CClinicalTrials.gg
WithdrawnNCT03223701Updated Apr 18, 2018

Efficacy of Using Solum IV and BMC With GFC in TLIF

A Phase 4 interventional study of Solum IV, Bone Marrow Concentrate with general fluid concentrate (GFC) in Transforaminal Lumbar Interbody Fusion in Degenerative Disc Disease, Isthmic-lytic Spondylolisthesis and Degenerative Spondylolisthesis, sponsored by Seton Healthcare Family. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-04-18.

Sponsored by Seton Healthcare Family · Phase 4, Interventional, and Treatment

Why this study was withdrawn
Study was never initiated due to contracting issues
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to examine the efficacy of using Solum IV and bone marrow concentrate with general fluid concentrate in Transforaminal Lumbar Interbody Fusion (TLIF).

Read the detailed description

This is a prospective, single-center clinical study. Ten patients will be enrolled and undergo an TLIF with a spinal fixation system and receive Solum IV (Celling Biosciences) and patient's BMC with GFC.

The bone marrow aspirate (BMA) will be taken from the iliac crest of the enrolled subjects. The BMA will be transferred to a processor that will use ART BMC Plus (Celling Biosciences, Austin, TX) platform technology to obtain the BMC preparation. The plasma component that remains as a by-product of generating the BMC will then be concentrated by the ART BMC Plus device to create a concentrated plasma/general fluid concentrate (GFC). The enrolled subjects' BMC and GFC will be provided to the principle investigator who will combine the two together with Solum IV using the Graft Delivery Kit (Celling Biosciences) and perform a TLIF procedure. (See Appendix B for Graft Delivery Kit). All subjects will be assigned to receive lumbar interbody fusion via a TLIF approach with Solum IV bone graft and BMC with GFC in the interbody space of a TLIF using cynch bullet cage (@SpineSmith) and Stryker based pedicle screw system (Xia 3 system).

All study subjects will be assessed for fusion rate, complication rates and subject-reported outcomes at designated intervals up to 12 months after surgery. X-rays (anterior-posterior, lateral, flexion-extension) will be taken at pre-operatively, 3, 6, and 12 months post-treatment.

02

Conditions studied

  • Degenerative Disc Disease
  • Isthmic-lytic Spondylolisthesis
  • Degenerative Spondylolisthesis
  • Spinal Stenosis
03

In context

Spinal Stenosis

459 studies on the registry are indexed under Spinal Stenosis; 103 are open to participants now.

Browse Spinal Stenosis studies →

Lead sponsor

Seton Healthcare Family is the lead sponsor of 21 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Subject is skeletally mature and older than 18 years of age
  2. One and contiguous 2 or 3 level primary lumbar fusions.
  3. L1 to S1 with a primary diagnosis of one or more of the following:

    1. Degenerative disc disease,
    2. Isthmic-lytic spondylolisthesis,
    3. Degenerative spondylolisthesis
    4. Spinal stenosis.
  4. Subject has received conservative (non -surgical treatment for back pain for a minimum of 6 months and is unresponsive
  5. Subject understand the conditions of enrollment and is willing to sign and date the informed consent form
  6. Subject agrees to comply with study visits

Exclusion criteria

-

Exclusion Criteria:

  1. Previous bilateral Iliac Crest Bone Graft (ICBG) harvest
  2. Previous instrumented fusion at the same or adjacent level
  3. Active systemic infection, infection localized to the site of implantation or at aspiration site
  4. Vulnerable patients

    1. Nursing home residents
    2. Prisoners
    3. Other institutionalized persons
    4. Persons with decisional incapacity
  5. Pregnant women or interested in becoming pregnant in the next 12 months
  6. Subjects with certain autoimmune diseases (such as lupus)
  7. Subject has progressive neuromuscular disease
  8. Active hepatitis, AIDS, ARS or is HIV positive
  9. Syringomyelia at any spinal levels
  10. Any other condition that would interfere with the subject self-assessment of pain, function or quality of life
  11. Subjects with multiple allergies
  12. Subjects with any history of cancer (except for basal cell carcinoma of the skin)
  13. Significant osteoporosis
  14. Subject is younger than or equal to 18 years of age
  15. Subjects with a BMI of 40 or greater
  16. Subject has diabetes mellitus requiring daily insulin management
  17. Subject has allergy to implant materials (such as titanium, titanium alloy)
  18. Subject has primary or metastatic tumors involving the spine
  19. Subject is participating in another investigational study for a similar purpose
  20. Subject has a history of significant mental illness or mental incapacity
  21. Subject is currently smoker and will not cease smoking from the time of study enrollment up through 3 months post-operatively, nicotine users for whom post-operative bone stimulation would be prescribed, or has a recent history of alcohol or other substance abuse within the past 2 years
  22. Subject is receiving workers compensation
  23. Absence of English language reading or writing skills

    -

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Other
    Treatment group

    The group will consist of 10 patients who would be examined for fusion rates of Transforaminal Lumbar Interbody Fusion with a standalone lumbar implant device and Solum IV and the patient's bone marrow concentrate and general fluid concentrate.

