Spine FusionNCT05986006
Fusion Status After ACDF
A study testing Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograft and Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone Graft in people with Spine Fusion and Spine Surgery, run by Rothman Institute Orthopaedics at 1 site in United States.
Trial summary
Pseudarthrosis, a failure of bony fusion, is one of the most common causes of revision surgery following anterior cervical discectomy and fusion (ACDF). The interbody spacer is an important component of bony fusion in ACDF, and we aim to compare machined allograft spacers versus iliac crest allograft in a randomized… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Spine Fusion, Spine Surgery
- What is being tested?
- Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograft and Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone Graft
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 124 participants
- Where
- 1 siteUnited States
- Study dates
- 7 Aug 2023to 31 Aug 2024
- Phase
- Interventional
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- patients 18 years of age or older
- preoperative diagnosis of cervical radiculopathy and/or cervical myelopathy.
Who cannot join
- patients undergoing a revision cervical procedure
- current smokers
- patient with surgical indications of tumor, infection, or trauma
Trial locations and contacts
1 site in 1 country.
United States1 site
Rothman Orthopaedic Institute
Philadelphia, Pennsylvania, 19107
About this study
Official title: Fusion Status of Machined Allograft Versus Iliac Crest Allograft in Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial
Pseudarthrosis, a failure of bony fusion, is one of the most common causes of revision surgery following anterior cervical discectomy and fusion (ACDF). The interbody spacer is an important component of bony fusion in ACDF, and we aim to compare machined allograft spacers versus iliac crest allograft in a randomized controlled trial.
Read the detailed description
Pseudarthrosis, a failure of bony fusion, is one of the most common causes of revision surgery following anterior cervical discectomy and fusion (ACDF). The interbody spacer is an important component of bony fusion in ACDF, and we aim to compare machined allograft spacers versus iliac crest allograft in a randomized controlled trial. We hypothesize that iliac crest allograft will improve anterior cervical discectomy and fusion arthrodesis rates and diminish the amount of intervertebral graft resorption when compared to off-the-shelf machined allografts
- Conditions
- Spine Fusion, Spine Surgery
- Being tested
- Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograft, Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone Graft
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograftProcedure or surgery
Participant will undergo primary, elective one-level to four-level ACDF using machined bone allograft
Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone GraftProcedure or surgery
Participant will undergo primary, elective one-level to four-level ACDF using iliac crest bone allograft
| Study group | Role | What they receive |
|---|---|---|
| Anterior Cervical Discectomy and Fusion (ACDF) w/Machined Allograft | Active comparator | Participant will undergo primary, elective one-level to four-level ACDF and will be randomized to machined bone allograft Receives: Procedure: Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograft |
| Anterior Cervical Discectomy and Fusion (ACDF) w/Iliac Crest Allograft | Active comparator | Participant will undergo primary, elective one-level to four-level ACDF and will be randomized to iliac crest bone allograft Receives: Procedure: Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone Graft |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improved participant reported outcome measures (PROMs)-1
Investigators will ask participants to complete the Short Form-12 survey (SF-12) at 3 months, 6 months, 12 months, and 24 months following surgery
Measured: 2 years
Improved participant reported outcome measures (PROMs)-2
Investigators will ask participants to complete the Visual Analog Score (VAS) for Neck and Arm, Neck Disability Index (NDI), at 3 months, 6 months, 12 months, and 24 months following surgery
Measured: 2 years
Improved participant reported outcome measures (PROMs)-3
Investigators will ask participants to complete the modified Japanese Orthopaedic Association (mJOA) score) at 3 months, 6 months, 12 months, and 24 months following surgery
Measured: 2 years
Fusion status after surgery
Fusion status will be assessed using Postoperative x-rays (AP, lateral, flexion, extension) which will be taken at 3 months, 6 months, 12 months, and 24 months following surgery
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2023
- Study start7 Aug 2023 (estimated)
- Primary completion31 Aug 2024 (estimated)
- Study completion31 Aug 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Spine FusionStudies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 124 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Rothman Institute Orthopaedics
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05986006
- Sponsor's protocol ID
- AHIL22D.618
- Status last verified
- Aug 2023
- First submitted
- 3 Aug 2023
- Last updated
- 14 Aug 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fusion Status of Machined Allograft Versus Iliac Crest Allograft in Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05986006
- Acronym / sponsor ID
- AHIL22D.618
- Conditions
- Spine Fusion, Spine Surgery
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 124 participants (estimated)
- Lead sponsor
- Rothman Institute OrthopaedicsUniversity, hospital or other
- Study start
- 7 Aug 2023 (estimated)
- Primary completion
- 31 Aug 2024 (estimated)
- Study completion
- 31 Aug 2024 (estimated)
- First posted
- 14 Aug 2023 (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.
