Effekt og sikkerhed af Novosis Putty til degenerativ lændesygdom
Sponsor-initieret klinisk undersøgelse for at evaluere effektiviteten og sikkerheden af Novosis Kit til knoglefusion hos patienter, der kræver posterior instrumentering og transforaminal lumbal interbody-fusion på grund af degenerativ lændesygdom
This clinical study aims to evaluate the efficacy and safety of NOVOSIS PUTTY for bone fusion in patients requiring posterior instrumentation and transforaminal lumbar interbody fusion (TLIF) due to degenerative lumbar disease.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
The Subject is a patient requiring posterior instrumentation and transforaminal lumbar interbody fusion (TLIF) due to degenerative lumbar disease.
This clinical study aims to compare and evaluate the efficacy and safety of three dose groups of NOVOSIS PUTTY for bone fusion compared to the autologous bone in patients requiring posterior instrumentation and TLIF in the single level between L2 and S1(L2-S1) due to degenerative lumbar disease.
- Control Group (n=12): Local autologous bone
- Experimental Group 1 (n=12): Dose 1 (BMP2_1mg)
- Experimental Group 2 (n=12): Dose 2 (BMP2_2mg)
- Experimental Group 3 (n=12): Dose 3 (BMP2_3mg)
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
-
Seoul, Sydkorea, 03312
- The Catholic University of Korea, Eunpyeong St. Mary's Hospital
-
Seoul, Sydkorea, 06591
- The Catholic University of Korea, Seoul ST. Mary's Hospital
-
Seoul, Sydkorea, 05505
- Asan medical center
-
Seoul, Sydkorea
- Severance hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult aged ≥ 22 to ≤ 80 years
- Subjects whose skeletal maturation are confirmed by showing the result of Risser stage 5 in Risser classification, the Plain Radiography
- Subjects diagnosed with disc degeneration in the single level (L2-S1) lumbar spine along with spondylolisthesis of Meyerding grade 1 (degree of translocation: 0- <25%) or 2 (degree of translocation: 25- <50%) based on the results of radiological examination (CT, MRI, X-ray).
- Subjects with an ODI (Oswestry Disability Index) score of ≥ 35/100 at screening
- Subjects who were treated with non surgical treatment/therapy for at least 3 months, but were judged to have failed treatment by the investigator
- Subjects who are willing to participate in the study, comply with treatment and procedures, and visit the hospital for all observational evaluations
- Subjects who voluntarily signed the informed consent form after hearing the explanation on objectives and methods of this study
Exclusion Criteria:
- Subjects who have a history of medical device application (spinal instrumentation, for example, anterior disc replacement, interspinous device) to the target site or interbody fusion
- Subjects who are considered that the symptoms occurring in the lumbar region are not occurred by disc degeneration
- Subjects with active malignancy
- Subjects with a documented history of drug abuse (e.g., psychotropic drugs including narcotic analgesics and drugs with high dependence such as alcohol) within the last 6 months
- Subjects with a history of endocrine or metabolic disorders known to affect osteogenesis (e.g., Paget's disease, renal osteodystrophy, Ehler Danlos disease, or osteogenesis imperfecta)
- Subjects with BMI ≥ 35
- Subjects with spondylolis thesis/retrolisthesis with ≥ Grade 3 in the target level
- Subjects with a local acute infection at the current surgical site or active systemic infection (e.g., viral infections such as AIDS, HIV or hepatitis)
- Subjects with a history of metabolic or endocrine diseases known to affect osteogenesis (e.g., Paget's disease, renal osteodystrophy, Ehlers Danlos disease, osteogenesis imperfecta, fibrous dysplasia, etc.)
- Subjects with osteoporosis with a mean lumbar spine T-score of ≤ 2.5 on the DEXA bone density test and with a history of osteoporotic fractures (wrist fractures, femur fractures, lumbar spine fractures, etc.)