    Combination Product: Solum IV, Bone Marrow Concentrate with general fluid concentrate (GFC) in Transforaminal Lumbar Interbody Fusion

Interventions

  • Combination productSolum IV, Bone Marrow Concentrate with general fluid concentrate (GFC) in Transforaminal Lumbar Interbody Fusion

    The bone marrow aspirate (BMA) will be taken from the iliac crest of the enrolled subjects. The BMA will be transferred to a processor that will use ART BMC Plus (Celling Biosciences, Austin, TX) platform technology to obtain the BMC preparation. The plasma component that remains as a by-product of generating the BMC will then be concentrated by the ART BMC Plus device to create a concentrated plasma/general fluid concentrate (GFC). The enrolled subjects' BMC and GFC will be provided to the principle investigator who will combine the two together with Solum IV using the Graft Delivery Kit (Celling Biosciences) and perform a TLIF procedure. (See Appendix B for Graft Delivery Kit). All subjects will be assigned to receive lumbar interbody fusion via a TLIF approach with Solum IV bone graft and BMC with GFC in the interbody space of a TLIF using cynch bullet cage (@SpineSmith) and Stryker based pedicle screw system (Xia 3 system).

06

What researchers measure

Primary outcomes

  1. Radiological assessment : Fusion Status

    X-rays (anterior-posterior, lateral, flexion-extension)

    Time frame: 3 months post-treatment

  2. Radiological assessment : Fusion Status

    X-rays (anterior-posterior, lateral, flexion-extension)

    Time frame: 6 months post-treatment

  3. Radiological assessment : Fusion Status

    X-rays (anterior-posterior, lateral, flexion-extension)

    Time frame: 12 months post-treatment

Secondary outcomes

  1. Visual Analog Scale

    Patient reported pain score

    Time frame: Pre-treatment

  2. Visual Analog Scale

    Patient reported pain score

    Time frame: 3 months post-treatment

  3. Visual Analog Scale

    Patient reported pain score

    Time frame: 6 months post-treatment

  4. Visual Analog Scale

    Patient reported pain score

    Time frame: 12 months post-treatment

  5. Oswestry Disability Index

    Patient reported disability score

    Time frame: Pre-treatment

  6. Oswestry Disability Index

    Patient reported disability score

    Time frame: 3 months post-treatment

  7. Oswestry Disability Index

    Patient reported disability score

    Time frame: 6 months post-treatment

  8. Oswestry Disability Index

    Patient reported disability score

    Time frame: 12 months post-treatment

07

Study locations

1 site
  • Seton Spine and Scoliosis Center
    Austin, Texas 78731, United States
08

References and documents

Publications

  • Hernigou P, Beaujean F. Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res. 2002 Dec;(405):14-23. doi: 10.1097/00003086-200212000-00003. PubMed 12461352 ↗
  • Gan Y, Dai K, Zhang P, Tang T, Zhu Z, Lu J. The clinical use of enriched bone marrow stem cells combined with porous beta-tricalcium phosphate in posterior spinal fusion. Biomaterials. 2008 Oct;29(29):3973-82. doi: 10.1016/j.biomaterials.2008.06.026. Epub 2008 Jul 18. PubMed 18639333 ↗
  • Galois L, Bensoussan D, Diligent J, Pinzano A, Henrionnet C, Choufani E, Stoltz JF, Mainard D. Autologous bone marrow graft and treatment of delayed and non-unions of long bones: technical aspects. Biomed Mater Eng. 2009;19(4-5):277-81. doi: 10.3233/BME-2009-0592. PubMed 20042794 ↗
  • Johnson RG. Bone marrow concentrate with allograft equivalent to autograft in lumbar fusions. Spine (Phila Pa 1976). 2014 Apr 20;39(9):695-700. doi: 10.1097/BRS.0000000000000254. PubMed 24503679 ↗
  • Hernigou P, Poignard A, Beaujean F, Rouard H. Percutaneous autologous bone-marrow grafting for nonunions. Influence of the number and concentration of progenitor cells. J Bone Joint Surg Am. 2005 Jul;87(7):1430-7. doi: 10.2106/JBJS.D.02215. PubMed 15995108 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03223701
Lead sponsor
Seton Healthcare Family
Collaborators
Celling Biosciences
Responsible party
Sponsor
First posted
Jul 21, 2017
Start date
Sep 30, 2017 (estimated)
Primary completion
Sep 30, 2018 (estimated)
Completion
Dec 30, 2018 (estimated)
Last update
Apr 18, 2018

Study contacts

Eeric Truumees, MD
principal investigator · Seton Spine and Scoliosis Center

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion