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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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Extended Follow-up of the Premarket Cohort


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General
Study Status Ongoing
Application Number /
Requirement Number
P210034 / PAS001
Date Original Protocol Accepted 03/29/2022
Date Current Protocol Accepted  
Study Name Extended Follow-up of the Premarket Cohort
Device Name Agili-C
General Study Protocol Parameters
Study Design Randomized Clinical Trial
Data Source New Data Collection
Comparison Group Concurrent Control
Analysis Type Analytical
Study Population Adult: >21
Detailed Study Protocol Parameters
Study Objectives Prospective, multicenter, open-label, randomized 2:1, and controlled trial of Agili-C™ vs. SSOC for the repair of joint surface lesions.
Study Population Patients with joint surface lesions of the knee
Sample Size Up to 251 subjects (167 Agili-C™ subjects and 84 SSOC subjects) who were enrolled into the Pivotal study and are continuing follow up.
Key Study Endpoints Primary Endpoint:
Change from baseline to 60 months in the average overall KOOS score (Pain, Symptoms, QOL, ADL & Sports)

Safety Endpoint:
Adverse events, including serious adverse events, reoperations and revisions, up to 60 months

Confirmatory Secondary endpoints:
This trial will have one primary endpoint and 6 confirmatory secondary endpoints for labeling purposes. These will be tested sequentially, and Type I Error controlled hierarchically. Trial success will be declared if the primary endpoint has been met. Additional labeling claims will be made for confirmatory secondary endpoints met in sequence following success on the primary endpoint:
Change from baseline to 60 months in the average overall KOOS score (Pain, Symptoms, QOL, ADL & Sports)

Additional Secondary endpoints:
KOOS subscores, MRI defect fill %, IKDC, SF-12, Tegner, Lysolm, subgroup analyses.
Follow-up Visits and Length of Follow-up 60 months (5 years) post-implant
Interim or Final Data Summary
Interim Results The overall adverse event rate was less for the Agili-C Group (68.3%) compared to the SSOC group (79.8%). The most common serious AEs in the Agili-C group were “increased transient or chronic pain in the operated joint, compared to baseline” (n=6, 3.6%), COVID-19 (n=5, 3.0%), contusion (n=4, 2.4%), and arthralgia and meniscus injury (n=3, 1.8%). One case of death, due to COVID-19 related respiratory insufficiency, was reported in the 2022 36-month PAS report (R001). No additional deaths have occurred since the previous report.

Agili-C continues to demonstrate superiority over SSOC in KOOS Overall Score at 48 months relative to SSOC, and also continues to demonstrate superiority over the SSOC control on all other efficacy endpoints.
Actual Number of Patients Enrolled 251
Actual Number of Sites Enrolled 22
Patient Follow-up Rate 83% at 36-month
79% at 48-month
76% at 60-month


Extended Follow-up of the Premarket Cohort Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
1 year report 10/28/2022 10/26/2022 On Time
2 year report 10/30/2023 10/23/2023 On Time
3 year report 10/30/2024    
final report 03/31/2025    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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