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Degenerative Spine DiseasesNCT05947175

Vertebral Bone Marrow Clot for Spinal Surgery

A study testing Vertebral bone marrow (vBMA) clot and Bone allograft chips in people with Degenerative Spine Diseases, run by Istituto Ortopedico Rizzoli at 1 site in Italy.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Spinal fusion (SF) is a common orthopedic procedure to treat spinal diseases. Apart from fixation systems, the procedure requires bone grafting to further improve SF. Cell-based therapies as vertebral bone marrow aspirate (vBMA) with bone allograft were developed as alternative to bone autograft in SF. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Degenerative Spine Diseases
What is being tested?
Vertebral bone marrow (vBMA) clot and Bone allograft chips
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
1 siteItaly
Study dates
19 May 2023to 18 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • degenerative spinal disorders (based radiological diagnosis)
  • posterior spinal stabilization ≤ 5 levels
  • age between 18-80 years at the time of surgery

Who cannot join

  • HIV
  • HBV
  • HCV
  • coagulations disorders
  • pregnant or breast-feeding women
  • cancer
Show all 11Show fewer
  • infections
  • previous spinal surgery
  • radio- chemotherapy
  • myeloproliferative disease
  • chronic steroid medication, thyroxin, immunodepression

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Istituto Ortopedico Rizzoli

    Bologna, BO, 40136

Other trials in Italy

About this study

Official title: The Vertebral Bone Marrow Clot as Autologous Cell-therapy and Multifunctional Bio-scaffold Targeting the Key Challenges for Spinal Fusion Surgery

Spinal fusion (SF) is a common orthopedic procedure to treat spinal diseases. Apart from fixation systems, the procedure requires bone grafting to further improve SF. Cell-based therapies as vertebral bone marrow aspirate (vBMA) with bone allograft were developed as alternative to bone autograft in SF. However, vBMA use is limited by the lack of a standardized procedure, of a structural texture and by the possibility of diffusion away from the implant site. Recently, the potential use of a new formulation of vBMA, named vBMA clot, has been described. The project aims at evaluating the clinical evidence and the biological features of vBMA clot associated to bone allograft for SF surgery, considering age and gender related differences. A randomized controlled trial will prove the efficacy of the treatment and advanced preclinical studies will improve the knowledge on vBMA clot regenerative and anti-inflammatory properties, exploring for the first time its antibacterial characteristics.

Read the detailed description

To evaluate the efficacy of autologous vBMA clot in SF procedures in patients with degenerative spine diseases, a randomized controlled trial (RCT) will be carried out. The study will compare patients treated with autologous vBMA clot associated to bone allograft chips versus bone allograft chips alone (standard treatment), also evaluating whether patient age and gender are associated with differences in the clinical outcomes.

Being tested
Vertebral bone marrow (vBMA) clot, Bone allograft chips
Keywords
Spine, Spinal fusion, Degenerative diseases, Vertebral bone marrow, Clot

What participants receive

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

  • Vertebral bone marrow (vBMA) clotBiological

    The clotted vBMA will be obtained from vertebral bone marrow aspirate.The vBMA clot contain mesenchymal stem cells (MSCs), growth factors, platelet and osteogenic and anti-inflammatory mediators.

  • Bone allograft chipsOther

    Bone allograft chips will be obtained from Musculoskeletal Tissue Bank at IRCCS Istituto Ortopedico Rizzoli.

Study groups in NCT05947175
Study groupRoleWhat they receive
Experimental group - vertebral bone marrow (vBMA) clotExperimentalBone allograft chips will be obtained from Istituto Ortopedico Rizzoli while vBMA will be harvested from each patient vertebral pedicle with the preparation of the site for pedicle screw insertion during spinal surgery. After the positioning of pedicle screws, the decompression of the cauda and nerve roots will be achieved with a hemilaminectomy and foraminotomy. vBMA clot associated with bone allograft chips will be opposed on the hemi-laminae and transvers process on the contralateral side of the hemilaminectomy. On the hemilaminectomy side, foramino-arthrectomy will be performed to insert the interbody fusion cage if necessary. After aspiration, the vBMA will be clotted and used for surgical procedure. vBMA clot associated to bone allograft chips will be applied on each side of the vertebra according to the number of segments to be fused.
Receives: Biological: Vertebral bone marrow (vBMA) clot
Control - bone allograft chipsActive comparatorBone allograft chips will be obtained from Istituto Ortopedico Rizzoli. In detail, conventional posterior approach for lumbar SF will be performed. After the positioning of pedicle screws, the decompression of the cauda and nerve roots will be achieved with a hemilaminectomy and foraminotomy. Bone allograft chips alone will be opposed on the hemi-laminae and transvers process on the contralateral side of the hemilaminectomy. On the hemilaminectomy side, foramino-arthrectomy will be performed to insert the interbody fusion cage if necessary.
Receives: Other: Bone allograft chips

