Clinical and Radiographic Outcomes of TLIF w/3D Printed Cellular Implant

Sponsor
Farhan Karim (Other)
Overall Status
Recruiting
CT.gov ID
NCT05023733
Collaborator
DePuy Synthes (Industry)
150
1
48
3.1

Study Details

Study Description

Brief Summary

This study is designed to evaluate clinical outcomes and spine fusion rates for patients undergoing transforaminal lumbar interbody fusion using the CONDUIT 3D printed titanium TLIF cage.

Condition or Disease Intervention/Treatment Phase
  • Device: CONDUIT™ Interbody Platform composed of the EIT (Emerging Implant Technologies) Cellular Titanium®

Detailed Description

This prospective, single-center study is being conducted as a post market evaluation of the CONDUIT 3D printed titanium TLIF Cage. Patients undergoing transforaminal lumbar interbody fusions due to lumbar spinal pathology (i.e. central foraminal stenosis, degenerative disc disease, and/or lumbar spondylolisthesis) and have failed conservative care will be recruited for this study. Patients will be serially evaluated at 6 month intervals for a total of 24 months post index procedure to assess patient reported outcomes, clinical outcomes, and radiographic parameter, specifically spine fusion rates.

Study Design

Study Type:
Observational
Anticipated Enrollment :
150 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Clinical and Radiographic Outcomes of Transforaminal Lumbar Interbody Fusion (TLIF) With a Novel 3D Printed Cellular Titanium Implant
Actual Study Start Date :
Oct 1, 2021
Anticipated Primary Completion Date :
Mar 1, 2025
Anticipated Study Completion Date :
Oct 1, 2025

Arms and Interventions

Arm Intervention/Treatment
1-2 contiguous levels of interbody fixation from a transforaminal approach for spinal segments L2-S1

One to two contiguous levels of interbody fixation from a transforaminal approach for spinal segments L2-S1 whose condition requires the use of interbody fusion.

Device: CONDUIT™ Interbody Platform composed of the EIT (Emerging Implant Technologies) Cellular Titanium®
Patients undergoing 1-2 contiguous levels of interbody fixation from a transforaminal approach for spinal segments L2-S1
Other Names:
  • lumbar fusion
  • Outcome Measures

    Primary Outcome Measures

    1. Radiographic Fusion [18 months]

      Fusion success measured by radiological assessment. Evidence of fusion demonstrated by bone formation through the cage on anteroposterior (AP) and Lateral radiographs, Flexion and Extension radiographs at 18 months

    2. Radiographic Fusion [24 months]

      Fusion success measured by radiological assessment. Evidence of fusion demonstrated by bone formation through the cage on anteroposterior (AP) and Lateral radiographs, Flexion and Extension radiographs at 24 months

    Secondary Outcome Measures

    1. Back and Leg Visual Analog Scale (VAS) [6 months]

      Improvement in the VAS as measured by a minimum of a 20 point improvement

    2. Back and Leg Visual Analog Scale (VAS) [12 months]

      Improvement in the VAS as measured by a minimum of a 20 point improvement

    3. Back and Leg Visual Analog Scale [18 months]

      Improvement in the VAS as measured by a minimum of a 20 point improvement

    4. Oswestry Disability Index (ODI) [6 months]

      Clinical Improvement will be defined by improvement in Oswestry Disability Index (ODI) >20%

    5. Oswestry Disability Index (ODI) [12 months]

      Clinical Improvement will be defined by improvement in Oswestry Disability Index (ODI) >20%

    6. Oswestry Disability Index (ODI) [18 months]

      Clinical Improvement will be defined by improvement in Oswestry Disability Index (ODI) >20%

    7. Adverse Events [up to 24 months]

      Number of procedure and device related adverse events

    8. Intervention Rates [up to 24 months]

      Rates of reoperation and/or revision procedures at index level(s)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    35 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Skeletally mature adults ages 35 - 80 years of age, inclusive

    • Diagnosis of lumbar degenerative disc disease with or without neurologic deficit and associated central and/or unilateral/bilateral foraminal stenosis

    • Subject undergoing one or two level transforaminal lumbar interbody fusion

    • Able to read and understand all documents used in this study , including the informed consent and patient-reported outcome questionnaires

    Exclusion Criteria:
    • Patients over 80 years of age

    • Patients under 35 years of age

    • Current smokers

    • BMI>42

    • Subject has spondylolisthesis > 2

    • Subjects with multilevel >2 levels of symptomatic disease

    • Subjects with significant spinal deformity

    • Subject is pregnant, plans to become pregnant or is breast feeding

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Hartford Healthcare Bone and Joint Institute Hartford Connecticut United States 06106

    Sponsors and Collaborators

    • Farhan Karim
    • DePuy Synthes

    Investigators

    • Principal Investigator: Farhan Karim, DO, Hartford Hospital; Hartford Healthcare Bone & Joint Institute

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Farhan Karim, Spine Surgeon, Hartford Hospital
    ClinicalTrials.gov Identifier:
    NCT05023733
    Other Study ID Numbers:
    • HHC-2020-0243
    First Posted:
    Aug 27, 2021
    Last Update Posted:
    Jan 28, 2022
    Last Verified:
    Jan 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    Yes
    Product Manufactured in and Exported from the U.S.:
    Yes
    Keywords provided by Farhan Karim, Spine Surgeon, Hartford Hospital
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jan 28, 2022