LDGraft in Single Level Anterior Lumbar Interbody Fusion (ALIF)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age22-80
SponsorLocate Bio Pty Ltd

About this trial

The objective of this study is to evaluate the safety and effectiveness of LDGraft (investigational device) compared to 100% human tissue product allograft bone (control) when applied in an ALIF procedure in the treatment of patients with lumbar degenerative disc disease (DDD).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Skeletally mature adults ≥22 and ≤80 years at the time of surgery

Willing and able to give written informed consent and comply with study protocol and postoperative management program

instability (as defined by ≥3mm translation or ≥5° angulation);

osteophyte formation of facet joints or vertebral endplates;

Disqualifiers

Previous lumbar spine instrumentation (i.e., anterior disc replacement, interspinous device) or a previous interbody fusion procedure in the lumbar spine

More than one level lumbar spine level requiring fusion

Three or more contiguous lumbar spine levels requiring decompression (Note: Up to two contiguous levels of decompression is acceptable)

Known hypersensitivity or allergy to any components of the study treatments inclusive of hypersensitivity or allergy to any BMP-2 type recombinant proteins or peptides.

Trial design

Design model

Parallel

Treatments tested in this trial

  • LDGraft

    Device

    LDGraft 0.5mg/cc rhBMP-2 applied within intervertebral cage with placement of anterior fixation (plate and screws)

  • LDGraft

    Device

    LDGraft 1.0mg/cc rhBMP-2 applied within intervertebral cage with placement of anterior fixation (plate and screws)

  • Allograft Bone

    Other intervention

    Allograft bone (100% human tissue product) applied within intervertebral cage with placement of anterior fixation (plate and screws)

Treatment groups

40 Participants
are divided into 3 treatment groups
Group A: LDGraft 0.5mg/ccExperimental treatment 1 intervention
Group B: LDGraft 1.0mg/ccExperimental treatment 1 intervention
Group C: Control Allograft BoneActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Radiographic Fusion

Radiographic fusion defined as evidence of bridging bone by CT scan

Time frame
12 months and 24 months
2

Secondary Surgical Intervention

No index level secondary surgical intervention

Time frame
12 months and 24 months
3

Oswestry Disability Index (ODI) Score

At least 15-point improvement in Oswestry Disability Index (ODI) compared to baseline

Time frame
12 months and 24 months
4

Neurological Condition

No new or worsening persistent lumbar spine neurological condition compared to baseline

Time frame
12 months and 24 months

Secondary outcomes

1

Radiographic Outcomes

Radiographic outcomes including bridging bone, radiolucency, device condition, migration, subsidence, angular motion, and translational motion

Time frame
6 weeks, 3 months, 6 months, 12 months and 24 months
2

Visual Analog Score (VAS) Back

Improvement in the Visual Analog Score (VAS) back pain of 20mm compared to baseline

Time frame
6 weeks, 3 months, 6 months, 12 months and 24 months
3

Visual Analog Score (VAS) Change Back

Mean change in back VAS over time intervals

Time frame
6 weeks, 3 months, 6 months, 12 months and 24 months
4

Visual Analog Score (VAS) Leg

Improvement in the Visual Analog Score (VAS) worst leg of 20mm compared to baseline

Time frame
6 weeks, 3 months, 6 months, 12 months and 24 months

Other outcomes

Sponsors and contacts

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