Restore CLINICAL TRIAL

Degenerative Disc Disease Clinical Trial

Official title:

Prospective, Non-Randomized, Concurrently Controlled, Multi-Center Study to Evaluate the Safety and Effectiveness of the Spinal Kinetics™ M6-C Artificial Cervical Disc Compared to Anterior Cervical Discectomy and Fusion (ACDF) for the Treatment of Symptomatic Cervical Radiculopathy

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT01609374
• Other study ID #: CA-C002
• Status: Active, not recruiting
• Phase: N/A
• Start date: May 2014
• Est. completion date: December 31, 2019

Study information

• Verified date: March 2019
• Source: Spinal Kinetics
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a prospective, concurrently controlled, multi-center study to evaluate the safety and effectiveness of the Spinal Kinetics M6-C artificial cervical disc compared to anterior cervical discectomy and fusion (ACDF) for the treatment of symptomatic cervical radiculopathy with or without cord compression. Some participating sites will enroll just M6-C patients, while others will enroll just ACDF patients.

Patients eligible for study enrollment will present with degenerative cervical radiculopathy requiring surgical intervention, confirmed clinically and radiographically, at one vertebral level from C3 to C7.

A total of 243 subjects will be included at up to 20 sites.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 258
• Est. completion date: December 31, 2019
• Est. primary completion date: December 31, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

All study subjects must present with degenerative cervical radiculopathy with or without spinal cord compression, confirmed clinically and radiologically, requiring surgical intervention at a single vertebral level from C3 to C7.

Inclusion Criteria:

1. Diagnosis of degenerative cervical radiculopathy with or without spinal cord compression requiring surgical treatment at one level from C3 to C7 demonstrated by signs and/or symptoms of disc herniation and/or osteophyte formation (e.g. neck and/or arm pain, radiculopathy, etc.) and is confirmed by patient history and radiographic studies (e.g. MRI, CT, x-rays, etc.)

2. Inadequate response to conservative medical care over a period of at least 6 weeks

3. Neck Disability Index score of = 30% (raw score of = 15/50)

4. Neck or arm pain VAS = 4 on a scale of 0 to 10

5. Willing and able to comply with the requirements of the protocol including follow-up requirements

6. Willing and able to sign a study specific informed consent

7. Skeletally mature and = 18 years old and = 75 years old

Exclusion Criteria:

1. More than one cervical level requiring surgery

2. Previous anterior cervical spine surgery

3. Axial neck pain as the solitary symptom

4. Previous posterior cervical spine surgery (e.g., posterior element decompression) that destabilizes the cervical spine

5. Advanced cervical anatomical deformity (e.g., ankylosing spondylitis, scoliosis) at the operative or adjacent levels

6. Symptomatic facet arthrosis

7. Less than 4º of motion in flexion/extension at the index level

8. Instability as evidenced by subluxation > 3 mm at the index or adjacent levels as indicated on flexion/extension x-rays

9. Advanced degenerative changes (e.g., spondylosis) at the index vertebral level as evidenced by bridging osteophytes, central disc height < 4mm and/or < 50% of the adjacent normal intervertebral disc, or kyphotic deformity > 11º on neutral x-rays

10. Severe cervical myelopathy (i.e., Nurick's Classification > 2)

11. Active systemic infection or infection at the operative site

12. Co-morbid medical conditions of the spine or upper extremities that may affect the cervical spine neurological and/or pain assessment

13. Metabolic bone disease such as osteoporosis that contradicts spinal surgery (for females over 50 and males over 55 years old, or if the score on the Osteoporosis Self-Assessment Test is < 2, a dual energy x-ray absorptiometry [DEXA scan] of the spine is required; if the bone mineral density T-score in the spine is = -2.5 the patient must be excluded)

14. History of an osteoporotic fracture of the spine, hip or wrist

15. History of an endocrine or metabolic disorder (e.g., Paget's disease) known to affect bone and mineral metabolism

16. Taking medications that may interfere with bony/soft tissue healing including chronic steroid use

17. Known allergy to titanium, stainless steels, polyurethane, polyethylene, or ethylene oxide residuals

18. Rheumatoid arthritis or other autoimmune disease or a systemic disorder such as HIV, active hepatitis B or C or fibromyalgia

19. Insulin-dependent type 1 or type 2 diabetes

20. Medical condition (e.g., unstable cardiac disease, cancer) that may result in patient death or have an effect on outcomes prior to study completion

21. Pregnant, or intend to become pregnant, during the course of the study

22. Severe obesity (Body Mass Index > 40)

23. Physical or mental condition (e.g., psychiatric disorder, senile dementia, Alzheimer's disease, alcohol or drug addiction) that would interfere with patient self-assessment of function, pain or quality of life.

24. Involved in current or pending spinal litigation where permanent disability benefits are being sought

25. Incarcerated at the time of study enrollment

26. Current participation in other investigational study that may impact study outcomes

Related Conditions & MeSH terms

• Cervical Radiculopathy
• Degenerative Disc Disease
• Intervertebral Disc Degeneration
• Radiculopathy

Intervention

Device:
• M6-C Artificial Cervical Disc
Total disc replacement
• Anterior plate system with corticocancellous allograft bone
Cervical fusion

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Spinal Kinetics

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Safety Evaluation through 24 months	Evaluate the safety by assessing adverse events and neurological function following implantation with the Spinal Kinetics M6-C artificial cervical disc compared to anterior cervical discectomy and fusion (ACDF)	24 months
Primary	Effectiveness Evaluation through 24 months	Evaluate the effectiveness using Neck Disability Index (NDI)	24 months
Secondary	Effectiveness of the Spinal Kinetics M6-C artificial cervical disc compared to anterior cervical discectomy and fusion (ACDF)	Evaluate the Neck and Arm pain VAS, health-related quality of life SF-36, surgery outcomes, patient satisfaction and quantitative and qualitative radiographic assessments	6 weeks, 3 months, 6 months, 12 months, 24 months