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New data for Smith+Nephew’s CARTIHEAL◊ AGILI-C◊ Cartilage Repair Implant demonstrates superior pain relief and functional gains at 5-years

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Smith+Nephew (NYSE:SNN) reported 5-year randomized trial results showing the CARTIHEAL AGILI-C implant delivered higher KOOS scores versus standard care through 60 months with superior pain relief and functional gains. The implant is FDA-approved, commercially available in the US, and received a Category I CPT code effective Jan 1, 2027.

Results were comparable for patients with and without osteoarthritis, and clinicians reported roughly twice the pain reduction versus debridement or microfracture.

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Positive

  • Higher KOOS scores through 60 months
  • Patients reported twice the pain reduction versus standard care
  • Durable functional gains at 2, 4, and 5 years
  • FDA-approved and commercially available in the United States
  • Granted Category I CPT code effective Jan 1, 2027

Negative

  • None.

News Market Reaction – SNN

-4.00%
-4.00% Session close to close

In the Apr 21 session, SNN declined 4.00%, reflecting a moderate negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement highlights 5‑year, randomized data showing CARTIHEAL’s superior KOOS scores and fu...
Analysis

This announcement highlights 5‑year, randomized data showing CARTIHEAL’s superior KOOS scores and functional outcomes versus standard care up to 60 months, with comparable benefits in patients with and without osteoarthritis. The implant already holds FDA approval and a Category I CPT code effective January 1, 2027. In context of other recent product wins with uneven price reactions, investors may watch adoption trends, reimbursement execution, and how this supports Smith+Nephew’s broader orthopaedics strategy.

Key Figures

Follow-up duration: 60 months Pain relief period: 5-year period Functional gains duration: 2 years +3 more
6 metrics
Follow-up duration 60 months KOOS outcomes reported versus standard of care
Pain relief period 5-year period Superior knee pain relief and quality of life with CARTIHEAL
Functional gains duration 2 years Improved activities of daily living, sport, recreation at 2 years
Functional gains duration 4 years Sustained functional improvements at 4 years
Functional gains duration 5 years Sustained functional improvements at 5 years
CPT code effective date January 1, 2027 Category I CPT code for CARTIHEAL procedures becomes effective

Historical Context

5 past events · Latest: Apr 09 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 09 Clinical trial data Positive +0.3% REGENETEN implant halved recovery times versus traditional repair in RCT.
Mar 10 Product launch Positive -3.0% Launch of ALLEVYN COMPLETE CARE high-performance foam dressing.
Mar 03 Conference showcase Positive +2.8% Showcase of handheld robotics and reconstruction technologies at AAOS 2026.
Mar 02 Portfolio showcase Positive -3.1% Presentation of rotator cuff repair portfolio including Tendon Seam and REGENETEN.
Feb 24 Distribution agreement Positive -0.6% Exclusive US distribution deal for A’TOMIC Nitinol Fixation System.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent product and portfolio news has often seen mixed or negative next-day reactions, even when operationally positive.

Recent Company History

Over the last few months, Smith+Nephew has focused on strengthening its orthopaedics and wound-care franchises. Announcements included new implants, a next-generation ALLEVYN COMPLETE CARE dressing, and expanded US distribution via RMR Ortho, alongside technology showcases at AAOS 2026. Despite generally positive strategic news, share reactions have been inconsistent, with 3 divergences versus sentiment across the last 5 events, framing today’s 5‑year CARTIHEAL data within a pattern of uneven price responses.

