Efficacy of the Aspen Spinous Process System in Anterior Lumbar Interbody Fusion (ALIF)

Degenerative Disc Disease Clinical Trial

Official title:

A Multi-Center Prospective Randomized Study to Evaluate the Efficacy of the Aspen Spinous Process System for Use in Anterior Lumbar Interbody Fusion (ALIF)

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT01016314
• Other study ID #: ASP-09-001
• Status: Withdrawn
• Phase: N/A
• Start date: November 2009
• Est. completion date: January 2016

Study information

• Verified date: January 2019
• Source: Zimmer Biomet
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a multi-center, prospective randomized clinical study to evaluate the clinical outcome of subjects with degenerative disc disease (DDD) treated with ALIF and supplemental posterior fixation using ASPEN Spinous Process System compared to pedicle screw instrumentation.

Description:

This is a multi-center, prospective randomized clinical study to evaluate the clinical outcome of subjects with DDD who are treated with ALIF and supplemental posterior fixation using Aspen compared to pedicle screw instrumentation. The study will involve up to approximately 25 investigational sites and enroll up to 156 67 subjects. The randomization ratio of two Aspen subjects to one pedicle screw subject (2:1) will be utilized.

Subjects with lumbar DDD who are candidates for ALIF at a single level will be screened for inclusion in the study. If the subject meets all of the eligibility criteria, they will be enrolled and randomized to either the Aspen or pedicle screw group. Subjects will continue to be followed by the guidelines set forth in this clinical protocol, which include: a postoperative discharge exam; six week, three month, six month, and one year post-op visits; and, concludes with a two year post-op visit. The follow-up is counted from the day of surgery. The enrollment period is expected to be approximately 12 months and subjects will be followed for 2 years post-op for the duration of the clinical investigation. The anticipated duration of the study is approximated to be 3 years.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: January 2016
• Est. primary completion date: January 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• Age between 18 and 75 years

• Scheduled for an elective single level ALIF with posterior fixation

• Diagnosis of primary symptomatic DDD confirmed with appropriate imaging studies and/or positive lumbar discography

• Oswestry Disability Index (ODI) v 2.1 score >30%

• Failed at least 6 weeks of conservative care (non-surgical)/clinical signs of neurological deterioration

• No contraindications for ASPEN spinous process system (at the discretion of the investigator)

Exclusion Criteria:

• Prior lumbar fusion surgery at any level (prior discectomy and/or laminectomy allowed)

• Spondylolisthesis grade 3 or more

• Lytic spondylolisthesis

• Incompetent or missing posterior arch at the affected level (e.g. laminectomy, pars defect)

• Currently requires laminectomy at level of surgery

• Facet joints at implant level are absent or fractured

• Post-traumatic vertebral body compromise or acute fracture at implant level

• Body mass Index (BMI) > 40

• Known allergy to titanium

• Osteoporosis: SCORE (Simple Calculated Osteoporosis Risk Estimation) will be used to screen subjects who require DEXA. Subjects with T-score < -2.5 will be excluded

• Paget's disease, osteomalacia, or any other metabolic bone disease

• Use of medications or any drug known to potentially interfere with bone/soft tissue healing (e.g. chronic systemic steroids)

• Planned use of Bone Morphogenetic Protein (BMP)

• Unlikely to comply with the follow-up evaluation schedule

• Subject has recent history (less than 3 years) of chemical substance dependency or significant psychosocial disturbance that may impact the outcome or study participation

• Participation in a clinical trial of another investigational drug or device within the past 30 days

• Systemic infection such as AIDS, HIV, and active hepatitis

• Active malignancy defined as history of invasive malignancy, except if the subject has received treatment and displayed no clinical signs and symptoms for at least five years

• Pregnant or planning to become pregnant during the length of study participation

• Involvement in active litigation related to back problems at the time of screening

• Direct involvement in the execution of this protocol

Related Conditions & MeSH terms

• Degenerative Disc Disease
• Intervertebral Disc Degeneration

Intervention

Device:
• Aspen Spinous Process System
Aspen Spinous Process System is an interspinous process fixation device
• Pedicle Screw Fixation
Pedicle Screws are used for the fixation of the spine

Locations

Country	Name	City	State
United States	Kansas University Medical Center	Kansas City	Kansas
United States	New York University School of Medicine	New York	New York
United States	Pomona Valley Hospital Medical Center	Pomona	California
United States	University of California, Davis	Sacramento	California
United States	South Texas Spine	San Antonio	Texas

Sponsors (1)

Lead Sponsor	Collaborator
Zimmer Biomet

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Oswestry Disability Index (ODI)		2 years