Neurogenic Intermittent Claudication Evaluation Study

NCT ID: NCT00905359

Last Updated: 2017-02-10

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

PHASE4

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2015-04-30

Brief Summary

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The objective of the NICE study is to provide clinical evidence proving that the Aperius™ PercLID™ System is safe and non-inferior to standalone decompressive surgery with regards to clinical outcomes in patients suffering from Degenerative Lumbar Spinal Stenosis with Neurogenic Intermittent Claudication, relieved by flexion.

Detailed Description

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The NICE study is a Multicenter Prospective Randomized Controlled Clinical Trial to Evaluate the Effectiveness and Safety of the Aperius™ PercLID™System Versus Standalone Decompressive Surgery in Degenerative Lumbar Spinal Stenosis with Neurogenic Intermittent Claudication.

DLSS patients suffering from NIC that would be candidates for surgical treatment without stabilization and/or fusion can be offered participation in the study. After randomization, patients will be treated with either the Aperius™ PercLID™ System or Standalone Decompressive Surgery (SDS). A sample size recalculation reduced the amount of patients to be enrolled from 280 to 128 in both treatment group.

The patient will undergo a study visit at screening / baseline and at 14 days, 6 weeks, 6, 12 and 24 months after surgery. Safety data will be collected during surgery and throughout the 24 months follow up. Procedural details will be collected during surgery and also duration of hospital stay will be collected. At screening / baseline and all follow up visits a physical examination will be performed, the use of pain medication will be documented and the subject will be asked to complete a pain VAS scale (back - leg - buttock / groin pain) and questionnaires (SF36 v2 and Zurich Claudication Questionnaire).

Study subjects are required to undergo X-ray, CT and MRI and fluoroscopy procedures at specified time points during the study.

Conditions

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Spinal Stenosis

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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Aperius™ PercLID™ System

Aperius™ PercLID™ System arm. Patients randomized to this arm will undergo treatment with the Aperius™ PercLID™ System.

Group Type ACTIVE_COMPARATOR

Aperius™ PercLID™ System

Intervention Type PROCEDURE

Aperius™ PercLID™ System: implantation with the Interspinous Process Device Aperius.

Standalone Decompressive Surgery

Patients randomized to this arm will receive Standalone Decompressive Surgery, defined as decompressive surgery without instrumentation or fusion.

Group Type ACTIVE_COMPARATOR

Standalone Decompressive Surgery

Intervention Type PROCEDURE

Lumbar decompressive surgery without instrumentation or fusion

Interventions

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Aperius™ PercLID™ System

Aperius™ PercLID™ System: implantation with the Interspinous Process Device Aperius.

Intervention Type PROCEDURE

Standalone Decompressive Surgery

Lumbar decompressive surgery without instrumentation or fusion

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Presence of symptomatic DLSS
* Presence of NIC
* Patient would be candidate for Standalone Decompressive Surgery
* Patient has signed Informed Consent form (ICF)
* Patient is 21 years old or older

Exclusion Criteria

* Previous lumbar surgery
* Patient is candidate for instrumented Decompressive Surgery
* Patient has back pain without leg pain
* Degenerative Spondylolisthesis greater than grade 1 (Meyerding)
* Symptomatic DLSS at more than 2 levels in the lumbar region
* Spinal stenosis is present at L5-S1 level
Minimum Eligible Age

21 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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Jean-Charles Le Huec, Prof.

Role: PRINCIPAL_INVESTIGATOR

CHU Pellegrin Tripode

Locations

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Pindara Specialist Suite

Benowa, Queensland, Australia

Site Status

Ziekenhuis St. Jan - Orthopedie

Bruges, , Belgium

Site Status

Clinique Parc Leopold - Neurochirurgie

Brussels, , Belgium

Site Status

CHU Tivoli - Neurochirurgie

La Louvière, , Belgium

Site Status

Clinique Saint Joseph - Neurochirurgie

Liège, , Belgium

Site Status

Centre hospitalier du Grand Hornu - Orthopédie / Traumatologie

Mons, , Belgium

Site Status

Centre Universitaire Pellegrin Tripode -Orthopédie-Traumatologie

Bordeaux, , France

Site Status

Hôpital Roger Salengro - Clinique de Neurochirurgie

Lille, , France

Site Status

CHU de Nice Hôpital Pasteur - Neurochirurgie

Nice, , France

Site Status

Neurochirurgische Klinik - Campus Benjamin Franklin

Berlin, , Germany

Site Status

Klinikum rechts der Isar der TU München - Neurochirurgie

München, , Germany

Site Status

Landspitali - National hospital of Iceland

Reykjavik, , Iceland

Site Status

Azienda Ospedaliera Sant'Andrea - Neurochirurgia

Rome, , Italy

Site Status

Ospedale di Circolo - Ortopedia e Traumatologia

Varese, , Italy

Site Status

Municipal Hospital - Szpital Miejski

Torun, , Poland

Site Status

Szpital Kliniczny Dziecatka Jezus - Orthopaedics

Warsaw, , Poland

Site Status

Singapore General Hospital - Orthopaedic Surgery

Singapore, , Singapore

Site Status

Ortopedmottagningen SU/Sahlgrenska

Gothenburg, , Sweden

Site Status

Woodend Hospital - Department of Orthopaedics

Aberdeen, , United Kingdom

Site Status

Countries

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Australia Belgium France Germany Iceland Italy Poland Singapore Sweden United Kingdom

Other Identifiers

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CIP 0002 AP

Identifier Type: -

Identifier Source: org_study_id

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