Safety and Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusion
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Purpose
The purpose of this study is to evaluate the safety and preliminary efficacy of NeoFuse in subjects with a diagnosis of degenerative disc disease (DDD) at 2 or more adjacent cervical vertebral levels between C3-C4 to C7-T1. All subjects in this study will undergo 2 or 3 level anterior cervical discectomy and fusion with Anterior Cervical Plate Fixation.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Degenerative Disc Disease Degenerative Spondylolisthesis Spinal Stenosis |
Procedure: NeoFuse Procedure: MasterGraft Granules |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Phase 2 Study Evaluating Safety and Preliminary Efficacy of NeoFuse When Combined With MasterGraft Matrix in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusion With Anterior Cervical Plate Fixation |
- Safety of NeoFuse [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]To determine the safety of NeoFuse using physical examinations, vital signs, treatment emergent adverse events (TEAEs), and the results of clinical lab tests (hematology, serum chemistry, inflammation, and and immunology).
- Fusion success with NeoFuse [ Time Frame: 1 year ] [ Designated as safety issue: No ]To evaluate the fusion success with NeoFuse compared to an active control using CT scans and x-ray of the involved cervical spine levels and assess the change in outcomes (NDI, SF-36, Zung Depression Questionnaire, and WPAI.
| Estimated Enrollment: | 12 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: NeoFuse
Anterior Cervical Discectomy and Fusion with NeoFuse
|
Procedure: NeoFuse
Single Dose NeoFuse Surgical Implantation
Other Names:
|
|
Active Comparator: MasterGraft Granules
Anterior Cervical Discectomy and Fusion with MasterGraft Granules
|
Procedure: MasterGraft Granules
Single Dose MaterGraft Granules Surgical Implantation
Other Names:
|
Detailed Description:
This is a prospective, multicenter, randomized, single-blinded, controlled study evaluating safety and preliminary efficacy of immunoselected, culture-expanded, nucleated, allogeneic MPCs (NeoFuse) combined with MasterGraft Matrix in a commercially available PEEK cervical Spacer compared to an active control in subjects undergoing 2 or 3 level anterior cervical discectomy and fusion with anterior cervical plate fixation.
After the screening and surgical visits, each subject will be evaluated clinically and radiographically within 3 days and 30 days after surgery, and at 3, 6, 12, and 24 months after surgery.
Subjects will be evaluated at the same time points for safety.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or females between 18 and 70 years of age, inclusive.
- Has the ability to understand the requirements of the study, to provide written informed consent, and to comply with the study protocol.
- Has the ability to understand and provide written authorization for the use and disclosure of personal health information (PHI).
- Has a documented symptomatic diagnosis of DDD at C3-C4 to C7-T1.
- Has symptomatic radiculopathy and/or myelopathy correlating to radiographic findings of duration of 6 weeks or greater that had failed to respond to non-operative management
- Is a candidate for anterior cervical discectomy and fusion in two or three adjacent cervical interbody levels between C3-C4 to C7-T1
- Has a stable screening electrocardiogram (ECG), as determined by the investigator that would not preclude surgery.
Exclusion Criteria:
- Female subjects who are pregnant or nursing, or women planning to become pregnant during the first year (12 months) following surgery.
- Has a current or prior history within the last 3 years of neoplasm (excluding basal cell carcinoma) and/or any active neoplasm within the last 24 months, prior to screening.
- Has at the time of surgery a systemic or local infection at the site of proposed surgery.
- Has or is undergoing revision of a prior fusion surgery at any involved level.
- Requires ACDF at only one cervical interbody level or more than 3 adjacent cervical interbody levels.
- Requires ACDF without the use of an anterior cervical plating system.
- Has osteoporosis as defined by a DEXA T score of ≤ -3.0 or a history of fragility fractures or other significant bone disease contraindicating the use of spinal instrumentation.
- Has a documented medical history or radiographic evidence of a metabolic bone disease or other condition which would negatively impact the bone healing process.
- Has a positive screen for human immunodeficiency virus (HIV) antibodies.
- Has had treatment with any investigational therapy or device within 6 months of study surgery and/or plans to participate in any other allogeneic stem cell/progenitor cell therapy trial during the 2-year follow-up period.
- Has been a recipient of prior stem cell/progenitor cell therapy for spinal fusion surgery.
- Has 20% or greater anti-human leukocyte antigen (HLA) antibody titer and/or has antibody specificities to donor HLA antigens.
- Is transient or has been treated in the last 6 months before enrollment for alcohol and/or drug abuse in an inpatient substance abuse program.
Contacts and Locations| Australia, Victoria | |
| Monash Medical Centre | |
| Clayton, Victoria, Australia, 3168 | |
| Royal Melbourne Hospital | |
| Melbourne, Victoria, Australia, 3050 | |
| Study Director: | Roger Brown | Mesoblast, Ltd. |
More Information
Additional Information:
No publications provided
| Responsible Party: | Mesoblast, Ltd. |
| ClinicalTrials.gov Identifier: | NCT01106417 History of Changes |
| Other Study ID Numbers: | MSB-CF001 |
| Study First Received: | April 16, 2010 |
| Last Updated: | April 19, 2013 |
| Health Authority: | Australia: Therapeutic Goods Administration |
Keywords provided by Mesoblast, Ltd.:
|
Cervical Degenerative Disc Disease Degenerative Spondylolisthesis Spinal Stenosis Stem cells |
Adult Stem Cells Anterior cervical discectomy and Fusion (ACDF) Anterior Cervical Plate Fixation |
Additional relevant MeSH terms:
|
Constriction, Pathologic Spinal Stenosis Spondylolisthesis Intervertebral Disk Degeneration Pathological Conditions, Anatomical |
Spinal Diseases Bone Diseases Musculoskeletal Diseases Spondylolysis Spondylosis |
ClinicalTrials.gov processed this record on May 21, 2013