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CTRI Number  CTRI/2023/04/051751 [Registered on: 19/04/2023] Trial Registered Prospectively
Last Modified On: 09/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to assess success after knee surgery 
Scientific Title of Study   A Randomized, Multi Center, Parallel, Open Label Study Assessing Clinical and Functional Outcomes After Anterior Cruciate Ligament (ACL) Reconstruction Procedure Using Suspensory Tibial Fixation with Open and Closed Peek Button 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
HML-ACL-002-22; Version 1; Date 09/01/2023   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ashok Kumar Moharana  
Designation  Chief Medical Officer  
Affiliation  Healthium Medtech Limited 
Address  472D, 13th cross, 4th phase, Peenya Industrial Area

Bangalore
KARNATAKA
560058
India 
Phone  9717887751  
Fax    
Email  ashok.m@healthiummedtech.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashok Kumar Moharana  
Designation  Chief Medical Officer  
Affiliation  Healthium Medtech Limited 
Address  472D, 13th cross, 4th phase, Peenya Industrial Area


KARNATAKA
560058
India 
Phone  9717887751  
Fax    
Email  ashok.m@healthiummedtech.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashok Kumar Moharana  
Designation  Chief Medical Officer  
Affiliation  Healthium Medtech Limited 
Address  472D, 13th cross, 4th phase, Peenya Industrial Area


KARNATAKA
560058
India 
Phone  9717887751  
Fax    
Email  ashok.m@healthiummedtech.com  
 
Source of Monetary or Material Support  
Healthium Medtech Limited, 472D, 13th cross, 4th phase, Peenya Industrial Area, Bangalore KARNATAKA 560058 India 
 
Primary Sponsor  
Name  Healthium Medtech Limited 
Address  472D, 13th cross, 4th phase, Peenya Industrial Area, Bangalore KARNATAKA 560058 India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pulak Sharma  Apex Trauma Center, Sanjay Gandhi post Graduate Institute of Medical Sciences  OPD block, Speciality of Orthopaedics, Vrindavan Yojna SEC 17
Lucknow
UTTAR PRADESH 
8718043236

drpulaksharma@gmail.com 
Dr Vivek Mahajan  Indian Spinal Injuries Centre  OPD, Department of Orthopaedics, Sector C, Vasant Kunj, Opp. Vasant Valley School,
New Delhi
DELHI 
9650886434

mvivek@hotmail.com 
Dr Tapasa Kumar Panigrahi  S.C.B. Medical College  Room no 1, OPD Block, Department of orthopedics, Manglabag
Cuttack
ORISSA 
9938735955

drtapaspanigrahi300677@gmail.com 
Dr Hari Kumar G  SP Fort Hospital  Room no 1, Department of Orthopaedics, Unit-1 of SP FORT HOSPITAL, Fort
Thiruvananthapuram
KERALA 
9447388272

dr.g.harikumar@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Institutional Ethcis committee, SCB Medical College  Approved 
Institutional Ethics Committee, Cosmopolitan Hospital  Approved 
Institutional Ethics Committee, Indian Spinal Injuries Center  Approved 
Institutional Ethics Committee, Sanjay Gandhi post Graduate Institute of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M999||Biomechanical lesion, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Peek button-closed (T-Buttonâ„¢ A PEEK Adjustable Loop Button)  Peek button-closed (T-Buttonâ„¢ A PEEK Adjustable Loop Button) is used for tibial fixation of the graft and will stay permanently in the body after implantation (Duration: Permanent implant) 
Comparator Agent  Peek button-open (T- Buttonâ„¢ S PEEK Open Button and Free Adjustable Loop)  Peek button-open (T- Buttonâ„¢ S PEEK Open Button and Free Adjustable Loop) is used for tibial fixation of the graft and will stay permanently in the body after implantation (Duration: Permanent implant) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1. Male/ female participants between ≥18 years and ≤ 45 years of age at the time of consent
2. Participants with traumatic ACL tears with or without associated meniscus injuries requiring primary ACL reconstruction surgery
3. Participants/ Legally Acceptable Representative who are willing to provide written Informed Consent and comply with study procedures
 
 
ExclusionCriteria 
Details  1. Participants with lateral/medial collateral ligament injury or posterior cruciate ligament injury
2. Participants with BMI ≥35 kg/m2
3. Participants who had undergone previous surgery in the same or contralateral knee
4. Participants with HbA1c ˃ 9% (Clinical laboratory reports up to 3 months will be considered valid otherwise participants will undergo blood investigation for HbA1C)
5. Participants who are smokers (smoking ˃20 cigarettes/day)
6. Participants with sensitivity to PEEK material
7. Participants with a history of deep vein thrombosis (DVT)
8. Participants with arthritis of same or contralateral knee
9. Participants with any condition which makes the subject unsuitable for study participation which as per the investigator would jeopardize the outcome of the trial or participant who, in the judgment of the investigator, will be unlikely to comply with the requirements of this clinical investigation plan
10. Pregnant and lactating female at the time of screening 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To assess functional outcomes of Knee in each cohort of Peek button-open and Peek button-closed.   Screening, month 3, month 6, month 12, month 18 and month 24 
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess the clinical symptoms and activity level in each cohort of Peek button-open and Peek button-closed from baseline (pre-surgery).
2. To assess the failure rate of ACL reconstruction in each cohort of Peek button-open and Peek button-closed.
3. To assess change in quality of life in patients of each cohort of Peek button-open and Peek button-closed.
4. To assess recovery period in patients of each cohort of Peek button-open and Peek button-closed.
5. To assess the duration of surgery.
6. To assess clinical condition of the knee.
7. To assess the overall intraoperative handling of Peek button-open and Peek button-closed.
8. To assess the incidence of residual risks and safety of peek button open and Peek button closed.
9. To assess the condition of the graft and implants.
10. To compare the results of all primary and secondary objectives between the two cohorts, Peek button-open Vs Peek button-closed. 
Screening, Day of surgery, Discharge visit, Day 15, month 3, month 6, month 12, month 18 and month 24 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "80"
Final Enrollment numbers achieved (India)="80" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   27/04/2023 
Date of Study Completion (India) 11/11/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

In current study we plan to evaluate and compare efficacy of both devices via change in IKDC, Modified Cincinnati Rating System Questionnaire, Lysholm knee score, Tegner activity scale scores, SANE and modified KOOS scale scores. Duration of surgery, ACL reconstruction failure assessment and time to recovery will also be done as a part of efficacy assessment. Efficacy and safety of both devices will also be compared. Clinical data collected through this study will be of great benefit to the research field and potentially will be beneficial to the society.

 
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