Back Pain Clinical Trial
Official title:
A Multicenter, Randomized, Blinded, Saline-Controlled Trial of Resorbable Biologic Disc Augmentation for Treatment of Symptomatic Lumbar Internal Disc Disruption (IDD) With the Biostat® System
The purpose of this investigation is to establish the safety and efficacy of the Biostat System when used for treatment of chronic low back (lumbar) pain due to symptomatic internal disc disruptions (IDD) by comparing safety and efficacy outcome measures between one group receiving BIOSTAT BIOLOGX® Fibrin Sealant through the Biostat® Delivery Device and another group receiving a preservative-free normal saline control delivered with the Biostat Delivery Device.
The Biostat System is a combination product combining a resorbable biologic product with a
delivery device system used to prepare and insert the biologic material into a lumbar
intervertebral disc.
Symptomatic IDD is defined as a painful disruption of the internal architecture of a lumbar
intervertebral disc, which appears as fissures, cracks or tears within the internal
structures of the disc. Pain arising from a lumbar disc may not only be perceived as pain
located in the low back (axial pain) but also as somatic referred pain involving the
posterior hips, buttocks, lateral hips, groin, or posterior thighs.
The diagnosis of symptomatic IDD cannot currently be made on the basis of imaging studies,
physical examination, or symptoms alone, and is best established with meticulously conducted
disc provocation studies (provocation discography) that include pressure manometry and
identification of an adjacent normal disc.
This treatment and study are not designed for patients exhibiting other potential sources of
chronic low back pain such as more advanced degenerative disc disease with significant loss
of disc height (>33%), spinal stenosis, or spondylolisthesis (see Eligibility Criteria).
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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