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The NanoStrand Clinical Study

Not Applicable
Suspended
Conditions
Disc Degeneration;Cervical
Interventions
Procedure: Anterior cervical discectomy and fusion
Registration Number
NCT03871400
Lead Sponsor
SeaSpine, Inc.
Brief Summary

A prospective, multi-center, randomized, self-controlled, single-blinded, clinical study evaluating the NanoMetalene implant as compared to the PEEK and allograft implants in ACDF for the treatment of cervical degenerative disc disease (DDD).

Detailed Description

PEEK: Polyetheretherketone ACDF: Anterior cervical discectomy and fusion

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
18
Inclusion Criteria
  • Cervical degenerative disc disease
  • Requires primary spinal fusion from C3-C7
  • Minimum of 6 weeks of non-operative treatment
  • Signed informed consent form
Exclusion Criteria
  • Uncontrolled type I or II diabetes mellitus
  • Morbid obesity
  • Documented history of alcohol or drug abuse
  • Fever or leukocytosis
  • Current systemic infection
  • Active malignancy and/or current chemotherapy
  • Known history of osteoporosis
  • Prior fusion or total disc replacement at the operative level or an adjacent level
  • Infection of the operative site
  • Use of implants from other systems
  • Pregnancy
  • Participation in another research study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NanoMetalene/AllograftAnterior cervical discectomy and fusion-
NanoMetalene/PEEKAnterior cervical discectomy and fusion-
Primary Outcome Measures
NameTimeMethod
Proportion of cervical spinal levels for NanoMetalene vs PEEK interbody implants that have achieved fusion as determined by Computed Tomography (CT) analysis12 months

Proportion of cervical spinal levels for NanoMetalene vs PEEK interbody implants that have achieved fusion as determined by Computed Tomography (CT) analysis

Secondary Outcome Measures
NameTimeMethod
Secondary CT Analysis: PEEK12 months

Proportion of cervical spinal levels for NanoMetalene vs PEEK interbody implants that have achieved fusion as determined by Computed Tomography (CT) analysis

Secondary CT Analysis: Allograft12 months

Proportion of cervical spinal levels for NanoMetalene vs Allograft implants that have achieved fusion as determined by Computed Tomography (CT) analysis

Secondary X-Ray Analysis24 months

Proportion of cervical spinal levels for NanoMetalene vs PEEK and Allograft implants that have achieved fusion as determined by x-ray analysis

Clinical Outcomes: NDI24 months

Improvement of clinical outcomes (NDI) for all enrolled patients. Improvement is a reduction of scores for all clinical outcomes. Results will be shown as change from baseline to 24 month follow-up.

The NDI is an index derived from the Neck Disability Index Pain Questionnaire used by surgeons, clinicians and researchers to quantify disability for neck pain. Scores are from 0-100 and a lower score represents a better score.

Clinical Outcomes: VAS Arm24 months

Improvement of clinical outcomes (VAS Arm) for all enrolled patients. Improvement is a reduction of scores for all clinical outcomes. Results will be shown as change from baseline to 24 month follow-up.

The visual analogue scale (VAS) is a commonly used outcome measure for research studies. It is presented as a 100-mm horizontal line on which the patient's pain intensity is represented by a point between the extremes of "0"/no pain at all" and "100/worst pain imaginable." The study in this scale is used for the worst arm pain. A lower score represents a better score.

Clinical Outcomes: VAS Neck24 months

Improvement of clinical outcomes (VAS Neck) for all enrolled patients. Improvement is a reduction of scores for all clinical outcomes. Results will be shown as change from baseline to 24 month follow-up.

The visual analogue scale (VAS) is a commonly used outcome measure for research studies. It is presented as a 100-mm horizontal line on which the patient's pain intensity is represented by a point between the extremes of "0"/no pain at all" and "100/worst pain imaginable." The study in this scale is used for neck pain. A lower score represents a better score.

Trial Locations

Locations (11)

Northwestern University

🇺🇸

Chicago, Illinois, United States

Barrow Brain and Spine

🇺🇸

Phoenix, Arizona, United States

University of California, San Diego

🇺🇸

La Jolla, California, United States

University of Colorado Hospital

🇺🇸

Aurora, Colorado, United States

Spine Colorado

🇺🇸

Durango, Colorado, United States

University of Southern California

🇺🇸

Los Angeles, California, United States

UCLA Health

🇺🇸

Santa Monica, California, United States

Emory

🇺🇸

Atlanta, Georgia, United States

OrthIndy

🇺🇸

Indianapolis, Indiana, United States

Henry Ford

🇺🇸

Jackson, Michigan, United States

Hughston Clinic

🇺🇸

Columbus, Georgia, United States

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