Not provided
Not provided
Not provided
Not provided
Study terminated due to low enrollment.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to evaluate the safety and effectiveness of the In-Space compared to the X STOP Interspinous Process Distraction (IPD) device ("X STOP") for the treatment of patients experiencing intermittent neurogenic claudication secondary to moderate degenerative lumbar stenosis at one or two lumbar levels.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | In-Space |
|
| 2 | Active Comparator | X STOP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interspinous Spacer device | Device | Device: In-Space |
| |
| Interspinous Process Distraction Device |
| Measure | Description | Time Frame |
|---|---|---|
| Zurich Claudication Questionnaire(ZCQ) | The questionnaire quantifies severity of symptoms, physical function characteristics, and patient's satisfaction. The scale relates to symptoms over the past month. The result is expressed as a percentage of the maximum possible score. The score increases with worsening disability. An individual patient treatment will be considered a success if they meet at least two of three components defined as an improvement of ≥ 0.5 as compared to preoperative score for the symptom severity and physical function and an of < 2.5 points for patient satisfaction at 24 months. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Disability Index (ODI) | The Oswestry Disability Index (ODI) is one of the principal condition-specific outcome measures used in the management of spinal disorders. There are 10 questions. The questions are designed in a way to show how the back or leg pain is affecting the patient's ability to manage in everyday life. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score. For this study,any improvement at 24 months compared to pre-operative baseline was determined as a success. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Spine Institute | Santa Monica | California | 90404 | United States | ||
| Yale Orthopedics |
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | In-Space | The treatment group consists of patients who receive the In-Space device. The In-Space is indicated for patients experiencing intermittent neurogenic claudication secondary to degenerative lumbar stenosis. Moderate degenerative lumbar stenosis is further defined by moderately impaired physical function in patients who experience relief in flexion from their symptoms of leg/buttock/groin pain, with or without back pain, and have undergone a regimen of at least 6 months of conservative treatment, and who otherwise would not be treated by a surgical decompression. The In-Space is intended to be implanted between the spinous processes of 1 or 2 contiguous lumbar motion segments between L1 and L5. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Device |
Device: X STOP |
|
| 24 months |
| New Haven |
| Connecticut |
| 06519 |
| United States |
| Institute for Low Back and Neck Care | Minneapolis | Minnesota | 55407 | United States |
| Cornell University Hospital | New York | New York | 10021 | United States |
| OrthoCarolina Spine Center | Charlotte | North Carolina | 28209 | United States |
| Temple University Hospital | Philadelphia | Pennsylvania | 19140 | United States |
| Neurosurgical Associates at Centennial Medical Center | Nashville | Tennessee | 37203 | United States |
| Texas Back Institute | Plano | Texas | 75093 | United States |
| Neurosurgical Specialists, Inc. | Norfolk | Virginia | 23510 | United States |
| Madigan Army Medical Center | Tacoma | Washington | 98341 | United States |
| FG001 | X-Stop | The control group consists of patients who receive X STOP which is an appropriate control as the X STOP is FDA-approved. The X-Stop Interspinous Process device is indicated for treatment of patients aged 50 or older suffering from neurogenic intermittent claudication secondary to a confirmed diagnosis of lumbar spinal stenosis. The X-Stop may be implanted at one or two lumbar levels in patients in whom operative treatment is indicated at no more than two levels. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | In-Space | The treatment group consists of patients who receive the In-Space device. The In-Space is indicated for patients experiencing intermittent neurogenic claudication secondary to degenerative lumbar stenosis. Moderate degenerative lumbar stenosis is further defined by moderately impaired physical function in patients who experience relief in flexion from their symptoms of leg/buttock/groin pain, with or without back pain, and have undergone a regimen of at least 6 months of conservative treatment, and who otherwise would not be treated by a surgical decompression. The In-Space is intended to be implanted between the spinous processes of 1 or 2 contiguous lumbar motion segments between L1 and L5. |
