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Enrolling by invitationNCT06450834Ostene VIBeUpdated Sep 4, 2026

Ostene in Thoracolumbar Decompression and Fusion Evaluated With VIBE

An observational study in Intraoperative Complications, Intraoperative Bleeding and Intraoperative Blood Loss, sponsored by University of Maryland, Baltimore. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 88 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by University of Maryland, Baltimore · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
173
Ages
18 Years to 88 Years
Sex
All
01

Study summary

In spine surgery, it is important to try to minimize bleeding. In particular, spine surgery often involves inserting hardware into bone, and/or removing bone in the spine. Because the bone in the spine contains blood vessels, there can often be bleeding from the bone itself that is difficult to stop completely. One way to stop bone bleeding is through the use of wax-like materials, which plug the bleeding bone and act as a physical barrier to stop bleeding. One example is Ostene bone hemostasis material, which has the advantage of being "water soluble", meaning it will dissolve naturally over time. The purpose of this study is to evaluate how well Ostene does at decreasing bleeding, by using a recognized scale called the validated intraoperative bleeding severity scale, abbreviated as "VIBe". In this study, the investigators will record the bleeding severity throughout multiple time points in surgery using this scale, and then the investigators will compare the measurements to patients in the past who did not receive Ostene. Overall, this research will help measure how well Ostene decreases bleeding.

Read the detailed description
  • Patients will be screened prior to surgery for inclusion and exclusion criteria.
  • If eligible, patients will be approached in the preoperative area or clinic location to consent or refuse participation in the study.
  • Baseline characteristics will be collected via a combination of patient preoperative survey and manual chart review.
  • Patients will undergo the normal surgical standard of care, receiving Ostene intraoperatively as determined appropriate by the attending spine surgeon during the procedure.
  • It is anticipated that Ostene will be used specifically during the bony work/laminectomy phase preceding decompression. Of note, this material is now considered standard of care by our principal investigator and would be used regardless of study participation.
  • Other hemostatic agents will be used according to the typical standard of care.
  • A trained research coordinator will be present to determine VIBe scores during 6 key surgical phases: 1) exposure, 2) bony work/laminectomy, 3) decompression, 4) instrumentation, 5) fusion, and 6) closure. Agreement will be obtained from the operating surgeon.
  • For all phases, the maximum VIBe score during each phase will be recorded.
  • Surgical information will be documented from the operative note.
  • Patients will receive the normal standard of care postoperatively including measure(s) of their hemoglobin/hematocrit and postoperative drain output.
  • Data on postoperative outcomes/complications will be collected from the electronic medical record.
  • A propensity-score matched cohort analysis will be constructed to compare patients who received Ostene to patients who did not receive Ostene (will use data from past study conducted from 2021-April 2023 to construct matched control cohort).

    • There will be no group assignment in this study
    • There will be no placebo group or randomization
    • Patient data from a past study will be used as a control comparator
02

Conditions studied

  • Intraoperative Complications
  • Intraoperative Bleeding
  • Intraoperative Blood Loss
  • Hemostasis
  • Blood Transfusion
  • Postoperative Hemorrhage
  • Postoperative Complications
  • Spine Fusion
  • Thoracolumbar Spine
03

In context

Intraoperative Complications

78 studies on the registry are indexed under Intraoperative Complications; 17 are open to participants now.

This study's planned enrollment of 173 is close to the median of 160 across 35 observational studies indexed under Intraoperative Complications.

Browse Intraoperative Complications studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 687 studies on the registry; 130 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 63 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 88 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients 18 to 88 years old undergoing elective thoracolumbar decompression, instrumentation, and fusion procedures with an open, posterior approach and without indication for trauma, tumor, or suspected/confirmed infection, emergent triage status, an anterior or lateral approach, or a minimally invasive approach

Inclusion criteria

  • Adult patients 18 to 88 years old
  • Elective thoracolumbar decompression, instrumentation, and fusion procedure
  • Open, posterior approach
  • Patients included for analysis in a related prior study which had enrollment criteria congruent with the current study

Exclusion criteria

Exclusion Criteria:

  • Indication for trauma, tumor, or suspected/confirmed infection
  • Emergent triage status
  • Anterior or lateral approach
  • Minimally invasive approach
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
173 participants (estimated)
Patient registry
No

Groups and cohorts

  • Ostene

    Patients who received Ostene during their thoracolumbar spine surgery

    Device: Ostene

  • No Ostene

    Propensity score matched cohort from previous study that did not receive Ostene during their spine surgery

Interventions

  • DeviceOstene

    Soluble Bone Hemostasis Implant Material

06

What researchers measure

Primary outcomes

  1. Intraoperative blood transfusion

    binary and number of units

    Time frame: Intraoperative

  2. postoperative blood transfusion

    binary and number of units

    Time frame: 3 days

Secondary outcomes

  1. preoperative hemoglobin/hematocrit

    Time frame: Immediately preoperative

  2. 3 days before surgery of preoperative hemoglobin/hematocrit

    Time frame: 3 days

  3. postoperative hemoglobin/hematocrit

    Time frame: 3 days

  4. days after surgery of postoperative hemoglobin/hematocrit

    Time frame: 3 days

  5. postoperative drain output

    average daily drain output, total drain output

    Time frame: From the first day postoperatively then measured daily, until the patient is discharged, up to 1 year

  6. Presence of Deep Vein Thrombosis

    Time frame: From the date of surgery until 1 year follow up appointment

  7. Presence of Pulmonary Embolism

    Time frame: From the date of surgery until 1 year follow up appointment

  8. Presence of postoperative complication requiring medical intervention

    Time frame: From the date of surgery until 1 year follow up appointment

  9. length of stay

    Time frame: From the date of surgery until discharge up to 1 year

  10. 30-day readmissions

    Time frame: readmission within 30 days

  11. 30-day reoperations

    Time frame: reoperation within 30 days

  12. 30-day emergency department visits

    Time frame: ED visits within 30 days

  13. cost

    total hospital billing for procedure and total episode of stay and/or insurance reimbursement amount

    Time frame: From the date of surgery until discharge up to 1 year

07

Study locations

1 site
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
08

References and documents

Individual participant data

Plan to share: No — There is currently no plan to share IPD data with any other researchers.

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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06450834
Lead sponsor
University of Maryland, Baltimore
Collaborators
Baxter Healthcare Corporation
Responsible party
Steven Ludwig (Professor of Orthopaedics, University of Maryland, Baltimore) — Principal investigator
First posted
Jun 10, 2024
Start date
Jan 17, 2025
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Sep 4, 2026

Oversight

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

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