Intradiscal rhGDF-5 Phase I/II Clinical Trial

NCT ID: NCT00813813

Last Updated: 2016-02-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2013-06-30

Brief Summary

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Study to show the effectiveness and safety of a single injection of rhGDF5 into a degenerating single spinal disc in treating lumbar level degenerative disc disease

Detailed Description

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Conditions

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Degenerative Disc Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intradiscal rhGDF-5

The API is recombinant human growth and differentiation factor-5 (rhGDF-5), a recombinant version of human GDF-5. GDF-5 is a member of the transforming growth factor-b (TGF-b) superfamily and the bone morphogenetic protein (BMP) subfamily, and is known to influence the growth and differentiation of various tissues, including the intervertebral disc. In vitro experiments have shown that rhGDF-5 can stimulate gene expression and synthesis of the extracellular matrix proteins type II collagen and aggrecan. In vivo experiments in rabbit models of disc degeneration have shown that intradiscal injections of rhGDF-5 can stimulate an increase in disc height and hydration.

Group Type EXPERIMENTAL

Intradiscal rhGDF-5

Intervention Type DRUG

The API is recombinant human growth and differentiation factor-5 (rhGDF-5), a recombinant version of human GDF-5. GDF-5 is a member of the transforming growth factor-b (TGF-b) superfamily and the bone morphogenetic protein (BMP) subfamily, and is known to influence the growth and differentiation of various tissues, including the intervertebral disc. In vitro experiments have shown that rhGDF-5 can stimulate gene expression and synthesis of the extracellular matrix proteins type II collagen and aggrecan. In vivo experiments in rabbit models of disc degeneration have shown that intradiscal injections of rhGDF-5 can stimulate an increase in disc height and hydration.

Interventions

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Intradiscal rhGDF-5

The API is recombinant human growth and differentiation factor-5 (rhGDF-5), a recombinant version of human GDF-5. GDF-5 is a member of the transforming growth factor-b (TGF-b) superfamily and the bone morphogenetic protein (BMP) subfamily, and is known to influence the growth and differentiation of various tissues, including the intervertebral disc. In vitro experiments have shown that rhGDF-5 can stimulate gene expression and synthesis of the extracellular matrix proteins type II collagen and aggrecan. In vivo experiments in rabbit models of disc degeneration have shown that intradiscal injections of rhGDF-5 can stimulate an increase in disc height and hydration.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Persistent low back pain, with at least 3 months of non-surgical therapy, at one symptomatic lumbar level (L3/L4 to L5/S1) as confirmed using a standardized discography protocol
2. Oswestry Disability Index of 30 or greater
3. Low back pain score greater than or equal to 4 cm as measured by VAS, at Visit 1 baseline and on day of treatment to confirm eligibility prior to administration

Exclusion Criteria

1. Persons unable to have a discogram, CT or an MRI
2. Abnormal neurological exam at baseline (e.g., radiculopathy)
3. Radicular pain
4. Leak of contrast agent during the discogram, into the epidural space (does not include leak of contrast agent along the needle track)
5. MRI findings demonstrate any of the following:· Suspected disc appears normal· \>50% decrease in disc height· Modic changes, and/or· Presence of osteophytes or significant facet arthrosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DePuy Spine

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James Rathmell, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Richard Guyer, MD

Role: PRINCIPAL_INVESTIGATOR

Texas Back Institute

Marvin Tark, MD

Role: PRINCIPAL_INVESTIGATOR

Drug Study America

Jim Youssef, MD

Role: PRINCIPAL_INVESTIGATOR

Durango Orthopedic Associates/Spine Colorado

Norman Harden, MD

Role: PRINCIPAL_INVESTIGATOR

Shirley Ryan AbilityLab

Jonathan Borden, MD

Role: PRINCIPAL_INVESTIGATOR

Riverhills Healthcare, Inc.

Yaoming Gu, MD

Role: PRINCIPAL_INVESTIGATOR

Virginia Commonwealth University

Locations

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Spine Institute

Santa Monica, California, United States

Site Status

Durango Orthopedic Associates/Spine Colorado

Durango, Colorado, United States

Site Status

Drug Studies America

Marietta, Georgia, United States

Site Status

Rehabilitation Institute of Chicago

Chicago, Illinois, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Riverhills Healthcare, Inc.

Cincinnati, Ohio, United States

Site Status

TBI Clinical Research, LLC

Plano, Texas, United States

Site Status

Virginia Commonwealth University Spine Center

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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07-Intradiscal rhGDF-5-01

Identifier Type: -

Identifier Source: org_study_id

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