What is being measured

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

  1. Brantigan classification

    Improvement of spinal fusion rate and time in patients treated with vBMA clot associated to bone allograft chips in comparison to bone allograft chips alone, also considering age and gender differences. CT-scan and X-ray, perform pre-operatively and at 1, 3, 6, 12 months of FU, will be evaluated basing on Brantigan classification (which ranges from A to E, with E score indicating better SF rate).

    Measured: At baseline (day 0)

  2. Brantigan classification

    Improvement of spinal fusion rate and time in patients treated with vBMA clot associated to bone allograft chips in comparison to bone allograft chips alone, also considering age and gender differences. CT-scan and X-ray, perform pre-operatively and at 1, 3, 6, 12 months of FU, will be evaluated basing on Brantigan classification (which ranges from A to E, with E score indicating better SF rate).

    Measured: 1 month

  3. Brantigan classification

    Improvement of spinal fusion rate and time in patients treated with vBMA clot associated to bone allograft chips in comparison to bone allograft chips alone, also considering age and gender differences. CT-scan and X-ray, perform pre-operatively and at 1, 3, 6, 12 months of FU, will be evaluated basing on Brantigan classification (which ranges from A to E, with E score indicating better SF rate).

    Measured: 3 months

  4. Brantigan classification

    Improvement of spinal fusion rate and time in patients treated with vBMA clot associated to bone allograft chips in comparison to bone allograft chips alone, also considering age and gender differences. CT-scan and X-ray, perform pre-operatively and at 1, 3, 6, 12 months of FU, will be evaluated basing on Brantigan classification (which ranges from A to E, with E score indicating better SF rate).

    Measured: 6 months

  5. Brantigan classification

    Improvement of spinal fusion rate and time in patients treated with vBMA clot associated to bone allograft chips in comparison to bone allograft chips alone, also considering age and gender differences. CT-scan and X-ray, perform pre-operatively and at 1, 3, 6, 12 months of FU, will be evaluated basing on Brantigan classification (which ranges from A to E, with E score indicating better SF rate).

    Measured: 12 months

Secondary outcomes (20)
  1. Re-operation rate

    The radiological outcome is the reduction of re-operation rate due to pseudoarthrosis that will be estimate by Brantigan classification.

    Measured: At baseline (day 0)

  2. Re-operation rate

    The radiological outcome is the reduction of re-operation rate due to pseudoarthrosis that will be estimate by Brantigan classification.

    Measured: 1 month

  3. Re-operation rate

    The radiological outcome is the reduction of re-operation rate due to pseudoarthrosis that will be estimate by Brantigan classification.

    Measured: 3 month

  4. Re-operation rate

    The radiological outcome is the reduction of re-operation rate due to pseudoarthrosis that will be estimate by Brantigan classification.

    Measured: 6 month

  5. Re-operation rate

    The radiological outcome is the reduction of re-operation rate due to pseudoarthrosis that will be estimate by Brantigan classification.

    Measured: 12 month

  6. Visual Analogue Score

    Visual Analogue Score (which ranges from 0 to 100 with higher scores indicating more severe pain)

    Measured: At baseline (day 0)

  7. Visual Analogue Score

    Visual Analogue Score (which ranges from 0 to 100 with higher scores indicating more severe pain)

    Measured: 1 month

  8. Visual Analogue Score

    Visual Analogue Score (which ranges from 0 to 100 with higher scores indicating more severe pain)

    Measured: 3 months

  9. Visual Analogue Score

    Visual Analogue Score (which ranges from 0 to 100 with higher scores indicating more severe pain)

    Measured: 6 months

  10. Visual Analogue Score

    Visual Analogue Score (which ranges from 0 to 100 with higher scores indicating more severe pain)

    Measured: 12 months

  11. Oswestry Disability Index

    Oswestry Disability Index (ODI) (which ranges from 0 to 100 with higher scores indicating more severe disability)

