RAMP Study: A Study Comparing Two Lumbar Fusion Procedures
This is a post-marketing, on-label Efficacy, Effectiveness and Safety Study designed in a Multicenter, Randomized, Prospective format. This study compares two spinal fusion procedures, Transacral Interbody Fusion and Transforaminal Lumbar Interbody Fusion (TLIF). Enrollment period will be approximately 12-18 months; each Principal Investigator/Study Center will be expected to enroll up to 20 subjects. The protocol requires approximately 7 subject visits to the study center from screening through the final follow-up visit.
Degenerative Disc Disease
|Study Design:||Time Perspective: Prospective|
|Official Title:||RAMP Study: A Prospective Randomized Study Comparing Two Lumbar Fusion Procedures|
|Study Start Date:||June 2012|
|transacral lumbar interbody fusion procedure|
|transforaminal lumbar interbody fusion procedure (TLIF)|
Study Treatment Arms:
The transacral lumbar interbody fusion (including 1L+ and 2L+) is a minimally invasive technique that uses a transacral approach to achieve fusion at the L5-S1 or L4-L5-S1 spinal levels. The transforaminal lumbar interbody fusion (TLIF) is performed by using a posterior unilateral or bilateral incision in which the lumbar spine is accessed. Both study procedures are approved for use and conform to US regulatory requirements. The study employs these procedures and devices for uses that are consistent with their 510(k), legally cleared, labeling.
Study Design, Objective:
The study objective is to demonstrate non-inferiority between the transacral lumbar interbody fusion procedure and the transforaminal lumbar interbody fusion procedure (TLIF) by meeting the primary and secondary study endpoints as listed below.
Study design, Endpoints:
Efficacy: Fusion of the targeted vertebral bodies (L4-L5 or L5-S1) by 24 months as determined by Central Radiographic Reviewer's interpretation of high resolution Computed Tomography (CT) scan.
Safety: Incidence of major device-related adverse events and/or failures by 24 months, defined as those requiring revision surgery or a secondary operation, or events resulting in permanent disability or death.
Clinical Effectiveness: A 20% decrease in back pain compared to baseline by 24 months as measured by the Visual Analog Scale (VAS) score.
Clinical Effectiveness: A 20% decrease in disability compared to baseline by 24 months as measured by the Oswestry Disability Index (ODI).
Study Design, Enrollment and Analyses:
Approximately 200 subjects will be enrolled in this study and will receive one of two study treatments in the study. The enrollment period is expected to last approximately 18 months, with a 24 month follow up period. Approximately 15-20 sites will participate, and Investigators must be proficient in both of the lumbar fusion procedures.
Eight evaluations: Pre-Operative, Operative, Discharge, and at 1, 3, 6, 12, and 24 Months.
Safety and efficacy analyses will be performed at all follow-up points during the study as well as a final analysis when all subjects have completed the study.
|Contact: Rebecca Gibsonfirstname.lastname@example.org|
|United States, California|
|St. Joseph Heritage Healthcare||Recruiting|
|Fullerton, California, United States, 92835|
|Principal Investigator: Raed M Ali, MD|
|Cedars-Sinai Medical Center||Recruiting|
|Los Angeles, California, United States, 90048|
|Contact: Cece Bruce 310-423-9209 email@example.com|
|Principal Investigator: Neel Anand, MD|
|Sub-Investigator: Eli Baron, MD|
|United States, Indiana|
|Indiana Spine Group||Recruiting|
|Carmel, Indiana, United States, 46032|
|Contact: Sheetal Vinayek, M.Sc, CCRP 317-715-5897 firstname.lastname@example.org|
|Principal Investigator: Rick Sasso, MD|
|Sub-Investigator: Paul Kraemer, MD|
|Sub-Investigator: Justin Miller, MD|
|Sub-Investigator: Tom Reilly, MD|
|Sub-Investigator: Kenneth Renkens, MD|
|United States, Louisiana|
|Bone and Joint Clinic of Baton Rouge||Recruiting|
|Baton Rouge, Louisiana, United States, 70808|
|Contact: Adaire O'Brien 225-766-0050 ext 5096 email@example.com|
|Contact: Pamela Mitcham, Ph.D. 225-766-0050 ext 5096|
|Principal Investigator: Kevin McCarthy, MD|
|LSU Health Sciences Center, Department of Neurosurgery||Recruiting|
|New Orleans, Louisiana, United States, 70112|
|Contact: Robyn Givens, PA-C firstname.lastname@example.org|
|Principal Investigator: Gabriel Tender, MD|
|United States, Massachusetts|
|UMass Medical Center, Department of Neurosurgery||Recruiting|
|Worcester, Massachusetts, United States, 01655|
|Contact: Andrea Demers 508-334-3039 Andrea.Demers@umassmemorial.org|
|Principal Investigator: Frederick Pennings, MD|
|Sub-Investigator: John Weaver, MD|
|United States, North Carolina|
|Cary Orthopaedic Spine Specialists||Recruiting|
|Cary, North Carolina, United States, 27518|
|Contact: Solomon Chelli, MD 919-297-0000 email@example.com|
|Principal Investigator: Sameer Mathur, MD|
|United States, Ohio|
|Mayfield Clinic/University of Cincinnati||Recruiting|
|Cincinnati, Ohio, United States, 45219|
|Contact: Ian Jansen 513-558-3546 jansenih@UCMAIL.UC.EDU|
|Principal Investigator: William Tobler, MD|
|University Hospitals Case Medical Center||Recruiting|
|Cleveland, Ohio, United States, 44106|
|Contact: Valerie Cwiklinski 216-983-5144 Valerie.Cwiklinski1@UHhospitals.org|
|Principal Investigator: David Hart, MD|
|United States, Texas|
|College Station, Texas, United States, 77845|
|Contact: Jo Anna Richards 979-693-1815|
|Principal Investigator: Mukund Gundanna, MD|
|United States, Virginia|
|Danville Orthopedic Clinic, Inc.||Recruiting|
|Danville, Virginia, United States, 24541|
|Contact: Susan Shelton 434-793-4711 ext 346 firstname.lastname@example.org|
|Contact: April Marshall (434)793-4711 ext 349 email@example.com|
|Principal Investigator: Leon Abram, MD|
|Principal Investigator:||David Hart, MD||University Hospital Case Medical Center|