Lumbar Spine DegenerationNCT03176303
Study Using the SpinalStim Device Following Lumbar Fusion Surgery
An observational study of Lumbar Spine Degeneration, run by Orthofix Inc. at 1 site in United States.
Trial summary
This study examines the effect of adjunctive use of the SpinalStim bone growth stimulator on lumbar fusion rate in high risk subjects who have had lumbar fusion surgery. All participants will wear the bone growth stimulator for a minimum of 2 hours/day for 6 months. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lumbar Spine Degeneration
- What is being tested?
- SpinalStim
- Type of treatment
- Medical device
- How many people
- 206 participants
- Where
- 1 siteUnited States
- Study dates
- 28 Jun 2017to 12 Jul 2021
- Phase
- Observational
- Are there results?
- None posted in the registry
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: subjects from all over the United States are eligible for enrollment as long as they meet the inclusion/exclusion criteria.
Who may be able to join
- Male or female, ≥ 18 years of age at the time of Informed Consent
- Requires a lumbar fusion surgery within 30 days of signing Informed Consent.
- Surgical approach is according to physician's discretion.
- Subject has one or more risk factors:
- Is currently using nicotine
- multi-level lumbar fusion surgery planned
Show all 13Show fewer
- Prior failed fusion at any lumbar level
- Subject reported diabetes
- Subject reported osteoporosis
- Body mass index ≤ 45 kg/m2 at the time of consent.
- Must have reliable access to an iPhone or an iPad with Wi-Fi access for downloading the free device-specific app (iPhone 5S or higher, iPad, iPad Pro, iPad mini or iTouch using iOS v9.3 or later). When the android version of the mobile app for the SpinalStim becomes available (estimated to be Dec. 2017), subjects who have reliable access to devices using android operating systems will be eligible for study inclusion.
- Able and willing to complete electronic questionnaires and able to read and understand study instructions in English
- Able and willing to comply with the study plan and able to understand and sign the study-specific ICF.
Who cannot join
- Scoliosis greater than 30 degrees
- Current alcoholism or drug abuse, and/or any known current addiction to pain medications or medical marijuana
- Any active malignancy or prior history of malignancy within last 5 years prior to fusion (except basal cell carcinoma of the skin).
- Any clinically significant finding that places the subject at health risk, impacts the study, or affects completion of the study, in the opinion of the Investigator
- Any psychiatric illness that prevents subject from completing the assessments accurately, in the opinion of the Investigator
- Prisoners.
Trial locations and contacts
1 site in 1 country.
United States1 site
ClinTech Center for Spine Health
Johnstown, Colorado, 80534
About this study
Official title: A Multi-Center, Open-Label, Prospective Study of SpinalStim™ (MOP-SS) as Adjunctive Care Following Lumbar Fusion Surgery
This study examines the effect of adjunctive use of the SpinalStim bone growth stimulator on lumbar fusion rate in high risk subjects who have had lumbar fusion surgery. All participants will wear the bone growth stimulator for a minimum of 2 hours/day for 6 months.
Read the detailed description
The purpose of this post market prospective study is to examine the effect of the adjunctive use of the Orthofix SpinalStim™ device on lumbar fusion rate in high risk subjects who have undergone lumbar fusion surgery. High risk subjects are those who are currently using nicotine, who are having a multi-level fusion, who have had a prior failed fusion at any lumbar level, who are diabetic or who are osteoporotic. Because this is a post market prospective study, subjects who are enrolled in this study will be identified by the Investigator as needing lumbar fusion surgery and asked if they would like to participate in a study looking at the efficacy of lumbar fusion with adjunctive use of the SpinalStim bone growth simulator. The type of lumbar fusion surgery performed (lateral lumbar interbody fusion [XLIF], posterior lumbar interbody fusion [PLIF], anterior lumbar interbody fusion [ALIF], posterolateral fusion) is up to the Investigator; the subjects in the study must be agreeable to using the bone growth stimulator daily for 6 months post surgery.
- Conditions
- Lumbar Spine Degeneration
- Being tested
- SpinalStim
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SpinalStimDevice
PEMF osteogenesis stimulator
| Study group | Role | What they receive |
|---|---|---|
| Pulsed Electromagnetic Field | one group all of whom will be treated with the PEMF device Receives: Device: SpinalStim |
What is being measured
The primary outcome is the main question the study is designed to answer.
fusion rate
number of subjects with fused lumbar vertebrae, determined by X-rays and CT scans
Measured: 12 months
Secondary outcomes (6)
Device compliance
actual minutes per day device was used compared with prescribed treatment time
Measured: 6 months
revision rate
how many subjects had to be reoperated (revised) at the same level(s) during the course of the study
Measured: 12 months
SF-36
used to assess the effect of PEMF treatment on subject quality of life
Measured: 12 months
Oswestry Disability Index
used to examine the effect of PEMF treatment on subject disability
Measured: 12 months
VAS pain
used to assess the effect of PEMF treatment on reduction of pain
Measured: 12 months
EQ-5D
used to assess the effect of PEMF treatment on quality of life and economic impact
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2017
- Study start28 Jun 2017
- Primary completion12 Jul 2021
- Study completion12 Jul 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lumbar Spine DegenerationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 206 participants (actual)
Sponsor and investigators
- Lead sponsor
- Orthofix Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- James T Ryaby, Ph.D., Principal investigator, Orthofix Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03176303
- Sponsor's protocol ID
- CP-1702SSPM
- Status last verified
- Sep 2022
- First submitted
- 27 Apr 2017
- Last updated
- 16 Sep 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- Individual data sharing
- Undecided: if we decide to share, we will only share deidentified summary data
Publications
Weinstein MA, Beaumont A, Campbell P, Hassanzadeh H, Patel V, Vokshoor A, Wind J, Radcliff K, Aleem I, Coric D. Pulsed Electromagnetic Field Stimulation in Lumbar Spine Fusion for Patients With Risk Factors for Pseudarthrosis. Int J Spine Surg. 2023 Dec 26;17(6):816-823. doi: 10.14444/8549.