Pseudarthrosis, a failure of bony fusion, is one of the most common causes of revision surgery following anterior cervical discectomy and fusion (ACDF). The interbody spacer is an important component of bony fusion in ACDF, and we aim to compare machined allograft spacers versus iliac crest allograft in a randomized controlled trial.
Detailed description
Pseudarthrosis, a failure of bony fusion, is one of the most common causes of revision surgery following anterior cervical discectomy and fusion (ACDF). The interbody spacer is an important component of bony fusion in ACDF, and we aim to compare machined allograft spacers versus iliac crest allograft in a randomized controlled trial. We hypothesize that iliac crest allograft will improve anterior cervical discectomy and fusion arthrodesis rates and diminish the amount of intervertebral graft resorption when compared to off-the-shelf machined allografts
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Anterior Cervical Discectomy and Fusion (ACDF) w/Machined Allograft | Active comparator | Procedure: Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograftParticipant will undergo primary, elective one-level to four-level ACDF and will be randomized to machined bone allograft |
| Anterior Cervical Discectomy and Fusion (ACDF) w/Iliac Crest Allograft | Active comparator | Procedure: Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone GraftParticipant will undergo primary, elective one-level to four-level ACDF and will be randomized to iliac crest bone allograft |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- patients 18 years of age or older
- preoperative diagnosis of cervical radiculopathy and/or cervical myelopathy.
Key exclusion criteria (3 listed)
- patients undergoing a revision cervical procedure
- current smokers
- patient with surgical indications of tumor, infection, or trauma
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 |
|---|---|---|
| Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograftParticipant will undergo primary, elective one-level to four-level ACDF using machined bone allograft | Procedure or surgery | Anterior Cervical Discectomy and Fusion (ACDF) w/Machined Allograft |
| Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone GraftParticipant will undergo primary, elective one-level to four-level ACDF using iliac crest bone allograft | Procedure or surgery | Anterior Cervical Discectomy and Fusion (ACDF) w/Iliac Crest Allograft |
Primary outcome
Improved participant reported outcome measures (PROMs)-1
Time frame: 2 years
Investigators will ask participants to complete the Short Form-12 survey (SF-12) at 3 months, 6 months, 12 months, and 24 months following surgery
Improved participant reported outcome measures (PROMs)-2
Time frame: 2 years
Investigators will ask participants to complete the Visual Analog Score (VAS) for Neck and Arm, Neck Disability Index (NDI), at 3 months, 6 months, 12 months, and 24 months following surgery
Improved participant reported outcome measures (PROMs)-3
Time frame: 2 years
Investigators will ask participants to complete the modified Japanese Orthopaedic Association (mJOA) score) at 3 months, 6 months, 12 months, and 24 months following surgery
Fusion status after surgery
Time frame: 2 years
Fusion status will be assessed using Postoperative x-rays (AP, lateral, flexion, extension) which will be taken at 3 months, 6 months, 12 months, and 24 months following surgery
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2023.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Anterior Cervical Disc Fusion (ACDF) Surgery w/ machined bone allograft and Anterior Cervical Disc Fusion (ACDF) Surgery w/ Iliac Crest Bone Graft in people with Spine Fusion and Spine Surgery, run by Rothman Institute Orthopaedics 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 2 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 14 Aug 2023. 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?
Results are not available in the source record.
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?
Improved participant reported outcome measures (PROMs)-1 (time frame: 2 years). The study lists 4 primary outcomes in all. 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 Aug 2023.