ClinicalTrials.gg
Active, not recruitingNCT03118505Updated Jun 25, 2026

A Study of Infuse® Bone Graft With Mastergraft® Strip and Posterior Fixation for Posterolateral Fusion (PLF) Treatment of Multi-Level Degenerative Lumbosacral Spinal Conditions

An interventional study of Infuse Bone Graft and Medtronic DBM in Multi-Level Degenerative Lumbosacral Spinal Conditions, sponsored by Medtronic Spinal and Biologics. Active, not recruiting at 17 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-06-25.

Sponsored by Medtronic Spinal and Biologics (part of Medtronic) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

The purpose of this study is to obtain safety and effectiveness data on the investigational device for multi-level PLF procedures and determine the most appropriate rhBMP-2 dose for use in this indication. The study information may be used for a potential pivotal study design.

02

Conditions studied

  • Multi-Level Degenerative Lumbosacral Spinal Conditions
03

In context

Lead sponsor

Medtronic Spinal and Biologics is the lead sponsor of 57 studies on the registry; 3 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Degenerative lumbar spine condition:

    1. Requiring a PLF procedure using a bilateral metallic screw and rod system in 2-4 consecutive levels from L2-S1; and
    2. Diagnosed with: instability (up to and including Grade 2 spondylolisthesis, retrolisthesis, or lateral listhesis), stenosis with documented pre-operative instability, and/or recurrent disc herniation, any of which may have possible concomitant lumbar degenerative deformity (Cobb angle ≤ 30 degrees).
  2. Preoperative ODI score ≥40.
  3. Preoperative pain score of ≥8 (out of 20) on the Preoperative Leg Pain Questionnaire.
  4. Most inferior treated spinal level is able to accommodate an interbody fusion device.
  5. ≥21 years of age at the time of signing the .
  6. Failed ≥6 months non-operative treatment (e.g., bed rest, physical therapy, medications, spinal injections, manipulation, and/or TENS).
  7. Is willing and able to comply with the study plan and able to understand and sign the Subject Informed Consent Form.

Exclusion criteria

Exclusion Criteria:

  1. Prior spinal fusion surgical procedure at the involved or adjacent spinal levels. (Prior non-fusion surgery at the target levels, including discectomy and/or single-level foraminotomy or laminectomy, is allowed.)
  2. Prior lumbar disc arthroplasty.
  3. Significant lumbar instability, defined as sagittal listhesis >Grade 2 at any involved level using Meyerding's Classification or lateral listhesis >25% lateral translation at any involved level.
  4. Planned use of an internal or external bone growth stimulator.
  5. Lumbar scoliosis >30 degrees.
  6. Osteoporosis to a degree that spinal instrumentation is or a history of atraumatic vertebral fracture.
  7. Morbidly obese, as defined by a (BMI) >40.
  8. Presence of active or prior history of malignancy.
  9. Overt or active bacterial infection, either local or systemic.
  10. Has undergone systemic administration of any type of , anti-neoplastic, immunostimulating, or agents within 30 days prior to implantation of the assigned treatment.
  11. Comorbidities precluding subject from being a surgical candidate.
  12. History of disease known to affect bone metabolism or the spine (e.g., spondyloarthropathies, juvenile arthritis, rheumatoid arthritis, Graves' disease, Hashimoto's thyroiditis).
  13. History of any endocrine or metabolic disorder known to affect osteogenesis (e.g., Paget's disease, renal osteodystrophy, Ehlers-Danlos syndrome, or osteogenesis imperfecta).
  14. History of exposure to any recombinant proteins used for bone formation (i.e., Infuse Bone Graft, OP-1 Putty, OP-1 Implant, AUGMENT Bone Graft, GEM21S, i-FACTOR Peptide Enhanced Bone Graft, or PepGen P-15 Synthetic Bone Graft).
  15. or allergy to any components of the study treatments including, but not limited to, bone morphogenetic proteins (BMPs); injectable collagen; protein pharmaceuticals (e.g., monoclonal antibodies or gamma globulins); bovine collagen products; gentamicin or glycerol (which may be present in trace amounts in the DBM products); and/or instrumentation materials (titanium, titanium alloy, cobalt chrome, cobalt chrome alloy, or polyetheretherketone [PEEK]).
  16. History of any allergy resulting in anaphylaxis.
  17. Is a prisoner.
  18. Is mentally incompetent. If questionable, obtain psychiatric consult.
  19. Treatment with an therapy (drug, device, and/or biologic) within 30 days prior to implantation surgery, or such treatment is planned during the 24-month period following implantation of the study treatment.
  20. Pregnant or nursing. Females of must agree not to become pregnant for one year following surgery.
  21. Any condition that would interfere with the subject's ability to comply with study instructions, might confound the interpretation of the study, or put the subject at risk.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Group 1

    Infuse Bone Graft \[4.2 mg per operative level\] + Mastergraft Strip + local bone autograft + posterior fixation

    Device: Infuse Bone Graft

  • Experimental
    Group 2

    Infuse Bone Graft \[6 mg per operative level\] + Mastergraft Strip + local bone autograft + posterior fixation

    Device: Infuse Bone Graft

  • Experimental
    Group 3

    Infuse Bone Graft \[12 mg per operative level\] + Mastergraft Strip + local bone autograft + posterior fixation

    Device: Infuse Bone Graft

  • Active comparator
    Control

    Medtronic DBM + local bone autograft (and supplemented with iliac crest bone graft (ICBG), if needed) + posterior fixation.

