Antibiotic-Releasing bone graft aims to fight infection and regrow bone in one step
NCT ID NCT05361941
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This trial tests a special bone graft that releases the antibiotic tobramycin to treat infected knee replacements. The graft is placed during the first stage of revision surgery, with the goal of clearing the infection and promoting new bone growth. About 200 adults with infected total knee replacements are randomly assigned to receive either the antibiotic-releasing graft or standard care. The study measures new bone formation at 12 months and infection control at 24 months, along with safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a bone graft that releases the antibiotic tobramycin
- What this could lead to
- If it works, this could offer a better way to treat infected joint replacements, potentially reducing the need for multiple surgeries.
- What could go wrong
- This is a mid-stage trial, so the graft may not prove better than standard care. Risks include serious device-related side effects that could require another operation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 204 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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22 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ages and sexes eligible: at least 22 years, male and female * Candidates with known infected TKA * Life expectancy of at least 1 year * Patient is willing to provide informed consent, is geographically stable and able to comply with the required follow up visits, testing schedule and medication regimen * Adequate soft tissue coverage * Signed institutional review board approved informed consent Exclusion Criteria: * Severe renal impairment with eGFR \<50 ml/min/1.73 m2, or being treated with dialysis * Known hypersensitivity to aminoglycoside antibiotics, or calcium hydroxyapatite * Pre-existing calcium metabolism disorder * Uncontrolled diabetes mellitus (hemoglobin A1c levels \> 8) * A current endocrine or metabolic disorder known to affect osteogenesis (e.g., Paget's disease, renal osteodystrophy, hyperthyroid parathyroid hormone disorder, Ehler- Danlos syndrome, osteogenesis imperfecta) * Neuromuscular disorders such as myasthenia gravis * Untreated malignant neoplasm(s), or currently undergoing radiation chemotherapy * Inadequate neurovascular status in the involved limb that may jeopardize healing * HIV * Pregnancy * Adult patients requiring a legal guardian to sign informed consent form
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
13 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Brigham & Womens Hospital
COMPLETEDBoston, Massachusetts, 02115, United States
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Carrollton regional Medical Center
RECRUITINGCarrollton, Texas, 75010, United States
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Endeavor Health Skokie Hospital
RECRUITINGSkokie, Illinois, 60076, United States
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Georgetown University Medical Center
RECRUITINGWashington D.C., District of Columbia, 20007, United States
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Hospital for Special Surgery
RECRUITINGNew York, New York, 10021, United States
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JIS Orthopedics
RECRUITINGColumbus, Ohio, 43054, United States
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Jordan Valley Medical Center
RECRUITINGWest Jordan, Utah, 84088, United States
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Massachusetts General Hospital
NOT_YET_RECRUITINGBoston, Massachusetts, 02114, United States
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OrthoCarolina
RECRUITINGCharlotte, North Carolina, 28204, United States
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OrthoIndy
RECRUITINGIndianapolis, Indiana, 46278, United States
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Sanford South University Medical Center
WITHDRAWNFargo, North Dakota, 58103, United States
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Sinai Hospital
RECRUITINGBaltimore, Maryland, 21215, United States
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U Michigan Medical Center
RECRUITINGAnn Arbor, Michigan, 48109, United States
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UT Health San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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University of Southern California
RECRUITINGLos Angeles, California, 90033, United States
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West Virginia University Medical Center
WITHDRAWNMorgantown, West Virginia, 26506, United States
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