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N/A N=44 Randomized Single-blind Treatment

Clinical Outcomes Associated With the Use of ViviGen® for the Treatment of Lumbar Degenerative Disc Disease

Lumbar Spondylolisthesis · Degenerative Disc Disease · Degenerative Spondylolisthesis · Lumbar Radiculopathy · Lumbar Spinal Stenosis

Enrolled (actual)
44
Serious AEs
2.8%
Results posted
Jun 2025
Primary outcome: Primary: Incidence of Successful Lumbar Fusion Measured Radiographically — 13; 11 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
ViviGen® Cellular Bone Matrix with DePuy Synthes Spinal Pedicle screw system (Combination_product); Local Bone Autologous Bone Graft with DePuy Synthes Spinal pedicle screw system (Combination_product)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Corewell Health East
Primary completion
Jun 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Incidence of Successful Lumbar Fusion Measured Radiographically
13; 11
SECONDARY
Visual Analog Scale for Pain
13; 12
SECONDARY
Change in Oswestry Disability Index for Pain and Function
13; 11
SECONDARY
Change in Short Form Health Survey-36 for Quality of Life: Physical Component Summary
12; 9
SECONDARY
Neurological Deficit Per Lumbar Spine Neurological Exam
2; 2
SECONDARY
Count of Participants With Revision Surgery by Month 12
0; 0
SECONDARY
Count of Participants Developing Pseudoarthrosis by Month 12
0; 1

Summary

The objective of this study is to perform a prospective, randomized, controlled clinical trial to compare radiographic fusion rates and patient reported outcomes, including pain and function preoperatively and postoperatively, using Depuy ViviGen® Cellular Bone Matrix mixed with cortical/cancellous allograft in conjunction with an approved Depuy Synthes pedicle screw system compared to autograft mixed with cortical/cancellous allograft in conjunction with the same DePuy Synthes pedicle screw system used for a one or two - level posterolateral lumbar fusion.

Eligibility Criteria

Inclusion Criteria

  • ≥18 years of age
  • Able to provide consent
  • Is undergoing standard of care one or two-level instrumented posterolateral fusion at the level between L1-S1
  • Has diagnosis of spinal stenosis, degenerative disc disease and/or up to Grade 1 spondylolisthesis
  • Requires decompression at intended fusion level (multi-level decompression allowed L1-S1)
  • Has failed 6-weeks or more of conservative, non-operative treatment
  • Has back and/or radicular lumbar symptoms with ODI score of ≥ 30 preoperatively.

Exclusion Criteria

  • Any prior lumbar fusion surgery
  • Requires fusion of more than two levels
  • Requires an interbody fusion based on relevant diagnoses and factors (such as foraminal stenosis, degree of spondylolisthesis, spinal deformity, disc space collapse, and subject's age) as determined by investigator
  • BMI > 40
  • Active systemic infection or infection at operative site
  • History of an osteoporotic fracture and/or vertebral body fracture
  • Is currently being treated with chemotherapy, radiation, immunosuppression or chronic steroid therapy
  • History of osteoporosis, osteopenia, or osteomalacia that would contraindicate spinal surgery
  • Psychological or physical condition in the opinion of the investigator that would interfere with subject self-assessments
  • History of neurological condition in the opinion of the investigator that may affect lumbar function and pain assessments
  • Subjects with a history of cancer must be disease free for at least 3 years
  • Pregnant, or plans on becoming pregnant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03733626). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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