SOFTBONEInossia® Cement Softener with PMMA for Vertebral Compression Fractures
This study aims to compare the location and timing of new fractures in individuals with vertebral compression fractures treated with Inossia® Cement Softener and PMMA.
V-Flex
+ V-Steady
Bone Diseases+3
+ Bone Diseases, Metabolic
+ Metabolic Diseases
Treatment Study
Summary
Study start date: March 11, 2021
Actual date on which the first participant was enrolled.This study focuses on treating vertebral compression fractures, a condition where bones in the spine collapse. It compares two treatments: vertebroplasty or kyphoplasty using a bone cement called PMMA alone, or PMMA mixed with a special additive, Inossia® Cement Softener. The goal is to confirm if Inossia® Cement Softener, when mixed with PMMA, is safe and effective for strengthening bones weakened by these fractures. The study aims to enroll 150 patients who are eligible for these treatments. The results could help improve care for people with this condition by providing a new treatment option. During the study, participants receive either the standard PMMA treatment or the PMMA treatment with Inossia® Cement Softener. The study then measures the location and timing of any new fractures, comparing those who received the standard treatment to those who received the new combination. This helps determine if the new treatment is as good as, or better than, the current standard. The study also checks for any potential risks or benefits associated with using Inossia® Cement Softener.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.203 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 18 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria: * Informed consent obtained before any study-related activities (study-related activities are any procedures that would not have been performed during normal management of the patient, i.e. standard of care); * Symptomatic osteoporotic vertebral compression fracture without prior or not responding to medical treatment within 6 months; * Maximum of 1 level of vertebral compression fractures eligible for treatment localized at level Th5 to L5 and verified by MRI or bone scan; * Height reduction of the affected vertebra(e) with an anterior wall compression of not exceeding 60% compared to the nearest normal vertebral body determined by X-ray; * Have pain correlating to the fractured levels requiring regular analgesic intake and/or causing substantial disability of daily life; * Pain score ≥ 40 mm measured by VAS correlating to at least one of the fracture levels (scale 0 - 100 mm) at the screening visit; * Oswestry Disability Index \> 20 (0 - 100 scale); * SF-12PCS Index \< 80 (0 - 100 scale); * Patient with a communicative ability to understand the procedure and participate in the study and comply with the follow up program. Exclusion Criteria: * Patients below 18 years; * Any burst fracture; * Unstable fractures defined by neurological deficit or interspinous process widening as evaluated by the Investigator, as well as kyphosis \> 30°, translation \> 4 mm; * Established or suspected malignancy of the fractured vertebra. Hemangioma of the fractured vertebra; * High energy trauma or clinical diagnosis of herniated nucleus pulposus or severe spinal stenosis as suggested by progressive weakness; * Have neurologic symptoms or deficits, or radiculopathy related to the fractured vertebrae; * Patients with extremely high BMI, i.e. BMI ≥ 40; * Previously treated with vertebroplasty or kyphoplasty; * Patients with concomitant diseases which may be worsened by invasive treatment of the fracture such as e.g. severe cardiopulmonary dysfunction (including aortic aneurysm), as judged by the Investigator * Irreversible coagulopathy or bleeding disorder. Note regarding reversible coagulopathies: Patients on Coumadin or other anticoagulants may participate. Investigators should follow routine practices for perioperative discontinuation and re- initiation of anticoagulants; * Active systemic infection or local skin infection at the puncture site; * Pregnancy or breast-feeding; * Patients with known chemical dependency or drugs or with a medical history of drug abuse; * Patients who are serving prison sentence; * Have participated in another investigational study within 30 days prior to inclusion * Pacemaker * Previous or active radiotherapy affecting the spine
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
Active ComparatorStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 7 locations
Mannheim University Hospital
Mannheim, GermanyHospital in Mechernich
Mechernich, GermanyLodz University Hospital
Lodz, Poland