SI-6603 (Condoliase) Study for Lumbar Disc Herniation (Discovery 6603 Study)

NCT ID: NCT03607838

Last Updated: 2025-07-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

352 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-07

Study Completion Date

2023-03-21

Brief Summary

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This study is to evaluate the effectiveness of a single-dose intervertebral disc injection of SI-6603 in subjects with lumbar disc herniation (LDH)

Detailed Description

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Conditions

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Lumbar Disc Herniation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SI-6603

Condoliase: 1.25U, intradiscal injection, one time

For patients in the active treatment group, a volume of 1.0 mL was administered into the intervertebral disc in a single dose.

Group Type EXPERIMENTAL

SI-6603

Intervention Type DRUG

SI-6603 will be injected into an intervertebral disc.

Sham

Sham injection

For patients in the control group, a solution was not prepared and the needle was not placed in the intervertebral disc.

Group Type SHAM_COMPARATOR

Sham injection

Intervention Type DRUG

The injection will be performed without needle placement into an intervertebral disc.

Interventions

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SI-6603

SI-6603 will be injected into an intervertebral disc.

Intervention Type DRUG

Sham injection

The injection will be performed without needle placement into an intervertebral disc.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects with single-level LDH (L4-L5 or L5-S1 (or L5-L6)) with clear, demonstrable nerve root impingement as assessed by magnetic resonance imaging (MRI) and clinical symptoms corresponding to position of the impaired nerve root.
* Subjects with radiculopathy/radicular leg pain in the unilateral leg for 6 weeks or more but 1 year or less.
* Subjects with positive result of Straight Leg Raise (SLR) test (≤70°) only on the ipsilateral leg having chief complaint of radiculopathy
* Subjects with inadequate improvement in pain caused by LDH despite 6 weeks or more of conservative treatment.

Exclusion Criteria

* Subjects who have 2 or more lumbar disc herniations as assessed by MRI.
* Subjects who have undergone a lumbar operation, lumbar percutaneous nucleotomy, or lumbar intradiscal therapies at the affected level of lumbar spine.
* Subjects who have received block procedure (e.g., spinal injection, epidural injection or nerve block) for treatment of LDH, oral or injectable corticosteroids within 28 days prior to randomization.
* Subjects who have received opioids or cannabis by any route of administration, local anesthesia to the back, buttock, or posterior/lateral aspects of the affected leg within 7 days prior to randomization.
* Subjects with a body mass index (BMI) ≥40.
* Subjects who are receiving compensation according to the Workers' Compensation Act or are involved in personal injury litigation due to a lumbar-related injury.
Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seikagaku Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Delta Clinical Research

Mobile, Alabama, United States

Site Status

Pain Medicine Associates, Inc.

Fountain Valley, California, United States

Site Status

University of California San Diego - Center for Pain Medicine

La Jolla, California, United States

Site Status

The Helm Center for Pain Management

Laguna Woods, California, United States

Site Status

The Anand Spine Group

Los Angeles, California, United States

Site Status

VA Greater Los Angeles Healthcare System

Los Angeles, California, United States

Site Status

Samaritan Center for Medical Research

Los Gatos, California, United States

Site Status

UC Davis Spine Center

Sacramento, California, United States

Site Status

Source Healthcare

Santa Monica, California, United States

Site Status

Boulder Neurosurgical Associates

Boulder, Colorado, United States

Site Status

DBPS Research, LLC

Greenwood Village, Colorado, United States

Site Status

International Spine, Pain, and Performance Center

Washington D.C., District of Columbia, United States

Site Status

Florida Spine Institute

Clearwater, Florida, United States

Site Status

Spine and Orthopedic Center

Deerfield Beach, Florida, United States

Site Status

Deland Clinical research Unit

DeLand, Florida, United States

Site Status

Science Connections, LLC

Doral, Florida, United States

Site Status

Coastal Clinical Research

Fernandina Beach, Florida, United States

Site Status

Holy Cross Medical Group

Fort Lauderdale, Florida, United States

Site Status

Coastal Clinical Research

Jacksonville, Florida, United States

Site Status

Genoma Research Group, Inc.

