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Intervertebral Disc DegenerationMASTERS-D2NCT02617563

5-Year Global Study on MAST™ Minimally Invasive Fusion Procedures to Treat Degenerative Lumbar Spine (MASTERS-D2)

An observational study of Intervertebral Disc Degeneration, run by Medtronic Spinal and Biologics at 27 sites in 17 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the effectiveness of MAST techniques for anterior/lateral and posterior approaches in Degenerative Disc Disease (DDD) patients with spondylolisthesis (≥ grade I). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Intervertebral Disc Degeneration
What is being tested?
Minimally invasive lumbar fusion
Type of treatment
Medical device
How many people
361 participants
Where
27 sitesin 17 countries
Study dates
Dec 2015to 14 Nov 2024
How long will I take part?
5 Years
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: 361 patients suffering from lumbar degenerative disc disease (DDD) were enrolled over a period of 42 months in 27 sites located in Europe, Latin America, and Asia Pacific.

Who may be able to join

  • Patient is ≥ 18 years of age (or minimum age as required by local regulations)
  • Patient has degenerative disc disease and an indication for a single or double level instrumented lumbar fusion for the treatment
  • Patient agrees to participate in the study and is able to sign the Data Release Form/Informed Consent
  • The procedure planned for the patient complies with the labeling of the Devices that may be used in the surgical procedure as described in the section Medical Devices of the Clinical Investigation Plan
  • Patient is planned to be submitted to a minimally invasive fusion procedure using a posterior (PLIF, TLIF, MIDLF) or anterolateral (OLIF, ALIF, DLIF ) technique*
  • For a double level instrumented fusion, the same procedure must be used for both levels.
  • The patient is willing and is able to perform study procedures and required follow-up visits.

Who cannot join

  • Patient that has already undergone a lumbar fusion surgery
  • Patient that has already undergone open lumbar surgery other than standard decompression surgery
  • Indications for the procedure other than degenerative spine disease like: Osteoporotic vertebral fractures, Spine trauma fractures or Spine tumor
  • Illiterate or vulnerable patients (e.g. minors, participants incapable of judgment or participants under tutelage)
  • Concurrent participation in another clinical study that may confound study results.

Trial locations and contacts

27 sites in 17 countries.

27 sites in 17 countries

China3 sites
  • West China Hospital Sichuan University

    Chengdu, Sichuan, 610041

  • The First Affiliated Hospital of Dalian Medical University

    Dalian, Liaoning, 116011

  • Shangai Tenth People's Hospital

    Shanghai, 200072

Other trials in China

France3 sites
  • Hôpital Civil de Strasbourg (NHC)

    Eckbolsheim, 67201

  • CHRU de Lille, Hôpital Roger Salengro

    Lille, 59037

  • Service de Neurochirurgie la Timone

    Marseille

Other trials in France

South Korea3 sites
  • Department of Orthopedics, Korea University Ansan Hospital

    Ansan, 425-707

  • National Health Insurance Corporation Ilsan Hospital

    Gyeonggi-do, 10444

  • Department of Neurological Surgery, Chung-Ang University Hospital

    Seoul, 156-755

Other trials in South Korea

Portugal2 sites
  • Hospital Escala Braga

    Braga, 4710-243

  • Centro Hospitalar de Sao Joao

    Porto, 4200-319

Other trials in Portugal

Russia2 sites
  • Nizhny Novgorod Research Institute of Traumatology and Orthopedics of Public Health Ministry

    Nizhny Novgorod, 603155

  • Scientific Research Institute of Traumatology and Orthopedics

    Novosibirsk, 630091

Other trials in Russia

Spain2 sites
  • Hospital Universitario Marques de Valdecilla

    Santander, 39008

  • Hospital L'Horta Manises

    Valencia, 46026

Other trials in Spain

United Kingdom2 sites
  • Hull Royal Infirmary

    Hull, HU3 2JZ

  • East Suffolk and North Essex NHS Foundation Trust (was formerly Ipswich Hospital NHS)

