NCT03367039

Brief Summary

The object of this study is to assess the long-term safety and efficacy of cervical disc replacement with the ProDisc-C vivo Cervical Disc in a prospective, randomized, multi-center trial with 7 years of follow-up.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
648

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2018

Longer than P75 for not_applicable

Status
unknown

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

November 29, 2017

Completed
9 days until next milestone

First Posted

Study publicly available on registry

December 8, 2017

Completed
3 months until next milestone

Study Start

First participant enrolled

March 1, 2018

Completed
7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2025

Completed
Last Updated

December 8, 2017

Status Verified

December 1, 2017

Enrollment Period

7 years

First QC Date

November 29, 2017

Last Update Submit

December 4, 2017

Conditions

Keywords

ProDisc-C vivoACDFCervical degenerative disc disease

Outcome Measures

Primary Outcomes (1)

  • Change of overall success rate

    A patient's outcome was considered an overall success if all of the following conditions were met: 1) postoperative (Neck Disability Index) NDI score improvement of at least a 15-point increase from preoperative score; 2) maintenance or improvement in neurological status; 3) disc height success; 4) no serious adverse event classified as implant associated or implant/surgical procedure associated; and 5) no additional surgical procedure classified as a "failure".

    The overall success will be assessed at each time point (1.5, 3, 6, 12, 24, 36, 60, and 84 months after the surgical treatments).

Secondary Outcomes (3)

  • Change of sagittal angular motion

    The radiographic outcomes will be obtained at each study point (before surgery,1.5, 3, 6, 12, 24, 36, 60, and 84 months after the surgical treatments).

  • Change of neck disability index scores

    The NDI scores will be obtained at each study point (before surgery,1.5, 3, 6, 12, 24, 36, 60, and 84 months after the surgical treatments).

  • Change of Arm and Neck pain intensity

    Neck and arm pain scores will be measured at each study point (before surgery,1.5, 3, 6, 12, 24, 36, 60, and 84 months after the surgical treatments).

Study Arms (2)

ProDisc-C vivo

EXPERIMENTAL

This group of patients will be treated with ProDisc-C vivo disc replacement (single segment).

Procedure: ProDisc-C vivo

Anterior cervical discectomy fusion

ACTIVE COMPARATOR

This group of patients will be treated with anterior cervical discectomy fusion (ACDF) procedure (single segment).

Procedure: Anterior cervical discectomy fusion

Interventions

Total Disc Replacement using ProDisc-C vivo.

ProDisc-C vivo

Anterior Cervical Discectomy and Fusion

Anterior cervical discectomy fusion

Eligibility Criteria

Age20 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Single-level cervical disc disease.
  • At least one additional confirmatory neuroradiographic study, such as MRI or CT- enhanced myelography that showed findings consistent with clinical findings and complaints.

You may not qualify if:

  • Patients have cervical spinal conditions other than single-level symptomatic degenerative disc disease or evidence of instability.
  • Symptomatic disc disease at level C2 -3 or C7-T1.
  • A history of discitis.
  • A medical condition that required medication,such as steroids or nonsteroidal antiinflammatory medications that could interfere with fusion.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (3)

  • Sasso RC, Anderson PA, Riew KD, Heller JG. Results of cervical arthroplasty compared with anterior discectomy and fusion: four-year clinical outcomes in a prospective, randomized controlled trial. J Bone Joint Surg Am. 2011 Sep 21;93(18):1684-92. doi: 10.2106/JBJS.J.00476.

    PMID: 21938372BACKGROUND
  • Steinmetz MP, Patel R, Traynelis V, Resnick DK, Anderson PA. Cervical disc arthroplasty compared with fusion in a workers' compensation population. Neurosurgery. 2008 Oct;63(4):741-7; discussion 747. doi: 10.1227/01.NEU.0000325495.79104.DB.

    PMID: 18981885BACKGROUND
  • Mummaneni PV, Burkus JK, Haid RW, Traynelis VC, Zdeblick TA. Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial. J Neurosurg Spine. 2007 Mar;6(3):198-209. doi: 10.3171/spi.2007.6.3.198.

    PMID: 17355018BACKGROUND

MeSH Terms

Conditions

Intervertebral Disc Degeneration

Condition Hierarchy (Ancestors)

Spinal DiseasesBone DiseasesMusculoskeletal Diseases

Study Officials

  • Zhenqi Zhu, Master

    Peking University People's Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Weiwei Xia, Ph.D.

CONTACT

Zhenqi Zhu, Master

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: 648 DDD patients (age from 20 to 70) from several hospitals matching the inclusion criteria will be randomly assigned to two groups (324 patients in each group). One group will be treated with ProDisc-C vivo disc replacement. The other groups will be treated with ACDF.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

November 29, 2017

First Posted

December 8, 2017

Study Start

March 1, 2018

Primary Completion

March 1, 2025

Study Completion

March 1, 2025

Last Updated

December 8, 2017

Record last verified: 2017-12

Data Sharing

IPD Sharing
Will not share