Key Terms

randomized controlled trial, knee injury and osteoarthritis outcome scores (koos), osteochondral, category i current procedural terminology (cpt) code, +4 more
8 terms
randomized controlled trial medical
"evidence from a multicenter, randomized controlled trial highlighting the clinical superiority"
A randomized controlled trial is a research method that tests the effects of a new idea or treatment by randomly dividing participants into two groups: one that receives the treatment and one that does not. This approach helps ensure that the results are fair and unbiased, providing clear evidence about whether the treatment actually works. Investors value such trials because they offer reliable information that can influence decision-making and reduce uncertainty.
knee injury and osteoarthritis outcome scores (koos) medical
"higher overall Knee injury and Osteoarthritis Outcome Scores (KOOS) versus surgical standard"
A Knee Injury and Osteoarthritis Outcome Score (KOOS) is a standardized questionnaire patients complete to report pain, symptoms, daily function, sport/recreation ability, and knee-related quality of life. Investors care because KOOS results are often used in clinical studies and regulatory submissions to show whether a treatment or device truly improves patients’ lives; think of it as a customer satisfaction score that helps predict market acceptance and reimbursement potential.
osteochondral medical
"for Chondral and Osteochondral Knee Lesions"
Osteochondral describes anything involving both the bone and the adjacent cartilage, typically where a joint bears weight. Think of it as the hard foundation (bone) and the soft padding (cartilage) that work together to let joints move smoothly; damage to that combined unit matters to investors because treatments, devices, or drugs targeting osteochondral problems often require different development steps, clinical evidence, and regulatory paths than therapies aimed only at bone or only at cartilage.
category i current procedural terminology (cpt) code regulatory
"received a Category I Current Procedural Terminology (CPT) code for procedures"
A Category I Current Procedural Terminology (CPT) code is a standardized numeric label used to describe and bill routine medical services and procedures, like a universal SKU for healthcare tasks. Investors care because having an established Category I code makes it easier for providers to bill insurers and receive predictable reimbursement, which can speed clinical adoption, clarify revenue potential, and reduce payment-related uncertainty for companies tied to the procedure.
debridement medical
"compared to debridement or microfracture"
Debridement is the medical removal of dead, infected, or damaged tissue and foreign material from a wound to promote healing, similar to pruning dead branches so new growth can flourish. For investors, it matters because how debridement is performed — by drugs, devices, dressings, or procedures — affects clinical outcomes, product demand, reimbursement decisions, regulatory approval pathways, and the financial prospects of companies offering those solutions.
microfracture medical
"compared to debridement or microfracture"
A microfracture is a surgical technique used to repair damaged joint cartilage by creating tiny holes in the underlying bone to trigger the body’s natural healing response, like aerating soil so new tissue can grow. It matters to investors because the procedure affects demand for orthopedic devices, implants, biologic treatments and rehabilitation services, influences clinical outcomes and reimbursement decisions, and can shape the commercial prospects of related medical products.
biphasic scaffold medical
"acting as a biphasic scaffold – the implant is able to repair cartilage"
A biphasic scaffold is an engineered implant that combines two different layers or regions designed to mimic and support the growth of two distinct types of tissue (for example, bone and cartilage). For investors, it matters because such designs can enable more effective regenerative therapies, influence how a product is regulated and reimbursed, and often increase development and manufacturing complexity — all factors that affect clinical success, time to market, and commercial value.
aragonite medical
"Composed of aragonite, a naturally occurring calcium carbonate acting as a biphasic scaffold"
Aragonite is a naturally occurring crystalline form of calcium carbonate, one of the common mineral “building blocks” found in shells, corals and some marine sediments. For investors, aragonite matters because it is a raw material used in industries such as construction, agriculture, water treatment and aquaculture; changes in its supply, quality or demand can affect costs and revenues for companies that mine, process or rely on it—think of it as a specialized ingredient that can influence a product’s cost and performance.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Smith+Nephew (LSE:SN, NYSE:SNN), the global medical technology company, today announces further compelling evidence from a multicenter, randomized controlled trial highlighting the clinical superiority of its CARTIHEAL AGILI-C Cartilage Repair Implant recently published in the American Journal of Sports Medicine (AJSM). The CARTIHEAL AGILI-C Cartilage Repair Implant resulted in higher overall Knee injury and Osteoarthritis Outcome Scores (KOOS) versus surgical standard of care* for all time points out to 60 months.1,2