    Ipswich, IP45PD

Other trials in United Kingdom

Argentina1 site
  • Hospital Italiano de Buenos Aires

    Buenos Aires, C1199ABD

Other trials in Argentina

Austria1 site
  • Kepler Universitatsklinikum

    Linz, 4020

Other trials in Austria

Belgium1 site
  • AZ Delta

    Roeselare, 8800

Other trials in Belgium

Brazil1 site
  • Hospital Universitario Cajuru

    Curitiba, 80050-350

Other trials in Brazil

Czechia1 site
  • Nový Hradec Králové

    Hradec Králové, 500 05

Other trials in Czechia

Denmark1 site
  • Glostrup Hospital

    Glostrup Municipality, 2600

Other trials in Denmark

Germany1 site
  • Klinikum Magdeburg

    Magdeburg, 39130

Other trials in Germany

Italy1 site
  • A.O. Fatebenefratelli e Oftalmico

    Milan, 20123

Other trials in Italy

Mexico1 site
  • Hospital Naval General de Alta Especialidad

    Mexico City, 4470

Other trials in Mexico

Slovakia1 site
  • A-klinik

    Bratislava, 82108

Other trials in Slovakia

About this study

Official title: A Prospective, 5-Year Global Study on MAST™ Minimally Invasive Fusion Procedures for the Treatment of the Degenerative Lumbar Spine

The purpose of this study is

  • to evaluate the effectiveness of MAST techniques for anterior/lateral and posterior approaches in Degenerative Disc Disease (DDD) patients with spondylolisthesis (≥ grade I).
  • To assess how single or double level MAST(Minimal Access Spinal Technologies) fusion procedures PLIF (Posterior Lumbar Interbody Fusion), TLIF (Transforaminal Lumbar Interbody Fusion), DLIF (Direct Lateral Interbody Fusion), OLIF (Oblique Lumbar Interbody Fusion), ALIF (Anterior Lumbar Interbody Fusion), or MIDLF (Midline Lumbar Interbody Fusion) are used in surgical practice and to describe long-term safety and effectiveness in a broad patient population of patients with degenerative lumbar disc disease .
Read the detailed description

In this Prospective, Global (multi center), Post Market Release (PMR) Study, Patients will be submitted to a single or double level instrumented fusion procedure using a PLIF, TLIF, ALIF, OLIF, DLIF or MIDLF technique via a minimally invasive procedure and will receive the same medical treatment as if they would not participate in this study.

  • The study will be monitored with visits conducted at the start, during and at the closure of the clinical study.
  • MedDRA coding will be used to classify the Adverse Event.
  • The study will be conducted according to Medtronic SOPs
  • Sample size calculation: Assuming that the standard deviation for ODI improvement at 3 months is 20 for both groups (anterolateral and posterior) and there is no difference in the mean ODI improvement at 3 months, with 80% power and 5% alpha level, the sample size for the primary endpoint (DDD patients operated for spondylolisthesis) is as follows in order to claim equivalence between two groups with equivalent margin (-10, 10):
  • Estimated sample size per group (anterolateral procedures versus posterior procedures): 70
  • Estimated total sample size for spondylolisthesis patients: 140
  • From the MASTERS-D study it is know that approximately 50% of the patients with degenerative disc disease have spondylolisthesis ≥ grade I. Hence the required total sample size is 140/0.5 = 280. The study is anticipated to enroll 350 patients.
  • In addition to a final statistical analysis, 3 months and annual interim analyses are anticipated.
  • The study hypothesis for the primary objective is to verify whether patients operated for spondylolisthesis (≥ grade I) have equivalent mean improvement of ODI at 3 months regardless of the minimally invasive surgical procedure (anterolateral or posterior) used.
  • The null-hypothesis: Ho: Δ ODI_Anterolateral ≠ Δ ODI_posterior
  • will be tested against the alternative hypothesis: HA: Δ ODI_Anterolateral = Δ ODI_posterior Where Δ ODI_Anterolateral is the average improvement in ODI score (baseline - 3 months) in spondylolisthesis subjects treated with the anterolateral approach and Δ ODI_posterior is the average improvement in ODI score (baseline - 3 months) in spondylolisthesis subjects treated with the posterior approach.
Being tested
Minimally invasive lumbar fusion
Keywords
spondylolisthesis, CD Horizon® Spinal Systems, minimal invasive, Spinal Fusion, MAST procedure, Lumbar fusion
Medical subject headings
Intervertebral Disc Degeneration, Spondylolisthesis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Minimally invasive lumbar fusionDevice

    Patients will receive a single or double level instrumented fusion using a minimally invasive/MAST™ PLIF, TLIF, DLIF, OLIF, ALIF or MIDLF surgical procedure with a posterior fixation. For the use of a posterior fixation system, the CD Horizon™ Spinal System, is mandatory in this study and will be either mini-open and/or percutaneous.

