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Safety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy

Primary Purpose

Cervical Degenerative Disc Disease, Degenerative Spondylolisthesis, Spinal Stenosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
NeoFuse
Allograft
Sponsored by
Mesoblast, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Degenerative Disc Disease focused on measuring Cervical Degenerative Disc Disease, Degenerative Spondylolisthesis, Spinal Stenosis, Stem cells, Adult Stem Cells, Anterior cervical discectomy and Fusion (ACDF), Cervical Allograft Spacer, Anterior Cervical Plate Fixation

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or females between 18 and 70 years of age, inclusive.
  2. Has the ability to understand the requirements of the study, to provide written informed consent, and to comply with the study protocol.
  3. Has the ability to understand and provide written authorization for the use and disclosure of personal health information (PHI) [per Health Insurance Portability and Accountability Act (HIPAA) privacy ruling in the US].
  4. Has a documented symptomatic diagnosis of DDD at C3-C4 to C7-T1.
  5. Has symptomatic radiculopathy and/or myelopathy correlating to radiographic findings of duration of 6 weeks or greater that had failed to respond to non-operative management
  6. Is a candidate for anterior cervical discectomy and fusion in two or three adjacent cervical interbody levels between C3-C4 to C7-T1
  7. Has a stable screening electrocardiogram (ECG), as determined by the investigator that would not preclude surgery.

Exclusion Criteria:

  1. Female subjects who are pregnant or nursing, or women planning to become pregnant during the first year (12 months) following surgery.
  2. Has a current or prior history within the last 3 years of neoplasm (excluding basal cell carcinoma) and/or any active neoplasm within the last 24 months, prior to screening.
  3. Has at the time of surgery a systemic or local infection at the site of proposed surgery.
  4. Has or is undergoing revision of a prior fusion surgery at any involved level.
  5. Requires ACDF at only one cervical interbody level or more than 3 adjacent cervical interbody levels.
  6. Requires ACDF without the use of an anterior cervical plating system.
  7. Has osteoporosis as defined by a DEXA T score of ≤ -3.0 or a history of fragility fractures or other significant bone disease contraindicating the use of spinal instrumentation.
  8. Has a documented medical history or radiographic evidence of a metabolic bone disease or other condition which would negatively impact the bone healing process.
  9. Has a positive screen for human immunodeficiency virus (HIV) antibodies.
  10. has had treatment with any investigational therapy or device within 6 months of study surgery and/or plans to participate in any other allogeneic stem cell/progenitor cell therapy trial during the 2-year follow-up period.
  11. Has been a recipient of prior stem cell/progenitor cell therapy for spinal fusion surgery.
  12. Has 20% or greater anti-human leukocyte antigen (HLA) antibody titer and/or has antibody specificities to donor HLA antigens.
  13. Is transient or has been treated in the last 6 months before enrollment for alcohol and/or drug abuse in an inpatient substance abuse program.

Sites / Locations

  • UC Davis Spine Center
  • The Spine Institute
  • Denver Spine
  • Rocky Mountain Associates in Orthopedic Medicine, P.C.
  • Tallahassee Neurological Clinic, P.A.
  • Fort Wayne Orthopaedics
  • Carolina Neurosurgery and Spine Associates
  • Central Texas Spine Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Allograft

NeoFuse

Arm Description

Cervical Spinal Fusion with Allograft

Cervical Spinal Fusion with NeoFuse

Outcomes

Primary Outcome Measures

To determine the safety of NeoFuse using physical examinations, vital signs, treatment emergent adverse events (TEAEs), and the results of clinical lab tests (hematology, serum chemistry, inflammation, and and immunology).

Secondary Outcome Measures

To evaluate the fusion success with NeoFuse compared to allograft spacer using CT scans and x-ray of the involved cervical spine levels and assess the change in outcomes (NDI, SF-36, Zung Depression Questionnaire, and WPAI.

