NCT06320899

Brief Summary

The purpose of this multi-center, randomized, clinical study is to show that the treatment of degenerative lumbar spine with high- or mid-flex rods is not inferior to the treatment with low-flex rods in terms of clinical and safety-related results. The primary aim is to compare the reduction in back pain after the treatment with high- or mid-flex rods with that after treatment with low-flex rods. Secondary, the functionality after treatment with high- or mid-flex rods will be compared to that after treatment with low-flex rods.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
126

participants targeted

Target at P50-P75 for not_applicable

Timeline
65mo left

Started Jun 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress27%
Jun 2024Aug 2031

First Submitted

Initial submission to the registry

March 13, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 20, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

June 4, 2024

Completed
7.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2031

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2031

Last Updated

June 25, 2024

Status Verified

June 1, 2024

Enrollment Period

7.2 years

First QC Date

March 13, 2024

Last Update Submit

June 21, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Visual Analogue Scale (VAS) lower back pain

    self reported back pain intensity using Visual Analogue Scale system. 0 "no pain" to 10 "worst possible pain"

    24 months post-implantation

Secondary Outcomes (6)

  • Visual Analogue Scale (VAS) leg pain

    3, 12, 24, 60 months post-implantation

  • walking duration

    3, 12, 24, 60 months post-implantation

  • medication consumption

    3, 12, 24, 60 months post-implantation

  • adverse events

    after 3, 12, 24, 60 months post-implantation

  • segmental mobility index level

    3, 12, 24, 60 months post-implantation

  • +1 more secondary outcomes

Study Arms (3)

SpineShape System IV straight rod elastic

EXPERIMENTAL

Dynamic stabilization of lumbar segments using SpineShape System IV straight rod elastic (high-flex)

Device: SpineShape System IV straight rod elastic

SpineShape System IV straight rod medium

EXPERIMENTAL

Dynamic stabilization of lumbar segments using SpineShape System IV straight rod medium (mid-flex)

Device: SpineShape System IV straight rod medium

SpineShape System IV straight rod stiff

ACTIVE COMPARATOR

Dynamic stabilization of lumbar segments using SpineShape System IV straight rod stiff (low-flex)

Device: SpineShape System IV straight rod stiff

Interventions

Implantation of SpineShape System IV straight rod elastic

SpineShape System IV straight rod elastic

Implantation of SpineShape System IV straight rod medium (mid-flex)

SpineShape System IV straight rod medium

Implantation of SpineShape System IV straight rod stiff (low-flex)

SpineShape System IV straight rod stiff

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • degenerative symptoms in 1 to 2 segments in the lumbar spine L1-S1
  • signed informed consent of participant
  • confirmation of the participant that the attendance of follow-up visits are intended
  • Body-Mass-Index \< 32
  • Pedicle screw axis distance \< 30mm
  • one or more of the following indications:
  • (dynamic) stenosis in the spinal canal
  • neuroforaminal stenosis
  • facet joint syndrome / spondylarthrosis
  • discopathy (recurrent disc hernia)
  • degenerative spondylolisthesis (Meyerding \<1)
  • instability (hypermobility with antelishtesis, hypomobility with retrolisthesis if decompressed)

You may not qualify if:

  • missing bone structure, e.g. due to congenital anomalies or sever anatomical deformities that make anchoring of the implant impossible
  • damaged structural tissue, e.g. due to a bone fracture
  • application to the thoracic or cervical spine
  • pronounced idiopathic scoliosis
  • spondylolisthesis \> Meyerding grad 1
  • isthmic spondolylysis
  • bone tumor
  • osteochondrosis modic type I, II or III
  • osteoporosis, which could impair screw anchoring
  • history with third party implants
  • patients with an active local or systemic infection
  • known allergy to titatnium alloys
  • skeleton in growth (epiphyseal joints not closed)
  • severe muscular neuronal or vascular disease
  • immunosuppresive therapy
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Spital Aarberg

Aarberg, 3270, Switzerland

RECRUITING

Hirslanden Klinik Linde

Biel, 2501, Switzerland

RECRUITING

MeSH Terms

Conditions

Spondylarthritis

Condition Hierarchy (Ancestors)

SpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint Diseases

Study Officials

  • Philipp Cathrein, Dr.med.

    Hirslanden Klinik Linde

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 13, 2024

First Posted

March 20, 2024

Study Start

June 4, 2024

Primary Completion (Estimated)

August 31, 2031

Study Completion (Estimated)

August 31, 2031

Last Updated

June 25, 2024

Record last verified: 2024-06

Locations