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临床试验/DRKS00017502
DRKS00017502进行中(未招募)1 期

First-in-Human Study to evaluate Safety, Feasibility and preliminary Efficacy of the new ISS Sleeve Augmentation Technique in the Treatment of osteoporotic/osteopenic vertebral Fractures in the thoracolumbar Spine. - ISSCLIN-02

exilis AG0 个研究点目标入组 2 人开始时间: 2019年6月17日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
2

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
N/a: Single Arm Study
盲法
Open (masking not used)

入排标准

年龄范围
50 Years 至 85 Years(—)
性别
All

入选标准

  • 1. Age = 50 and = 85, male and female patients
  • 2. Subject is able to understand the risks and benefits of participating in the study and is willing to provide written informed consent.
  • 3. Psychosocially, mentally and physically able to fully comply with the protocol requirements for the duration of the study including adhering to scheduled visits, treatment plan, completing forms and other study procedures.
  • 4. Single vertebra fracture located between the 10th thoracic and 4th lumbar vertebra, both included, caused by a diagnosed or by a primary or secondary osteopenia / osteoporosis
  • 5. Bone mineral density equal or above the threshold of 60 mgHA/ccm (central assessment of the screening qCT scan).
  • 6. Single vertebra body fractures with the indication and possibility for augmented bi-segmental dorsal pedicle screw and rod stabilization including two short index-screws in the broken vertebra
  • 7. All fractures where pedicle screws of the following type (that have been proven for appropriate functionality with the ISS) can be used:
  • o DePuy Synthes, Expedium Viper2 CFX Polyschraube (diameter 6.0 mm)
  • o Silony Medical, VERTICALE VPS-6255-KF1 (diameter 6.2 mm),
  • o Medtronic, Horizon SOLERA MAS CC (diameter 6.5 mm),
  • o ulrich medical, uCentrum (diameter 5.5-6.5 mm),
  • o Medtronic, CD Horizon Legacy (Longitude) (diameter 6.5 mm)
  • At the discretion of the investigator pedicle screws with lengths between 35 and 60 mm can be used.

排除标准

  • 1. Substance use disorders (incl. tobacco abuse >20 cigarettes/day) and alcohol abuse disorders within the last 5 years before enrolment into the trial.
  • 2. BMI > 35
  • 3. Permanent or progressive neurologic deficits (incl. upper Motor neuron disease and myelopathy)
  • 4. Known Creutzfeldt Jacob Disease
  • 5. Systemic infections:
  • - Known infection with human immunodeficiency virus (HIV) or hepatitis B or C requiring treatment
  • - Any active infection requiring the use of parenteral anti-microbial agents or that is > grade 2 Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
  • 6. Rheumatoid arthritis or known disorders of bone metabolism (excl. osteopenia/osteoporosis, Vitamin D deficiency)
  • 7. Radiation therapy of the spine in medical history
  • 8. Contraindications to pedicle screw and rod stabilization
  • 9. Breast feeding, pregnancy or child-bearing potential (female patients of childbearing potential and male patients with a partner of child bearing potential must agree to use a highly effective contraceptive method).
  • 10. A compromised immune system or a therapy with systemic corticosteroids or immunosuppressants
  • 11. Active malignancy or history of malignancy (excl. Basalioma as a semi-malignant tumor) < 5 years ago from time of enrolment into the trial
  • 12. Known allergy to any component of the investigational device
  • 13. History of severe allergy, anaphylactic reactions and hypersensitivity reactions experienced in previous surgical interventions
  • 14. Other concurrent severe and/or uncontrolled medical conditions (e.g. insufficiently treated diabetes (HbA1c > 8 %), active or uncontrolled
  • infection) that could cause unacceptable safety risks or compromise compliance with the protocol
  • 15. Participation in other clinical investigations for drugs or devices
  • 16. Fracture age > 3 months
  • 17. Major surgery to the spine planned for at least 12 months following enrolment
  • 18. Any treatment of the fracture other than that specified in the inclusion criteria (e.g. kyphoplasty, vertebroplasty, additional ventral
  • stabilization)
  • 19. Severe spinal deformations or fusion at the target vertebral or adjacent segments
  • 20. Previous operations at the spine in the target or adjacent vertebrae
  • 21. Infections or inflammatory processes at vertebral bodies

研究者

发起方
exilis AG

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