Osteoporotic Vertebral Compression FracturesNCT06261242
Tripod-Fix Vertebral Body Augmentation System in Osteoporotic Vertebral Compression Fractures Treatment
A study testing Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix) in people with Osteoporotic Vertebral Compression Fractures, run by National Cheng-Kung University Hospital at 1 site in Taiwan.
Trial summary
This study is to evaluate the safety and effectiveness of the Tripod-Fix with Tecres Mendec® Spine HV System to treat subjects with osteoporotic vertebral compression fractures. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Osteoporotic Vertebral Compression Fractures
- What is being tested?
- Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- 1 siteTaiwan
- Study dates
- 16 Jun 2023to 30 Sep 2026
- 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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Provision of signed and dated informed consent form prior to any study procedures.
- Stated willingness to comply with all study procedures and availability for the duration of the study.
- Male or female with at least 50 years of age.
- 1 painful VCF which meet all of the following criteria:
- Fracture due to diagnosed or presumed underlying osteoporosis (T-score < -2.5 points).
- VCF between T7 and L4.
Show all 12Show fewer
- Fracture age < 3 months.
- VCF shows loss of height in the anterior, mid or posterior third of the vertebral body from an estimated pre-fracture configuration of at least 15% but not more than 40% based on X-ray, CT or MRI at baseline.
- The Index fracture is acute or persistent (not healed), as demonstrated by MRI or bone scan.
- Patient has failed conservative medical therapy, complementary and alternative medicine, defined as either having a VAS back pain score of ≥ 50 mm at 6 weeks after initiation of fracture care or a VAS back pain score of ≥ 70 mm at 2 weeks after initiation of fracture care. If patients with pain ≥ 70 mm at baseline continued to deteriorate as demonstrated by increasing VAS score and/or progressive vertebral collapse, treatment might be initiated after 1 week of conservative care.
- Investigator believes target vertebral body is suitable for Tripod-Fix procedure (e.g., appropriate pedicle diameter) assessed on radiography preoperative.
- Patient has an ODI score of ≥ 30/100.
Who cannot join
- Target VCF due to high-energy trauma or underlying/suspected tumor.
- Target VCF is diagnosed as an osteonecrosis.
- Segmental kyphosis of target vertebral compression > 30°.
- Any prior surgical treatment for a VCF or other surgical procedure on the target vertebral body or adjacent level.
- The patient has uncontrolled systemic diabetes (A1c > 10) and /or uncontrolled hypertension (patient requiring 3 or more anti-hypertensive drugs).
- Pre-existing or clinically unstable neurologic deficit.
Show all 32Show fewer
- Spinal canal compromise causing clinical manifestations of cord, neural foramen, or nerve root compression at the level to be treated.
- Any physical exam evidence of myelopathy, radiculopathy, or coagulopathy.
- Disabling back pain due to causes other than acute fracture, or any other condition that requires daily narcotic medication, such as clinical diagnosis of herniated nucleus pulposus or severe spinal stenosis (progressive weakness or paralysis).
- Patient not able to walk without assistance prior to fracture.
- Any radiographic evidence of cortical disruption, burst fractures and pedicle fracture.
- Translation > 4 mm or Spondylolisthesis > Grade 1 at target vertebral body.
- Any underlying systemic bone disease other than osteoporosis (e.g., osteomalacia, osteogenesis imperfect, Paget's disease, etc.).
- In the investigator's opinion, a patient with any other medical illness or condition which may not be suitable to participate in the study, including but not limited to: A medical contraindication to spinal surgery and/or general anesthesia, such as Patients on chronic anti-coagulation. (Patients stop the treatment 8 days before surgery with a threshold for normal being INR < 1.1 and platelets > 100,000 are not limited to this.)
- Prior history of intolerance or allergic reaction to titanium and/or one of the components of the PMMA cement.
- Active systemic or local infection at baseline.
- Body mass index > 40.
- Patients affected by severe cardiopulmonary deficiencies.
- In the investigator's opinion, a patient with any other medical illness or condition which may not be suitable to participate in the study, including but not limited to: Likely to impair long-term follow-up (e.g., cancer).
- Any evidence of alcohol or drug abuse.
