Study of the ReGelTec HYDRAFIL System
Prospective, Single Arm, Non-randomized, Traditional Feasibility Study to Evaluate the Safety and Performance of the ReGelTec HYDRAFIL System
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study is designed to evaluate the safety and effectiveness of the ReGelTec HYDRAFIL System in subjects with axial low back pain (LBP) due to degenerative disc disease (DDD) who continue to have severe back pain and dysfunction after at least six (6) months of conservative care.
The primary objective of this study is to evaluate the safety and efficacy the HYDRAFIL System.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Robert Townsend, Sr. Director Clinical Affairs
- Phone Number: 443-451-3915
- Email: rtownsend@regeltec.com
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T3K6G4
- Beam Interventional & Diagnostic Imaging
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Present with predominant low back pain and symptoms of DDD of the lumbar region of at least 6 months duration
- Failure to have their symptoms resolve or reduce following 6 months conservative care (pain medication and/or physical therapy)
- Male or female patients aged 22 to 80 years, inclusive
- Presence of DDD on magnetic resonance imaging (MRI) scan with global disc degeneration. Modified Pfirrmann grades 5 to 8 as characterized by MRI
- The presence of one or two symptomatic discs exhibiting degeneration contained within a competent outer annulus as determined by MRI and provocative discography and/or anaesthetic discography at L1-S1
- Patients who are legally competent and able to understand the nature, scope and aim of the clinical investigation
- Signed an informed subject consent form in a language in which they are fluent
Exclusion Criteria:
- History of or current systemic or local infection
- Annular tear or defect that shows free contrast extravasation into the epidural space during or after discography
- Presence of disc herniation that accounts for the majority of the patient's symptoms
- Subjects with Modic type 3 changes
- Subjects with trans-endplate disc herniations or Schmorl's nodes
- Neurogenic claudication due to spinal stenosis
- Previous back surgery at the target level of the lumbar spine
- Evidence of severe compression of cauda equina
- Spinal segmental instability (spondylolysis or spondylolisthesis: Grade >1), spinal canal stenosis, isthmus pathology, scoliosis [Cobb angle >20 at the incident level] and other deformity conditions that may compromise the study
- Subjects with arachnoiditis
- Subjects who are prisoners or wards of the courts
- Subjects involved in active litigation including worker's compensation cases
- Subjects with low back pain of non-spinal or unknown etiology
- Subjects with severe osteoporosis or metabolic bone disease
- Subjects who have a history of or are current abusers of alcohol or drugs (using definition criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-V))
- If female, patients who are pregnant or are trying to become pregnant during the course of the trial. (due to risks of additional radiation exposures)
- Failure to understand informed consent or participation in any other clinical study
- Body Mass index (BMI) greater than 40
- Patients with active tumors in the spinal region
- Patients who have been diagnosed to diabetes mellitus
- Patients who have a sensitivity or allergy to the implant materials
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HYDRAFIL Implant
Polymer Implant of HYDRAFIL into a one or two lumbar intervertebral discs
|
The HYDRAFIL System contains the following items: the Delivery System and the Pressure Gauge.
The HYDRAFIL implant is contained within a pre-filled syringe that is inserted into the delivery system housing during the manufacturing process.
The implant is heated within the delivery system prior to use to ensure a flowable implant that can be injected through a standard coaxial needle.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Success
Time Frame: post-treatment
|
Successful implantation of the ReGelTec HYDRAFIL System implant in a lumbar disc nucleus
|
post-treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Back pain as measured by NRS
Time Frame: 3, 6, 12 and 24 months
|
Decrease in Numeric Rating Scale (NRS) Score - Back Pain
|
3, 6, 12 and 24 months
|
|
Function as measured by ODI
Time Frame: 3, 6, 12 and 24 months
|
Maintenance of, or further improvement in the Oswestry Disability Index (ODI) Score
|
3, 6, 12 and 24 months
|
|
Safety of the ReGelTec Implant by demonstrating durability over the long term and no unanticipated safety concerns that arise
Time Frame: 3, 6, 12 and 24 months
|
Freedom from Device or Operative Related Serious Adverse Events (SAEs)
|
3, 6, 12 and 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Olivier Clerk-Lamalice, MD, MSc, FRCPC, FIPP, Beam Interventional & Diagnostic Imaging
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- RGOUS -1000CAN
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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