  • Superior pain relief: Patients treated with the CARTIHEAL AGILI-C Implant reported significantly better knee pain relief, and quality of life improvements over a 5-year period.1

  • Superior functional gains: Patients treated with the CARTIHEAL Implant reported superior improvements in performing activities related to daily living, sport and recreation at 2, 4 and 5-years.1,2

  • Patients with/without osteoarthritis (OA): Equal clinical outcomes were found in OA and non-OA patients receiving the CARTIHEAL Implant.1,2

“Having been involved with CARTIHEAL from the initial trial design, through patient enrollment, and now in daily clinical use, I’m thrilled by the 5-year outcomes. Notably, CARTIHEAL patients had twice the reduction in pain scores compared to standard care,” said Dr. Andreas Gomoll, Professor of Orthopedic Surgery at Weill-Cornell Medical School and Attending Orthopedic Surgeon at the Hospital for Special Surgery in New York. “What excites me even more is that these outcomes were comparable for both patients with and without osteoarthritis. This represents a vital new option for those in the osteoarthritis treatment gap where cartilage is too damaged for standard repair but not enough for joint replacement. Historically, these patients relied on non-surgical methods with mixed success. Now, we have a durable solution to restore function and quality of life.”


Smith+Nephew's FDA-approved CARTIHEAL Implant is revolutionizing the cartilage repair landscape with the implant’s broad indication allowing physicians to treat patients who previously may not have had access. The implant recently received a Category I Current Procedural Terminology (CPT) code for procedures that will go into effect on January 1, 2027.

“Patients need an off the shelf scaffold with strong clinical evidence—one that can effectively treat both chondral and osteochondral defects, even in those with mild to moderate osteoarthritis. These new 5-year results further validate the promise of the CARTIHEAL Implant,” said Professor Elizaveta Kon from Humanitas Research Hospital. “They show that we can finally offer a reliable, evidence backed solution to a large patient population that, in many cases, has had limited treatment options. Seeing such durable outcomes is truly exciting.”

About the CARTIHEAL AGILI-C Cartilage Repair Implant
The CARTIHEAL Implant is commercially available in the United States, including Puerto Rico. Composed of aragonite, a naturally occurring calcium carbonate acting as a biphasic scaffold – the implant is able to repair cartilage and restore subchondral bone.3-7 To learn more about Smith+Nephew’s CARTIHEAL AGILI-C Cartilage Repair Implant, please visit www.smith-nephew.com/cartiheal.

- ends –

Media Enquiries
Dave Snyder            +1 (978) 749-1440
Smith+Nephew        david.snyder@smith-nephew.com


* compared to debridement or microfracture  
  

References

  1. Altschuler N ZK, Di Matteo B, et al. Five-Year Follow-up of a Multicenter Randomized Controlled Trial Comparing an Aragonite-Based Scaffold with Microfracture and Debridement for Chondral and Osteochondral Knee Lesions. Am J Sports Med 2026.
  2. Conte P, Anzillotti G, Crawford DC, et al. Differential analysis of the impact of lesions' location on clinical and radiological outcomes after the implantation of a novel aragonite-based scaffold to treat knee cartilage defects. Int Orthop. 2024;48(12):3117-3126 
  3. Altschuler N, Zaslav KR, Di Matteo B, et al. Aragonite-Based Scaffold Versus Microfracture and Debridement for the Treatment of Knee Chondral and Osteochondral Lesions: Results of a Multicenter Randomized Controlled Trial. Am J Sports Med. 2023;51(4):957-967. doi:10.1177/03635465231151252
  4. Kon E, Di Matteo B, Verdonk P, et al. Aragonite-Based Scaffold for the Treatment of Joint Surface Lesions in Mild to Moderate Osteoarthritic Knees: Results of a 2-Year Multicenter Prospective Study. Am J Sports Med. 2021;49(3):588-598. doi:10.1177/0363546520981750
  5. Kon E, Filardo G, Shani J, et al. Osteochondral regeneration with a novel aragonite-hyaluronate biphasic scaffold: up to 12-month follow-up study in a goat model. J Orthop Surg Res. 2015;10:81. Published 2015 May 28. doi:10.1186/s13018-015-0211-y
  6. Matta C, et al. Differentiation.2019;107:24-34.
  7. Chubinskaya S, et al. Knee Surg Sports Traumatol Arthrosc. 2019;27(6):1953-1964.

