address bone loss caused by infection and support the revision implant. The study compares these treatments over a 24-month follow-up period. Participants will undergo assessments to measure new bone growth and infection rates, with a focus on the absence of serious device-related adverse events, including those requiring re-operation. Follow-up visits and testing schedules will monitor the safety and effectiveness of the treatments. Participants are expected to remain engaged for at least 24 months after the initial surgery to evaluate long-term outcomes and implant survival.

CONDITIONS

Official Title

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

Who Can Participate

Age: 22Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 22 years old, male or female
  • Known infected total knee arthroplasty (TKA)
  • Life expectancy of at least 1 year
  • Willing to provide informed consent
  • Geographically stable and able to comply with follow-up visits, testing, and medication
  • Adequate soft tissue coverage
  • Signed institutional review board approved informed consent form
Not Eligible

You will not qualify if you...

  • Severe renal impairment with eGFR less than 50 ml/min/1.73 m2 or on dialysis
  • Known hypersensitivity to aminoglycoside antibiotics or calcium hydroxyapatite
  • Pre-existing calcium metabolism disorder
  • Uncontrolled diabetes mellitus with hemoglobin A1c levels greater than 8
  • Current endocrine or metabolic disorders affecting bone growth (e.g., Paget's disease, renal osteodystrophy, hyperthyroid parathyroid hormone disorder, Ehler-Danlos syndrome, osteogenesis imperfecta)
  • Neuromuscular disorders such as myasthenia gravis
  • Untreated malignant tumors or currently receiving radiation chemotherapy
  • Inadequate neurovascular status in the involved limb
  • HIV infection
  • Pregnancy
  • Adult patients requiring a legal guardian to sign informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 12 locations

1

University of Southern California

Los Angeles, California, United States, 90033

Actively Recruiting

2

Endeavor Health Skokie Hospital

Skokie, Illinois, United States, 60076

Actively Recruiting

3

OrthoIndy

Indianapolis, Indiana, United States, 46278

Actively Recruiting

4

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Not Yet Recruiting

5

Brigham & Womens Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

6

U Michigan Medical Center

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

7

Hospital for Special Surgery

New York, New York, United States, 10021

Actively Recruiting

8

Sanford South University Medical Center

Fargo, North Dakota, United States, 58103

Actively Recruiting

9

JIS Orthopedics

Columbus, Ohio, United States, 43054

Actively Recruiting

10

UT Health San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

11

Jordan Valley Medical Center

West Jordan, Utah, United States, 84088

Actively Recruiting

12

West Virginia University Medical Center

Morgantown, West Virginia, United States, 26506

Actively Recruiting

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Research Team

A

Ashok Khandkar, PhD

E

Eva Serio, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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