ClinicalTrials.gg
TerminatedNCT04141098LOPAIN1Updated May 21, 2025

Lumbar Operatively Inserted PerQdisc Artificial Implant Following Nuclectomy

An interventional study of All patients that meet the inclusion/exclusion criteria will receive the PerQdisc® Nucleus Replacement Device. in Degenerative Disc Disease and Chronic Low-back Pain, sponsored by Spinal Stabilization Technologies. Terminated at 1 site in Paraguay. Open to participants aged 21 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
The clinical trial was terminated prematurely due to receipt of CE mark
Phase
Not applicable
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
21 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 and efficacy data for the minimally invasive PerQdisc Nucleus Replacement Device (NRD). Patients will have degenerative disc disease (DDD) in one or more lumbar discs. 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
  • Disc Herniation
  • Nucleus Replacement
  • Low back pain
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
21 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 21 and 60 years of age.
  • Patient has Degenerative Disc Disease (DDD) at one or more levels between L1 and S1
  • History and clinical findings suggestive of symptomatic DDD:

Darkened disc on MRI in T2 weighted images Patients with at least 6 months of low back pain (location defined as the space between the lower margin of the posterior rib cage and horizontal gluteal fold) that is resistant to nonsurgical conservative therapy.

  • Patient has adequate disc height (\~6mm) at the level to be treated
  • Patient has pre-operative Oswestry Low Back Disability score of greater than or equal to 40 (0-100 scale).
  • Patient has pre-operative back pain VAS 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
  • Spinal fusion at any level
  • Patient has ankylosing spondylitis or other spondyloarthropathy.
  • Patient has isthmic spondylolisthesis or degenerative spondylolisthesis greater than 2 mm.
  • Patient has congenital moderate or severe spinal stenosis or epidural lipomatosis.
  • Patient has significant facet disease.
  • Patient has had prior lumbar spine surgery
  • Spinal fusion at any level
  • Patient has any known active .
  • Patient has previously undergone or currently on therapy. used to treat inflammation are allowed.
  • Patient has active local or systemic 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 is pregnant or plans to become pregnant during the course of the study. Pregnancy ruled out by urine or serum HCG.
  • 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 disabled, prisoner, chronic alcohol/ substance abuser)
  • Patient has a significant disc herniation at the level to be treated
  • Patient has a significant 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 as determined by imaging balloon during fluoroscopy
  • Patient has a disc space that is too narrow for implantation.
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

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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.

Corticosteroids (steroids)

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

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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.

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
    Total Nucleus Replacement

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

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

Interventions

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

    All patients meeting all inclusion criteria and no exclusion criteria will be considered for nucleus replacement surgery following a review by the Medical Advisory Board. Any patient meeting any of the three intraoperative exclusion criteria will receive an alternative standard of care therapy.

06

What researchers measure

Primary outcomes

  1. Post surgical change in degree of disability

    Patient reported outcomes for degree of disability will be monitored using the Oswestry Disability Index (scale of 0-100). Higher scores indicate greater level of disability.

    Time frame: 6 months

  2. Post surgical change in back pain: Visual Analogue Scale

    Patient reported outcomes will be reported using the Visual Analogue Scale (0-100mm). Higher scores indicate greater levels of back pain.

    Time frame: 6 months

07

Study locations

1 site
  • Sanatorio Americano
    Asunción, 1101, Paraguay
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
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
NCT04141098
Lead sponsor
Spinal Stabilization Technologies
Responsible party
Sponsor
First posted
Oct 28, 2019
Start date
Sep 19, 2019
Primary completion
Feb 1, 2023
Completion
Aug 7, 2023
Last update
May 21, 2025

Study contacts

Michael Hess, MD
study chair · London Spine Clinic/ATOS-Klinik
Jeff Golan, MD
study chair · Jewish General Hospital

Oversight

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

Not currently enrolling

This study is terminated, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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