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CompletedNCT05016739Updated Aug 23, 2021

Use of CADISS Medical Device to Facilitate Dissection of Epidural Fibrosis in Revision Spine Surgery

An interventional study of CADISS in Spine Surgery, sponsored by AuXin Surgery SA. Completed at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-23.

Sponsored by AuXin Surgery SA · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 2 years 9 months after the study started (first participant enrolled Oct 2018, registered Aug 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The CADISS® System, Chemically Assisted mechanical DISSection, is intended for the selective detachment of pathological tissue layers and/or fibrotic tissues in various surgical procedures without using cutting instruments. It is based on the property of the drug mesna (Sodium 2-mercaptoethane sulfonate) to cleave the disulfide bonds responsible for the adherence of pathological tissues and for the strength of fibrosis. Revision spine surgery is more difficult than primary surgery because of the development of fibrosis and scar tissues since the first operation. Fibrosis may develop in the spinal canal and will adhere strongly to the dura mater and to the nerve roots. This study is a prospective, multi-sites, open label, single cohort clinical trial evaluating the use of CADISS medical devices to facilitate dissection of epidural fibrosis in patients who undergo a revision in spine surgery after at least one year.

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Conditions studied

  • Spine Surgery

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Keywords

  • spine
  • lumbar
  • surgery
  • revision
  • CADISS
  • fibrosis
  • chemically assisted dissection
03

In context

Fibrosis

3,255 studies on the registry are indexed under Fibrosis; 465 are open to participants now.

This study's enrollment of 21 is below the median of 50 across 2,130 interventional studies indexed under Fibrosis.

Browse Fibrosis studies →

Lead sponsor

AuXin Surgery SA is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • ≥ 18 years old, weight > 30 Kg
  • Eligible for Spine revision surgery, at least one year after primary surgery
  • Agree to participate and sign the informed consent

The age and weight of patient are defined according to the instruction for use of the CADISS System currently on the EU market.

Exclusion criteria

Exclusion Criteria:

  • \< 18 years old
  • Weight ≤ 30 kg
  • Primary surgery
  • Known hypersensibility to mesna
  • Patient is pregnant, breastfeeding or has wish of pregnancy during the study.
  • Unable to sign the informed consent
  • Participation in any study involving an investigational drug or device within the past 3 Months.
  • Individuals under tutorship or trusteeship.
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Study design

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

Study arms

  • Experimental
    CADISS System

    Device: CADISS

Interventions

  • DeviceCADISS

    The CADISS® device was procured from AuXin Surgery. It consists in three elements: 1. A single use disposable Remote Kit, containing a sterile cartridge, which prepares the Drug Product immediately before use, and the sterile tubing for fluid connexion. The Drug Product is a 30 ml sterile 5% mesna solution of pH 7.3+/-0.5 2. Reusable stainless steel non-cutting mechanical instruments similar to those used in the normal practice, except for the provision of an internal irrigation channel bringing the Drug Product at the working edge. 3. A pedal controlled electric motor driving the peristaltic cassette included in the disposable tubing in order to control the dispensing of the Drug Product during the procedure.

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What researchers measure

Primary outcomes

  1. Ability of the CADISS® System to dissect fibrosis without cutting

    Percentage of successful dissection

    Time frame: Surgery

Secondary outcomes

  1. Global satisfaction score when using the

    Likert scale - 0 to 10, the parameter is evaluated in comparison to the current surgeon practice. A score of 5 representing an appreciation of equivalence for the parameter with the current practice

    Time frame: Surgery

  2. The facilitation of fibrosis detachment with the CADISS System

    Likert scale - 0 to 10, the parameter is evaluated in comparison to the current surgeon practice. A score of 5 representing an appreciation of equivalence for the parameter with the current practice

    Time frame: Surgery

  3. The reduction of bleeding with the use of the CADISS System

    Likert scale - 0 to 10, the parameter is evaluated in comparison to the current surgeon practice. A score of 5 representing an appreciation of equivalence for the parameter with the current practice

    Time frame: Surgery

  4. The capability of the CADISS system to highlights cleavage plane

    Likert scale - 0 to 10, the parameter is evaluated in comparison to the current surgeon practice. A score of 5 representing an appreciation of equivalence for the parameter with the current practice

    Time frame: Surgery

  5. The speed of action of the mesna solution after local instillation

    Likert scale - 0 to 10. A score of 0 representing the worse outcome

    Time frame: Surgery

  6. The ease of use of the CADISS System

    Likert scale - 0 to 10. A score of 0 representing the worse outcome

    Time frame: Surgery

  7. The easy of control of the topical application with the CADISS System

    Likert scale - 0 to 10. A score of 0 representing the worse outcome

    Time frame: Surgery

  8. Adverse events

    All CADISS related Adverse events will be reported

    Time frame: surgery, at hospital discharge minimum 1 day after surgery, 6 weeks

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Study locations

1 site
  • AuXin Surgery
    Louvain-la-Neuve, 1348, Belgium
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05016739
Lead sponsor
AuXin Surgery SA
Responsible party
Sponsor
First posted
Aug 23, 2021
Start date
Oct 22, 2018
Primary completion
Nov 30, 2020
Completion
Nov 30, 2020
Last update
Aug 23, 2021

Study contacts

Alphonse Lubansu, MD
principal investigator · University Hospital Erasme, Brussels, Belgium

Oversight

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

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This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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