- Uncontrolled psychiatric disorders are defined by the DSM V or severe dementia.
- Currently on anti-cancer therapy or anti-HIV therapy.
- Life expectancy is less than the study duration or undergoing palliative care.
- Participating in any other investigational study.
- On long-term steroid therapy (steroid dose ≥ 30 mg /day for > 3 months).
- Known to be involved in spinal litigation.
- Pregnant women as confirmed by positive pregnancy test or considering getting pregnant during study participation.
- Presenting loss of vertebral height > 50% compared to estimated pre-fracture height.
- Interspinous-process widening.
- Sclerotic fracture or pseudarthrosis.
- Patient is a prisoner or not in the wards of the court.
- Patients with contraindications to MRI and bone scan.
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
National Cheng Kung University Hospital Department of Orthopedics
Tainan, 704
About this study
Official title: A Study of Tripod-Fix Vertebral Body Augmentation System in Vertebral Compression Fractures Caused by Osteoporosis
This study is to evaluate the safety and effectiveness of the Tripod-Fix with Tecres Mendec® Spine HV System to treat subjects with osteoporotic vertebral compression fractures.
Read the detailed description
This study is a prospective, single-center, open-label, single-arm study. This study will screen up to 12 eligible patients. Eligible patients will be treated with Tripod-Fix on the Day 1 and follow-up for 12 months. Patients will be asked to return to the study site for assessments on the Day 5, 1st month, 6th month and 12th month. Safety will be assessed by the investigator(s) at each return visit and will be monitored until the end of the study.
- Being tested
- Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix)Device
The Tripod-Fix is a permanent implant used for vertebral augmentation in patients with osteoporotic vertebral compression fractures.
| Study group | Role | What they receive |
|---|---|---|
| Intervention | Experimental | Tripod-Fix will be used to treat osteoporotic vertebral compression fractures. Receives: Device: Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants with study success
To evaluate the safety and effectiveness of the Tripod-Fix with treatment success defined as a subject must meet all the components of primary composite endpoint:
- The reduction of Visual Analogue Scale (VAS) score > 20 mm at the 12th month from the Baseline as measured by the 100-mm VAS measurement, AND
- Maintenance or improvement in function at the 12th month from the Baseline as measured by the 100-point Oswestry Disability Index (ODI), AND
- Absence of device-related serious adverse events, defined as the following events with the evidence in radiological parameters: device-related adverse events (device migration, recollapse, protrusion), or symptomatic cement extravasation requiring surgical reintervention or retreatment at the index level, including revision, removal, reoperation, and/or supplemental fixation.
Measured: 12 months post-procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2024
- Study start16 Jun 2023
- Primary completion31 Jan 2026 (estimated)
- Study completion30 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Osteoporotic Vertebral Compression FracturesStudies of the same condition, open and under way.
- More trials run by National Cheng-Kung University HospitalThe sponsor's other registered studies.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 12 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Cheng-Kung University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Cheng-Li Lin, National Cheng-Kung University Hospital
- Investigators
- Cheng-Li Lin, Principal investigator, NCKUH Department of Orthopedics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06261242
- Sponsor's protocol ID
- TWM-C-2201
- Status last verified
- Feb 2025
- First submitted
- 7 Feb 2024
- Last updated
- 9 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study of Tripod-Fix Vertebral Body Augmentation System in Vertebral Compression Fractures Caused by Osteoporosis
- ClinicalTrials.gov ID
- NCT06261242
- Acronym / sponsor ID
- TWM-C-2201
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 12 participants (estimated)
- Lead sponsor
- National Cheng-Kung University HospitalUniversity, hospital or other
- Study start
- 16 Jun 2023 (actual)
- Primary completion
- 31 Jan 2026 (estimated)
- Study completion
- 30 Sep 2026 (estimated)
- First posted
- 15 Feb 2024 (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 is to evaluate the safety and effectiveness of the Tripod-Fix with Tecres Mendec® Spine HV System to treat subjects with osteoporotic vertebral compression fractures.
