Trial Outcomes & Findings for Circumferential Vertebral Reconstruction of Osteoporotic Compression Fractures Using a Novel Bipedicular Peek Implant (NCT NCT05337696)

NCT ID: NCT05337696

Last Updated: 2026-05-28

Results Overview

Safety will be measured by number of device related serious adverse events using Common Terminology Criteria for Adverse Events (CTCAE) v4.0

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

6 months

Results posted on

2026-05-28

Participant Flow

Participant milestones

Participant milestones
Measure
Participants With Vertebral Compression Fractures
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Overall Study
STARTED
23
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants With Vertebral Compression Fractures
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Overall Study
Death
1
Overall Study
Lost to Follow-up
3
Overall Study
Physician Decision
1
Overall Study
Trial Closure
8
Overall Study
Screen Failure
2

Baseline Characteristics

Circumferential Vertebral Reconstruction of Osteoporotic Compression Fractures Using a Novel Bipedicular Peek Implant

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Age, Continuous
73.95 years
STANDARD_DEVIATION 11.61 • n=51 Participants
Sex: Female, Male
Female
15 Participants
n=51 Participants
Sex: Female, Male
Male
6 Participants
n=51 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=51 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=51 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=51 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=51 Participants
Race (NIH/OMB)
Asian
3 Participants
n=51 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=51 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=51 Participants
Race (NIH/OMB)
White
15 Participants
n=51 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=51 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=51 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Study terminated early.

Safety will be measured by number of device related serious adverse events using Common Terminology Criteria for Adverse Events (CTCAE) v4.0

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Number of Device Related Adverse Events
0 events

SECONDARY outcome

Timeframe: Day 1, at end of procedure

Procedure duration in minutes

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Procedure Duration
142.57 minutes
Standard Deviation 44.15

SECONDARY outcome

Timeframe: Day 1, at end of procedure

volume of cement injected per level

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Volume of Cement Injected
5.44 milliliters
Standard Deviation 2.95

SECONDARY outcome

Timeframe: Day 1, at end of procedure

Population: Study was terminated early. Independent imaging adjudicator was no longer available to review images due to study termination.

Number of participants with presence of cement leakage

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=7 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Number of Participants With Cement Leakage
4 Participants

SECONDARY outcome

Timeframe: Day 1, at end of procedure

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Fluoroscopy Time
17.79 minutes
Standard Deviation 8.71

SECONDARY outcome

Timeframe: Day 1, at end of procedure

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Fluoroscopy Dose
24030.26 mGy/cm^2
Standard Deviation 42784.11

SECONDARY outcome

Timeframe: Day 1, at end of procedure

Population: Study was terminated early. Independent imaging adjudicator was no longer available to review images due to study termination.

percentage of vertebral height restoration

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=9 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Vertebral Height
2.24 percentage of height restoration
Standard Deviation 6.61

SECONDARY outcome

Timeframe: 6 months

Population: Study terminated early. Results for participants who reached their 6 months follow up visit and provided data.

Pain VAS, full range from 0-100, with higher score indicating more pain

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=8 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Visual Analogue Symptom (VAS)
42.88 score on a scale
Standard Deviation 37.46

SECONDARY outcome

Timeframe: 6 months

Population: Study terminated early. Results for participants who reached their 6 months follow up visit and completed questionnaire.

The Oswestry Disability Index is a Low Back Pain Disability Questionnaire frequently used to assess function and very often report in the literature. Full range from 0-100, with higher score indicating more severe disability.

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=11 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
The Oswestry Disability Index
22.18 score on a scale
Standard Deviation 22.17

SECONDARY outcome

Timeframe: 6 months

Study will evaluate the lost to follow up rate to determine statistical methodology and enrollment requirements for any follow up pivotal study

Outcome measures

Outcome measures
Measure
Participants With Vertebral Compression Fractures
n=21 Participants
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Number of Participants Lost to Follow up
3 Participants

Adverse Events

Participants With Vertebral Compression Fractures

Serious events: 4 serious events
Other events: 4 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Participants With Vertebral Compression Fractures
n=21 participants at risk
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Infections and infestations
Left Facial Subcutaneous Inflammatory Reaction
4.8%
1/21 • 6 months
Cardiac disorders
Acute on Chronic CHF Exacerbation
4.8%
1/21 • 6 months
Vascular disorders
Lymphedema
4.8%
1/21 • 6 months
Musculoskeletal and connective tissue disorders
Severe Back Pain
4.8%
1/21 • 6 months
Infections and infestations
Infection
4.8%
1/21 • 6 months

Other adverse events

Other adverse events
Measure
Participants With Vertebral Compression Fractures
n=21 participants at risk
Participants with vertebral compression fractures who have failed conservative care strategies. Vertebral Implant PEEK Procedure: Vertebral Implant PEEK (VIP) procedure is a minimally invasive/percutaneous vertebral augmentation (PVA), image guided procedure. Two VIP devices are implanted in each to be treated vertebra. A cavity is drilled allowing the introduction of the implant posteriorly through the pedicle and the vertebral body upto the anterior wall. A part of the implant is embedded into the pedicle, thus providing posterior support. The other part of the device, located in the vertebral body, presents a central canula and lateral perforations, which allow acrylic bone cement diffusion, filling of the vertebral body, filling and fixing the implant, and supporting of the upper endplate. The combination of the implant and the cement allows the treatment of vertebral fractures. Vertebral Implant PEEK (VIP) implant: The study device is V-STRUT© Vertebral Implant manufactured by Hyprevention (VIP -Vertebral Implant PEEK), FDA cleared under K191709, indicated for use in the treatment of vertebral fractures in the thoracic and lumbar spine from T9 to L5. It is intended to be used in combination with PMMA bone cement.
Gastrointestinal disorders
Dysphagia
4.8%
1/21 • 6 months
Gastrointestinal disorders
Belching
4.8%
1/21 • 6 months
Gastrointestinal disorders
Constipation
9.5%
2/21 • 6 months
Injury, poisoning and procedural complications
New T11 fracture at inferior endplate
4.8%
1/21 • 6 months
Injury, poisoning and procedural complications
Fall
4.8%
1/21 • 6 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
IgA lambda myeloma
4.8%
1/21 • 6 months
Musculoskeletal and connective tissue disorders
Worsened back pain
4.8%
1/21 • 6 months
Musculoskeletal and connective tissue disorders
Worsened right hip pain
4.8%
1/21 • 6 months

Additional Information

Sydney Edwards

Icahn School of Medicine at Mount Sinai

Phone: 212-241-2524

Results disclosure agreements

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