Miami, Florida, United States

Site Status

Science Connections, LLC (Kendall)

Miami, Florida, United States

Site Status

AMPM Research Clinic

Miami Gardens, Florida, United States

Site Status

Pain Relief Centers

St. Petersburg, Florida, United States

Site Status

Pain Relief Centers

Sun City Center, Florida, United States

Site Status

Tampa Pain Relief Center

Tampa, Florida, United States

Site Status

Florida Pain Relief Group, PLLC

Tampa, Florida, United States

Site Status

Premier Medical Associates

The Villages, Florida, United States

Site Status

Conquest Research

Winter Park, Florida, United States

Site Status

Augusta University - Medical College of Georgia

Augusta, Georgia, United States

Site Status

Georgia Institute for Clinical Research, LLC

Marietta, Georgia, United States

Site Status

Injury Care Research

Boise, Idaho, United States

Site Status

Millennium Pain Center

Bloomington, Illinois, United States

Site Status

Chicago Anesthesia Pain Specialists

Chicago, Illinois, United States

Site Status

Indiana Spine Group

Carmel, Indiana, United States

Site Status

Neuroscience Research Center LLC

Overland Park, Kansas, United States

Site Status

OtriMed Clinical Research

Edgewood, Kentucky, United States

Site Status

Clinical Trials of Southwest Louisiana, LLC

Lake Charles, Louisiana, United States

Site Status

Tulane University School of Medicine

New Orleans, Louisiana, United States

Site Status

St. Louis Pain Consultants

Chesterfield, Missouri, United States

Site Status

Comprehensive and Interventional Pain Management LLP

Henderson, Nevada, United States

Site Status

Innovative Pain Care Center

Las Vegas, Nevada, United States

Site Status

Interventional Spine Medicine

Barrington, New Hampshire, United States

Site Status

New Jersey Regenerative Institute

Cedar Knolls, New Jersey, United States

Site Status

New York - Presbyterian Queens

Flushing, New York, United States

Site Status

Drug Trials America

Hartsdale, New York, United States

Site Status

Ainsworth Institute Of Pain Management

New York, New York, United States

Site Status

University of Rochester- Neuromedicine Pain Management Center

Rochester, New York, United States

Site Status

The Center for Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Clinical Inquest Center Ltd

Beavercreek, Ohio, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

META Medical Research Institute

Dayton, Ohio, United States

Site Status

Medical Research International

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma City Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status

Main Line Spine

King of Prussia, Pennsylvania, United States

Site Status

Clinical Trials of South Carolina

Charleston, South Carolina, United States

Site Status

SC Pain & Spine Specialists

Murrells Inlet, South Carolina, United States

Site Status

Ascension Spine and Scoliosis Center

Austin, Texas, United States

Site Status

HRMD Research

Dallas, Texas, United States

Site Status

Advanced Medical Trials

Georgetown, Texas, United States

Site Status

Interventional Pain Specialists

Pasadena, Texas, United States

Site Status

ARH Research, LLC.

The Woodlands, Texas, United States

Site Status

JBR Clinical Research

Salt Lake City, Utah, United States

Site Status

University of Virginia Orthopaedic Spine Center

Charlottesville, Virginia, United States

Site Status

Virginia iSpine Physicians, P.C.

Richmond, Virginia, United States

Site Status

Gershon Pain Specialists

Virginia Beach, Virginia, United States

Site Status

Swedish Pain Management

Seattle, Washington, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Countries

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United States

References

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Macadaeg KE, Kim KD, Gupta PB, Rivera J, Patel A, Chauhan K, Watanabe J, Seo T, Zucker E, Candido K. Impact of Condoliase on Health-related Quality of Life in Participants With Radicular Leg Pain Associated With Lumbar Disk Herniation: Results From a United States Phase 3 Clinical Trial. Spine (Phila Pa 1976). 2025 Jun 15;50(12):796-803. doi: 10.1097/BRS.0000000000005327. Epub 2025 Mar 11.

Reference Type DERIVED
PMID: 40066868 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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6603 /1133

Identifier Type: -

Identifier Source: org_study_id

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