Kineflex/C Artificial Disc System to Treat Cervical Degenerative Disc Disease (DDD)
This study is ongoing, but not recruiting participants.
Sponsor:
SpinalMotion
Information provided by:
SpinalMotion
ClinicalTrials.gov Identifier:
NCT00374413
First received: September 7, 2006
Last updated: July 19, 2011
Last verified: July 2011
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Purpose
The purpose of this study is to show that the Kineflex/C Spinal System is no worse than conventional Anterior Cervical Diskectomy with Fusion (ACDF) in patients with single level degenerative disc disease at any cervical level from C3 to C7.
| Condition | Intervention |
|---|---|
|
Degenerative Disc Disease (DDD) |
Device: Artificial disk Device: Artificial disc |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Clinical Study Protocol for the Investigation of the Kineflex/C Spinal System - a Pivotal Study in Continued Access Stage |
Further study details as provided by SpinalMotion:
Primary Outcome Measures:
- Improvement in Neck Disability Index (NDI) Score at 24 months compared with baseline [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- No major device related adverse events [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Clinically significant improvement in one or more radicular symptoms at 24 months compared to baseline [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Time to recovery [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Disc height at 24 months compared to baseline [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Adjacent level deterioration at 24 months compared to baseline [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Progressive facet disease at 24 months compared to baseline [ Time Frame: 24months ] [ Designated as safety issue: No ]
- Displacement or migration of the device [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]
- Odom's Criteria [ Time Frame: 24 months ] [ Designated as safety issue: No ]
| Enrollment: | 343 |
| Study Start Date: | July 2005 |
| Estimated Study Completion Date: | August 2015 |
| Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Kineflex-C |
Device: Artificial disk
Implant
Device: Artificial disc
Implant
|
| Active Comparator: ACDF |
Device: Artificial disk
Implant
Device: Artificial disc
Implant
|
Detailed Description:
The Kineflex/C disc is a 3-piece modular design consisting of two cobalt chrome molybdenum (CCM) end-plates and a fully articulating CCM core. The system is available in two foot print sizes.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- have symptoms of cervical degenerative disc disease (DDD) at only one cervical level from C3 to C7, disc herniation on CT or MRI;
- have radiculopathy symptoms in neck, one or both shoulders, and/or one or both arms;
- have at least six months of prior conservative treatment (e.g., physical therapy and/or use of anti-inflammatory medications and muscle relaxants at the manufacturer's recommended therapeutic dose), the presence of progressive symptoms (e.g., increasing numbness or tingling), or signs of nerve root compression;
- have moderate disability neck disability index (NDI) score; AND
- be likely to return for all follow-up visits and be willing and able to provide informed consent for study participation
Exclusion Criteria:
- marked cervical instability;
- non discogenic neck pain or non discogenic source of symptoms;
- radiographic confirmation of severe facet disease or facet degeneration;
- bridging osteophytes;
- prior surgery at the level to be treated;
- prior fusion at any cervical level;
- more than one neck surgery via anterior approach;
- previous trauma to the C3-C7 levels resulting in compression or bursting;
- documented presence of free nuclear fragment at any cervical level;
- severe myelopathy;
- any paralysis;
- history of chemical or alcohol dependence;
- active systemic infection;
- infection at the site of surgery;
- prior disc space infection or osteomyelitis in the cervical spine;
- any terminal, systemic or autoimmune disease;
- metabolic bone disease (e.g., osteoporosis, gout, osteomalacia, Paget's disease);
- any disease, condition or surgery which might impair healing;
- known metal allergy;
- arachnoiditis;
- currently experiencing an episode of major mental illness;
- pregnancy at time of enrollment, or planning to become pregnant, since this would contraindicate surgery;
- morbid obesity; use of spinal stimulator at any cervical level prior to surgery;
- currently a prisoner;
- currently involved in spinal litigation which may influence the subjects reporting of symptoms; OR
- lives more than 300 miles from study center or participation in any other investigational drug, biologic, or medical device study within the last 30 days prior to study surgery
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00374413
Locations
| United States, California | |
| Tower Orthopedics and Sports Medicine | |
| Beverly Hills, California, United States, 90211 | |
| Kaiser Foundation Research Institute | |
| Oakland, California, United States, 94612 | |
| University of California San Diego | |
| San Diego, California, United States, 92103 | |
| United States, Colorado | |
| Rocky Mountain Associates in Orthopedic Medicine, P.C. | |
| Loveland, Colorado, United States, 80538 | |
| United States, Georgia | |
| Emory Orthopaedics & Spine Center | |
| Atlanta, Georgia, United States, 30329 | |
| United States, Louisiana | |
| Spine Institute of Louisiana | |
| Shreveport, Louisiana, United States, 71101 | |
| United States, Maryland | |
| Maryland Brain and Spine Center | |
| Annapolis, Maryland, United States, 21401 | |
| Orthopaedic Associates, P.A | |
| Towson, Maryland, United States, 21204 | |
| United States, Michigan | |
| William Beaumont Hospital | |
| Royal Oak, Michigan, United States, 48073 | |
| United States, Nevada | |
| Sierra Regional Spine Institute | |
| Reno, Nevada, United States, 89509 | |
| United States, New York | |
| Hamilton Orthopaedic Surgery and Sports Medicine | |
| Hamilton, New York, United States, 13346 | |
| Northern Westchester Hospital | |
| Mount Kisco, New York, United States, 10549 | |
| Manhattan Orthopaedics, P.C. | |
| New York, New York, United States, 10021 | |
| United States, North Carolina | |
| Carolina Neurosurgery and Spine Associates | |
| Charlotte, North Carolina, United States, 28207 | |
| Triangle Orthopaedic Associates, P.A. | |
| Durham, North Carolina, United States, 27704 | |
| United States, Pennsylvania | |
| Univ. of Pittsburgh Medical Center | |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| United States, Tennessee | |
| Semmes-Murphy Clinic | |
| Memphis, Tennessee, United States, 38104 | |
| United States, Texas | |
| Plano Orthopedic Sports Medicine & Spine Center | |
| Plano, Texas, United States, 75093 | |
| SpineMark CRO at Texas Back Institue | |
| Plano, Texas, United States, 75093 | |
| Gordon Spine Associates | |
| Tyler, Texas, United States, 75701 | |
| United States, Washington | |
| Orthopedics International Spine | |
| Kirkland, Washington, United States, 98034 | |
Sponsors and Collaborators
SpinalMotion
Investigators
| Principal Investigator: | Fred Geisler, MD | Medical Monitor |
More Information
Additional Information:
Related Info 
No publications provided by SpinalMotion
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | VP Regulatory & Clinical Affairs, SpinalMotion |
| ClinicalTrials.gov Identifier: | NCT00374413 History of Changes |
| Other Study ID Numbers: | Kineflex/C |
| Study First Received: | September 7, 2006 |
| Last Updated: | July 19, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by SpinalMotion:
|
DDD artificial disc |
Additional relevant MeSH terms:
|
Spinal Diseases Intervertebral Disk Degeneration Bone Diseases Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on June 17, 2013