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临床试验/NL-OMON32769
NL-OMON32769尚未招募2 期

A MultiCenter Prospective Randomized Phase II Clinical Trial to Evaluate Safety and Efficacy of Hyalospine® in Lumbar Laminectomy or Laminotomy. - Efficacy and safety of Hyalospine®

Fidia Advanced Biopolymers (FAB) S.r.l.0 个研究点目标入组 32 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
32

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Age 18 * 75 years;
  • Scheduled for elective single or two*level lumbar laminectomy or laminotomy procedure for treatment of spinal stenosis or disk herniation.
  • Subjects who have failed conservative care for at least 6 weeks.
  • At least 25% narrowing of the central, lateral or foraminal spinal canal compared to the adjacent levels.
  • Radiographic confirmation of any one of the following:
  • o Evidence of the tecal sac and/or cauda equina compression
  • o Evidence of nerve root impingement (displacement or compression) by either osseous or non*osseous elements
  • o Evidence of hypertrophic facets with canal encroachment
  • Skeletally mature.
  • Able to understand this clinical study and willing and able to participate in the study follow*up according to the protocol.
  • Understand and read country national language at elementary level.
  • Signed informed consent.
  • Women must be one of the following:
  • o Postmenopausal defined as amenorrhea for at least 6 months before screening and a serum follicle stimulating hormone (FSH) level consistent with postmenopausal status
  • o Surgically sterile, (have had a hysterectomy or bilateral oophorectomy, tubal ligation, or otherwise be incapable of pregnancy)
  • o Abstinent (at the discretion of the investigator) or,
  • o If sexually active, be practicing an effective method of birth control such as hormonal prescription oral contraceptives, progesterone implants or injections, intrauterine device (IUD), a double*barrier method such as condoms, diaphragms or cervical caps with spermicidal foam, cream or gel, or male partner with a vasectomy.
  • Women of childbearing potential must have a negative serum β*human chorionic gonadotropin (β*hCG) pregnancy test at screening, or a negative urine pregnancy test at baseline or screening.

排除标准

  • Systemic infection such as AIDS, HIV, and active hepatitis.
  • Systemic Lupus erythematosus.
  • Contraindication to MRI (e.g. any electrically, magnetically or mechanically activated implants).
  • Known allergic reaction to MRI contrast.
  • Instrumented fusion (Exception: non*instrumented fusion permissible).
  • Postoperative wound treatment planned with suction drainage device (Exception: treatment with gravity drainage device allowed).
  • Patient has post traumatic vertebral body compromise or fracture at surgery level.
  • Prior lumbar spine surgery at surgery level.
  • Undergoing treatment for tumor or bony traumatic injury to the lumbar spine.
  • Cauda equina syndrome (defined as neural compression causing neurogenic bowel or bladder dysfunction).
  • Significant symptomatic peripheral vascular disease (at the discretion of the investigator).
  • Active malignancy defined as history of invasive malignancy, except if the patient has received a treatment and has displayed no clinical signs and symptoms for at least 5 years (excludes basal cell carcinoma).
  • Infection in the disc or spine, past or present.
  • Evidence of active (systemic or local) infection at time of surgery.
  • Has a disease process that would preclude accurate evaluation (e.g., neuromuscular disease, significant psychiatric disease).
  • Paget*s disease, osteomalacia or any other metabolic bone disease.
  • Taking immunosuppressants or steroids which have the potential to interfere with bone/soft tissue healing.
  • Morbid obesity (BMI >= 40).
  • Is a prisoner.
  • A recent history (less than 3 years) of chemical substance dependency or significant psychosocial disturbance that may impact study outcome or participation.
  • Participation in a clinical trial of another investigational drug or device within
  • the past 30 days.
  • Known allergies to any of the components of the investigational device.
  • Intraoperative exclusion criteria
  • Dural entry during the surgical procedure.
  • Newfound intraspinal tumor.
  • Involvement of more than two vertebrae levels.
  • Epidural fat placement.
  • Use of steroid solution.
  • Intraoperative decision to use a suction instead of a gravity drainage device.
  • Intraoperative decision to leave a hemostatic agent at the surgery site.

研究者

发起方
Fidia Advanced Biopolymers (FAB) S.r.l.

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