Full Information

First Posted
March 30, 2010
Last Updated
August 14, 2019
Sponsor
Mesoblast, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01097486
Brief Title
Safety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy
Official Title
Phase 2 Study Evaluating Safety and Preliminary Efficacy of NeoFuse When Combined With MasterGraft Matrix in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusion With Anterior Cervical Plate Fixation
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mesoblast, Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and preliminary efficacy of NeoFuse in subjects with a diagnosis of degenerative disc disease (DDD) at 2 or more adjacent cervical vertebral levels between C3-C4 to C7-T1. All subjects in this study will undergo 2 or 3 level anterior cervical discectomy and fusion with anterior cervical plate fixation.
Detailed Description
This is a prospective, multicenter, randomized, single-blinded, controlled study evaluating safety and preliminary efficacy of immunoselected, culture-expanded, nucleated, allogeneic MPCs (NeoFuse) combined with MasterGraft Matrix in a commercially available PEEK cervical spacer compared to a cervical Allograft Spacer control in subjects undergoing 2 or 3 level anterior cervical discectomy and fusion with anterior cervical plate fixation. After the screening and surgical visits, each subject will be evaluated clinically and radiographically within 3 days and 30 days after surgery, and at 3, 6, 12, and 24 months after surgery. Subjects will be evaluated at the same time points for safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Degenerative Disc Disease, Degenerative Spondylolisthesis, Spinal Stenosis
Keywords
Cervical Degenerative Disc Disease, Degenerative Spondylolisthesis, Spinal Stenosis, Stem cells, Adult Stem Cells, Anterior cervical discectomy and Fusion (ACDF), Cervical Allograft Spacer, Anterior Cervical Plate Fixation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Allograft
Arm Type
Active Comparator
Arm Description
Cervical Spinal Fusion with Allograft
Arm Title
NeoFuse
Arm Type
Experimental
Arm Description
Cervical Spinal Fusion with NeoFuse
Intervention Type
Biological
Intervention Name(s)
NeoFuse
Other Intervention Name(s)
Anterior Cervical Discectomy and Fusion with NeoFuse, Cervical Spinal Fusion, Stem Cells
Intervention Description
Single Dose NeoFuse Surgical Implantation
Intervention Type
Procedure
Intervention Name(s)
Allograft
Other Intervention Name(s)
Anterior Cervical Discectomy and Fusion with Allograft, Cervical Spinal Fusion, Control
Intervention Description
Single Dose Allograft Surgical Implantation
Primary Outcome Measure Information:
Title
To determine the safety of NeoFuse using physical examinations, vital signs, treatment emergent adverse events (TEAEs), and the results of clinical lab tests (hematology, serum chemistry, inflammation, and and immunology).
Time Frame
2 years
Secondary Outcome Measure Information:
Title
To evaluate the fusion success with NeoFuse compared to allograft spacer using CT scans and x-ray of the involved cervical spine levels and assess the change in outcomes (NDI, SF-36, Zung Depression Questionnaire, and WPAI.
Time Frame
1 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or females between 18 and 70 years of age, inclusive. Has the ability to understand the requirements of the study, to provide written informed consent, and to comply with the study protocol. Has the ability to understand and provide written authorization for the use and disclosure of personal health information (PHI) [per Health Insurance Portability and Accountability Act (HIPAA) privacy ruling in the US]. Has a documented symptomatic diagnosis of DDD at C3-C4 to C7-T1. Has symptomatic radiculopathy and/or myelopathy correlating to radiographic findings of duration of 6 weeks or greater that had failed to respond to non-operative management Is a candidate for anterior cervical discectomy and fusion in two or three adjacent cervical interbody levels between C3-C4 to C7-T1 Has a stable screening electrocardiogram (ECG), as determined by the investigator that would not preclude surgery. Exclusion Criteria: Female subjects who are pregnant or nursing, or women planning to become pregnant during the first year (12 months) following surgery. Has a current or prior history within the last 3 years of neoplasm (excluding basal cell carcinoma) and/or any active neoplasm within the last 24 months, prior to screening. Has at the time of surgery a systemic or local infection at the site of proposed surgery. Has or is undergoing revision of a prior fusion surgery at any involved level. Requires ACDF at only one cervical interbody level or more than 3 adjacent cervical interbody levels. Requires ACDF without the use of an anterior cervical plating system. Has osteoporosis as defined by a DEXA T score of ≤ -3.0 or a history of fragility fractures or other significant bone disease contraindicating the use of spinal instrumentation. Has a documented medical history or radiographic evidence of a metabolic bone disease or other condition which would negatively impact the bone healing process. Has a positive screen for human immunodeficiency virus (HIV) antibodies. has had treatment with any investigational therapy or device within 6 months of study surgery and/or plans to participate in any other allogeneic stem cell/progenitor cell therapy trial during the 2-year follow-up period. Has been a recipient of prior stem cell/progenitor cell therapy for spinal fusion surgery. Has 20% or greater anti-human leukocyte antigen (HLA) antibody titer and/or has antibody specificities to donor HLA antigens. Is transient or has been treated in the last 6 months before enrollment for alcohol and/or drug abuse in an inpatient substance abuse program.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roger Brown
Organizational Affiliation
Mesoblast, Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
UC Davis Spine Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95816
Country
United States
Facility Name
The Spine Institute
City
Santa Monica
State/Province
California
ZIP/Postal Code
90403
Country
United States
Facility Name
Denver Spine
City
Denver
State/Province
Colorado
ZIP/Postal Code
80111
Country
United States
Facility Name
Rocky Mountain Associates in Orthopedic Medicine, P.C.
City
Loveland
State/Province
Colorado
ZIP/Postal Code
80538
Country
United States
Facility Name
Tallahassee Neurological Clinic, P.A.
City
Tallahassee
State/Province
Florida
ZIP/Postal Code
32308
Country
United States
Facility Name
Fort Wayne Orthopaedics
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46804
Country
United States
Facility Name
Carolina Neurosurgery and Spine Associates
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Central Texas Spine Institute
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States

12. IPD Sharing Statement

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Safety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy

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