rhBMP-2/CRM/CD HORIZON® Spinal System Pivotal Study

NCT ID: NCT00707265

Last Updated: 2023-05-10

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

463 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-03-31

Study Completion Date

2010-02-28

Brief Summary

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The purpose of this study was to evaluate the rhBMP-2/CRM/CD HORIZON® Spinal System as a method of facilitating spinal fusion in patients with degenerative disc disease.

Detailed Description

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This clinical trial was conducted to evaluate the rhBMP-2/CRM/CD HORIZON® Spinal System for posterolateral fusion treatment of patients with symptomatic degenerative disc disease versus the control group of autogenous bone with the CD HORIZON® Spinal System.

The investigational treatment was the open bilateral posterolateral implantation of the rhBMP-2/CRM/CD HORIZON® Spinal System. One investigational implant was placed across two adjacent transverse processes on each side of the spine during the spinal fusion procedure.

The control treatment was the bilateral posterolateral implantation of the autogenous bone harvested from the iliac crest with the CD HORIZON® Spinal System.

Conditions

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Degenerative Disc Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Investigational

Open bilateral posterolateral implantation of the rhBMP-2/CRM/CD HORIZON® Spinal System.

Group Type EXPERIMENTAL

rhBMP-2/CRM/CD HORIZON® Spinal System

Intervention Type DEVICE

The rhBMP-2/CRM component of the investigational device consists of recombinant human Bone Morphogenetic Protein-2 (rhBMP-2) and a compression resistant matrix (CRM) carrier consisting of an absorbable collagen sponge imbedded with biphasic calcium phosphate.

The posterior spinal fixation system, the CD HORIZON® Spinal System, is a commercially available rod-based spinal system intended for temporary stabilization of the spine in order to facilitate fusion. The CD HORIZON® Spinal System is available in either titanium or stainless steel. For this study, only titanium implant components will be used.

Control

The bilateral posterolateral implantation of the autogenous bone harvested from the iliac crest with the CD HORIZON® Spinal System.

Group Type ACTIVE_COMPARATOR

Autograft/CD HORIZON® Spinal System

Intervention Type DEVICE

The control will be autogenous bone taken from the iliac crest of the patient and placed bilaterally across two adjacent transverse processes and used in conjunction with the CD HORIZON® Spinal System. When used as a posterior spine thoracic/lumbar system, the CD HORIZON® CANNULATED M8 MULTI-AXIAL SCREW components are intended for several indications including degenerative disc disease.

Interventions

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rhBMP-2/CRM/CD HORIZON® Spinal System

The rhBMP-2/CRM component of the investigational device consists of recombinant human Bone Morphogenetic Protein-2 (rhBMP-2) and a compression resistant matrix (CRM) carrier consisting of an absorbable collagen sponge imbedded with biphasic calcium phosphate.

The posterior spinal fixation system, the CD HORIZON® Spinal System, is a commercially available rod-based spinal system intended for temporary stabilization of the spine in order to facilitate fusion. The CD HORIZON® Spinal System is available in either titanium or stainless steel. For this study, only titanium implant components will be used.

Intervention Type DEVICE

Autograft/CD HORIZON® Spinal System

The control will be autogenous bone taken from the iliac crest of the patient and placed bilaterally across two adjacent transverse processes and used in conjunction with the CD HORIZON® Spinal System. When used as a posterior spine thoracic/lumbar system, the CD HORIZON® CANNULATED M8 MULTI-AXIAL SCREW components are intended for several indications including degenerative disc disease.

Intervention Type DEVICE

Other Intervention Names

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rhBMP-2 CRM CD HORIZON® Spinal System Autograft CD HORIZON® Spinal System

Eligibility Criteria

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Inclusion Criteria

1. Has degenerative disc disease as noted by back pain of discogenic origin, with or without leg pain, with degeneration of the disc confirmed by patient history of pain and radiographic studies:
2. Requires fusion of a single level disc space from L1 to S1.
3. Has not responded to non-operative treatment (e.g., bed rest, physical therapy, medications, spinal injections, manipulation, and/or TENS) for a period of 6 months.
4. If of child-bearing potential, patient is non-pregnant, non-nursing, and agrees to use adequate contraception for 1 year following surgery.

Exclusion Criteria

A patient meeting any of the following criteria is to be excluded from this clinical trial:

1. Has primary diagnosis of a spinal disorder other than degenerative disc disease with Grade 1 or less spondylolisthesis at the involved level.
2. Had previous spinal fusion surgical procedure at the involved level.
3. Requires spinal fusion at more than one lumbar level.
4. Has been previously diagnosed with osteopenia.
5. Has presence of active malignancy or prior history of malignancy (except for basal cell carcinoma of the skin).
6. Has a history of autoimmune disease (e.g. Systemic Lupus Erythematosus or dermatomyositis).
7. Has a history of exposure to injectable collagen or silicone implants.
8. Has received treatment with an investigational therapy within 28 days prior to implantation surgery or such treatment is planned during the 16 weeks following rhBMP 2/CRM implantation.
9. Has received any previous exposure to any/all BMP's of either human or animal extraction.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Spinal and Biologics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kenneth Burkus, MD

Role: PRINCIPAL_INVESTIGATOR

The Hughston Clinic, P.C.

John Dimar, MD

Role: PRINCIPAL_INVESTIGATOR

Spine Institute

Locations

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Barrow Neurosurgical Associates

Phoenix, Arizona, United States

Site Status

Orthopaedic Specialty Institute

Orange, California, United States

Site Status

UCLA Orthopedic Hospital

Santa Monica, California, United States

Site Status

Georgetown University Dept. of Orthopaedic Spine Surgery

Washington D.C., District of Columbia, United States

Site Status

Brevard Orthopaedic Clinic, Inc.

Melbourne, Florida, United States

Site Status

Florida Ortho Institute

Tampa, Florida, United States

Site Status

Florida Neurological Consultants

Winter Park, Florida, United States

Site Status

The Hughston Clinic P.C.

Columbus, Georgia, United States

Site Status

Barrington Orthopedic Specialists

Hoffman Estates, Illinois, United States

Site Status

Lutheran Spine Center

Park Ridge, Illinois, United States

Site Status

The Spine Institute

Carmel, Indiana, United States

Site Status

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

Site Status

Des Moines Orthopaedic Surgeons

West Des Moines, Iowa, United States

Site Status

Spine Institute

Louisville, Kentucky, United States

Site Status

Alvin & Lois Lapidus Cancer Insitute

Baltimore, Maryland, United States

Site Status

Jeffrey S. Fischgrund

Southfield, Michigan, United States

Site Status

Orthopedic Spine Care of Long Island, PC

Melville, New York, United States

Site Status

Beth Israel Medical Center

New York, New York, United States

Site Status

Duke University Hospital

Durham, North Carolina, United States

Site Status

Central States Orthopedic Specialists

Tulsa, Oklahoma, United States

Site Status

Medford Neurological & Spine Clinic

Medford, Oregon, United States

Site Status

The Reading Neck & Spine Center

Wyomissing, Pennsylvania, United States

Site Status

East Tennessee Brain & Spine

Johnson City, Tennessee, United States

Site Status

Fort Worth Brain & Spine

Fort Worth, Texas, United States

Site Status

Brain and Spine Center of Texas

Plano, Texas, United States

Site Status

Azalea Orthopedic & Sports Medicine Clinic

Tyler, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

UVA Dept. of Neurosurgery

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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P01-05

Identifier Type: -

Identifier Source: org_study_id

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