Osteocel® Plus in Anterior Lumbar Interbody Fusion (ALIF)

Degenerative Disc Disease, Lumbar Clinical Trial

Official title:

Osteocel® Plus in Anterior Lumbar Interbody Fusion (ALIF): Evaluation of Radiographic and Patient Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00948831
• Other study ID #: NUVA.OC-0803
• Status: Completed
• Phase: N/A
• First received: July 27, 2009
• Last updated: April 17, 2015
• Start date: April 2009
• Est. completion date: October 2012

Study information

• Verified date: April 2015
• Source: NuVasive
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

This study is being conducted to determine the percentage of patients with solid spinal fusions after being treated with Osteocel Plus in an ALIF procedure. Due to the unique processing conditions, Osteocel Plus retains a high concentration of stem cells in conjunction with the allograft bone matrix, so it is hypothesized that the fusion rate with Osteocel Plus will be comparable to published data for autograft. The Osteocel product family has already been used in approximately 15,000 cases worldwide.

Description:

This is a prospective, non-randomized multi-center study to compare the use of Osteocel Plus in subjects who receive ALIF surgery at one or two levels. These subjects will present with degenerative conditions in the lumbar spine that are amenable to surgical treatment and will be screened prior to study enrollment. Subjects will receive Osteocel Plus during their ALIF operation. Subjects will be followed for 24-months following surgery to determine the number of study subjects that are solidly fused at or before 24 months postoperatively, and to determine the mean time to fusion. This data will be compared to published and/or retrospective data for autograft, synthetic ceramics and BMP.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 51
• Est. completion date: October 2012
• Est. primary completion date: October 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

1. Persistent back and/or leg pain unresponsive to conservative treatment for at least six (6) months, unless clinically indicated earlier

2. Indicated for interbody fusion of one or two contiguous lumbar segments (L1 to S1)

3. Objective evidence of primary diagnosis must be confirmed by appropriate imaging studies

4. 18-70 years of age at the date of written informed consent

5. Able to undergo surgery based on physical exam, medical history and surgeon judgment

6. Expected to survive at least 2 years beyond surgery

7. Willing and able to return for post-treatment exams according to the follow-up called for in the protocol

8. Signed and dated Informed Consent Form

Exclusion Criteria:

1. Patient has a mental or physical condition that would limit the ability to comply with study requirements

2. Lumbar spine abnormality requiring treatment at more than two levels

3. Systemic or local infection; active or latent

4. Previous failed fusion at the operative level

5. Diseases that significantly inhibit bone healing (osteoporosis, metabolic bone disease, uncontrolled diabetes, dialysis dependent renal failure, symptomatic liver disease)

6. Undergoing chemotherapy or radiation treatment, or chronic use of steroids (defined as more than 6 weeks of steroid use within 12 months of surgery, other than episodic use or inhaled corticosteroids)

7. Pregnant, or plans to become pregnant during the study

8. Subject is a prisoner

9. Involvement in active litigation relating to the spine (worker's compensation claim is allowed if it is not contended)

10. A significant general illness (e.g., HIV, active metastatic cancer of any type) is present; subject is immunocompromised or is being treated with immunosuppressive agents

11. Participating in another clinical study that would confound study data

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Degenerative Disc Disease, Lumbar
• Intervertebral Disc Degeneration

Intervention

Biological:
• Osteocel Plus
biologic

Locations

Country	Name	City	State
United States	Central Texas Spine Institute, Northwest Hills Surgical Hospital	Austin	Texas
United States	Ortho Montana	Billings	Montana
United States	Cleveland Clinic	Cleveland	Ohio
United States	Twin Cities Orthopaedics, University of Minnesota Medical Center	Edina	Minnesota
United States	OrthoIndy, Indiana Orthopedic Hospital	Indianapolis	Indiana
United States	Indiana Spine Group, St. Joseph's Hospital	Kokomo	Indiana
United States	University of California at San Francisco	San Francisco	California

Sponsors (1)

Lead Sponsor	Collaborator
NuVasive

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To evaluate the fusion rates of Osteocel Plus in one or two level(s) for ALIF subjects.		from pre-op to 24-months follow-up	No
Secondary	To evaluate the rate of complications for Osteocel Plus and compare to published and/or retrospective data for autograft or bone morphogenetic protein (BMP).		from pre-op to 24-month follow-up	No
Secondary	To evaluate and compare radiographic outcome with respect to clinical outcome (function and pain).		from pre-op to 24-months post-op	No
Secondary	To evaluate and compare each outcome with respect to surgical time and blood loss.		pre-op to 24-month follow-up	Yes

External Links

•   NuVasive, Inc.