Comparing two types of cervical disc replacements for neck pain relief
A Multi-Center, Prospective, Randomized Controlled Trial Comparing the Safety and Effectiveness of Prodisc® C SK and Prodisc® C Vivo to Mobi-C® Cervical Disc in the Treatment of Two-Level Symptomatic Cervical Disc Disease (SCDD)
This study is testing two new types of cervical disc replacements to see if they can help people with neck pain feel better compared to a standard device.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 390 (estimated) |
| Ages | 18 Years to 69 Years |
| Sex | All |
| Sponsor | Centinel Spine Industry-sponsored |
| Locations | 33 sites (Flagstaff, Arizona and 32 other locations) |
| Trial ID | NCT04012996 on ClinicalTrials.gov |
What this trial studies
This clinical trial is a multi-center, prospective, randomized, controlled comparison of two investigational cervical disc replacement devices, prodisc C SK and prodisc C Vivo, against a control device, Mobi-C, in patients suffering from symptomatic cervical disc disease (SCDD). Participants, aged 18 to 69, who have not responded to conservative treatments, will be randomly assigned to receive one of the two investigational devices or the control device. The study aims to demonstrate that the investigational devices are at least as safe and effective as the control device. Patients will be monitored for a minimum of 2 years and up to 5 years, with assessments including questionnaires, X-rays, and neurological evaluations.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 to 69 with radiculopathy or myelopathy due to symptomatic cervical disc disease at two contiguous levels from C3 to C7.
Not a fit: Patients with prior cervical surgeries, significant vertebral immobility, or osteoporosis may not benefit from this study.
Why it matters
Potential benefit: If successful, this trial could provide patients with a more effective treatment option for symptomatic cervical disc disease.
How similar studies have performed: Other studies have shown success with cervical disc replacements, indicating that this approach is supported by prior research.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥18 and ≤69 years. 2. Diagnosis of radiculopathy or myelopathy with radiculopathy of the cervical spine, with pain, paresthesias or paralysis in a specific nerve root distribution C3 through C7, including at least one of the following: 3. Symptomatic cervical disc disease (SCDD) at two contiguous levels from C3 to C7. 4. Radiographically determined pathology at the level to be treated correlating to primary symptoms. 5. Unresponsive to non-operative, conservative treatment (rest, heat, electrotherapy, physical therapy, chiropractic care and/or analgesics) Exclusion Criteria: 1. Have more than one immobile vertebral level between C1 to C7 from any cause including but not limited to congenital abnormalities and osteoarthritic "spontaneous" fusions. 2. Have previous trauma to the C3 to C7 levels resulting in significant bony or disco-ligamentous cervical spine injury. 3. Have had a prior cervical TDR or fusion procedure at any level. 4. Have osteoporosis or is at increased risk of osteoporosis 5. Have active malignancy that included a history of any invasive malignancy (except non-melanoma skin cancer), unless the subject had been treated with curative intent and there had been no clinical signs or symptoms of the malignancy for at least 5 years. 6. Have known allergies to cobalt, chromium, molybdenum, titanium, nickel or polyethylene. 7. Have rheumatoid arthritis, lupus, or other autoimmune disease that affect the musculoskeletal system. 8. Have concomitant conditions requiring daily, high-dose oral and/or inhaled steroids. 9. Have a Body Mass Index (BMI) \> 40 kg/m2. 10. Taking medications known to potentially interfere with bone/soft tissue healing (e.g., high-dose oral and/or inhaled steroids, immunosuppressant medication, chemotherapeutic agents). 11. Have a current history of heavy smoking (more than one pack of cigarettes per day).
Where this trial is running
Flagstaff, Arizona and 32 other locations
- Flagstaff Bone and Joint — Flagstaff, Arizona, United States (Recruiting)
- Todd Lanman, MD, Inc. — Beverly Hills, California, United States (Recruiting)
- Doctors Outpatient Center for Surgery — Los Angeles, California, United States (Recruiting)
- Sutter Health - Palo Alto Medical Foundation — Palo Alto, California, United States (Recruiting)
- Sutter Health — Sacramento, California, United States (Recruiting)
- Sky Ridge Medical Center Campus — Lone Tree, Colorado, United States (Recruiting)
- Center for Spine and Orthopedics, Scientific Education and Research Foundation — Thornton, Colorado, United States (Recruiting)
- Georgetown University Hospital — Washington, District of Columbia, United States (Recruiting)
- St. Vincent's Neurosurgery — Jacksonville, Florida, United States (Recruiting)
- Kennedy-White Orthopaedic Center — Sarasota, Florida, United States (Recruiting)
- University of South Florida — Tampa, Florida, United States (Recruiting)
- Florida Orthopaedic Institute — Temple Terrace, Florida, United States (Recruiting)
- Legacy Brain and Spine — Atlanta, Georgia, United States (Recruiting)
- Indiana Spine Group — Carmel, Indiana, United States (Recruiting)
- Orthopaedic Institute of Western Kentucky — Paducah, Kentucky, United States (Recruiting)
- Spine Institute of Louisiana — Shreveport, Louisiana, United States (Recruiting)
- University of Maryland Medical Center — Baltimore, Maryland, United States (Recruiting)
- William Beaumont Hospital — Royal Oak, Michigan, United States (Recruiting)
- Las Vegas Neurosurgical Institute for Spine and Brain Surgery — Las Vegas, Nevada, United States (Not_yet_recruiting)
- University Spine Center — Wayne, New Jersey, United States (Active_not_recruiting)
- NYU Langone Orthopedic Hospital — New York, New York, United States (Recruiting)
- Hospital for Special Surgery — New York, New York, United States (Recruiting)
- Northwell Health, Lenox Hill Hospital — New York, New York, United States (Recruiting)
- Axis Neurosurgery and Spine — Williamsville, New York, United States (Recruiting)
- M3-Emerging Medical Resarch — Durham, North Carolina, United States (Recruiting)
- Beachwood Medical Center — Beachwood, Ohio, United States (Recruiting)
- St. Vincent Charity Medical Group — Solon, Ohio, United States (Active_not_recruiting)
- Penn State Milton S. Hershey Medical Center — Hershey, Pennsylvania, United States (Recruiting)
- DFW Center for Spinal Disorders — Fort Worth, Texas, United States (Recruiting)
- Texas Back Institute — Plano, Texas, United States (Recruiting)
- Texas Spine Care Center — San Antonio, Texas, United States (Recruiting)
- The Disc Replacement Center — Salt Lake City, Utah, United States (Recruiting)
- Multicare Neurosurgery and Spine — Spokane, Washington, United States (Recruiting)
Study contacts
- Study coordinator: James Kuras
- Email: j.kuras@centinelspine.com
- Phone: 484.887.8873
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.