Trial Outcomes & Findings for TRIUMPH Lumbar Artificial Disc IDE: A Pilot Study (NCT NCT01198470)

NCT ID: NCT01198470

Last Updated: 2018-10-02

Results Overview

The Oswestry Disability Index (ODI) is a commonly used outcome-measure questionnaire for low back pain in a hospital setting. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each section is scored on a 0-5 scale, 5 representing the greatest disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

24 months

Results posted on

2018-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
TRIUMPH® Artificial Disc
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Overall Study
STARTED
20
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
TRIUMPH® Artificial Disc
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Overall Study
Adverse Event
2

Baseline Characteristics

TRIUMPH Lumbar Artificial Disc IDE: A Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TRIUMPH® Artificial Disc
n=20 Participants
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Age, Continuous
37.9 years
STANDARD_DEVIATION 9.8 • n=99 Participants
Sex: Female, Male
Female
14 Participants
n=99 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
Height
67.2 inches
STANDARD_DEVIATION 3.0 • n=99 Participants
Weight
178.1 pounds
STANDARD_DEVIATION 26.1 • n=99 Participants

PRIMARY outcome

Timeframe: 24 months

The Oswestry Disability Index (ODI) is a commonly used outcome-measure questionnaire for low back pain in a hospital setting. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each section is scored on a 0-5 scale, 5 representing the greatest disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.

Outcome measures

Outcome measures
Measure
TRIUMPH® Artificial Disc
n=18 Participants
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Number of Participants With a Change of at Least 15 Points in Pain/Disability Using the Oswestry Disability Index (ODI) Score at 24 Months Compared With the Score at Baseline
16 Participants

PRIMARY outcome

Timeframe: 24 months

Any device requiring surgical revision, reoperation, removal or supplemental fixation will be considered a device failure

Outcome measures

Outcome measures
Measure
TRIUMPH® Artificial Disc
n=20 Participants
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Number of Participants With No Device Failures
17 Participants

PRIMARY outcome

Timeframe: 24 months

Major vessel injury is defined as injury of the aorta or vena cava or other major vessels (e.g. iliac arteries, superior rectal artery, iliac veins, and their branches), caused by the surgery or device, resulting in significant blood loss or requiring additional surgery to correct. Neurological damage is defined as damage to the spinal cord or a nerve root caused by the surgery or device, resulting in neurologic deficit that persists for more than 3 months and is without improvement, is progressive, or involves motor loss. Major complications are reported on adverse event case report forms.

Outcome measures

Outcome measures
Measure
TRIUMPH® Artificial Disc
n=18 Participants
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Number of Participants With Major Complications Defined as Major Vessel Injury or Neurological Damage
0 Participants

PRIMARY outcome

Timeframe: 24 months

Neurological status was assessed using a neurological status scale, which is based on four types of measurement parameters: motor, sensory, reflexes, and straight leg raise. The method for summarizing neurological status is described below. Each parameter (i.e. motor, sensory, reflexes, straight leg raise) is coded as follows: Motor 0 Total Paralysis 1. Palpable or Visible Contraction 2. Active Movement, Gravity Eliminated 3. Active Movement, Against Gravity 4. Active Movement, Against Some Resistance 5. Active Movement, Against Full Resistance Sensory 0 Absent 1. Impaired 2. Normal Reflexes 0 Absent or Trace 1. Hyper-reflexive 2. Normal or hypo-reflexive Straight Leg Raise 0 0° - 70° (Abnormal) 1 \> 70°-90° (Normal) If all evaluations for the parameter are determined to be normal, then the parameter is given a normal status. If any evaluations for the parameter are abnormal, then the parameter is given an abnormal status.

Outcome measures

Outcome measures
Measure
TRIUMPH® Artificial Disc
n=18 Participants
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Number of Participants Determined to Have a Normal Neurological Status
15 Participants

Adverse Events

TRIUMPH® Artificial Disc

Serious events: 6 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TRIUMPH® Artificial Disc
n=20 participants at risk
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
Surgical and medical procedures
Surgery - Index Level
15.0%
3/20 • Number of events 3 • 24 months
Gastrointestinal disorders
Gastric bypass to convert Lap Band
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Headache and fatigue
5.0%
1/20 • Number of events 1 • 24 months
Renal and urinary disorders
Intrauterine Growth Restriction
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Trauma
5.0%
1/20 • Number of events 2 • 24 months
General disorders
Device migration
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Dural tear
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Dysesthesia - lower extremities
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Other
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Pain - back
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Weakness in bilateral legs
5.0%
1/20 • Number of events 1 • 24 months

Other adverse events

Other adverse events
Measure
TRIUMPH® Artificial Disc
n=20 participants at risk
Treatment of degenerative disc disease with the TRIUMPH Lumbar Artificial Disc. This is a non-randomized pilot study with only one arm (no control). TRIUMPH® Lumbar Artificial Disc: The TRIUMPH® Lumbar Artificial Disc is an articulating artificial disc inserted using a posterolateral approach to the lumbar spine.
General disorders
Trauma
30.0%
6/20 • Number of events 10 • 24 months
Cardiac disorders
Hypertension
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Dural tear
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Headache
20.0%
4/20 • Number of events 4 • 24 months
General disorders
Pain - back
20.0%
4/20 • Number of events 5 • 24 months
General disorders
Pain - back and hip
10.0%
2/20 • Number of events 2 • 24 months
General disorders
Pain - back and lower extremities
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Pain - hip
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Pain - lower extremities
15.0%
3/20 • Number of events 5 • 24 months
General disorders
Pain - lower extremities with dysesthesia
5.0%
1/20 • Number of events 2 • 24 months
General disorders
Pain - neck and/or upper extremities
15.0%
3/20 • Number of events 3 • 24 months
General disorders
Wound issue
5.0%
1/20 • Number of events 1 • 24 months
Musculoskeletal and connective tissue disorders
Muscle spasms
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Seizure type incidents
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Other
30.0%
6/20 • Number of events 6 • 24 months
General disorders
Dysesthesia - lower extremities
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Paresthesia - lower extremities
10.0%
2/20 • Number of events 2 • 24 months
Renal and urinary disorders
Urogenital
5.0%
1/20 • Number of events 1 • 24 months
General disorders
Weakness
5.0%
1/20 • Number of events 1 • 24 months

Additional Information

Jacqueline Myer

Globus Medical

Phone: 610-930-1800

Results disclosure agreements

  • Principal investigator is a sponsor employee To prevent premature disclosure of trade secrets or other confidential information, PI agrees not to present, publish, or disclose study results or information about the investigational device without the express written consent of the sponsor.
  • Publication restrictions are in place

Restriction type: OTHER