Study groups in NCT02617563
Study groupRoleWhat they receive
Minimally invasive lumbar fusionA single or double level instrumented fusion using minimally invasive PLIF, TLIF, MIDLF, DLIF, OLIF, ALIF procedures for the treatment of the degenerative lumbar spine.
Receives: Device: Minimally invasive lumbar fusion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change (Preop-postop) of Disability, Oswestry Disability Index (ODI) at 3 Months as Compared to Baseline in DDD Patients With Spondylolisthesis

    To demonstrate that DDD patients operated for spondylolisthesis fare equally well regardless of the surgical procedure (anterolateral or posterior) performed as measured by the change of ODI at 3 months as compared to baseline.

    ODI=Oswestry Disability Scale [0-100]; higher scores mean a worse outcome Timepoints: Baseline and 3 months

    Measured: 3 months

Secondary outcomes (23)
  1. Change (Preop-postop) in Disability ODI as Compared to Baseline in DDD Patients Without Spondylolisthesis

    To evaluate whether DDD patients without spondylolisthesis fare equally well regardless of the surgical procedure (anterolateral or posterior) performed, as measured by Oswestry Disability Index (ODI) at 3 months. Scored [0-100]; higher scores mean a worse outcome Timepoints: Baseline and 3 months

    Measured: 3 months

  2. Change (Preop-postop) in ODI Scores for the Total Population

    To observe the change in ODI scores as compared to baseline through 5 years. The score at baseline gives the baseline score [0-100]; the higher the score, the worse the outcome. Additional scores are based on the change from baseline. The higher the score, the greater the improvement.

    Timepoints: Baseline, 4 weeks, 3 months, 1-,2-,3-,4-, and 5-years

    Measured: Through 5 years

  3. Change (Preop-postop) in Visual Analog Scale (VAS) Back Pain Intensity

    To observe a change in VAS back pain as compared to baseline through 5 years. At baseline scored on a scale from [0-10]; 0 = No pain 10= Worst pain possible.

    Timepoints: Baseline, 4 weeks, 3 months, 1-,2-,3-,4-, and 5-years

    Measured: Through 5 years

  4. Change (Preop-postop) in VAS Leg Pain Intensity

    To observe the change in VAS leg pain as compared to baseline through 5 years. The score at baseline gives the baseline score [0-10]; 0 = No pain 10= Worst pain possible.

    Timepoints: Baseline, 4 weeks, 3 months, 1-,2-,3-,4-, and 5-years

    Measured: Through 5 years

  5. Change (Postop-preop) in EQ-5D Index Score

    To observe the change in EuroQol-5 Dimension (EQ-5D) index score as compared to baseline through 5 years. Scored from [-0.109 to 1]. A higher score means a better outcome.

    Timepoints: Baseline, 4 weeks, 3 months, 1-,2-,3-,4-, and 5-years

    Measured: Through 5 years

  6. The Neurological Success Rate

    Neurological status is based on four types of measurements (sections): motor, sensory, reflexes, and straight leg raising.

    Overall neurological success is defined as maintenance or improvement in all sections (motor, sensory, reflex, and straight leg raising) for the time period evaluated. In order for a section to be considered a success, each element in the section must remain the same or improve from the time of the baseline evaluation to the time period evaluated. Therefore, if any one element in any section does not stay the same or improve, then a patient was not considered a success for neurological status.

    Measured: 5 years

  7. Fusion Success

    Fusion success rate was summarized for at 1, 2, 3, 4, 5 year follow-up. If a participant showed fusion success at early time points and non-fusion at a later time point, the fusion status at all earlier points was considered as non-fusion. For 2-level fusion participants, fusion success was defined as achieving fusion at both treated levels.

    Measured: Through 5 years

  8. Proportion of Patients Needing a Secondary Spinal Surgery at the Index and/or Adjacent Level(s) (Reoperation Rates) Throughout the Study

    To document Secondary Surgeries at index and/or adjacent level(s)throughout the study. When a participant requires additional surgery at the index level(s), it can be an indicator of insufficient outcomes of the initial surgery. Due to the progressive nature of the degenerative lumbar spine, additional surgeries at the index and/or adjacent levels might be required after the initial surgery. To ensure all safety and economic values are collected, the revision surgeries and their complication types and rates will be assessed during the study by the surgeons.

    For secondary surgery at index levels and/or secondary surgery at adjacent levels, survival analysis was performed to estimate the cumulative event rate up to 5 years.

