ClinicalTrials.gg
TerminatedNCT04004156Updated May 21, 2025

Safety Study for An Artificial Disc Nucleus Replacement to Treat Chronic Low Back Pain

An interventional study of PerQdisc® Nucleus Replacement Device. in Degenerative Disc Disease and Chronic Low-back Pain, sponsored by Spinal Stabilization Technologies. Terminated at 4 sites in 4 countries. Open to participants aged 22 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-05-21.

Sponsored by Spinal Stabilization Technologies · Not applicable, Interventional, and Treatment

Why this study was terminated
Trial was terminated prematurely due to receipt of CE mark

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Mar 2019, registered Jun 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
22 Years to 60 Years
Sex
All
01

Study summary

This study will be a prospective, open-label, multi-center study that will collect safety data for the minimally invasive PerQdisc Nucleus Replacement Device deployed to reduce chronic low back pain.

Read the detailed description

This study will be a prospective, open-label, multi-center study that will collect safety data for the minimally invasive PerQdisc Nucleus Replacement Device (NRD). The NRD is used for surgical replacement of a single nucleus pulposus between spinal lumbar discs L1-S1 using an anterior or lateral transpsoas approach. Currently the surgical gold standard involves spinal fusion of the affected vertebral bodies, reducing range of motion and increasing stress on other vertebral bodies. The goal of nucleus replacement is to reduce chronic low back pain by maintaining disc height while preserving range of motion.

02

Conditions studied

  • Degenerative Disc Disease
  • Chronic Low-back Pain

Keywords

  • Degenerative Disc Disease
  • DDD
  • Chronic Low-back Pain
  • Low Back Pain
  • Nucleus Replacement Device
  • Nucleus Pulposus
  • Disc Replacement
  • Back pain
  • Leg pain
  • Lumbar Spinal Fusion
03

In context

Intervertebral Disc Degeneration

462 studies on the registry are indexed under Intervertebral Disc Degeneration; 100 are open to participants now.

This study's enrollment of 9 is below the median of 60 across 256 interventional studies indexed under Intervertebral Disc Degeneration.

Browse Intervertebral Disc Degeneration studies →

Lead sponsor

Spinal Stabilization Technologies is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
22 Years to 60 Years
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

  • Patient is skeletally mature and between 22 and 60 years of age.
  • Patient has degenerative disc disease (DDD) at a single level between L1 and S1 as confirmed by:History and clinical findings suggestive of symptomatic DDD, Darkened disc on MRI in T2 weighted images, and decreased disc height (decreased greater than 2 mm compared to adjacent cranial or caudal disc height) with minimum disc height of 6 mm.
  • Patient has pre-operative back pain VAS score of greater than or equal to 4 (0-10 scale).
  • Patient has pre-operative Oswestry Low Back Disability score of greater than or equal to 40 (0-100 scale).
  • Patient has received conservative (non-surgical) treatment for back pain for a minimum of 6 months.
  • Patient has signed the approved Form.

Exclusion criteria

Exclusion Criteria:

  • Patient has had prior lumbar spine surgery.
  • Patient has motion of less than 3 degrees on pre-operative lateral flexion/extension radiographs.
  • Patient has ankylosing spondylitis or other spondyloarthropathy.
  • Patient has isthmic spondylolisthesis or degenerative spondylolisthesis greater than 2 mm.
  • Patient has congenital stenosis or epidural lipomatosis.
  • Patient has significant facet disease.
  • Patient has any known active .
  • Patient has previously undergone therapy.
  • Patient has active local or system infection.
  • Patient has been diagnosed with hepatitis, rheumatoid arthritis, lupus erythematosus, or other disease, including AIDS, ARC and
  • Patient has diabetes mellitus (Type 1 or 2), requiring daily insulin management.
  • Patient has osteopenia of the spine (T-score less than 1.0). All females 45 years of age or older and all males 50 or older should have a DEXA scan to confirm this exclusion.
  • Patient has morbid obesity defined as (BMI) more than 40 or a weight of more than 45 kg (100 lbs) over ideal body weight.
  • Patient is pregnant or plans to become pregnant during the course of the study.
  • Patient has a known allergy to silicone (polymer and balloon material) or barium sulfate (polymer).
  • Patient participated in another drug or device study within the past 30 days.
  • Patient belongs to a vulnerable population or has a condition such that his/her ability to provide , comply with follow-up requirements, or provide self assessments is compromised (e.g. developmentally disables, prisoner, chronic alcohol/ substance abuser)
  • Patient has a disc herniation
  • Patient has a Schmorl's node in the level to be treated

