NCT03896347

Brief Summary

The purpose of this study is to assess clinical and radiographic outcomes in patients who undergo three-level oblique lateral lumbar interbody fusion (OLIF) using ViBone, demineralized bone matrix (DBM), and bone morphogenetic protein (BMP). One product will be used on each level. Subjects will be followed for 12 months following surgery to assess degree of mineralization via computed tomography (CT) scan at 6 and 12 months, mean time to fusion, and maturation of fusion mass postoperatively via x-ray radiograph.

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Jul 2019

Shorter than P25 for all trials

Status
withdrawn

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

March 27, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 29, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

July 1, 2019

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 7, 2020

Completed
6 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 13, 2020

Completed
Last Updated

July 20, 2023

Status Verified

July 1, 2023

Enrollment Period

7 months

First QC Date

March 27, 2019

Last Update Submit

July 19, 2023

Conditions

Keywords

OLIFViBoneDBMBMPDDD

Outcome Measures

Primary Outcomes (2)

  • Graft Mineralization/Fusion

    Degree of graft mineralization/fusion for each product via CT scan

    12 months

  • Graft Mineralization/Fusion

    Degree of graft mineralization/fusion for each product via CT scan

    6 months

Secondary Outcomes (2)

  • Fusion Rates

    3, 6, and 12 months

  • Time to Fusion

    3, 6, and 12 months

Other Outcomes (1)

  • Complications and serious adverse reactions

    Through study completion at 12 months

Study Arms (3)

ViBone®

One product will be used on each level. At the time of surgery, implantation of ViBone®, DBM, and BMP will be randomized between the three treated levels.

Other: ViBone®Other: Demineralized Bone MatrixOther: Bone Morphogenetic Protein

Demineralized Bone Matrix

One product will be used on each level. At the time of surgery, implantation of ViBone®, DBM, and BMP will be randomized between the three treated levels.

Other: ViBone®Other: Demineralized Bone MatrixOther: Bone Morphogenetic Protein

Bone Morphogenetic Protein

One product will be used on each level. At the time of surgery, implantation of ViBone®, DBM, and BMP will be randomized between the three treated levels.

Other: ViBone®Other: Demineralized Bone MatrixOther: Bone Morphogenetic Protein

Interventions

Viable bone allograft

Bone Morphogenetic ProteinDemineralized Bone MatrixViBone®

Demineralized Bone Matrix

Bone Morphogenetic ProteinDemineralized Bone MatrixViBone®

Bone Morphogenetic Protein

Bone Morphogenetic ProteinDemineralized Bone MatrixViBone®

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Up to 120 male and female OLIF patients at up to 5 centers in the United States will be enrolled.

You may qualify if:

  • Male or female, 18-80 years of age
  • Patient must have degenerative disc disease, defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies, affecting three contiguous levels between L2 and S1. Affected levels may also have up to Grade 1 spondylolisthesis or retrolisthesis
  • Patient must have at least 6 months on non-operative treatment prior to study enrollment
  • Patient signed Informed Consent Form
  • Patient signed HIPAA Authorization (may be part of the ICF)
  • Appropriate candidate for OLIF surgery using ViBone®, DBM, and BMP)
  • Patient will adhere to the scheduled follow-up visits and requirements of the protocol
  • Routine patient exams include pre-operative, operative, and three post-operative visits (3, 6, and 12 months post-surgery)
  • CT scan of surgical site 6 and 12 months post-surgery

You may not qualify if:

  • Long-term, chronic use of medications that are known to inhibit fusion, bone metabolism, or immune suppressants 6 months prior to surgery (i.e., steroids, chemotherapy, DMARDs, etc.)
  • Treatment with radiotherapy
  • Patients who have who have had surgery for primary tumors or metastatic malignant tumors of the lumbar or sacral spine
  • Nursing mothers or women who are pregnant or plan to become pregnant during the course of the study
  • Current or recent history of malignancy or infectious disease. Patients with current or recent history of basal cell carcinoma are eligible.
  • Inability to provide informed consent
  • Rapid joint disease, bone absorption, osteomalacia, and/or diagnosed osteoporosis (bone density test score of \<-2.5).
  • Other medical or surgical conditions which would preclude the potential benefit of surgery, such as congenital abnormalities, immunosuppressive disease, elevation of sedimentation rate unexplained by other diseases, elevation of white blood count (WBC), or marked left shift in the WBC differential count.
  • Morbid obesity as defined by a body mass index (BMI) of 40 or greater
  • Patients with an allergy to titanium or titanium alloy
  • Patients who are skeletally immature (\<18 years of age or no radiographic evidence of epiphyseal closure)
  • Active local or systemic infection or is undergoing adjunctive treatment for local or systemic infection.
  • Patients with a known hypersensitivity to recombinant Bone Morphogenetic Protein-2, bovine Type I collagen, or to other components of the formulation of the BMP

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

SpondylolisthesisIntervertebral Disc Degeneration

Interventions

Grafton demineralized bone matrix gelBone Morphogenetic Proteins

Condition Hierarchy (Ancestors)

SpondylolysisSpondylosisSpinal DiseasesBone DiseasesMusculoskeletal Diseases

Intervention Hierarchy (Ancestors)

TGF-beta Superfamily ProteinsIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors
0

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 27, 2019

First Posted

March 29, 2019

Study Start

July 1, 2019

Primary Completion

February 7, 2020

Study Completion

February 13, 2020

Last Updated

July 20, 2023

Record last verified: 2023-07