    Device: Medtronic DBM

Interventions

  • DeviceInfuse Bone Graft

    Infuse Bone Graft + Mastergraft Strip + local bone autograft + posterior fixation

  • DeviceMedtronic DBM

    Medtronic DBM + local bone autograft (and supplemented with iliac crest bone graft (ICBG), if needed) + posterior fixation

06

What researchers measure

Primary outcomes

  1. Radiological Fusion Success

    Fusion at each treated level is defined as radiological fusion assessed by radiograph and CT. A subject will be considered a fusion success when the following criteria are met for each treated level: * Bilateral bridging bone (superior transverse process to the inferior transverse process) at each treated level (CT); * No more than 3mm translational motion and less than 5 degrees in angular motion at each treated level (flexion/extension radiographs); and * Absence of cracking, as evidenced by radiolucent lines completely through the fusion mass (all radiograph views).

    Time frame: 12 months

Secondary outcomes

  1. Overall success rate at 12 and 24 months

    Overall success is defined as the participant who meet the following five criteria: * Radiographic success, defined as radiological fusion success in the posterolateral space; * Pain/disability (ODI) success, defined as at least a 15-point improvement from baseline; * Neurological success, defined as maintenance or improvement in neurological status; * No SAE related to the PLF grafting material or posterior fixation; and * No secondary surgeries classified as a "failure."

    Time frame: 12 and 24 months

  2. ODI score at 12 and 24 months

    The self-administered Oswestry Disability Index (ODI) Questionnaire (Version 2.1) will be used to assess patient pain and ability to function. The ODI scale ranges from 0-100. The best score is 0 (no disability) and worst is 100 (maximum disability).

    Time frame: 12 and 24 months

  3. ODI success rate at 12 and 24 months

    ODI success is defined as at least a 15-point improvement from baseline.

    Time frame: 12 and 24 months

  4. Neurological success rate at 12 and 24 months

    Overall neurological success is defined as maintenance or improvement in four key neurological assessments: motor function, sensory function, reflexes, and straight leg raise. In order to be considered a success, each element in the motor, sensory, reflexes, and straight leg raise examinations must remain the same or improve from the time of the preoperative evaluation to the time period evaluated.

    Time frame: 12 and 24 months

  5. Back pain score at 12 and 24 months

    Numerical rating scales, adapted in part from Measuring Health, will be used to evaluate back pain. The back pain score (0-20) is the summation of pain intensity (0-10) and duration (0-10) scores.

    Time frame: 12 and 24 months

  6. Back pain success at 12 and 24 months

    Back pain success is defined as at least 30% improvement from baseline.

    Time frame: 12 and 24 months

  7. Leg pain score at 12 and 24 months

    Numerical rating scales, adapted in part from Measuring Health, will be used to evaluate leg pain. The leg pain score (0-20) is the summation of pain intensity (0-10) and duration (0-10) scores.

    Time frame: 12 and 24 months

  8. Leg pain success at 12 and 24 months

    Leg pain success is defined as at least 30% improvement from baseline.

    Time frame: 12 and 24 months

  9. Radiological fusion success rate at 24 months

    Fusion at each treated level is defined as radiological fusion assessed by radiograph and CT. A subject will be considered a fusion success when the following criteria are met for each treated level: * Bilateral bridging bone (superior transverse process to the inferior transverse process) at each treated level (CT); * No more than 3mm translational motion and less than 5 degrees in angular motion at each treated level (flexion/extension radiographs); and * Absence of cracking, as evidenced by radiolucent lines completely through the fusion mass (all radiograph views).

    Time frame: 24 months

  10. AEs related to the PLF grafting material or posterior fixation up to 24 months

    A summary of AEs related to the PLF grafting material or posterior fixation up to 24 months.

    Time frame: 24 months

  11. Secondary surgeries related to the PLF grafting material or posterior fixation up to 24 months

    A summary of secondary surgeries related to the PLF grafting material or posterior fixation up to 24 months

    Time frame: 24 months

07

Study locations

17 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2017 to primary completion in Jul 2025, 96 months.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 13, 2017
First posted
Apr 18, 2017
StartActual
Jun 29, 2017
Primary completionActual
Jul 1, 2025
CompletionEst.
Dec 2026
Results delay requested
Jun 4, 2026
Last update
Jun 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03118505
Responsible party
Sponsor
First posted
Apr 18, 2017
Start date
Jun 29, 2017
Primary completion
Jul 1, 2025
Completion
Dec 2026 (estimated)
Last update
Jun 25, 2026

Study contacts

Chetan Patel
principal investigator · Spine Health Institute

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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