Intraoperative exclusion criteria:

  • Protrusion of the 20A imaging balloon up to or beyond the outer margin of the vertebra during the imaging steps.
  • Patient has a violated endplate.
  • Patient has a disc space that is too narrow.
Terms in these criteria, in plain language(7)

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.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Nucleus Replacement

    All patients that meet the inclusion/exclusion criteria will receive the PerQdisc® Nucleus Replacement Device.

    Device: PerQdisc® Nucleus Replacement Device.

Interventions

  • DevicePerQdisc® Nucleus Replacement Device.

    All patients that meet the inclusion/exclusion criteria will receive the PerQdisc® Nucleus Replacement Device.

06

What researchers measure

Primary outcomes

  1. Rate of revision surgery at the treated level

    Number of patients requiring surgeries to revise the implanted level in the spine divided by the total number of implant surgeries. Express in percentage (0-100)

    Time frame: 90 days

  2. Rate of expulsion

    The rate of device expulsion. The number of patients determined to have expulsed devices divided by the total number of patients receiving implants.Expressed in percentage (0-100)

    Time frame: 90 Days

  3. Rate of new herniation at the treated level as determined by MRI

    Herniation will be determine by MRI. A herniation will be defined as violation of the intervertebral annulus, including expulsion of nucleus material. The response will be yes/no as assessed by the radiologist. Rate will be determined by total number of herniations divided by the total number of implanted devices. Expressed in percentage (0-100)

    Time frame: 90 days

  4. Rate of new radiculopathy

    New complaint of leg pain will be recorded as a yes/no response. Any complaint of new radiculopathy not seen preoperatively. Expressed as total number of new radiculopathy complaints divided by total number of patients. Expressed in percentage (0-100)

    Time frame: 90 days

  5. MRI assessment of the endplate Modic changes.

    Changes to vertebral endplates will be assigned based on Modic classification of I,II or III comparing preoperative grade to grade at 90 days. Possible scores are I,II or III

    Time frame: 90 days

  6. Rate of surgical procedure technical success

    The number of devices successfully implanted divided by the number of successfully devices implanted + unsuccessful implants. Output will be in percentage (0-100)

    Time frame: 90 days

  7. Improvement in degree of disability as measured by the Oswestry Disability Index (ODI)

    Change in absolute Oswestry Index score at 90 days compared to the preoperative score, range is 0-100

    Time frame: 90 days

  8. Improvement in back pain as measured by 10-centimeter Visual Analog Scale (VAS)

    Change in the Visual Analogue Scale (VAS) for back and leg pain on a scale of 0-10 cm comparing preoperative scores to 90 days post-operative.

    Time frame: 90 days

07

Study locations

4 sites
  • Onze Lieve Vrouw Ziekenhuis
    Aalst, Belgium
  • Montreal General Hospital
    Montreal, Quebec H3G 1A4, Canada
  • Clinical Hospital Dubrava
    Zagreb, Croatia
  • Donauisar Klinikum Deggendorf
    Deggendorf, 94469, Germany
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 Mar 2019 to primary completion in Mar 2022, 36 months.

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

Registered
Jun 26, 2019
First posted
Jul 1, 2019
StartActual
Mar 1, 2019
Primary completionActual
Mar 17, 2022
CompletionActual
Jan 23, 2023
Last update
May 21, 2025
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 May 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04004156
Lead sponsor
Spinal Stabilization Technologies
Responsible party
Sponsor
First posted
Jul 1, 2019
Start date
Mar 1, 2019
Primary completion
Mar 17, 2022
Completion
Jan 23, 2023
Last update
May 21, 2025

Study contacts

Michael Hess, MD
study chair · London Spine Clinic/ATOS-Klinik

Oversight

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

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