    Measured: At baseline (day 0)

  12. Oswestry Disability Index

    Oswestry Disability Index (ODI) (which ranges from 0 to 100 with higher scores indicating more severe disability)

    Measured: 1 month

  13. Oswestry Disability Index

    Oswestry Disability Index (ODI) (which ranges from 0 to 100 with higher scores indicating more severe disability)

    Measured: 3 months

  14. Oswestry Disability Index

    Oswestry Disability Index (ODI) (which ranges from 0 to 100 with higher scores indicating more severe disability)

    Measured: 6 months

  15. Oswestry Disability Index

    Oswestry Disability Index (ODI) (which ranges from 0 to 100 with higher scores indicating more severe disability)

    Measured: 12 months

  16. Short Form Health Survey 36

    Short Form Health Survey 36 (SF-36) (set of generic and coherent quality-of-life measures based on patient self-reporting outcomes)

    Measured: At baseline (day 0)

  17. Short Form Health Survey 36

    Short Form Health Survey 36 (SF-36) (set of generic and coherent quality-of-life measures based on patient self-reporting outcomes)

    Measured: 1 month

  18. Short Form Health Survey 36

    Short Form Health Survey 36 (SF-36) (set of generic and coherent quality-of-life measures based on patient self-reporting outcomes)

    Measured: 3 months

  19. Short Form Health Survey 36

    Short Form Health Survey 36 (SF-36) (set of generic and coherent quality-of-life measures based on patient self-reporting outcomes)

    Measured: 6 months

  20. Short Form Health Survey 36

    Short Form Health Survey 36 (SF-36) (set of generic and coherent quality-of-life measures based on patient self-reporting outcomes)

    Measured: 12 months

Timeline

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

  1. First posted17 Jul 2023
  2. Study start19 May 2023
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion18 May 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
96 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05947175
Sponsor's protocol ID
MORE_FOR_SPINE
Status last verified
May 2026
First submitted
27 Jun 2023
Last updated
27 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Salamanna F, Contartese D, Giavaresi G, Sicuro L, Barbanti Brodano G, Gasbarrini A, Fini M. A Rationale for the Use of Clotted Vertebral Bone Marrow to Aid Tissue Regeneration Following Spinal Surgery. Sci Rep. 2020 Mar 5;10(1):4115. doi: 10.1038/s41598-020-60934-2.

    PubMed 32139727
  • Salamanna F, Contartese D, Nicoli Aldini N, Barbanti Brodano G, Griffoni C, Gasbarrini A, Fini M. Bone marrow aspirate clot: A technical complication or a smart approach for musculoskeletal tissue regeneration? J Cell Physiol. 2018 Apr;233(4):2723-2732. doi: 10.1002/jcp.26065. Epub 2017 Jul 24.

    PubMed 28639702
  • Salamanna F, Contartese D, Borsari V, Pagani S, Barbanti Brodano G, Griffoni C, Ricci A, Gasbarrini A, Fini M. Two Hits for Bone Regeneration in Aged Patients: Vertebral Bone Marrow Clot as a Biological Scaffold and Powerful Source of Mesenchymal Stem Cells. Front Bioeng Biotechnol. 2022 Jan 18;9:807679. doi: 10.3389/fbioe.2021.807679. eCollection 2021.

    PubMed 35118056
  • Sartori M, Tedesco G, Spinnato P, Mazzotti A, Gasbarrini A, Faldini C, Miceli M, Giavaresi G, Salamanna F. The Vertebral Bone Marrow clot as cell therapy and multifunctional bioscaffold for spinal fusion surgery: protocol for a randomized clinical trial. Front Med (Lausanne). 2025 May 9;12:1591041. doi: 10.3389/fmed.2025.1591041. eCollection 2025.

    PubMed 40417680

Questions about this trial

What is this clinical trial studying?

A study testing Vertebral bone marrow (vBMA) clot and Bone allograft chips in people with Degenerative Spine Diseases, run by Istituto Ortopedico Rizzoli at 1 site in Italy.

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 3 inclusion and 11 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: under way, not looking for participants, as of the sponsor's last update on 27 May 2026. 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 Italy. 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?

This study is still under way. Results are not available in the source record yet.

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?

Brantigan classification (time frame: At baseline (day 0)). The study lists 5 primary outcomes in all. 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 NCT05947175, which also lists 4 linked publications.

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 27 May 2026.

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