NCT02465099

Brief Summary

The OSTEOVUEâ„¢ Spine Dissector is a new ultrasonic energy device, specifically designed for soft tissue removal from vertebral surfaces. The aim of the present study is to compare blood loss in multilevel PSF surgeries in patients with adolescent scoliosis (idiopathic or neuromuscular) done with ED or with UD. Blood loss will be estimated by major intraoperative surgical Stage (1 and 2) and postoperatively (until discharge). Additionally, the study will assess the possible influence of the device use in secondary perioperative outcomes.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
64

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jun 2015

Shorter than P25 for phase_4

Geographic Reach
1 country

5 active sites

Status
terminated

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2015

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

June 3, 2015

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 8, 2015

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2016

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

February 19, 2018

Completed
Last Updated

February 19, 2018

Status Verified

February 1, 2018

Enrollment Period

11 months

First QC Date

June 3, 2015

Results QC Date

September 13, 2017

Last Update Submit

February 15, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Estimated Intraoperative Blood Loss

    Estimated blood loss during intraoperative Stage 1, defined as the period from first incision to the first bone violation/cut (e.g., first pedicle screw drill); and intraoperative Stage 2, defined as the period from first bone violation/cut to last suture.

    Intraoperative

Study Arms (2)

Electrocautery Dissection (ED)

ACTIVE COMPARATOR

Patients meeting the study criteria, scheduled to undergo posterior spinal fusion (PSF) using monopolar electrocautery and metal Cobb elevator (considered the current standard) for soft tissue dissection and removal from vertebral surfaces.

Device: Electrocautery Dissection (ED)

Ultrasonic Dissection (UD)

EXPERIMENTAL

Patients meeting the study criteria, scheduled to undergo PSF using ultrasonic dissection and metal Cobb elevator for soft tissue dissection and removal from vertebral surfaces.

Device: Ultrasonic Dissection (UD)

Interventions

Ultrasonic energy will be used as the primary means for soft tissue dissection in patients diagnosed with adolescent scoliosis undergoing multilevel (\>=6) PSF

Also known as: Harmonic ultrasonic dissection
Ultrasonic Dissection (UD)

Electrocautery dissection will be used as the primary means for soft tissue dissection in patients diagnosed with adolescent scoliosis undergoing multilevel (\>=6) PSF

Electrocautery Dissection (ED)

Eligibility Criteria

Age10 Years - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Between 10 and 21 years of age;
  • Diagnosed with neuromuscular scoliosis associated with cerebral palsy or with idiopathic scoliosis between the ages of 10 and 18;
  • Indicated for primary PSF surgery;
  • Anticipated \>= 6 vertebrae fusions;
  • Not in need of three column osteotomy (pedicle subtraction osteotomy \[PSO\]);
  • Not in need of vertebral column resection (VCR);
  • Curve magnitude \>45 degrees for scoliosis and for sagittal deformity; and
  • An American Society of Anesthesiologists (ASA) physical status (PS) classification of 1 to 4

You may not qualify if:

  • One or both parents or a guardian unable or unwilling to provide parental permission and child assent (if capable, the child must express willingness to participate);
  • Previous failed vertebral fusion at same target levels;
  • Syndromic scoliosis;
  • Congenital scoliosis;
  • Early-onset scoliosis (onset before 10 years of age);
  • Requiring an anterior procedure;
  • Requiring PSO;
  • Requiring VCR;
  • Presence of coagulation abnormalities;
  • Planned staged procedure (exclude if second stage or beyond);
  • Requiring emergency surgery; and/or
  • Participation in any other clinical study (not to include registry or survey-only studies) for the duration of the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Valley Children's Hospital

Madera, California, 93638, United States

Location

Nemours/Alfred I. duPont Hospital for Children

Wilmington, Delaware, 19803, United States

Location

Shriners Hospital for Children - Chicago

Chicago, Illinois, 60707, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Shriners Hospitals for Children-Philadelphia

Philadelphia, Pennsylvania, 19140, United States

Location

MeSH Terms

Conditions

Scoliosis

Condition Hierarchy (Ancestors)

Spinal CurvaturesSpinal DiseasesBone DiseasesMusculoskeletal Diseases

Limitations and Caveats

Study was terminated due to internal strategic considerations and not for any patient safety concerns.

Results Point of Contact

Title
Jason Waggoner
Organization
Ethicon Inc

Study Officials

  • Edmund Kassis, M.D.

    Ethicon, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 3, 2015

First Posted

June 8, 2015

Study Start

June 1, 2015

Primary Completion

May 1, 2016

Study Completion

May 1, 2016

Last Updated

February 19, 2018

Results First Posted

February 19, 2018

Record last verified: 2018-02

Data Sharing

IPD Sharing
Will not share

There is no plan to make IPD available.

Locations