| BG001 | X-Stop | The control group consists of patients who receive X STOP which is an appropriate control as the X STOP is FDA-approved. The X-Stop Interspinous Process device is indicated for treatment of patients aged 50 or older suffering from neurogenic intermittent claudication secondary to a confirmed diagnosis of lumbar spinal stenosis. The X-Stop may be implanted at one or two lumbar levels in patients in whom operative treatment is indicated at no more than two levels. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Zurich Claudication Questionnaire(ZCQ) | The questionnaire quantifies severity of symptoms, physical function characteristics, and patient's satisfaction. The scale relates to symptoms over the past month. The result is expressed as a percentage of the maximum possible score. The score increases with worsening disability. An individual patient treatment will be considered a success if they meet at least two of three components defined as an improvement of ≥ 0.5 as compared to preoperative score for the symptom severity and physical function and an of < 2.5 points for patient satisfaction at 24 months. | Posted | Number | participants | 24 months |
|
|
| ||||||||||||||||||||||||||||||
| Secondary | Oswestry Disability Index (ODI) | The Oswestry Disability Index (ODI) is one of the principal condition-specific outcome measures used in the management of spinal disorders. There are 10 questions. The questions are designed in a way to show how the back or leg pain is affecting the patient's ability to manage in everyday life. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score. For this study,any improvement at 24 months compared to pre-operative baseline was determined as a success. | Posted | Number | participants | 24 months |
|
Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | In-Space | The treatment group consists of patients who receive the In-Space device. The In-Space is indicated for patients experiencing intermittent neurogenic claudication secondary to degenerative lumbar stenosis. Moderate degenerative lumbar stenosis is further defined by moderately impaired physical function in patients who experience relief in flexion from their symptoms of leg/buttock/groin pain, with or without back pain, and have undergone a regimen of at least 6 months of conservative treatment, and who otherwise would not be treated by a surgical decompression. The In-Space is intended to be implanted between the spinous processes of 1 or 2 contiguous lumbar motion segments between L1 and L5. | 19 | 28 | 21 | 28 | ||
| EG001 | X-Stop | The control group consists of patients who receive X STOP which is an appropriate control as the X STOP is FDA-approved. The X-Stop Interspinous Process device is indicated for treatment of patients aged 50 or older suffering from neurogenic intermittent claudication secondary to a confirmed diagnosis of lumbar spinal stenosis. The X-Stop may be implanted at one or two lumbar levels in patients in whom operative treatment is indicated at no more than two levels. | 9 | 16 | 13 | 16 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiovascular | Cardiac disorders |
| |||
| Fracture Spine - not Spinous Process | Musculoskeletal and connective tissue disorders |
| |||
| Infection | Infections and infestations |
| |||
| Back and Lower Extremity Pain | Musculoskeletal and connective tissue disorders |
| |||
| Respiratory | Respiratory, thoracic and mediastinal disorders |
| |||
| Index Level Surgery | Surgical and medical procedures |
| |||
| Surgery - not Index Level | Surgical and medical procedures |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Spinous Process Fracture | Musculoskeletal and connective tissue disorders |
| |||
| Non-spine Fractures | Musculoskeletal and connective tissue disorders |
| |||
| Gastrointestinal | Gastrointestinal disorders |
| |||
| Genitourinary | Renal and urinary disorders |
| |||
| Headache | General disorders |
| |||
| Non-wound related Infection | Infections and infestations |
| |||
| Insomnia | General disorders |
| |||
| Musculoskeletal | Musculoskeletal and connective tissue disorders |
| |||
| Musculoskeletal spasms back | Musculoskeletal and connective tissue disorders |
| |||
| Neurological | Nervous system disorders |
| |||
| Numbness non-index level related | Nervous system disorders |
| |||
| Other | General disorders |
| |||
| Back pain | Musculoskeletal and connective tissue disorders |
| |||
| Pain - back and other | Musculoskeletal and connective tissue disorders |
| |||
| Pain - incision site | General disorders |
| |||
| Pain - lower extremities | Musculoskeletal and connective tissue disorders |
| |||
| Pain - neck | Musculoskeletal and connective tissue disorders |
| |||
| Pain - neck and other | Musculoskeletal and connective tissue disorders |
| |||
| Pain - other | General disorders |
| |||
| Pain - shoulder | Musculoskeletal and connective tissue disorders |
| |||
| Psychological | Psychiatric disorders |
| |||
| Sore throat | Respiratory, thoracic and mediastinal disorders |
| |||
| Stroke | Nervous system disorders |
| |||
| Wound issues other | General disorders |
|
Study terminated early secondary to low enrollment leading to small number of subjects available for analyses.
All unpublished information given to the investigator by Synthes Spine shall not be published or disclosed to a third party without the prior written consent of Synthes Spine. All information concerning In-Space, Synthes Spine operations, patent application drawings, manufacturing processes, basic scientific data and design information, supplied by the sponsor to the investigator and not previously published, is considered confidential and remains the sole property of Synthes Spine.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ann Marie Simon | Synthes | 610-719-5418 | simon.annmarie@synthes.com |
| ID | Term |
|---|---|
| D013130 | Spinal Stenosis |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
Not provided
Not provided
| >=65 years |
|
| Male |
|
|
|