Trial Outcomes & Findings for Study to Investigate the Long Term Survivorship of Coflex (NCT NCT02918669)

NCT ID: NCT02918669

Last Updated: 2020-02-24

Results Overview

Any coflex patients with radiographic observations of spinous process fracture at post-24 months, will be examined via CT at 5 years for evidence of fracture or of healing.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Post-60 Months

Results posted on

2020-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Coflex
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Overall Study
STARTED
12
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Investigate the Long Term Survivorship of Coflex

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Coflex
n=8 Participants
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
CT Scan of the coflex® in patients who presented with spinous process fractures at 24 months
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-60 Months

Population: To examine the long-term survivorship via CT Scan of the coflex in patients who presented with spinous process fractures at 24 months in the Paradigm Spine coflex IDE Study.

Any coflex patients with radiographic observations of spinous process fracture at post-24 months, will be examined via CT at 5 years for evidence of fracture or of healing.

Outcome measures

Outcome measures
Measure
Coflex
n=8 Participants
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Number of Participants With Radiographic Analysis of Evidence of Fracture or Healing Based on CT Scan
8 Participants

POST_HOC outcome

Timeframe: >/= 5 years

0 None; no evidence of spinous process fracture 1. Posterior avulsion; presence of a fracture pattern consistent with lumbar spinous process avulsion fractures 2. Posterior to implant wings; presence of a spinous process fracture posterior 3. Coincident with implant wings: presence of a spinous process fracture in the same coronal plane as the implant wings 4. Anterior to implant wings; presence of a spinous process fracture anterior to the implant wings 5. Indeterminate; assessment cannot be made due to technical factors such as obscured anatomy due to the device wings, poor contrast, high parallax or significant artifacts that result in images being of non-diagnostic quality

Outcome measures

Outcome measures
Measure
Coflex
n=8 Participants
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Fracture Location
Anterior to wings
6 fractures
Fracture Location
Coincident with implant wings
2 fractures

POST_HOC outcome

Timeframe: >/= 5 years

0 N/A; no spinous process fracture reported 1. Non-displaced; no evidence of a displaced spinous process fracture 2. Displaced; presence of a displaced spinous process fracture. No contact between the fragment and the remaining vertebra should exist, and at least 2 mm wide gap should exist at a point along the fracture gap 3. Indeterminate; assessment cannot be made due to technical factors such as obscured anatomy due to the device wings, poor contrast, high parallax or significant artifacts that result in images being of non-diagnostic quality

Outcome measures

Outcome measures
Measure
Coflex
n=8 Participants
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Fracture Displacement
Displaced
5 fractures
Fracture Displacement
Non-Displaced
6 fractures

POST_HOC outcome

Timeframe: >/= 5 years

0 N/A; no spinous process fracture reported 1. Not healed; no evidence of a spinous process fracture healing 2. Healed; presence of a healed spinous process fracture 3. Remodeled; fracture line is absent due to bone remodeling at the site of a previously detected fracture 4. Indeterminate - no follow-up imaging available; no images are available at time points later than the time point when the fracture was identified 5. Indeterminate - inadequate image quality; the quality of available images is inadequate to determine the fracture healing status 6. Indeterminate - implant obscures fracture; the coflex implant obscures visualization of the fracture line so healing cannot be determined

Outcome measures

Outcome measures
Measure
Coflex
n=8 Participants
Patients who received the coflex Device in the IDE Study and presented with a spinous process fracture at 24 months (identified by independent radiographic review lab). Patients will undergo a CT Scan. CT Scan: Patients in the coflex IDE Study who presented at 24 months with a spinous process fracture that will undergo a CT Scan to evaluate the evidence or healing of fracture post-60 months. There are no other interventions. It is just a onetime CT post 60 month time point.
Fracture Healing
Healed
4 fractures
Fracture Healing
Remodeled
3 fractures
Fracture Healing
Not Healed
2 fractures
Fracture Healing
Indeterminate
2 fractures

Adverse Events

Coflex

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Fran Magee, DVM

Paradigm Spine

Phone: 212-367-7274

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place