Actively Recruiting
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
Eligibility Criteria
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
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
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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
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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