Study to Evaluate the Safety and Preliminary Efficacy of IDCT, a Treatment for Symptomatic Lumbar Intervertebral Disc Degeneration

NCT ID: NCT03347708

Last Updated: 2023-01-25

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

PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-26

Study Completion Date

2022-11-10

Brief Summary

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The purpose of this study is to compare the safety and preliminary efficacy of intradiscal injections of two doses of IDCT (Discogenic Cells + Sodium Hyaluronate vehicle) and two controls (saline, Sodium Hyaluronate vehicle) in subjects with chronic low back pain due to Degenerative Disc Disease (DDD) at one lumbar level from L3 to S1.

Detailed Description

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This is a Phase I, first-in-human, randomized, double-blind, vehicle and placebo-controlled, parallel-group, multi-center study in subjects with single-level, symptomatic lumbar intervertebral disc degeneration (\>6 months) and unresponsive to conservative therapy for at least 3 months. The study will compare single intradiscal injections of high and low dose IDCT with two control groups (saline, Sodium Hyaluronate).

8 study visits will be completed by all subjects; screening, day 1 (injection day), week 4, week 12, week 26, week 52, week 72 and week 104. The subject will be assessed for safety and efficacy utilizing VAS and ODI questionnaires alongside radiographic evaluations. The study will have a 1 year follow-up and a 1 year extension period (total 2 years).

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

DOUBLE

Participants Outcome Assessors
Double Blind

Study Groups

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High Dose IDCT

Single intradiscal injection with High Dose IDCT (9M cells).

Group Type EXPERIMENTAL

IDCT

Intervention Type BIOLOGICAL

Discogenic Cells + Sodium Hyaluronate Vehicle

Low Dose IDCT

Single intradiscal injection with Low Dose IDCT (3M cells).

Group Type EXPERIMENTAL

IDCT

Intervention Type BIOLOGICAL

Discogenic Cells + Sodium Hyaluronate Vehicle

Saline

Single intradiscal injection with saline solution.

Group Type PLACEBO_COMPARATOR

Saline Solution

Intervention Type DRUG

Sodium Chloride Solution

Sodium Hyaluronate Vehicle

Single intradiscal injection with Sodium Hyaluronate Vehicle.

Group Type PLACEBO_COMPARATOR

Sodium Hyaluronate

Intervention Type DRUG

Sodium Hyaluronate Vehicle

Interventions

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IDCT

Discogenic Cells + Sodium Hyaluronate Vehicle

Intervention Type BIOLOGICAL

Saline Solution

Sodium Chloride Solution

Intervention Type DRUG

Sodium Hyaluronate

Sodium Hyaluronate Vehicle

Intervention Type DRUG

Other Intervention Names

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Progenitor Cells, Stem Cells, Allogeneic Cell Therapy Saline injection, Placebo control Sodium Hyaluronate injection, Hyaluronate Acid, Sodium Hyaluronate Solution Vehicle control

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of early to moderate degenerative disc disease (DDD), Modified Pfirrmann Grade 3-7.
2. Chronic low-back pain for at least 6 months prior to screening; unresponsive to at least 3 months of conservative care.
3. Low-back pain of 40 to 90 mm on the VAS and ODI score of 30 to 90.

Exclusion Criteria

1. Symptomatic involvement of more than one lumbar disc.
2. Other persistent pain/nerve issues including, for example, radiculopathy, leg pain, cauda equine syndrome, etc.
3. Fracture of the spine, previous lumbar spine surgery or previous treatment of the target disc.
4. Evidence of dynamic instability on lumbar flexion-extension radiographs.
5. Grade 2 or higher spondylolisthesis at the target disc, lumbar spondylitis or other undifferentiated spondyloarthropathy, or Type III Modic changes around the target disc.
6. Clinical suspicion of a full thickness annular tear at the target disc or other abnormal disc morphology.
7. Clinical suspicion of facet pain as primary pain generator.
8. Subjects who test positive for communicable disease, have significant systemic disease, or are prone to infection.
9. Patients who are deemed unsuitable for clinical study participation by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CTI Clinical Trial and Consulting Services

OTHER

Sponsor Role collaborator

DiscGenics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alabama Clinical Therapeutics, LLC

Birmingham, Alabama, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

UC San Diego CIRM Alpha Stem Cell Clinic

San Diego, California, United States

Site Status

Source Healthcare

Santa Monica, California, United States

Site Status

Otrimed

Edgewood, Kentucky, United States

Site Status

Spine Institute of Louisiana

Shreveport, Louisiana, United States

Site Status

Orthopedic Center of St. Louis

Chesterfield, Missouri, United States

Site Status

Ainsworth Institute of Pain Management

New York, New York, United States

Site Status

Carolina Neurosurgery & Spine Associates

Charlotte, North Carolina, United States

Site Status

Clinical Investigations, LLC

Edmond, Oklahoma, United States

Site Status

Clinical Trials of South Carolina

Charleston, South Carolina, United States

Site Status

Semmes Murphey

Memphis, Tennessee, United States

Site Status

Physicians' Research Options, LLC

Draper, Utah, United States

Site Status

Virginia iSpine

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Gornet MF, Beall DP, Davis TT, Coric D, LaBagnara M, Krull A, DePalma MJ, Hsieh PC, Mallempati S, Schranck FW, Kelly C, Foley KT. Allogeneic Disc Progenitor Cells Safely Increase Disc Volume and Improve Pain, Disability, and Quality of Life in Patients With Lumbar Disc Degeneration-Results of an FDA-Approved Biologic Therapy Randomized Clinical Trial. Int J Spine Surg. 2024 Jul 4;18(3):237-248. doi: 10.14444/8609.

Reference Type DERIVED
PMID: 38925869 (View on PubMed)

Silverman LI, Dulatova G, Tandeski T, Erickson IE, Lundell B, Toplon D, Wolff T, Howard A, Chintalacharuvu S, Foley KT. In vitro and in vivo evaluation of discogenic cells, an investigational cell therapy for disc degeneration. Spine J. 2020 Jan;20(1):138-149. doi: 10.1016/j.spinee.2019.08.006. Epub 2019 Aug 20.

Reference Type DERIVED
PMID: 31442616 (View on PubMed)

Related Links

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Other Identifiers

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DGX-A01

Identifier Type: -

Identifier Source: org_study_id

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