About Smith+Nephew
Smith+Nephew is a portfolio medical technology business focused on the repair, regeneration and replacement of soft and hard tissue. We exist to restore people’s bodies and their self-belief by using technology to take the limits off living. We call this purpose ‘Life Unlimited’. Our 17,000 employees deliver this mission every day, making a difference to patients’ lives through the excellence of our product portfolio, and the invention and application of new technologies across our three global business units of Orthopaedics, Sports Medicine & ENT and Advanced Wound Management.

Founded in Hull, UK, in 1856, we now operate in around 100 countries, and generated annual sales of $6.2 billion in 2025. Smith+Nephew is a constituent of the FTSE100 (LSE:SN, NYSE:SNN). The terms ‘Group’ and ‘Smith+Nephew’ are used to refer to Smith & Nephew plc and its consolidated subsidiaries, unless the context requires otherwise.

For more information about Smith+Nephew, please visit www.smith-nephew.com and follow us on X, LinkedIn, Instagram or Facebook.

Forward-looking Statements

This document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading profit margins, market trends and our product pipeline are forward-looking statements. Phrases such as "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith+Nephew, these factors include: conflicts in Europe and the Middle East, economic and financial conditions in the markets we serve, especially those affecting healthcare providers, payers and customers; price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal and financial compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers; competition for qualified personnel; strategic actions, including acquisitions and disposals, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; relationships with healthcare professionals; reliance on information technology and cybersecurity; disruptions due to natural disasters, weather and climate change related events; changes in customer and other stakeholder sustainability expectations; changes in taxation regulations; effects of foreign exchange volatility; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith+Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith+Nephew's most recent annual report on Form 20-F, which is available on the SEC’s website at www. sec.gov, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith+Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith+Nephew are qualified by this caution. Smith+Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith+Nephew's expectations.

Trademark of Smith+Nephew. Certain marks registered in US Patent and Trademark Office.


FAQ

What did Smith+Nephew (SNN) report about CARTIHEAL 5-year outcomes?

The CARTIHEAL implant showed higher KOOS scores and superior pain relief through 60 months. According to Smith+Nephew, randomized trial data published in AJSM demonstrate sustained functional and quality-of-life improvements versus debridement or microfracture at five years.

How much pain reduction did CARTIHEAL deliver versus standard care in the SNN study?

CARTIHEAL patients experienced about twice the reduction in pain scores compared with standard care. According to Smith+Nephew, that pain improvement was observed across the five-year follow-up and cited by lead investigators.

Is the CARTIHEAL AGILI-C implant available and approved in the US for SNN investors?

Yes, the CARTIHEAL implant is FDA-approved and commercially available in the United States. According to Smith+Nephew, clinicians can access the device now, supporting near-term commercial rollout and physician adoption efforts.

What is the significance of the Category I CPT code for CARTIHEAL (SNN)?

A Category I CPT code was awarded and becomes effective January 1, 2027, improving reimbursement clarity. According to Smith+Nephew, this procedural code supports coding and billing for implant procedures in clinical practice.

Do CARTIHEAL outcomes differ for patients with osteoarthritis in the SNN study?

No, outcomes were comparable for patients with and without osteoarthritis in the trial. According to Smith+Nephew, equal clinical results were observed, suggesting the implant benefits both OA and non-OA knee lesion patients.