ClinicalTrials.gg
WithdrawnNCT05105490PMCF1Updated May 21, 2025

Post Market Observational Trial for the PerQdisc Nucleus Replacement Device

An observational study in Degenerative Disc Disease and Chronic Low-back Pain, sponsored by Spinal Stabilization Technologies. Withdrawn at 1 site in Germany. Open to participants aged 21 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-05-21.

Sponsored by Spinal Stabilization Technologies · Observational

Why this study was withdrawn
Study withdrawn upon CE mark receipt
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
0
Ages
21 Years to 60 Years
Sex
All
01

Study summary

PerQdisc PMCF1 is a post-market clinical follow-up observational trial to follow subjects receiving a PerQdisc spinal implant for a duration of 5 years.

Read the detailed description

This study will be a prospective, open-label, multi-center post-market observational study including 72 patients that will collect additional safety and efficacy data for the Spinal Stabilization Technologies PerQdisc Nucleus Replacement System. Primary endpoints will be used to assess the safety and efficacy of the PerQdisc device.

02

Conditions studied

  • Degenerative Disc Disease
  • Chronic 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.

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
Sampling method
Non-probability sample

Study population

Skeletally mature patients, age 21-60 years, with chronic low back pain of discogenic origin that is non-responsive to conservative, non-surgical therapy.

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 but must have a single level identified as the pain generator.
  • Patient has adequate disc height (6mm) at the level to be treated
  • Patient is not responsive to conservative, non-surgical treatment for back pain.
  • Patient has signed the approved Form.

Exclusion criteria

Exclusion Criteria:

  • Patient has less than 6 mm of disc height.
  • Patient has had prior lumbar spine surgery (nucleoplasty at non-index level is considered acceptable).
  • Patient has had spinal fusion in the lumbar or thoracic intervertebral spaces. Cervical fusion is allowed as long as there are no neurologic deficits in the lower extremities.
  • Patient has spondyloarthropathy or other spondylolisthesis greater than 2 mm.
  • Patient has congenital moderate or severe spinal stenosis or epidural lipomatosis.
  • Patient has significant facet disease. Significant is defined as pain improvement of 80% or more following image-guided medial branch blocks of the target level according to Spine Intervention Society (SIS) guidelines (diagnostic, contrast controlled).
  • Patient has any known active .
  • Patient has previously undergone or currently on therapy. used to treat inflammation are allowed.
  • Patient has active or local systemic infection.
  • Patient has been diagnosed with hepatitis, rheumatoid arthritis, lupus erythematosus, or other disease including Acquired Immune Deficiency Syndrome (AIDS), AIDS related Complex (ARC), and (HIV).
  • Patient has diabetes mellitus (Type 1 or 2) requiring daily insulin management.
  • Patient has osteopenia of the spine (T-score of -1.0 or lower). A Bone Densiometry (DEXA) scan should be performed to rule out patients considered at risk for osteopenia.
  • Patient has morbid obesity defined as a (BMI) more than 40 or a weight of more than 45 kg (100 lbs.) over ideal body weight.
  • Patient has a known allergy to silicone or barium sulfate.
  • Patient has a significant disc herniation at the level to be treated. Significant is defined as a large extruded herniation that creates a risk for expulsion.
  • Patient has a significant Schmorl's node in the level to be treated. Significant is defined as a large, rectangular or irregular shaped node that has an associated active inflammatory process (Modic I changes).
  • Patient has motion of less than 3 degrees on pre-operative lateral flexion/extension radiographs.
  • 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 balloons 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

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.

Corticosteroids (steroids)

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

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
0 participants (actual)
Patient registry
No

Groups and cohorts

  • Chronic Discogenic Low Back Pain

    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 but must have a single level identified as the pain generator. Patient has adequate disc height (6mm) at the level to be treated Patient is not responsive to conservative, non-surgical treatment for back pain.

    Drug: PerQdisc

Interventions

  • DrugPerQdisc

    Observational trial to collect post-market safety and efficacy information in a limited number of human patients

    Also known as: PerQdisc Nucleus Replacement System

06

What researchers measure

Primary outcomes

  1. PerQdisc Perfomance

    Change in Oswestry Disability Index (ODI) comparing baseline to follow up visits using a patient-reported outcome tool

    Time frame: 6 months post implant

  2. PerQdisc Perfomance

    Change in Oswestry Disability Index (ODI) comparing baseline to follow up visits using a patient-reported outcome tool

    Time frame: 12 months post implant

  3. PerQdisc Safety

    Incidence of device expulsion and device fracture following surgery based on follow up X-rays and MRI's

    Time frame: 6 months post implant

  4. PerQdisc Safety

    Incidence of device expulsion and device fracture following surgery based on follow up x-rays and MRI's

    Time frame: 12 months post implant

Secondary outcomes

  1. Incidence of Secondary Surgeries

    Incidence of revision surgery at the index level or other secondary lumbar surgery at a non-index level

    Time frame: 6 months, 12 months, and 5 years following surgery

  2. Maintenance of Disc Height

    Intervertebral disc height (in mm) as measured on MRI post-surgery compared to baseline

    Time frame: 6 months, 12 months, and 5 years following surgery

  3. Maintenance of Range of Motion

    Measurement of range of motion (expressed in degrees) at the index and adjacent levels at baseline compared to post-surgical follow-up using flexion/extension x-rays.

    Time frame: 6 months, 12 months, and 5 years following surgery

  4. Maintenance of Neurologic Status

    Physical assessment evaluating nerve compression at baseline and post-surgical follow up using pain, motor strength, and sensation feedback from the patient on a 0 (no compression) to 5 (major compression) scale.

    Time frame: 6 months, 12 months, and 5 years following surgery

  5. Use of Pain Medications

    Change in level of pain medication used comparing baseline to follow up visits based on a medication scale ranging from 0 to 4. 0 (no meds) to 4 (high dose opioids)

    Time frame: 6 months, 12 months, and 5 years following surgery

07

Study locations

1 site
  • Donauisar Klinikum Deggendorf
    Deggendorf, 94469, Germany
08

References and documents

Individual participant data

Plan to share: Yes — De-identified outcome data will be available to participating investigators

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be available 1 year after the final patient has completed one-year follow-up. Additional data will be available after the final patient has completed 5 year follow up

Access criteria: Data will be shared with investigators from a secure electronic database

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2021 to primary completion in Dec 2021, 0 months.

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

Registered
Oct 11, 2021
First posted
Nov 3, 2021
StartActual
Dec 31, 2021
Primary completionActual
Dec 31, 2021
CompletionActual
Dec 31, 2021
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
NCT05105490
Lead sponsor
Spinal Stabilization Technologies
Responsible party
Sponsor
First posted
Nov 3, 2021
Start date
Dec 31, 2021
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
May 21, 2025

Study contacts

Michael Hess, MD
study director · Spinal Stabilization Technologies
Jeff Golan, MD
study director · Spinal Stabilization Technologies

Oversight

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

Not currently enrolling

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

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Discussion

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