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Multi-Center Comparative Trial of the ASR™-XL Acetabular Cup System vs. the Pinnacle™ Metal- on- Metal Total Hip System

A Randomized, Prospective, Comparative, Multi-Center Clinical Evaluation of the DePuy ASR™-XL Acetabular Cup System vs. the Pinnacle™ Metal- on- Metal Total Hip System Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00561600
Acronym
ASR
Enrollment
265
Registered
2007-11-21
Start date
2006-11-01
Completion date
2012-01-01
Last updated
2017-08-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-inflammatory Degenerative Joint Disease

Keywords

Hip arthroplasty, Acetabular cup replacement, Acetabulum arthroplasty

Brief summary

The primary objective of this investigation is to evaluate the clinical and radiographic outcomes of the ASR™-XL Acetabular Cup System compared to the Pinnacle™ Acetabular Cup with a 28mm or 36mm ULTAMET™ metal insert.

Detailed description

The purpose of this clinical investigation is to gather sufficient clinical and radiographic data to permit valid scientific comparisons between treatment and control group outcomes. The treatment group/device for this study is the ASR™-XL Acetabular Cup System, and the control group/device is the Pinnacle™ Cup System w/ the 28mm or 36mm ULTAMET™ metal liner. The study objective will be achieved by way of treatment group selection, treatment administration, and management of participating study Subjects.

Interventions

DEVICEASR™-XL Modular Acetabular Cup System

The ASR™-XL Modular Acetabular Cup System treatment device is comprised of a metal acetabular cup, a unipolar femoral head and a taper sleeve adapter.

DEVICEPinnacle™ acetabular shell

The Pinnacle™ shells are cementless, titanium alloy cups with Porocoat® porous coating and HA DuoFix™ coating. There are various different liners available for use with the Pinnacle™ Acetabular Cup System. For the purpose of this investigation, the CoCrMo ULTAMET® 28mm or 36 mm metal liners will be used.

Sponsors

DePuy Orthopaedics
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Subject is able to or capable of providing consent to participate in the clinical investigation. * Subject is between the ages of 20-75 years, inclusive. * Subject requires a cementless, primary total hip arthroplasty for non-inflammatory degenerative joint disease (NIDJD). * Subject has sufficient bone stock for the hip replacement device. * Subject is a suitable candidate for the devices specified in the clinical investigation plan and is willing to be randomized to either cup system device.

Exclusion criteria

* Subject, in the opinion of the Investigator, has an existing condition that would compromise his/her participation and follow-up in this investigation. * Subject with a known allergy to metal (e.g. jewelry). * Subject has inflammatory arthritis (e.g. rheumatoid arthritis). * Subject has active or recent joint sepsis. * Subject with marked atrophy or deformity in the upper femur. * Subject with a neuromuscular disease where the loss of musculature would affect functional outcome. * Subject, in the opinion of the Clinical Investigator, has a history of chronic renal insufficiency (e.g. dialysis). * Subject is receiving systemic steroid therapy, excluding inhalers or intra-capsular injections, within 3 months prior to surgery. * Subject with known, active metastatic or neoplastic disease. * Subject is known to be pregnant, a prisoner, mentally incompetent, and or alcohol or drug abuser. * Subject is currently involved in any personal injury litigation, medical legal or worker's compensation claims.

Design outcomes

Primary

MeasureTime frameDescription
Composite Success Based Upon Harris Hip Score, Radiographic and Survivorship Outcomes24-month interval.Composite success: 1) Revision free (life of study) 2) No evidence of radiographic failure (life of study) 3) Harris Hip score =\> 80 at 24 months

Secondary

MeasureTime frameDescription
Harris Hip Pain Sub Score at 24 Months24 monthsMean Harris Hip Pain sub score
Harris Hip Function Score at 24 Months24 monthsMean Harris Hip Function sub score at 24 months
Analysis of Metal Ion Release - Serum CobaltPre-operativeSerum Cobalt
T-Test of Harris Hip Total Score Means at 24 Months24 monthsT-Test of Harris Hip total score means at 24 months
Analysis of Metal Ion Release - Erythrocyte Cobaltpre-operativeErythrocyte cobalt
Analysis of Metal Ion Release - Erythrocyte ChromiumPre-operativeErythrocyte Chromium
Analysis of Metal Ion Release - Serum Chromiumpre-operativeSerum Chromium

Countries

United States

Participant flow

Recruitment details

Recruitment at orthopaedic clinics began Nov 2006 and ended Dec 2009

Participants by arm

ArmCount
ASR XL
ASR™-XL Acetabular Cup System
130
Pinnacle MoM
Pinnacle metal on metal acetabular cup system
135
Total265

Baseline characteristics

CharacteristicASR XLPinnacle MoMTotal
Age, Continuous59.7 years
STANDARD_DEVIATION 8.6
59.4 years
STANDARD_DEVIATION 9.4
59.6 years
STANDARD_DEVIATION 9
BMI29.7 lb/in^2
STANDARD_DEVIATION 7
30.1 lb/in^2
STANDARD_DEVIATION 6
29.9 lb/in^2
STANDARD_DEVIATION 6.5
Region of Enrollment
United States
130 participants135 participants265 participants
Sex: Female, Male
Female
60 Participants51 Participants111 Participants
Sex: Female, Male
Male
70 Participants84 Participants154 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
72 / 13059 / 135
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Composite Success Based Upon Harris Hip Score, Radiographic and Survivorship Outcomes

Composite success: 1) Revision free (life of study) 2) No evidence of radiographic failure (life of study) 3) Harris Hip score =\> 80 at 24 months

Time frame: 24-month interval.