Detailed description
This study is a prospective, single-center, open-label, single-arm study. This study will screen up to 12 eligible patients. Eligible patients will be treated with Tripod-Fix on the Day 1 and follow-up for 12 months. Patients will be asked to return to the study site for assessments on the Day 5, 1st month, 6th month and 12th month. Safety will be assessed by the investigator(s) at each return visit and will be monitored until the end of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Intervention | Experimental | Device: Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix)Tripod-Fix will be used to treat osteoporotic vertebral compression fractures. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Provision of signed and dated informed consent form prior to any study procedures.
- Stated willingness to comply with all study procedures and availability for the duration of the study.
- Male or female with at least 50 years of age.
- 1 painful VCF which meet all of the following criteria:
- Patient has failed conservative medical therapy, complementary and alternative medicine, defined as either having a VAS back pain score of ≥ 50 mm at 6 weeks after initiation of fracture care or a VAS back pain score of ≥ 70 mm at 2 weeks after initiation of fracture care. If patients with pain ≥ 70 mm at baseline continued to deteriorate as demonstrated by increasing VAS score and/or progressive vertebral collapse, treatment might be initiated after 1 week of conservative care.
Key exclusion criteria (32 listed)
- Target VCF due to high-energy trauma or underlying/suspected tumor.
- Target VCF is diagnosed as an osteonecrosis.
- Segmental kyphosis of target vertebral compression > 30°.
- Any prior surgical treatment for a VCF or other surgical procedure on the target vertebral body or adjacent level.
- The patient has uncontrolled systemic diabetes (A1c > 10) and /or uncontrolled hypertension (patient requiring 3 or more anti-hypertensive drugs).
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 |
|---|---|---|
| Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix)The Tripod-Fix is a permanent implant used for vertebral augmentation in patients with osteoporotic vertebral compression fractures. | Device | Intervention |
Primary outcome
Proportion of participants with study success
Time frame: 12 months post-procedure
To evaluate the safety and effectiveness of the Tripod-Fix with treatment success defined as a subject must meet all the components of primary composite endpoint: 1. The reduction of Visual Analogue Scale (VAS) score > 20 mm at the 12th month from the Baseline as measured by the 100-mm VAS measurement, AND 2. Maintenance or improvement in function at the 12th month from the Baseline as measured by the 100-point Oswestry Disability Index (ODI), AND 3. Absence of device-related serious adverse events, defined as the following events with the evidence in radiological parameters: device-related adverse events (device migration, recollapse, protrusion), or symptomatic cement extravasation requiring surgical reintervention or retreatment at the index level, including revision, removal, reoperation, and/or supplemental fixation.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2025.
- Individual participant dataSharing planned: No
Related trials for Osteoporotic Vertebral Compression Fractures
RecruitingObservational study
A Clinical Study to Collect Real-wordt Data on Safety and Clinical Performance of the VCFix Spinal System for Treatment of Vertebral Compression Fractures of (Suspected) Osteoporotic Origin.
Vertebra Compression Fracture
Recruiting
Safety and Efficacy Clinical Trial of the Vessel-X® Bone Filling Container System
Osteoporosis, Osteoporotic Vertebral Compression Fractures
Recruiting
Development and Application of a Clinical Decision Support System for Exercise Rehabilitation in Patients With Osteoporotic Vertebral Compression Fractures
Clinical Decision Support System
Recruiting
Standardized Study Protocol of Percutaneous Vertebroplasty Based on Pedicle Nine-Grid Zoning Method
Osteoporotic Vertebral Compression Fractures, Vertebroplasty
Not yet recruiting
RCT on the Efficacy and Safety of Minimally Invasive SAIF Technique vs Spinal Fixation in Unstable Osteoporotic Vertebral Fractures
Unstable Osteoporotic Vertebral Compression Fractures
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.
Cheng-Li Lin principal investigator
NCKUH Department of Orthopedics
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Tripod-Fix Vertebral Body Augmentation System (Tripod-Fix) in people with Osteoporotic Vertebral Compression Fractures, run by National Cheng-Kung University Hospital at 1 site in Taiwan.
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 12 inclusion and 32 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 9 Jul 2025. 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 Taiwan. 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?
Proportion of participants with study success (time frame: 12 months post-procedure). 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 9 Jul 2025.