Biomarkers of Cervical Spondylotic Myelopathy

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of California, San Francisco

About this trial

Investigators believe that patients with cervical spondylotic myelopathy (CSM) have measurable changes in certain molecules in their blood compared with people without CSM. Investigators expect that these changes may be related to how severe a patient's condition is based on imaging and clinical exams. Investigators will also study how these molecules change before and after surgery to see whether they are related to how well patients recover. By combining these blood markers with clinical and imaging information, investigators hope to develop a tool that may help predict patient outcomes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age >18

No neck pain

No radiculopathy or myelopathy symptoms

No trauma in the past 6 months

Disqualifiers

Age >18

Diagnosis of/encompassed by/related to cervical spondylotic myelopathy, cervical myelopathy, ossification of posterior longitudinal ligament.

Age <18.

Malignancy

Trial population

The study population will include patients with cervical spondylotic myelopathy (CSM) receiving care at the UCSF Spine Center. Participants will undergo standard-of-care treatment and follow-up at UCSF, with research blood samples collected before surgery and at designated postoperative timepoints. Clinical, imaging, medical history, and patient-reported outcome data will also be collected throughout the study.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

50 Participants
are grouped into 2 trial groups
Group A: CSM
Group B: Healthy, non-CSM

Trial outcomes

Primary outcomes

1

Diagnostic performance of serum RNA biomarkers for CSM

Area under the receiver operating characteristic curve (AUC) comparing serum RNA biomarker levels in patients with CSM versus healthy controls

Time frame
Preoperative/baseline visit

Secondary outcomes

1

Association between serum RNA biomarkers and radiographic CSM severity

Time frame
Preoperative/baseline visit
2

Association between serum RNA biomarkers and clinical CSM severity

CSM severity measured by clinical and sensorimotor examinations

Time frame
Preoperative visit through 2 years postoperatively
3

Association between serum RNA biomarkers and functional outcomes/recovery

Association between changes in candidate serum RNA biomarker levels and postoperative functional outcomes, including study questionnaires and sensorimotor examinations

Time frame
Preoperative, 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperatively

Other outcomes

1

Longitudinal change in serum RNA biomarkers

Time frame
Preoperative, 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperatively

Sponsors and contacts

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