Population: Out of the 265 enrolled subjects, 51 subjects were removed from the analysis for the following reasons: 2 deaths (1 inv, 1 control); 4 protocol violations (0 inv, 4 control); 6 consent withdrawn (2 inv, 4 control); 39 lost to follow-up (17 inv, 22 control).

ArmMeasureValue (NUMBER)
ASR XL Acetabular Cup SystemComposite Success Based Upon Harris Hip Score, Radiographic and Survivorship Outcomes82 participants
Pinnacle Acetabular Cup SystemComposite Success Based Upon Harris Hip Score, Radiographic and Survivorship Outcomes92 participants
Comparison: A non-inferiority test of the proportion successful for each treatment group will be the primary test of efficacy in this investigation. The null hypothesis is Ho: Xc-Xt ≥ 0.08 and the alternative hypothesis is HA:Xc-Xt \< 0.08 Sample size of 126 per group was needed assuming 93% success rates, this was increased to 150 per group to account for attrition.p-value: 0.872Chi-squared
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte Chromium

Time frame: 4 months post-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.45 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.50 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte chromium ions were expected to be lower in the ASR-XL groupp-value: 0.882Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte chromium

Time frame: 48 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.62 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.62 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte chromium ions were expected to be lower in the ASR-XL groupp-value: 0.957Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte Chromium

Time frame: Pre-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.55 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.62 ug/L
p-value: 0.799Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte chromium

Time frame: 36 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.76 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.73 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte chromium ions were expected to be lower in the ASR-XL groupp-value: 0.689Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte Chromium

Time frame: 24 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium1.29 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium1.00 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte chromium ions were expected to be lower in the ASR-XL groupp-value: 0.3Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Chromium

Erythrocyte Chromium

Time frame: 12 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium1.12 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Chromium0.58 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte chromium ions were expected to be lower in the ASR-XL groupp-value: 0.121Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte cobalt

Time frame: 36 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt2.06 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt1.20 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.018Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte Cobalt

Time frame: 24 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt1.61 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.63 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.001Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte cobalt

Time frame: pre-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.07 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.08 ug/L
p-value: 0.869Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte Cobalt

Time frame: 12 Months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.91 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.41 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.001Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte Cobalt

Time frame: 4 months post-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.85 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt0.26 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte cobalt ions were expected to be lower in the ASR-XL groupp-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Erythrocyte Cobalt

Erythrocyte Cobalt

Time frame: 48 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt1.90 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Erythrocyte Cobalt1.18 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Erythrocyte cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.061Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: 12 Months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.37 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.19 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum chromium ions were expected to be lower in the ASR-XL groupp-value: 0.237Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: 4 months post operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.38 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium0.72 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum chromium ions were expected to be lower in the ASR-XL groupp-value: 0.032Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: pre-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium0.12 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium0.12 ug/L
p-value: 0.762Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: 24 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium2.30 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.48 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum chromium ions were expected to be lower in the ASR-XL groupp-value: 0.103Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: 36 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.80 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.57 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum chromium ions were expected to be lower in the ASR-XL groupp-value: 0.766Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Chromium

Serum Chromium

Time frame: 48 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium2.04 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Chromium1.66 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum chromium ions were expected to be lower in the ASR-XL groupp-value: 0.782Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: 24 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt3.26 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt1.15 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum Cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.012Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: 36 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt3.17 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt2.19 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.079Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: 12 months post-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt1.55 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt0.98 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.005Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: Pre-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt0.10 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt0.10 ug/L
p-value: 0.457Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: 4 months post-operative

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt1.39 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt0.51 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum cobalt ions were expected to be lower in the ASR-XL groupp-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Analysis of Metal Ion Release - Serum Cobalt

Serum Cobalt

Time frame: 48 months

Population: Metal ion sub-study was limited to two sites. All participants with available data are presented below.

ArmMeasureValue (MEDIAN)
ASR XL Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt3.16 ug/L
Pinnacle Acetabular Cup SystemAnalysis of Metal Ion Release - Serum Cobalt1.83 ug/L
Comparison: HO: Pinnacle=ASR-XL. The alternative hypothesis is HA: Pinnacle≠ASR-XL. Serum cobalt ions were expected to be lower in the ASR-XL groupp-value: 0.048Wilcoxon (Mann-Whitney)
Secondary

Harris Hip Function Score at 24 Months

Mean Harris Hip Function sub score at 24 months

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
ASR XL Acetabular Cup SystemHarris Hip Function Score at 24 Months31.4 units on a scale 0-47. 47 is bestStandard Deviation 3.6
Pinnacle Acetabular Cup SystemHarris Hip Function Score at 24 Months31.6 units on a scale 0-47. 47 is bestStandard Deviation 3.7
Secondary

Harris Hip Pain Sub Score at 24 Months

Mean Harris Hip Pain sub score

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
ASR XL Acetabular Cup SystemHarris Hip Pain Sub Score at 24 Months41.5 units on scale of 0-44. 44 is bestStandard Deviation 6
Pinnacle Acetabular Cup SystemHarris Hip Pain Sub Score at 24 Months42.7 units on scale of 0-44. 44 is bestStandard Deviation 3.3
Secondary

T-Test of Harris Hip Total Score Means at 24 Months

T-Test of Harris Hip total score means at 24 months

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
ASR XL Acetabular Cup SystemT-Test of Harris Hip Total Score Means at 24 Months94.8 Units on a scale of 0-100,100 is best.Standard Deviation 9.4
Pinnacle Acetabular Cup SystemT-Test of Harris Hip Total Score Means at 24 Months96.4 Units on a scale of 0-100,100 is best.Standard Deviation 6.4
p-value: 0.167t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026