Post-market clinical follow-up study with the cyclOS Putty

Organizational Data

DRKS-ID:
DRKS00027519
Recruitment Status:
Recruiting stopped (after recruiting started)
Date of registration in DRKS:
2022-10-24
Last update in DRKS:
2023-05-17
Registration type:
Retrospective

Acronym/abbreviation of the study

No Entry

URL of the study

http://n.a

Brief summary in lay language

Spine fusions are often the best solution for various degenerative conditions. Lumbar interbody fusion (LIF) is usually performed with interbody cages filled and surrounded with graft material. The aim of this study is to investigate the fusion rate of bone substitute "cyclOS Putty" assesssed with X-ray analysis.

Brief summary in scientific language

Spine fusions are often the best solution for various degenerative conditions. Lumbar interbody fusion (LIF) is usually performed with interbody cages filled and surrounded with graft material, placed within the intervertebral space after discectomy and endplate preparation, and supported with metallic screws and rods/plates to assist the fusion of adjacent vertebrae. This procedure requires adequate fixation to immobilize the treated section of the spine while the bone graft supports fusion of the vertebral segments. Out of the various synthetic materials, β-tricalcium phosphate (β-TCP) is widely used in spine indications. Since β-TCP has osteoconductive but no osteoinductive properties, it is often augmented with biologically active materials such as bone marrow, growth factors or autologous bone grafts. The aim of this study is to investigate the fusion rate of the kneadable β-TCP bone substitute “cyclOS Putty” assessed with dynamic X-ray 12 month post-operatively in patients treated with transforaminal lumbar interbody fusion (TLIF).

Health condition or problem studied

Free text:
Bone defect filling or bony fusion of the skeletal system
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
CyclOS Putty used as bone graft substitute in TLIF surgery. Clinical and radiological follow-up will be performed at 6 and at 12 months after surgery.

Endpoints

Primary outcome:
The primary endpoint of the study is the assessment of the fusion status assessed in routinely acquired flexion-extension radiographs using functional X-ray analysis (FXATM) technique 12 months after index surgery
Secondary outcome:
Secondary endpoint of the investigation is the assessment fusion status with FXA in routinely acquired radiographs at 6 months after index surgery and recording of patient reported outcome measures (PROMs).

Study Design

Purpose:
Treatment
Allocation:
N/A (single arm study)
Control:
  • Uncontrolled/single arm
Phase:
IV
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
No
Assignment:
Single (group)
Sequence generation:
No Entry
Who is blinded:
No Entry

Recruitment

Recruitment Status:
Recruiting stopped (after recruiting started)
Reason if recruiting stopped or withdrawn:
Company decision, discontinuation of distribution of biomaterials

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Monocenter study
Recruitment location(s):
  • Medical center Waldkliniken Eisenberg Eisenberg

Recruitment period and number of participants

Planned study start date:
No Entry
Actual study start date:
2022-10-21
Planned study completion date:
No Entry
Actual Study Completion Date:
2023-05-16
Target Sample Size:
60
Final Sample Size:
17

Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
70 Years
Additional Inclusion Criteria:
o Age between 18 and 70 years at inclusion o Patients who need surgical treatment with TLIF at 1 or 2 adjacent levels between L3 and S1 due to chronic degenerative disease of the lumbar spine o The patient has given his/her written consent to participate after having been fully informed (informed consent of the patient) o The patient is willing to participate in the follow-up examinations mentioned

Exclusion Criteria

o Minors (< 18 years) at inclusion o Patients with age >70 at inclusion o Pregnant or breastfeeding women o Prisoners at inclusion o Incapacitated subjects (individuals who are not able to give informed consent due to a mental disability) o Patient considered particularly vulnerable to substances and/or materials used in the study o Patients in emergency situations preventing the patient from giving informed consent o Enrolment of the investigator, his/her family, employees (Mathys Ltd Bettlach / investigational site) and other prejudiced persons o Known or suspected non-compliance of eligibility criteria (e.g., drug or alcohol abuse) o Non-compliance with clinical investigation-related processes (such as diagnosis and therapy) o Current therapies using steroids and drugs that intervene in the calcium metabolism o Previous surgery on the same or adjacent level o Infection of the lumbar spine, past or present tumor of the lumbar spine, significant bony defect in the lumbar spine, or scoliosis o Diseases that significantly inhibit bone healing: osteoporosis, metabolic bone disease, uncontrolled diabetes, dialysis dependent renal failure, symptomatic liver disease or renal insufficiency o Contraindications set out in the instruction for use (IFU)

Addresses

Primary Sponsor

Address:
Mathys AG Bettlach
/ Monika Lehmann
Robert Mathys Strasse 5
2544 Bettlach
Switzerland
Telephone:
/
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry
Investigator Sponsored/Initiated Trial (IST/IIT):
No

Contact for Scientific Queries

Address:
Waldkliniken Eisenberg GmbH
Prof. Dr. med. Patrick Strube
Klosterlausnitzer Strasse 81
07607 Eisenberg
Germany
Telephone:
+49 36691 8 1439
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Contact for Public Queries

Address:
Waldkliniken Eisenberg GmbH
Prof. Dr. med. Patrick Strube
Klosterlausnitzer Strasse 81
07607 Eisenberg
Germany
Telephone:
+49 36691 8 1439
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Principal Investigator

Address:
Waldkliniken Eisenberg GmbH
Prof. Dr. med. Patrick Strube
Klosterlausnitzer Strasse 81
07607 Eisenberg
Germany
Telephone:
+49 36691 8 1439
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Sources of Monetary or Material Support

Commercial (pharmaceutical industry, medical engineering industry, etc.)

Address:
Mathys AG Bettlach
Robert Mathys Strasse 5
2544 Bettlach
Switzerland
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethik-Kommission der Landesärztekammer Thüringen
Im Semmicht 33
07751 Jena
Germany
Telephone:
+49-3641-614201
Fax:
+49-3641-614209
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2021-12-23
Ethics committee number:
72376/2022/34
Vote of the Ethics Committee:
Approved
Date of the vote:
2022-06-13

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
No
IPD Sharing Plan:
This is a monocentric study, sharing of participant-related data is not planned.

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
No Entry
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry