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WithdrawnNCT03327272Updated Nov 20, 2020

Impact of Local Steroid Application in Extreme Lateral Lumbar Interbody Fusion

A Phase 3 interventional study of Methylprednisolone and Saline in Stenosis, Herniated Nucleus Pulposus and Degenerative Disc Disease, sponsored by Rush University Medical Center. Withdrawn at 1 site in United States. Per ClinicalTrials.gov, last updated 2020-11-20.

Sponsored by Rush University Medical Center · Phase 3, Interventional, and Prevention

Why this study was withdrawn
Did not enroll, PI decided not to proceed.

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Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 116 studies in Constriction, Pathologic with a site in United States — 14 open to participants now, 19 under way, 2 of them phase 3. Constriction, Pathologic · United States.

Enrollment
76th of 82
0 · median 40
Started
2018
with 3 others
Phase 3
5 of 116
2 open now
Registered
78th of 116
by date

Among the 116 studies in Constriction, Pathologic with a site in United States, this one is the 76th largest by enrollment of the 82 interventional ones that give a count, is one of 4 that started in 2018, is one of 5 in phase 3, and was the 78th registered.

Constriction, Pathologic

457 studies on the registry are indexed under Constriction, Pathologic; 110 are open to participants now.

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Open to participants now

14 of the 116 studies in Constriction, Pathologic with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 67 Constriction, Pathologic studies recruiting now, 34 (51%) set no upper age limit and 14 (21%) stop at 75 or younger; 8 take children under 18; 1 takes healthy volunteers.

This study: all sexes · healthy volunteers too.

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02

Study summary

Neural injury is a well-known complication following extreme lateral lumbar interbody fusion (XLIF). It has been found that up to 9.4% of patients will have either temporary or persistent neurologic deficit. This occurs with traversal of the psoas muscle or direct injury to lumbosacral plexus or sympathetic ganglion. While often temporary, it can cause hip flexor weakness, thigh numbness, or pain.

Several studies have demonstrated reduced patient reported pain scores following steroid administration, particularly in the early postoperative period. However, few studies have investigated the efficacy of intraoperative local injection of corticosteroid in reducing the incidence and duration of postoperative pain or neurologic injury for XLIF patients.

Read the detailed description

The purpose of this study is to determine if the incidence and duration of postoperative pain is reduced in the subjects receiving a local injection of methylprednisolone when compared to placebo following XLIF.

The investigators hypothesize that subjects undergoing XLIF who receive local methylprednisolone will have:

  1. Reduced incidence and duration of postoperative pain and neurologic injury
  2. Shorter hospital stay
  3. Better short- and long-term outcomes

The study also aims to answer the following questions:

  1. Do subjects who receive local corticosteroids have a reduced incidence and duration of postoperative pain and neurologic deficit compared to those who receive placebo?
  2. Do subjects who receive local corticosteroids have a reduced hospital stay compared to those who received placebo?
  3. Is local corticosteroid therapy associated with improved short and long-term outcomes?
03

Conditions studied

  • Stenosis
  • Herniated Nucleus Pulposus
  • Degenerative Disc Disease
  • Spondylosis
  • Myelopathy
  • Radiculopathy
  • Myeloradiculopathy
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Patients undergoing a 1- to 2-level XLIF
  • Diagnosis: myelopathy, radiculopathy, myeloradiculopathy, stenosis, herniated nucleus pulposus, degenerative disc disease, spondylosis, osteophytic complexes, and foraminal stenosis
  • Patients able to provide

Exclusion criteria

Exclusion Criteria:

  • Allergies or other to medicines in the protocol including:
  • Existing history of gastrointestinal bleeding
  • Lumbar spine trauma
  • Unable to speak, read, or understand English
Terms in these criteria, in plain language(2)

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Local injection of methylprednisolone

    Drug: methylprednisolone Injection of 80mg methylprednisolone injectable suspension at surgical site prior to incision closure

    Drug: Methylprednisolone

  • Placebo comparator
    Local injection of saline

    Administration of saline at surgical site prior to incision closure.

    Drug: Saline

Interventions

  • Injection of 80mg Depomedrol injectable suspension at surgical site prior to incision closure

    Also known as: Depomedrol

  • DrugSaline

    Administration of saline at surgical site prior to incision closure

06

What researchers measure

Primary outcomes

  1. Postoperative Pain

    Change in Visual Analogue Scale (VAS) Back and Leg pain score from preoperative value will be assessed. VAS back and leg pain scores assess pain in each region on a scale from 0-10 with 0 being no pain and 10 being worst pain imaginable.

    Time frame: 2 year postoperative

Secondary outcomes

  1. Physical Functioning

    Patient-Reported Outcomes Measurement Information System (PROMIS) physical function score as compared to preoperative value. This score assesses physical function and is scaled from 0-100 with 100 indicating greater functioning and 0 indicating worse functioning.

    Time frame: 2 year postoperative

  2. Disability

    Oswestry Disability Index (ODI) score as compared to preoperative score. ODI assesses disability out of a total of 50 points and is scaled to a percentage of total possible points with 0 indicating no disability and 100 indicating severe disability.

    Time frame: 2 year postoperative

  3. General health status

    Short Form (SF)-12 Survey scores as compared to preoperative values. SF-12 assesses general physical and mental health on a scale of 0 to 100 with higher scores indicating superior health status

    Time frame: 2 year postoperative

  4. Narcotic Consumption

    The total amount of narcotic use for each subject will be recorded. Dosages of narcotics will be converted to morphine equivalents

    Time frame: 2 year postoperative

  5. Length of Stay

    The number of hours of hospitalization from entering the recovery room (time zero) until patient meets discharge criteria

    Time frame: 1 week postoperative

  6. Post-operative adverse events

    Post-operative nausea and vomiting, Gastro-esophageal reflux, Ileus, Venous thromboembolic events, Respiratory depression/airway compromise, Renal insufficiency, Wound Complications, Admission to the ICU

    Time frame: 1 week postoperative

07

Study locations

1 site
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Jul 2020, 26 months.

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

Registered
Oct 26, 2017
First posted
Oct 31, 2017
StartActual
May 22, 2018
Primary completionActual
Jul 24, 2020
CompletionActual
Jul 24, 2020
Last update
Nov 20, 2020
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 Nov 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03327272
Responsible party
Kern Singh (Professor, Department of Orthopaedic Surgery, Rush University Medical Center) — Principal investigator
First posted
Oct 31, 2017
Start date
May 22, 2018
Primary completion
Jul 24, 2020
Completion
Jul 24, 2020
Last update
Nov 20, 2020

Study contacts

Kern Singh, MD
principal investigator · Rush University Medical Center

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Methylprednisolone

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