Pilot Study of rhBMP-2/ACS/LT-CAGE® for Anterior Lumbar Interbody Fusion in Patients With Degenerative Disc Disease

NCT ID: NCT01491373

Last Updated: 2013-08-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 1997-01-31
• Study Completion Date: 1999-09-30

Brief Summary

This study is designed to evaluate the feasibility of recombinant human bone morphogenetic protein-2 and absorbable collagen sponge with the tapered interbody fusion device (LT-CAGE® ) for anterior lumbar interbody fusion in patients with degenerative disc disease.

Conditions

Degeneration of Lumbar Intervertebral Disc

Keywords

Degenerative Disc Disease; Symptomatic Degenerative Disc Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

rhBMP-2/ACS

Group Type: EXPERIMENTAL

rhBMP-2/ACS/LT-CAGE® Device

Intervention Type: DEVICE

rhBMP-2/ACS inserted into Sofamor Danek's LT-CAGE® device.

Autograft

Group Type: ACTIVE_COMPARATOR

Autograft/LT-CAGE® Device

Intervention Type: DEVICE

LT-CAGE® device filled with autogenous bone taken from the patient's iliac crest

Interventions

rhBMP-2/ACS/LT-CAGE® Device

rhBMP-2/ACS inserted into Sofamor Danek's LT-CAGE® device.

Intervention Type: DEVICE

Autograft/LT-CAGE® Device

LT-CAGE® device filled with autogenous bone taken from the patient's iliac crest

Intervention Type: DEVICE

Other Intervention Names

Recombinant human bone morphogenetic protein-2; Autogenous bone graft

Eligibility Criteria

Inclusion Criteria

1. Has degenerative disc disease as noted by back pain of discogenic origin with degeneration of the disc confirmed by radiographic studies.

2. Has no greater than Grade 1 spondylolisthesis utilizing Meyerding's Classification (Meyerding HW, 1932.)

3. Has single level symptomatic degenerative involvement from L2 to S1.

4. Is between the ages of 18 and 65, inclusive, at the time of surgery.

5. Is willing to comply with the study plan and sign the Patient Informed Consent Form.

6. Has not responded to conservative treatment for a period of 5 months.

7. If of child-bearing potential, subject is non-pregnant (documented by a negative Pregnancy test within 72 hours of surgery), non-nursing female who agrees to use adequate contraception for 16 weeks following surgery

Exclusion Criteria

1. Has spinal condition other than symptomatic degenerative disc disease at the involved surgical level.

2. Had previous anterior surgical procedures at the involved spinal level.

3. Has a condition which requires postoperative medications that interfere with fusion such as steroids or nonsteroidal anti-inflammatory drugs. (This does not include low dose aspirin for prophylactic anticoagulation.)

4. Has osteopenia, osteoporosis, or osteomalacia to a degree that spinal instrumentation would be contraindicated.

5. Has circulatory problems, such as thrombophlebitis, lymphedema, or vascular deficiency at the implant site.

6. Has symptomatic cardiac disease.

7. Has presence of active malignancy or history of cancer in the past 5 years.

8. Has overt or active infection.

9. Is obese, i.e., weight greater than 40% over ideal for their age and height.

10. Has fever (temperature > 101°F oral).

11. Has local inflammatory signs indicative of infection.

12. Has a documented metal allergy or intolerance.

13. Is involved in a worker's compensation or unresolved spinal litigation case.

14. Is mentally incompetent (either documented or in the opinion of the investigator).

15. Has psychogenic magnification of pain (in the opinion of the investigator).

16. Is a prisoner.

17. Is pregnant.

18. Is an alcohol and/or substance abuser.

19. Requires bone growth stimulation in the lumbar spine.

20. Is a tobacco user at the time of surgery.

21. Patient has received drugs which may interfere with bone metabolism within two weeks prior to the planned date of spinal fusion surgery (e.g., steroids or methotrexate).

22. Patient has a history of autoimmune disease (systemic lupus erythematosus or dermatomyositis).

23. The subject has a history of exposure to injectable collagen implants.

24. Patient's history includes hypersensitivity to protein pharmaceuticals (monoclonal antibodies or gamma globulins) or collagen.

25. Patient 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/ACS implantation.

26. Patient has received any previous exposure to BMP.

27. The patient requires allograft or bone substitute as part of treatment.

28. Patient has history of endocrine or metabolic disorder known to affect osteogenesis (e.g. Paget's disease, renal osteodystrophy, Ehlers-Danlos syndrome, or osteogenesis imperfecta).

29. Patient in the physician's opinion, would not be a good candidate for this surgical procedure.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Medtronic Spinal and Biologics

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Other Identifiers

C-9504

Identifier Type: -

Identifier Source: org_study_id