    Measured: Through 5 years

  9. Adverse Events

    Document Adverse Events occurrence throughout the study

    Measured: Through 5 years

  10. Amount of Days Needed for First Ambulation

    To observe and document the days needed for participants to get out of bed and ambulate with or without assistance. Time range: [0-11] days

    Measured: From surgery up to hospital discharge, up to 11 days

  11. Amount of Days Needed to Recover From Surgery

    To observe and document the days after the surgery, fulfilling following criteria:

    • No need for intravenous infusion of analgesic drugs
    • No ongoing surgery related adverse events impending discharge
    • No need for nursing care

    Timeframe: [0-46] days

    The objective of the Surgery Recovery Day assessment is to collect the day when the participant could be discharged based on his actual clinical condition because the effective day of discharge may be prolonged by factors other than the participant's clinical recovery such as social factors or co-morbidity.

    For the purpose of reporting these parameters the day of the surgery were considered 'D0', the first day after surgery as 'D1', the second day as 'D2' and so on.

    Measured: Surgery Recovery Day up to hospital discharge, with a maximum of 46 days

  12. Healthcare Economics Evaluation "Medications"

    Healthcare utilization were measured with the following three costs components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Baseline to 5-year follow-up

  13. Health Economics Evaluation "Resources"

    Healthcare utilization is measured with the following three cost components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Through 5 years

  14. Health Economics Evaluation "Rehabilitation Program"

    Healthcare utilization is measured with the following three costs components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Baseline to 5 years

  15. Health Economics Evaluation "Operative Time"

    Healthcare utilization is measured with the following three cost components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Peri-operative

  16. Health Economics Evaluation "Estimated Blood Loss"

    Healthcare utilization is measured with the following three cost components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Peri-operative

  17. Health Economics Evaluation "Length of Hospital Stay"

    Healthcare utilization is measured with the following three cost components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    The minimum-maximum time spent at the hospital was [1-53 days]

    Measured: Post-operative, up to 53 days

  18. Health Economics Evaluation "Total Fluoroscopy Time"

    Healthcare utilization is measured with the following three cost components:

    1. resources: surgery room, length of hospital stay, additional medical visits (outpatient consultations, visits to primary care services, etc)
    2. medications
    3. non-pharmacologic therapies: rehabilitation program

    Measured: Peri-operative

  19. To Observe and Document the Patient Profile When Choosing a Particular Minimally Invasive Fusion Procedure - Categorical Variables

    To observe and document the patient profile when choosing a particular minimally invasive fusion procedure:

    Baseline information is summarized for all DDD patients per surgical procedure (ALIF, OLIF, DLIF, PLIF, TLIF, MIDLF).

    Measured: Baseline

  20. To Observe and Document the Patient Profile When Choosing a Particular Minimally Invasive Fusion Procedure - Age

    To observe and document the patient profile when choosing a particular minimally invasive fusion procedure:

    Baseline information is summarized for all DDD patients per surgical procedure (ALIF, OLIF, DLIF, PLIF, TLIF, MIDLF).

    Measured: Baseline

  21. To Observe and Document the Patient Profile When Choosing a Particular Minimally Invasive Fusion Procedure - Height

    To observe and document the patient profile when choosing a particular minimally invasive fusion procedure:

    Baseline information is summarized for all DDD patients per surgical procedure (ALIF, OLIF, DLIF, PLIF, TLIF, MIDLF).

    Measured: Baseline

  22. To Observe and Document the Patient Profile When Choosing a Particular Minimally Invasive Fusion Procedure - Weight

    To observe and document the patient profile when choosing a particular minimally invasive fusion procedure:

    Baseline information is summarized for all DDD patients per surgical procedure (ALIF, OLIF, DLIF, PLIF, TLIF, MIDLF).

    Measured: Baseline

  23. To Observe and Document the Patient Profile When Choosing a Particular Minimally Invasive Fusion Procedure - BMI

    To observe and document the patient profile when choosing a particular minimally invasive fusion procedure:

    Baseline information is summarized for all DDD patients per surgical procedure (ALIF, OLIF, DLIF, PLIF, TLIF, MIDLF).

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Dec 2015 (estimated)
  2. Study startDec 2015
  3. Primary completion10 Nov 2019
  4. Study completion14 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
361 participants (actual)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT02617563
Sponsor's protocol ID
P15-01
Acronym
MASTERS-D2
Status last verified
Oct 2026
First submitted
17 Nov 2015
Last updated
14 Oct 2026
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Intervertebral Disc Degeneration, run by Medtronic Spinal and Biologics at 27 sites in 17 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in China, France, South Korea, Portugal, Russia and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Jan 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change (Preop-postop) of Disability, Oswestry Disability Index (ODI) at 3 Months as Compared to Baseline in DDD Patients With Spondylolisthesis (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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