NCT02457468

Brief Summary

The purpose of the coflexCOMMUNITY observational study is to collect information on patients with spinal stenosis undergoing back surgery with the coflex® implant, and to look at their outcomes and the cost-effectiveness of this procedure.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
325

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jun 2015

Longer than P75 for all trials

Geographic Reach
1 country

28 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2015

Completed
19 days until next milestone

First Posted

Study publicly available on registry

May 29, 2015

Completed
3 days until next milestone

Study Start

First participant enrolled

June 1, 2015

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2019

Completed
Last Updated

December 24, 2019

Status Verified

February 1, 2019

Enrollment Period

4.5 years

First QC Date

May 10, 2015

Last Update Submit

December 20, 2019

Conditions

Keywords

coflexinterlaminar stabilizationlumbar spinal stenosisneurogenic claudicationdecompression

Outcome Measures

Primary Outcomes (4)

  • Improvement in the Oswestry Disability Index (ODI), compared to pre-surgery

    The primary variable of performance is the assessment of Oswestry Low Back Pain Disability Index (ODI). It will be assessed if the improvement in ODI since the pre-surgery status is at least 15 points

    5 years

  • Patient has not undergone any reoperations, removals, revisions, or supplemental fixations;

    Assessment of reoperations, revisions, removals, or supplemental fixation associated with the coflex device.

    5 years

  • Patient has not had any major device related complications

    Assessment of major device-related complications, including but not limited to permanent new or increasing sensory or motor deficit at 2 years and 5 years.

    5 years

  • Patient has not undergone any Epidural injections

    Assessment of lumbar epidural injections

    5 years

Secondary Outcomes (4)

  • Zurich Claudication Questionnaire (ZCQ)

    5 years

  • Quality of Life

    5 years

  • VAS Leg Pain

    5 years

  • VAS Back Pain

    5 years

Study Arms (1)

Stenosis patients treated with coflex

Patients with a primary diagnosis of lumbar spinal stenosis treated with coflex after decompression

Device: coflex

Interventions

coflexDEVICE
Stenosis patients treated with coflex

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Cohort will be selected from clinic patients scheduled for surgery with coflex device after decompression

You may qualify if:

  • Patient is skeletally mature and has at least moderate impairment in function, experiences relief in flexion from his/her symptoms of leg/buttocks/groin pain, with or without back pain, and has undergone at least 6 months of non-operative treatment;
  • Patient is treated surgically at 1 or 2 contiguous lumbar motion segments with the coflex Interlaminar Device from L1-L5 after decompression of stenosis at the affected level(s), where such use is not contraindicated as noted below.

You may not qualify if:

  • Prior fusion or decompressive laminectomy at any index lumbar level;
  • Radiographically compromised vertebral bodies at any lumbar level(s) caused by current or past trauma or tumor (e.g., compression fracture);
  • Severe facet hypertrophy that requires extensive bone removal which would cause instability;
  • Grade II or greater spondylolisthesis;
  • Isthmic spondylolisthesis or spondylolysis (pars fracture);
  • Degenerative lumbar scoliosis (Cobb angle of greater than 25°);
  • Osteoporosis;
  • Back or leg pain of unknown etiology;
  • Axial back pain only, with no leg, buttock, or groin pain;
  • Morbid obesity defined as a body mass index \> 40;
  • Active or chronic infection - systemic or local;
  • Known allergy to titanium alloys or magnetic resonance imaging (MRI) contrast agents;
  • Cauda equina syndrome defined as neural compression causing neurogenic bowel or bladder dysfunction;
  • Vulnerable population including pregnant women, prisoners, students and employees of treating physicians, and others who can be subject to coercion;
  • Patient is unwilling to complete his/her surveys.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (28)

Center for Neurology and Spine

Phoenix, Arizona, 85032, United States

Location

Arizona Brain and Spine

Scottsdale, Arizona, 85225, United States

Location

Northwest NeuroSpecialists

Tucson, Arizona, 85741, United States

Location

The Spine Institute, Center for Spine Restoration

Santa Monica, California, 90403, United States

Location

Cantor Spine institute

Fort Lauderdale, Florida, 33306, United States

Location

Southeastern Integrated Medical

Gainesville, Florida, 32607, United States

Location

The Orthopaedic Institute

Gainesville, Florida, 32607, United States

Location

The BACK Center

Melbourne, Florida, 32901, United States

Location

All Florida Orthopaedics

St. Petersburg, Florida, 33703, United States

Location

Laser Spine Institute

Tampa, Florida, 33607, United States

Location

OrthoAtlanta

Lawrenceville, Georgia, 30046, United States

Location

Orthospine Center LTD

Palos Heights, Illinois, 60463, United States

Location

Orthopedic Center of Illinois

Springfield, Illinois, 62711, United States

Location

Brigham and Women's

Boston, Massachusetts, 02115, United States

Location

New England Orthopedic Surgeons

Springfield, Massachusetts, 01107, United States

Location

The Orthopedic Center of St. Louis

St Louis, Missouri, 63017, United States

Location

Orthopedic Sports Medicine & Spine Care Institute

St Louis, Missouri, 63122, United States

Location

North Jersey Brain and Spine Center

Oradell, New Jersey, 07649, United States

Location

IGEA Brain and Spine

Union, New Jersey, 07083, United States

Location

Spine and Orhtopedic Center of New Mexico

Roswell, New Mexico, 88201, United States

Location

Bassett Medical Center

Cooperstown, New York, 13326, United States

Location

Blue Ridge Bone and Joint

Arden, North Carolina, 28704, United States

Location

OrthoNeuro

Dublin, Ohio, 43017, United States

Location

Consulting Orthopaedic Associates

Sylvania, Ohio, 43560, United States

Location

OrthoTexas

Carrollton, Texas, 75010, United States

Location

Center for Spine Care

Dallas, Texas, 75287, United States

Location

NeoSpine

Seattle, Washington, 98372, United States

Location

Bighorn Medical Center

Cody, Wyoming, 82414, United States

Location

MeSH Terms

Conditions

Spinal Stenosis

Condition Hierarchy (Ancestors)

Spinal DiseasesBone DiseasesMusculoskeletal Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2015

First Posted

May 29, 2015

Study Start

June 1, 2015

Primary Completion

December 1, 2019

Study Completion

December 1, 2019

Last Updated

December 24, 2019

Record last verified: 2019-02

Locations