PubMed 37884337
Study at a glance
From the registry record, last updated by the sponsor on 16 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Open-Label, Prospective Study of SpinalStim™ (MOP-SS) as Adjunctive Care Following Lumbar Fusion Surgery
- ClinicalTrials.gov ID
- NCT03176303
- Acronym / sponsor ID
- CP-1702SSPM
- Conditions
- Lumbar Spine Degeneration
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 206 participants (actual)
- Lead sponsor
- Orthofix Inc.Industry (pharma, biotech, devices)
- Study start
- 28 Jun 2017 (actual)
- Primary completion
- 12 Jul 2021 (actual)
- Study completion
- 12 Jul 2021 (actual)
- First posted
- 5 Jun 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study examines the effect of adjunctive use of the SpinalStim bone growth stimulator on lumbar fusion rate in high risk subjects who have had lumbar fusion surgery. All participants will wear the bone growth stimulator for a minimum of 2 hours/day for 6 months.
Detailed description
The purpose of this post market prospective study is to examine the effect of the adjunctive use of the Orthofix SpinalStim™ device on lumbar fusion rate in high risk subjects who have undergone lumbar fusion surgery. High risk subjects are those who are currently using nicotine, who are having a multi-level fusion, who have had a prior failed fusion at any lumbar level, who are diabetic or who are osteoporotic. Because this is a post market prospective study, subjects who are enrolled in this study will be identified by the Investigator as needing lumbar fusion surgery and asked if they would like to participate in a study looking at the efficacy of lumbar fusion with adjunctive use of the SpinalStim bone growth simulator. The type of lumbar fusion surgery performed (lateral lumbar interbody fusion [XLIF], posterior lumbar interbody fusion [PLIF], anterior lumbar interbody fusion [ALIF], posterolateral fusion) is up to the Investigator; the subjects in the study must be agreeable to using the bone growth stimulator daily for 6 months post surgery.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pulsed Electromagnetic Field | – | Device: SpinalStimone group all of whom will be treated with the PEMF device |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- subjects from all over the United States are eligible for enrollment as long as they meet the inclusion/exclusion criteria.
Key inclusion criteria (13 listed)
- Male or female, ≥ 18 years of age at the time of Informed Consent
- Requires a lumbar fusion surgery within 30 days of signing Informed Consent.
- Subject has one or more risk factors:
- Body mass index ≤ 45 kg/m2 at the time of consent.
- Must have reliable access to an iPhone or an iPad with Wi-Fi access for downloading the free device-specific app (iPhone 5S or higher, iPad, iPad Pro, iPad mini or iTouch using iOS v9.3 or later). When the android version of the mobile app for the SpinalStim becomes available (estimated to be Dec. 2017), subjects who have reliable access to devices using android operating systems will be eligible for study inclusion.
Key exclusion criteria (6 listed)
- Scoliosis greater than 30 degrees
- Current alcoholism or drug abuse, and/or any known current addiction to pain medications or medical marijuana
- Any active malignancy or prior history of malignancy within last 5 years prior to fusion (except basal cell carcinoma of the skin).
- Any clinically significant finding that places the subject at health risk, impacts the study, or affects completion of the study, in the opinion of the Investigator
- Any psychiatric illness that prevents subject from completing the assessments accurately, in the opinion of the Investigator
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SpinalStimPEMF osteogenesis stimulator | Device | Pulsed Electromagnetic Field |
Primary outcome
fusion rate
Time frame: 12 months
number of subjects with fused lumbar vertebrae, determined by X-rays and CT scans
6 secondary outcomes
Device compliance
Time frame: 6 months
revision rate
Time frame: 12 months
SF-36
Time frame: 12 months
Oswestry Disability Index
Time frame: 12 months
VAS pain
Time frame: 12 months
EQ-5D
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Sep 2022.
- Derived from this study: PubMed 37884337Weinstein MA, Beaumont A, Campbell P, Hassanzadeh H, Patel V, Vokshoor A, Wind J, Radcliff K, Aleem I, Coric D. Pulsed Electromagnetic Field Stimulation in Lumbar Spine Fusion for Patients With Risk Factors for Pseudarthrosis. Int J Spine Surg. 2023 Dec 26;17(6):816-823. doi: 10.14444/8549.
- Individual participant dataSharing planned: Undecided. if we decide to share, we will only share deidentified summary data
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
James T Ryaby, Ph.D. principal investigator
Orthofix Inc.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Lumbar Spine Degeneration, run by Orthofix Inc. at 1 site in United States.
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 13 inclusion and 6 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 16 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
fusion rate (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03176303, which also lists 1 linked publication.
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 16 Sep 2022.