Prospective Study of ProteiOS in Lumbar Interbody Fusion (TLIF)
NCT07775729 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 280
Last updated 2026-08-20
Summary
This is a prospective, multicenter, randomized, controlled study evaluating Influx™ ProteiOS®, an allograft-derived growth factor product, in transforaminal lumbar interbody fusion (TLIF). Participants undergoing 1- to 2-level TLIF (L2-S1) are randomized 2:1 to receive ProteiOS or a control graft (local bone with optional cancellous chip augmentation, no ProteiOS). The primary objective is to determine whether the 12-month interbody fusion rate (assessed by CT using the Brantigan-Steffee-Fraser classification) with ProteiOS is non-inferior to control, using a 5-percentage-point non-inferiority margin. Patient-reported outcomes (ODI, VAS, EQ-5D-5L), safety, and healthcare utilization are also assessed. A separate exploratory cohort at one study site will evaluate the same outcomes in participants undergoing anterior lumbar interbody fusion (ALIF) with or without ProteiOS, without formal hypothesis testing.
Conditions
- Degenerative Disc Disease
- Spinal Stenosis Lumbar
- Lumbar Spine Fusion
- Spondylolisthesis
- Spinal Stenosis, Lumbar Region
- Transforaminal Lumbar Interbody Fusion
Interventions
- OTHER
-
Allograft-derived growth factor (ProteiOS®)
Allograft-derived growth factor product (ProteiOS®) containing endogenous osteoinductive, angiogenic, and chemoattractant proteins bound to a scaffold of choice
- OTHER
-
Standard of Care (SOC)
Local autograft with optional mineralized cancellous allograft chip augmentation
Sponsors & Collaborators
-
Isto Biologics
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-12-31
- Primary Completion
- 2029-12-31
- Completion
- 2030-01-31
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