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| Name | Class |
|---|---|
| CTI Clinical Trial and Consulting Services | OTHER |
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The purpose of this study is to compare the safety and preliminary efficacy of intradiscal injections of two doses of IDCT (Discogenic Cells + Sodium Hyaluronate vehicle) and two controls (saline, Sodium Hyaluronate vehicle) in subjects with chronic low back pain due to Degenerative Disc Disease (DDD) at one lumbar level from L3 to S1.
This is a Phase I, first-in-human, randomized, double-blind, vehicle and placebo-controlled, parallel-group, multi-center study in subjects with single-level, symptomatic lumbar intervertebral disc degeneration (>6 months) and unresponsive to conservative therapy for at least 3 months. The study will compare single intradiscal injections of high and low dose IDCT with two control groups (saline, Sodium Hyaluronate).
8 study visits will be completed by all subjects; screening, day 1 (injection day), week 4, week 12, week 26, week 52, week 72 and week 104. The subject will be assessed for safety and efficacy utilizing VAS and ODI questionnaires alongside radiographic evaluations. The study will have a 1 year follow-up and a 1 year extension period (total 2 years).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Dose IDCT | Experimental | Single intradiscal injection with High Dose IDCT (9M cells). |
|
| Low Dose IDCT | Experimental | Single intradiscal injection with Low Dose IDCT (3M cells). |
|
| Saline | Placebo Comparator | Single intradiscal injection with saline solution. |
|
| Sodium Hyaluronate Vehicle | Placebo Comparator | Single intradiscal injection with Sodium Hyaluronate Vehicle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IDCT | Biological | Discogenic Cells + Sodium Hyaluronate Vehicle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety as measured by number of Adverse Events | To evaluate the safety and tolerability of a single injection of IDCT in subjects with single-level, symptomatic early to moderate lumbar intervertebral disc degeneration as measured by the incidence of grade 2 or greater AEs and SAEs observed from Day 1 to week 104 | 2 Years |
| Efficacy (Pain) | Evaluate the effect of IDCT on pain as measured by a 0-100mm Visual Analogue Scale (VAS). 0: no pain, 100: worst pain imaginable. | 1 Year |
| Measure | Description | Time Frame |
|---|---|---|
| Disability | Evaluate the effect of IDCT on disability as measured by the Oswestry Disability Index (ODI). Score of 0%: no disability, score of 100%: severely disabled | 2 Years |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory | Imaging parameters will be evaluated via radiological evaluations | 2 Years |
Inclusion Criteria: The subject must have:
Exclusion Criteria: The subject is excluded if he/she has:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alabama Clinical Therapeutics, LLC | Birmingham | Alabama | 35235 | United States | ||
| University of Southern California |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38925869 | Derived | Gornet MF, Beall DP, Davis TT, Coric D, LaBagnara M, Krull A, DePalma MJ, Hsieh PC, Mallempati S, Schranck FW, Kelly C, Foley KT. Allogeneic Disc Progenitor Cells Safely Increase Disc Volume and Improve Pain, Disability, and Quality of Life in Patients With Lumbar Disc Degeneration-Results of an FDA-Approved Biologic Therapy Randomized Clinical Trial. Int J Spine Surg. 2024 Jul 4;18(3):237-248. doi: 10.14444/8609. | |
| 31442616 |
| Label | URL |
|---|---|
| Related Info | View source |
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Double Blind
| Saline Solution | Drug | Sodium Chloride Solution |
|
|
| Sodium Hyaluronate | Drug | Sodium Hyaluronate Vehicle |
|
|
| Los Angeles |
| California |
| 90033 |
| United States |
| UC San Diego CIRM Alpha Stem Cell Clinic | San Diego | California | 92037 | United States |
| Source Healthcare | Santa Monica | California | 90403 | United States |
| Otrimed | Edgewood | Kentucky | 41017 | United States |
| Spine Institute of Louisiana | Shreveport | Louisiana | 71101 | United States |
| Orthopedic Center of St. Louis | Chesterfield | Missouri | 63017 | United States |
| Ainsworth Institute of Pain Management | New York | New York | 10022 | United States |
| Carolina Neurosurgery & Spine Associates | Charlotte | North Carolina | 28204 | United States |
| Clinical Investigations, LLC | Edmond | Oklahoma | 73013 | United States |
| Clinical Trials of South Carolina | Charleston | South Carolina | 29406 | United States |
| Semmes Murphey | Memphis | Tennessee | 38120 | United States |
| Physicians' Research Options, LLC | Draper | Utah | 84020 | United States |
| Virginia iSpine | Richmond | Virginia | 23235 | United States |
| Derived |
| Silverman LI, Dulatova G, Tandeski T, Erickson IE, Lundell B, Toplon D, Wolff T, Howard A, Chintalacharuvu S, Foley KT. In vitro and in vivo evaluation of discogenic cells, an investigational cell therapy for disc degeneration. Spine J. 2020 Jan;20(1):138-149. doi: 10.1016/j.spinee.2019.08.006. Epub 2019 Aug 20. |
| ID | Term |
|---|---|
| D055959 | Intervertebral Disc Degeneration |
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| D012965 | Sodium Chloride |
| D006820 | Hyaluronic Acid |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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