Wirksamkeit und Sicherheit von Novosis Putty bei degenerativen Lumbalerkrankungen
Vom Sponsor initiierte klinische Studie zur Bewertung der Wirksamkeit und Sicherheit von Novosis Putty für die Knochenfusion bei Patienten, die aufgrund einer degenerativen Lumbalerkrankung eine posteriore Instrumentierung und eine transforaminale lumbale Zwischenkörperfusion benötigen
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.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
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)
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Seoul, Südkorea, 03312
- The Catholic University of Korea, Eunpyeong St. Mary's Hospital
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Seoul, Südkorea, 06591
- The Catholic University of Korea, Seoul ST. Mary's Hospital
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Seoul, Südkorea, 05505
- Asan medical center
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Seoul, Südkorea
- Severance hospital
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Kein Eingriff: Control Group
Local autologous bone |
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Experimental: 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. |
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Experimental: 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. |
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Experimental: 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. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Overall bone fusion rate
Zeitfenster: 12 months after surgery
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Meet the definition of bone fusion based on CT and the definition of bone fusion based on X-ray simultaneously. |
12 months after surgery
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Overall fusion success rate
Zeitfenster: 12 months after surgery
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Meet all of the following conditions:
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12 months after surgery
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Overall fusion success rate
Zeitfenster: 6 and 24 months after surgery
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Meet all of the following conditions:
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6 and 24 months after surgery
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Bone fusion rate
Zeitfenster: 6, 12, and 24 months after surgery
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Bone fusion rate based on CT, X-ray |
6, 12, and 24 months after surgery
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Oswestry Disability Index(ODI)
Zeitfenster: 6 weeks, 3, 6, 12, and 24 months after surgery
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Evaluate Oswestry Disability Index(ODI) score/ lowest 0(best) to highest 50(worst) |
6 weeks, 3, 6, 12, and 24 months after surgery
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SF-12 scores (general condition test)
Zeitfenster: 6 weeks, 3, 6, 12, and 24 months after surgery
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Evaluate SF-12 scores / lowest 0(worst) to highest 100(best) |
6 weeks, 3, 6, 12, and 24 months after surgery
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Numerical Rating Scale (NRS)
Zeitfenster: 6 weeks, 3, 6, 12, and 24 months after surgery
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Evaluate Numerical Rating Scale (NRS) scores / lowest 0(best) to highest 30(worst) |
6 weeks, 3, 6, 12, and 24 months after surgery
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Neurological Symptoms
Zeitfenster: 6 weeks, 3, 6, 12, and 24 months after surgery
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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
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Satisfaction rate
Zeitfenster: 6 weeks, 3, 6, 12, and 24 months after surgery
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Evaluate Satisfaction rate score / lowest 0(worst) to highest 3(best) |
6 weeks, 3, 6, 12, and 24 months after surgery
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienstuhl: Jumi Han, CGBio Inc.
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- B2201
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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