Engineered tiny vesicles to reprogram and heal degenerated spinal discs

Novel non-viral reprogramming strategies to treat Discogenic back pain via engineered extracellular vesicles

['FUNDING_R01'] · OHIO STATE UNIVERSITY · NIH-11262849

A non-surgical approach using engineered extracellular vesicles aims to reprogram damaged disc cells to restore disc health and reduce chronic disc-related low back pain for people with discogenic pain.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorOHIO STATE UNIVERSITY (nih funded)
Locations1 site (Columbus, UNITED STATES)
Trial IDNIH-11262849 on ClinicalTrials.gov

What this research studies

Researchers are developing tiny, cell-derived particles called extracellular vesicles that carry reprogramming signals into damaged disc tissue. The goal is to convert a patient’s own degenerated disc cells into a healthier, matrix-producing, anti-inflammatory state that blocks painful nerve and blood vessel ingrowth. Work will combine lab experiments and animal models to optimize vesicle design, delivery, and safety with the aim of moving toward treatments for people with discogenic back pain. If successful, the team plans to translate the approach into future human studies at clinical sites.

Who could benefit from this research

Good fit: Ideal candidates would be adults with imaging-confirmed intervertebral disc degeneration causing chronic discogenic low back pain who are seeking non-surgical, biologic treatment options.

Not a fit: Patients whose pain is due to non-disc causes (for example spinal stenosis, facet joint disease, or widespread neuropathic pain), those with severe spinal instability or prior fusion at the target level, or those without anatomically repairable discs are unlikely to benefit.

Why it matters

Potential benefit: If successful, this approach could restore disc structure and reduce chronic disc-related low back pain without major surgery or long-term opioid use.

How similar studies have performed: Related preclinical work using extracellular vesicles and non-viral reprogramming has shown promising tissue-repair effects in lab and animal models, but clinical evidence in people with discogenic back pain is still limited.

Where this research is happening

Columbus, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.