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Terminated following interim analysis
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Adjunct therapy for increasing posterolateral fusion success following single level posterior instrumented lumbar surgery.
The purpose of this study is to determine whether using active low intensity pulsed ultrasound as adjunct therapy following single level posterior instrumented lumbar surgery increases the posterolateral success rate when compared to inactive (placebo) therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exogen 4000+ | Active Comparator | Low intensity pulsed ultrasound (LIPUS) delivered via Exogen 4000+ (single transducer) device for a treatment duration of 20 minutes per fusion site per day. |
|
| Exogen 4000+ sham | Sham Comparator | Non-active sham device identical to Exogen 4000+ (single transducer); treatment duration of 20 minutes per fusion site per day |
|
| Exospine | Active Comparator | Low intensity pulsed ultrasound delivered via Exospine device (dual transducers); treatment duration of 20 minutes per day |
|
| Exospine sham | Sham Comparator | Non-active sham device identical to Exospine (dual transducers); treatment duration of 20 minutes per day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exospine sham | Device | Inactive Exospine LIPUS device (dual transducers) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Posterolateral Fusion Success at the Treated Level | Fusion success at the treated level was defined as at least 2 of 3 independent blinded radiologists agree all 3 of the following criteria were met.
| 12 months post treatment start |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeffrey Fischgrund, MD | Corewell Health East | Principal Investigator |
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Study conducted in 2 stages:
Stage 1 was feasibility phase assessing study treatment and study assessments. LIPUS delivered via Exogen 4000+ device with a single transducer was used for this phase of the study Stage 2 was pivotal phase assessing safety and effectiveness. LIPUS delivered via Exospine device (dual transducers)
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| ID | Title | Description |
|---|---|---|
| FG000 | Exogen 4000+ Sham | Inactive LIPUS sham (single transducer) |
| FG001 | Exogen 4000+ | Active LIPUS device (single transducer) |
| FG002 | Exospine | Active LIPUS device (dual transducers) |
| FG003 | Exospine Sham | Inactive Exospine device (dual transducers) |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Feasibility Stage 1 |
|
| ||||||||||||||||||
| Pivotal Stage 2 |
|
safety: all randomized subjects trained on their device
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| ID | Title | Description |
|---|---|---|
| BG000 | Exogen 4000+ Sham | Inactive LIPUS sham (single transducer) |
| BG001 | Exogen 4000+ | Active LIPUS device (single transducer) |
| 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 |
| 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 | Number of Participants With Posterolateral Fusion Success at the Treated Level | Fusion success at the treated level was defined as at least 2 of 3 independent blinded radiologists agree all 3 of the following criteria were met.
| Full Analysis Set (FAS): all safety subjects with at least one fully adjudicated fusion assessment at the month 12 visit of assessment | Posted | Number | participants | 12 months post treatment start |
|
12 months post treatment start
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Exogen 4000+ Sham | Stage 1 Feasibility: Exogen 4000+ sham, inactive single transducer |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fall | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Manager Clinical Affairs | Bioventus LLC | 1-800-396-4325 |
| ID | Term |
|---|---|
| D055959 | Intervertebral Disc Degeneration |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| Exospine |
| Device |
Active Exospine LIPUS device (dual transducers) |
|
| Exogen 4000+ | Device | Active Exogen LIPUS device (single transducer) |
|
| Exogen 4000+ sham | Device | Inactive Exogen 4000+ LIPUS device (single transducer) |
|
| Pregnancy |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| BG002 | Exospine Sham | Inactive LIPUS device (dual transducer) |
| BG003 | Exospine | Active LIPUS device (dual transducer) |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| OG001 | Exospine Active | Exospine active: dual transducers |
|
|
|
| 1 |
| 8 |
| 5 |
| 8 |
| EG001 | Exogen 4000+ | Stage 1 Feasibility: Exogen 4000+, active single transducer | 0 | 10 | 7 | 10 |
| EG002 | Exospine Sham | Stage 2 Pivotal: Exospine sham dual transducers | 23 | 156 | 56 | 156 |
| EG003 | Exospine | Stage 2 Pivotal: Exospine active dual transducers | 18 | 154 | 59 | 154 |
| Atrial fibrilation | Cardiac disorders | MedDRA | Non-systematic Assessment |
|
| Cardiac arrest | Cardiac disorders | MedDRA | Non-systematic Assessment |
|
| Coronary artery occlusion | Cardiac disorders | MedDRA | Non-systematic Assessment |
|
| Myocardial infarction | Cardiac disorders | MedDRA | Non-systematic Assessment |
|
| Pericarditis | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Supraventricular tachycardia | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Tachycardia | Cardiac disorders | MedDRA | Non-systematic Assessment |
|
| Meningocele | Congenital, familial and genetic disorders | MedDRA | Non-systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Non-cardiac chest pain | General disorders | MedDRA | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA | Non-systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Escherichia urinary tract infection | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Incision site infection | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Lobar pneumonia | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Purulen discharge | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Pyelonephritis acute | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Wound infection | Infections and infestations | MedDRA | Non-systematic Assessment |
|
| Failure of implant | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
|
| Overdose | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Post procedural discharge | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Scapula fracture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
|
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
|
| Tendon rupture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
|
| Dyslipidaemia | Metabolism and nutrition disorders | MedDRA | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Spondylolisthesis | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Osteonecrosis | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Colon cancer stage IV | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
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| Tonsil cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
|
| Convulsion | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Migraine | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Stupor | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Bipolar disorder | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Nephrolithiasis | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
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| Renal cyst | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
|
| Renal failure | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
|
| Uterovaginal prolapse | Reproductive system and breast disorders | MedDRA | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
|
| Knee arthroplasty | Surgical and medical procedures | MedDRA | Non-systematic Assessment |
|
| Arterial stenosis limb | Vascular disorders | MedDRA | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA | Non-systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA | Non-systematic Assessment |
|
| Nephrolithiasis | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
|
| Incision site complication | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
|
| Vitamin D deficiency | Metabolism and nutrition disorders | MedDRA | Non-systematic Assessment |
|
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Ligament sprain | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Muscle tightness | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
| Lumbar radiculopathy | Nervous system disorders | MedDRA | Non-systematic Assessment |
|
| Radicular pain | Nervous system disorders | MedDRA | Non-systematic Assessment |
|
| Radiculitis | Nervous system disorders | MedDRA | Non-systematic Assessment |
|
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