- Subjects who need to administer drugs that inhibit bone metabolism within 2 weeks after surgery, or Subjects who need to receive post operative drugs that are expected to interfere with bone fusion, such as steroids
- Subjects who smoke ≥ 20 cigarettes a day
- Subjects with autoimmune disease
- Subjects who were exposed to rhBMP 2 in the past
- Subjects who require to get fusion of two or more vertebral levels
- Subjects who have a pseudoarthrosis after previous fusion
- Subjects who had a history of at least one non fusion spinal surgery on the level to be operated
- Subjects who are considered to have a disease that hinders the accurate evaluation (e.g., neuromuscular disease, serious psychiatric disease) at the discretion of the investigator
- Subjects who are pregnant at screening or who are planning to become pregnant during the study participation period
- Subjects who are currently lactating or who are planning to lactate during the study
- Subjects who participated in studies for other drugs, biologics, or medical devices within 6 months from the date of surgery
- Subjects who are in a difficult situation to comply with study related matters
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Ingen indgriben: Control Group
Local autologous bone |
|
|
Eksperimentel: Experimental Group 1
Dose 1(BMP2_1mg) |
NOVOSIS PUTTY is a product composed of recombinant human bone morphogenetic protein-2(BMP2) and β-tricalcium phosphate/hydrogel complex. |
|
Eksperimentel: Experimental Group 2
Dose 2(BMP2_2mg) |
NOVOSIS PUTTY is a product composed of recombinant human bone morphogenetic protein-2(BMP2) and β-tricalcium phosphate/hydrogel complex. |
|
Eksperimentel: Experimental Group 3
Dose 3(BMP2_3mg) |
NOVOSIS PUTTY is a product composed of recombinant human bone morphogenetic protein-2(BMP2) and β-tricalcium phosphate/hydrogel complex. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall bone fusion rate
Tidsramme: 12 months after surgery
|
Meet the definition of bone fusion based on CT and the definition of bone fusion based on X-ray simultaneously. |
12 months after surgery
|
|
Overall fusion success rate
Tidsramme: 12 months after surgery
|
Meet all of the following conditions:
|
12 months after surgery
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall fusion success rate
Tidsramme: 6 and 24 months after surgery
|
Meet all of the following conditions:
|
6 and 24 months after surgery
|
|
Bone fusion rate
Tidsramme: 6, 12, and 24 months after surgery
|
Bone fusion rate based on CT, X-ray |
6, 12, and 24 months after surgery
|
|
Oswestry Disability Index(ODI)
Tidsramme: 6 weeks, 3, 6, 12, and 24 months after surgery
|
Evaluate Oswestry Disability Index(ODI) score/ lowest 0(best) to highest 50(worst) |
6 weeks, 3, 6, 12, and 24 months after surgery
|
|
SF-12 scores (general condition test)
Tidsramme: 6 weeks, 3, 6, 12, and 24 months after surgery
|
Evaluate SF-12 scores / lowest 0(worst) to highest 100(best) |
6 weeks, 3, 6, 12, and 24 months after surgery
|
|
Numerical Rating Scale (NRS)
Tidsramme: 6 weeks, 3, 6, 12, and 24 months after surgery
|
Evaluate Numerical Rating Scale (NRS) scores / lowest 0(best) to highest 30(worst) |
6 weeks, 3, 6, 12, and 24 months after surgery
|
|
Neurological Symptoms
Tidsramme: 6 weeks, 3, 6, 12, and 24 months after surgery
|
Evaluate Neurological Symptoms test/ check among the 3 questions(Worsened/ Constent/Improved) best is imporved, worst is worsened |
6 weeks, 3, 6, 12, and 24 months after surgery
|
|
Satisfaction rate
Tidsramme: 6 weeks, 3, 6, 12, and 24 months after surgery
|
Evaluate Satisfaction rate score / lowest 0(worst) to highest 3(best) |
6 weeks, 3, 6, 12, and 24 months after surgery
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: Jumi Han, CGBio Inc.
Publikationer og nyttige links
Generelle publikationer
- Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg. 2015 Dec;1(1):2-18. doi: 10.3978/j.issn.2414-469X.2015.10.05.
- GJESSING MH. Osteoplastic anterior fusion of the lower lumbar spine in spondylolisthesis, localized spondylosis, and tuberculous spondylitis. Acta Orthop Scand. 1951;20(3):200-13. doi: 10.3109/17453675108991168. No abstract available.
- Smith JS, Fu KM, Polly DW Jr, Sansur CA, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Donaldson WF 3rd, Perra JH, Boachie-Adjei O, Shaffrey CI. Complication rates of three common spine procedures and rates of thromboembolism following spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine (Phila Pa 1976). 2010 Nov 15;35(24):2140-9. doi: 10.1097/BRS.0b013e3181cbc8e7.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- B2201
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .