NCT02704689

Brief Summary

This is a post-market clinical study of the AccuLIF expandable transforaminal lumbar interbody fusion (TLIF) cage in patients requiring surgery for degenerative disc disease (DDD) with up to Grade I spondylolisthesis or retrolisthesis, at one or two levels, between L2 and S1.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
9

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2016

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

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

February 17, 2016

Completed
22 days until next milestone

First Posted

Study publicly available on registry

March 10, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

June 8, 2016

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 19, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 19, 2017

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

April 24, 2018

Completed
Last Updated

April 24, 2018

Status Verified

April 1, 2018

Enrollment Period

8 months

First QC Date

February 17, 2016

Results QC Date

March 22, 2018

Last Update Submit

April 20, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Post-operative Radiographic Measurements to Evaluate Segmental Lordosis as Measured by Degree of Change From Pre-operative X-rays.

    Post-operative radiographic measurements to evaluate segmental lordosis as measured by degree of change from pre-operative x-rays.

    24 months

  • Pre-operative Comparison to Post-operative Radiographic Outcomes of Disc Height as Measured in mm.

    Pre-operative comparison to post-operative radiographic outcomes of disc height as measured in mm.

    24 months

Secondary Outcomes (12)

  • Surgical Outcomes: To Measure the Length of Surgery as Measured in Time of Surgery Duration.

    Operative Visit

  • Surgical Outcomes: To Evaluate the Length of Time Hospitalized for the Index Procedure as Measured in Days.

    Peri-op

  • Surgical Outcomes: To Measure the Amount of Blood Loss at the Time of Surgery.

    Operative Visit

  • Medical Outcomes: Incidence of Complications Associated With the Procedure and/or Device.

    24 months

  • Medical Outcomes: Comparison of Pre-operative Neurological Reflex Evaluations in the Lower Extremities to Post-operative Findings

    24 months

  • +7 more secondary outcomes

Study Arms (1)

AccuLIF

EXPERIMENTAL
Device: AccuLIF expandable TLIF cage

Interventions

AccuLIF TL expandable interbody cage used with autogenous bone and/or allograft (cancellous or corticocancellous allograft chips) and supplemental fixation.

AccuLIF

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is skeletally mature and between 18 and 70 years of age.
  • DDD and up to Grade I spondylolisthesis or retrolisthesis, requiring decompression and arthrodesis at one or two contiguous levels between L2 and S1.
  • No previous surgery at the same or adjacent level (other than microdiscectomy / laminectomy) at the same or adjacent level.
  • Non-responsive to conservative (non-surgical) treatment for back pain for a minimum of 6 months.
  • Subject understands the conditions of enrollment and is willing to sign and date the Informed Consent.
  • Subject agrees to comply with visit schedule and completing study questionnaires.

You may not qualify if:

  • Significant instability of the spine.
  • Requires TLIF at more than 2 levels between L2 and S1.
  • Previously undergone lumbar spine surgery (other than microdiscectomy / laminectomy) at the same or adjacent level.
  • Younger than 18 years of age, or older than 70 years of age.
  • BMI of 40 or greater.
  • History of metabolic bone disease
  • Osteoporosis
  • Diabetes mellitus requiring daily insulin management.
  • Subject has any of the following:
  • Progressive neuromuscular disease; OR
  • Autoimmune disease; OR
  • Active malignancy within the last 15 years; OR
  • Active hepatitis; OR
  • AIDS, ARC, or is HIV positive; OR
  • Syringomyelia at any spinal level; OR
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Missouri Health Care

Columbia, Missouri, 65212, United States

Location

MeSH Terms

Conditions

Intervertebral Disc DegenerationSpondylolisthesisLymphoma, Follicular

Condition Hierarchy (Ancestors)

Spinal DiseasesBone DiseasesMusculoskeletal DiseasesSpondylolysisSpondylosisLymphoma, Non-HodgkinLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Limitations and Caveats

A total of 100 subjects were planned for enrollment. However, this study was terminated early due to lack of enrollment with only 9 enrolled subjects and 6 treated subjects. No subjects reached the 24 month analysis visit.

Results Point of Contact

Title
Jennifer Warnke
Organization
Stryker

Study Officials

  • Theodore Choma, MD

    University of Missouri Health Care

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 17, 2016

First Posted

March 10, 2016

Study Start

June 8, 2016

Primary Completion

January 19, 2017

Study Completion

January 19, 2017

Last Updated

April 24, 2018

Results First Posted

April 24, 2018

Record last verified: 2018-04

Data Sharing

IPD Sharing
Will not share

Locations