Trial Outcomes & Findings for The MOTION Study - Treatment of LSS With the MILD Procedure (NCT NCT03610737)

NCT ID: NCT03610737

Last Updated: 2024-10-02

Results Overview

Oswestry Disability Index (ODI) is a widely-used validated questionnaire use to measure a patient's functional disability. The total score ranges from 0 (no disability) - 100 (complete disability). Score categories: 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), 81-100 (bed bound or have an exaggerating).

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

NA

Target enrollment

155 participants

Primary outcome timeframe

Mean Change in Oswestry Disability Index (ODI) baseline to 12 month

Results posted on

2024-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
MILD With CMM
The MILD procedure is an image-guided minimally-invasive lumbar decompression with conventional medical managment MILD Procedure: The percutaneous procedure is performed under fluoroscopic guidance to effect a lumbar decompression with minimal surrounding tissue and bone disruption. The mild® Device Kit is utilized to access, capture and remove bone and tissue. Other Name: MILD lumbar decompression Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
CMM Alone
Patient in the CMM alone group can have physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections. Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
Overall Study
STARTED
77
78
Overall Study
COMPLETED
69
69
Overall Study
NOT COMPLETED
8
9

Reasons for withdrawal

Reasons for withdrawal
Measure
MILD With CMM
The MILD procedure is an image-guided minimally-invasive lumbar decompression with conventional medical managment MILD Procedure: The percutaneous procedure is performed under fluoroscopic guidance to effect a lumbar decompression with minimal surrounding tissue and bone disruption. The mild® Device Kit is utilized to access, capture and remove bone and tissue. Other Name: MILD lumbar decompression Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
CMM Alone
Patient in the CMM alone group can have physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections. Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
Overall Study
Withdrawal by Subject
1
5
Overall Study
Death
1
0
Overall Study
Not treated
5
2
Overall Study
Missed Visit
1
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MILD With CMM
n=77 Participants
The MILD procedure is an image-guided minimally-invasive lumbar decompression with conventional medical managment MILD Procedure: The percutaneous procedure is performed under fluoroscopic guidance to effect a lumbar decompression with minimal surrounding tissue and bone disruption. The mild® Device Kit is utilized to access, capture and remove bone and tissue. Other Name: MILD lumbar decompression Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
CMM Alone
n=78 Participants
Patient in the CMM alone group can have physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections. Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
Total
n=155 Participants
Total of all reporting groups
Age, Continuous
64.7 Years
STANDARD_DEVIATION 7.4 • n=77 Participants
66.8 Years
STANDARD_DEVIATION 7.5 • n=78 Participants
65.7 Years
STANDARD_DEVIATION 7.4 • n=155 Participants
Sex: Female, Male
Female
44 Participants
n=77 Participants
45 Participants
n=78 Participants
89 Participants
n=155 Participants
Sex: Female, Male
Male
33 Participants
n=77 Participants
33 Participants
n=78 Participants
66 Participants
n=155 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Mean Change in Oswestry Disability Index (ODI) baseline to 12 month

Population: ODI Outcome Measure Mean Improvement

Oswestry Disability Index (ODI) is a widely-used validated questionnaire use to measure a patient's functional disability. The total score ranges from 0 (no disability) - 100 (complete disability). Score categories: 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), 81-100 (bed bound or have an exaggerating).

Outcome measures

Outcome measures
Measure
MILD With CMM
n=69 Participants
The MILD procedure is an image-guided minimally-invasive lumbar decompression with conventional medical managment MILD Procedure: The percutaneous procedure is performed under fluoroscopic guidance to effect a lumbar decompression with minimal surrounding tissue and bone disruption. The mild® Device Kit is utilized to access, capture and remove bone and tissue. Other Name: MILD lumbar decompression Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
CMM Alone
n=69 Participants
Patient in the CMM alone group can have physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections. Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
Mean Change in Oswestry Disability Index (ODI)
16.1 score on a scale
Standard Deviation 19.0
2.0 score on a scale
Standard Deviation 11.7

Adverse Events

MILD With CMM

Serious events: 8 serious events
Other events: 0 other events
Deaths: 1 deaths

CMM Alone

Serious events: 7 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MILD With CMM
n=77 participants at risk
The MILD procedure is an image-guided minimally-invasive lumbar decompression with conventional medical managment MILD Procedure: The percutaneous procedure is performed under fluoroscopic guidance to effect a lumbar decompression with minimal surrounding tissue and bone disruption. The mild® Device Kit is utilized to access, capture and remove bone and tissue. Other Name: MILD lumbar decompression Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
CMM Alone
n=78 participants at risk
Patient in the CMM alone group can have physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections. Conventional Medical Management (CMM): CMM can include physical therapy, home exercise, pain medication, epidural steroid injections, nerve blocks, and other lumbar steroid injections.
Cardiac disorders
Cardiac disorders
2.6%
2/77 • Number of events 3 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
0.00%
0/78 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
General disorders
General disorders
1.3%
1/77 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
1.3%
1/78 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Infections and infestations
Infections and infestations
2.6%
2/77 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
2.6%
2/78 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications
2.6%
2/77 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
2.6%
2/78 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Metabolism and nutrition disorders
Metabolism and nutrition disorders
1.3%
1/77 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
0.00%
0/78 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorders
1.3%
1/77 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
0.00%
0/78 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
2.6%
2/77 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
2.6%
2/78 • Number of events 2 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
Nervous system disorders
Nervous system disorders
1.3%
1/77 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.
1.3%
1/78 • Number of events 1 • 1 Year
Adverse events (AE) possibly related or definitely related to the study procedure will be collected for this study unless the AE is determined to be an SAE. All SAEs will be collected regardless of relationship, or lack thereof, to the study devices/procedures.

Other adverse events

Adverse event data not reported

Additional Information

Angie Lee

Vertos Medical

Phone: 949-349-0008

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place