Intradiscal Discogel® in Resistant Sciatica
NCT02313350 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2021-06-18
Summary
Sciatica due to herniated disc is a major cause of disability in young adults. Surgery is the gold-standard and the only controlled treatment in case of failure of conservative treatment.
Percutaneous chemonucleolysis with Discogel® may be a valuable alternative to surgery.
In addition, Discogel® chemonucleolysis appears as a relatively innocuous technique which may avoid 2% complications after disc surgery and 5% repeated surgery (according to recent trials).
This will be the first randomized trial comparing Discogel® chemonucleolysis versus surgery in patients with sciatica due to lumbar disc herniation and unresponsive to conservative medical treatments (including epidural steroid injections) Our expectation is that Discogel® chemonucleolysis will avoid surgery in 80% of the patients.
Conditions
- Herniated Disc
- Sciatica
- Persistent Pain, Leg
Interventions
- DEVICE
-
Chemonucleolysis with Discogel
Discogel® is provided in a kit containing a 2 ml solution for injection with two disposable 1ml syringes, each for single use which is stored at room temperature. Discogel® chemonucleolysis for herniated disc-related sciatica is performed under local anesthesia .
- PROCEDURE
-
open discectomy
The comparator is open surgical discectomy. The procedure will be performed under general anesthesia. It will consist in removing the disc herniation after exposition and examination of the nerve root.
Sponsors & Collaborators
-
Gelscom SAS
collaborator INDUSTRY -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Johann Beaudreuil · Assistance Publique - Hôpitaux de Paris
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-09-30
- Primary Completion
- 2017-12-31
- Completion
- 2018-01-31
Countries
- France
Study Locations
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