A Study of LDGraft In Single Level Lumbar Interbody Fusion (AMBITION)
The objective of the study is to evaluate the safety and effectiveness of LDGraft (investigational device) when applied in a lumbar interbody fusion procedure in the treatment of patients with lumbar Degenerative Disc Disease (DDD).
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Robyn Cochrane
- Telefonnummer: +44115 7738447
- E-mail: rcochrane@locatebio.com
Studiesteder
-
-
-
Tbilisi, Georgien, 44600
- Rekruttering
- West Georgia Medical Center
-
Kontakt:
- Study Coordinator
-
Tbilisi, Georgien, 4600
- Rekruttering
- JSC Georgian Clinics Kutaisi Referral Hospital
-
Kontakt:
- Study Coordinator
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Skeletally mature adults ≥22 and ≤80 years at the time of surgery
- Willing and able to give written informed consent and comply with study protocol and postoperative management program
- Degenerative disc disease of the lumbosacral spine in one level requiring fusion confirmed by patient history and radiographic imaging
- Preoperative Oswestry Disability Index score ≥ 35
- Participant has not responded to conservative treatment (e.g. medications, injections, physical therapy, etc.) for a period of 6 months
Exclusion Criteria:
- Previous lumbar spine instrumentation (i.e., anterior disc replacement, interspinous device) or a previous interbody fusion procedure in the lumbar spine
- More than one level lumbar spine level requiring fusion
- Three or more contiguous lumbar spine levels requiring decompression
- Known hypersensitivity or allergy to any components of the study treatments inclusive of hypersensitivity or allergy to any BMP-2 type recombinant proteins or peptides.
- Pregnant, planning to become pregnant during the follow-up time period, or breast-feeding women
- Presence of active malignancy
- Requires bone growth stimulation in the lumbar spine
- Active local or systemic infection
- Spondylolisthesis greater than Grade 2 (50% translation)
- Currently smoking or using nicotine products, including e-cigarette products (e.g., vaping)
- Any degenerative muscular or neurological condition that would interfere with evaluation of outcomes, including but not limited to Parkinson's disease, amyotrophic lateral sclerosis (ALS), or multiple sclerosis
- Any medical condition requiring treatment with any drug known to potentially interfere with bone/soft tissue healing or receiving radiation therapy that is expected to continue for the duration of the study
- Body Mass Index > 40
- Insulin-dependent diabetes mellitus
- Osteopenia or osteoporosis of the spine
- Any secondary causes of osteoporosis or other conditions known to adversely affect osteogenesis
- Participation in another investigational study within 30 days prior to surgery for investigational devices, or within the last three months for investigational drugs
- Current or recent history of chemical/alcohol abuse or dependency using standard medical definition of DSM-5 code
- In the opinion of the investigator, the participant has a behavioral, cognitive, social or medical problem that may interfere with the assessment of the safety or effectiveness of the product
- Radiographically compromised vertebral bodies at the index level due to current or past trauma
- Currently a prisoner
- Involved in active litigation relating to his/her spinal condition or workers compensation claimants.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: LDGraft
|
LDGraft (b-TCP / rhBMP-2) bone graft substitute |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Secondary Surgical Intervention (SSI)
Tidsramme: 6-month and 12-month follow up
|
No index level secondary surgical intervention reported |
6-month and 12-month follow up
|
|
Radiographic Fusion
Tidsramme: 6-month and 12-month follow up
|
Radiographic fusion derived from bridging bone, angular motion and translational motion assessment via CT |
6-month and 12-month follow up
|
|
Oswestry Disability Index (ODI) Improvement
Tidsramme: 6-month and 12-month follow up
|
At least 15 point improvement in ODI compared to baseline |
6-month and 12-month follow up
|
|
No new or worsening lumbar spine neurological condition
Tidsramme: 6-month and 12-month follow up
|
No new or worsening lumbar spine neurological condition compared to baseline |
6-month and 12-month follow up
|
|
No Serious Device Related Adverse Events
Tidsramme: 6-month and 12-month follow up
|
6-month and 12-month follow up
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Visual Analog Score (VAS) Leg Improvement
Tidsramme: 6-week, 3-month, 6-month and 12-month follow up
|
20mm improvement compared to baseline |
6-week, 3-month, 6-month and 12-month follow up
|
|
Visual Analog Score (VAS) Back Improvement
Tidsramme: 6-week, 3-month, 6-month and 12-month follow up
|
20mm improvement compared to baseline |
6-week, 3-month, 6-month and 12-month follow up
|
|
Oswestry Disability Index (ODI) Change
Tidsramme: 6-week, 3-month, 6-month and 12 month follow up
|
Mean change over time intervals |
6-week, 3-month, 6-month and 12 month follow up
|
|
Visual Analog Score (VAS) Leg Change
Tidsramme: 6-week, 3-month, 6-month and 12-month follow up
|
Mean change over time intervals |
6-week, 3-month, 6-month and 12-month follow up
|
|
Visual Analog Score (VAS) Back Change
Tidsramme: 6-week, 3-month, 6-month and 12-month follow up
|
Mean change over time intervals |
6-week, 3-month, 6-month and 12-month follow up
|
|
Quality of Life & Satisfaction
Tidsramme: 6-week, 3-month-, 6-month and 12-month follow up
|
Evaluation of Quality of Life & Satisfaction survey results |
6-week, 3-month-, 6-month and 12-month follow up
|
|
Radiogrpahic Outcomes
Tidsramme: 6-week, 3-month, 6-month and 12-month follow up
|
Radiographic outcomes as defined by Image Review Charter |
6-week, 3-month, 6-month and 12-month follow up
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CI-002
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.
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