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Study was terminated early for business reasons (not safety reasons).
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The hypothesis is that Aastrom TRC autologous bone marrow tissue "grafts" can be safely used to promote bone healing as part of a single level posterolateral spine fusion surgical procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Active Comparator | The Control arm of the study will receive bone autograft. |
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| Treatment | Experimental | The Treatment arm of the study will receive single level posterolateral spinal fusion between L1 to S1 levels with implantation of BRC product. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bone Repair Cells (BRCs) | Biological | BRCs will be administered during spine fusion surgery |
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| Measure | Description | Time Frame |
|---|---|---|
| The primary objective is to confirm that the TRC product, when used as a bone graft, is safe for use in posterolateral lumbar spinal fusion surgery, on the basis of defined radiographic evidence of bone fusion. | Throughout duration of study |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the relative efficacy of TRC graft compared to autologous vertebral bone graft based on the frequency and extent of callus or bone bridging between the adjacent decorticated vertebral processes on each side of the vertebrae. | Imaged by CT at 6 months after surgery | |
| To assess surgeon's evaluation of radiographic healing at the site of surgery based on flexion and extension radiographs, as well as 2AP and lateral radiographs, and of clinical resolution |
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Inclusion Criteria:
Exclusion Criteria:
Patients with hypophosphatasia, primary or secondary hyperparathyroidism caused by chronic renal insufficiency or osteomalacia.
Patients with osteoporotic vertebral fractures.
Patients with a prior spinal fusion at the level to be treated.
Concomitant use of BMP, or devices containing BMP, or electronic growth stimulators.
Any active infection of any clinical significance will be excluded from the study.
Positive for HIV, HTLV and/or syphilis.
Active Hepatitis B, or Hepatitis C infection at the time of enrollment.
Known allergies to protein products (horse or bovine serum, or porcine trypsin) used in the ex-vivo cell production process.
Patients who require systemic corticosteroid therapy after surgery.
Pregnancy or lactation; positive of hCG.
Body Mass Index (BMI) of 40 Kg/m2 or greater.
Patients unable to tolerate general anesthesia defined as an ASA criteria of >2.
Patients with poorly controlled diabetes mellitus (HbA1C >7%).
Rationale for Exclusion of Certain Study Candidates
In the opinion of the investigator, the patient is unsuitable to cellular therapy or unable to continue with this study.
Patients that drink more than 2 alcoholic drinks per day or have a history of illicit drug use at the time of enrollment shall not be enrolled in the study.
Patient known to be non-euthyroid at baseline.
Patients undergoing active cancer therapy.
Bisphosphonate Therapy
Patients with a known diagnosis of osteoporosis with recorded BMD less than -2.5.
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| Name | Affiliation | Role |
|---|---|---|
| Harry Herkowitz, MD | Corewell Health East | Principal Investigator |
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| Autologous bone graft | Procedure |
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| Baseline, Month 6 and Month 12 |
| To assess reduction in pain scores at site of back surgery | First 3 months post-treatment |
| To assess use of prescription and non-prescription pain control and other drugs in treatment patients as compared to control patients | Throughout duration of study |
| To assess restoration of function for return to activities of normal daily living | Month 6 and Month 12 |