Kineflex|C Artificial Disc System to Treat Cervical Degenerative Disc Disease (DDD)

NCT ID: NCT00374413

Last Updated: 2013-09-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

343 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2013-08-31

Brief Summary

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The purpose of this study is to show that the Kineflex\|C Spinal System is no worse than conventional Anterior Cervical Diskectomy with Fusion (ACDF) in patients with single level degenerative disc disease at any cervical level from C3 to C7.

Detailed Description

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The Kineflex\|C disc is a 3-piece modular design consisting of two cobalt chrome molybdenum (CCM) end-plates and a fully articulating CCM core. The system is available in two foot print sizes.

Conditions

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Degenerative Disc Disease (DDD)

Keywords

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DDD artificial disc

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Kineflex-C

Group Type EXPERIMENTAL

Artificial disk

Intervention Type DEVICE

Implant

Artificial disc

Intervention Type DEVICE

Implant

ACDF

Group Type ACTIVE_COMPARATOR

Artificial disk

Intervention Type DEVICE

Implant

Artificial disc

Intervention Type DEVICE

Implant

Interventions

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Artificial disk

Implant

Intervention Type DEVICE

Artificial disc

Implant

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* have symptoms of cervical degenerative disc disease (DDD) at only one cervical level from C3 to C7, disc herniation on CT or MRI;
* have radiculopathy symptoms in neck, one or both shoulders, and/or one or both arms;
* have at least six months of prior conservative treatment (e.g., physical therapy and/or use of anti-inflammatory medications and muscle relaxants at the manufacturer's recommended therapeutic dose), the presence of progressive symptoms (e.g., increasing numbness or tingling), or signs of nerve root compression;
* have moderate disability neck disability index (NDI) score; AND
* be likely to return for all follow-up visits and be willing and able to provide informed consent for study participation

Exclusion Criteria

* marked cervical instability;
* non discogenic neck pain or non discogenic source of symptoms;
* radiographic confirmation of severe facet disease or facet degeneration;
* bridging osteophytes;
* prior surgery at the level to be treated;
* prior fusion at any cervical level;
* more than one neck surgery via anterior approach;
* previous trauma to the C3-C7 levels resulting in compression or bursting;
* documented presence of free nuclear fragment at any cervical level;
* severe myelopathy;
* any paralysis;
* history of chemical or alcohol dependence;
* active systemic infection;
* infection at the site of surgery;
* prior disc space infection or osteomyelitis in the cervical spine;
* any terminal, systemic or autoimmune disease;
* metabolic bone disease (e.g., osteoporosis, gout, osteomalacia, Paget's disease);
* any disease, condition or surgery which might impair healing;
* known metal allergy;
* arachnoiditis;
* currently experiencing an episode of major mental illness;
* pregnancy at time of enrollment, or planning to become pregnant, since this would contraindicate surgery;
* morbid obesity; use of spinal stimulator at any cervical level prior to surgery;
* currently a prisoner;
* currently involved in spinal litigation which may influence the subjects reporting of symptoms; OR
* lives more than 300 miles from study center or participation in any other investigational drug, biologic, or medical device study within the last 30 days prior to study surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SpinalMotion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fred Geisler, MD

Role: PRINCIPAL_INVESTIGATOR

Medical Monitor

Locations

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Tower Orthopedics and Sports Medicine

Beverly Hills, California, United States

Site Status

Kaiser Foundation Research Institute

Oakland, California, United States

Site Status

University of California San Diego

San Diego, California, United States

Site Status

Rocky Mountain Associates in Orthopedic Medicine, P.C.

Loveland, Colorado, United States

Site Status

Emory Orthopaedics & Spine Center

Atlanta, Georgia, United States

Site Status

Spine Institute of Louisiana

Shreveport, Louisiana, United States

Site Status

Maryland Brain and Spine Center

Annapolis, Maryland, United States

Site Status

Orthopaedic Associates, P.A

Towson, Maryland, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Sierra Regional Spine Institute

Reno, Nevada, United States

Site Status

Hamilton Orthopaedic Surgery and Sports Medicine

Hamilton, New York, United States

Site Status

Northern Westchester Hospital

Mount Kisco, New York, United States

Site Status

Manhattan Orthopaedics, P.C.

New York, New York, United States

Site Status

Carolina Neurosurgery and Spine Associates

Charlotte, North Carolina, United States

Site Status

Triangle Orthopaedic Associates, P.A.

Durham, North Carolina, United States

Site Status

Univ. of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Semmes-Murphy Clinic

Memphis, Tennessee, United States

Site Status

Plano Orthopedic Sports Medicine & Spine Center

Plano, Texas, United States

Site Status

SpineMark CRO at Texas Back Institue

Plano, Texas, United States

Site Status

Gordon Spine Associates

Tyler, Texas, United States

Site Status

Orthopedics International Spine

Kirkland, Washington, United States

Site Status

Countries

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United States

References

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Coric D, Guyer RD, Nunley PD, Musante D, Carmody C, Gordon C, Lauryssen C, Boltes MO, Ohnmeiss DD. Prospective, randomized multicenter study of cervical arthroplasty versus anterior cervical discectomy and fusion: 5-year results with a metal-on-metal artificial disc. J Neurosurg Spine. 2018 Mar;28(3):252-261. doi: 10.3171/2017.5.SPINE16824. Epub 2018 Jan 5.

Reference Type DERIVED
PMID: 29303467 (View on PubMed)

Coric D, Nunley PD, Guyer RD, Musante D, Carmody CN, Gordon CR, Lauryssen C, Ohnmeiss DD, Boltes MO. Prospective, randomized, multicenter study of cervical arthroplasty: 269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article. J Neurosurg Spine. 2011 Oct;15(4):348-58. doi: 10.3171/2011.5.SPINE10769. Epub 2011 Jun 24.

Reference Type DERIVED
PMID: 21699471 (View on PubMed)

Related Links

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Other Identifiers

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Kineflex|C

Identifier Type: -

Identifier Source: org_study_id