ClinicalTrials.gg
RecruitingNCT07920484EXPAND-USUpdated Nov 5, 2026

A Clinical Study to Collect Real-wordt Data on Safety and Clinical Performance of the VCFix Spinal System for Treatment of Vertebral Compression Fractures of (Suspected) Osteoporotic Origin.

An observational study in Vertebra Compression Fracture, sponsored by Amber Implants B.V.. Recruiting at 3 sites in United States. Open to participants aged 21 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Amber Implants B.V. · Observational

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Nov 5, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
21 Years to 85 Years
Sex
All
01

Study summary

This study is designed as a prospective, post-market, multi-center, single-arm study to collect real-world data of the VCFix Spinal System used in US clinical practice.

Approximately 5 centers in the US will enroll subjects with VCF in a non-randomized fashion, and VCFix will be used within its cleared purpose and indications for use.

The study has been designed to be methodologically compatible with the EU EXPAND (CIP-VS02-EU) study, thereby aiming for the pooling of data to the EU study. Data pooling will be pursued only as a sensitivity analysis if pre-specified similarity criteria are met. The US study provides meaningful real-world evidence regardless of pooling feasibility.

The targeted patient population, assessment schedule, and study endpoints are therefore similar to those of the EU EXPAND study.

02

Conditions studied

  • Vertebra Compression Fracture

Keywords

  • VCF
  • EXPAND-US
  • vertebral stabilization
  • fracture
  • vertebral fracture
  • osteoporosis
  • expandable implant
03

In context

Fractures, Bone

723 studies on the registry are indexed under Fractures, Bone; 114 are open to participants now.

This study's planned enrollment of 30 is below the median of 130 across 239 observational studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Amber Implants B.V. is the lead sponsor of 3 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 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients undergoing treatment with the VCFix Spinal System as part of standard clinical care for vertebral compression fractures. The study will enroll patients treated according to routine clinical practice and will collect real-world evidence on clinical outcomes, radiographic outcomes, and patient-reported outcomes following treatment.

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

  • 1. Subject is ≥ 21 to ≤ 85 years old. 2.

Single vertebral fracture which meets all of the following criteria:

  • Type A fractures from AO spine classification (compression injuries);
  • Vertebral fracture located in the thoracic and lumbar regions of the spine
  • Fracture age \< 6 weeks or fractures with anatomic signs of reducibility (based on radiographic evidence as well as patient history)
  • Vertebral fracture shows an estimated height loss in the anterior or mid third of the vertebral body (VB) of at least 10% but not more than 60% based on radiographic evidence
  • Target VB has appropriate anatomy, i.e. suitable pedicle diameter, pedicle length and chord length that would allow for selection of correct implant size, as described in the IFU and based on axial MRI/CT scan before surgery 3. Subject is diagnosed with, or has a suspected diagnosis of, severe osteoporosis, including low trabecular bone quality , and/or an oversized vertebral body as compared to implant size (e.g. relatively small pedicle requiring smaller implant size than desired for vertebral body size and/or fracture characteristics and location) 4. Subject has a NPRS back pain score of ≥5 5. Subject is a candidate for surgical intervention based on investigator opinion 6. Subject has a (BMI) \< 35 7. Subject is mentally capable of complying with trial protocol requirements for the duration of the study 8. Subject can understand the risks and benefits of participating in the study and is able to provide written

Exclusion criteria

Exclusion Criteria:

  1. Neoplasms with posterior involvement and/or presence of a mass within the spinal canal
  2. Non-mobile fractures (i.e., fracture is not recent (>6 weeks), bone marrow edema or fluid or empty cleft are not visible in radiographic imaging, or fracture mode does not allow for fracture reduction in craniocaudal direction).
  3. Spondylolisthesis > Grade 1 at target vertebral body(s)
  4. Local kyphotic angle > 30°
  5. Any pre-existing vertebral fracture prior to the index fracture
  6. Previous spine surgery, balloon kyphoplasty or vertebroplasty, for any vertebral fracture
  7. Subjects that require anterior stabilization of the index fracture
  8. Fracture to the pedicle based on radiographic evaluation
  9. Spinal cord compression or canal compromise requiring decompression
  10. Severe back pain due to causes other than acute fracture with NPRS score > 5
  11. The subject has pain based on clinical diagnosis of herniated nucleus pulposus or severe spinal stenosis (progressive weakness or paralysis)
  12. Pain due to any other condition that requires daily narcotic (opiates or opioids) medication
  13. Pre-existing neurological deficit, radiculopathy or myelopathy
  14. Pre-existing condition or significant co-morbidity:

    1. Uncontrolled diabetes ( >8%)
    2. Severe cardiopulmonary deficiencies
    3. Any other condition that would impact study outcome in the opinion of the investigator
  15. Irreversible coagulopathy or bleeding disorder
  16. to both MRI and Computed Tomography (CT) imaging
  17. Concurrent participation in another clinical study which could potentially interfere with the outcome of this study
  18. A less than the study duration or undergoing palliative care
  19. Subject non-ambulatory prior to fracture Allergy to any components of the device/instruments used during the procedure
  20. Allergy to any components of the device/instruments used during the procedure
  21. Active or incompletely treated infection of the vertebral column or active systemic infection, including unresolved urinary tract infection
  22. Any underlying systemic bone disease other than osteoporosis (e.g., osteomalacia, osteogenesis imperfecta, Paget's disease, etc.)
  23. Any evidence of alcohol or drug abuse
  24. Ongoing long-term therapy (steroid dose ≥30 mg /day for >3 months)
  25. The subject is currently on anti-cancer therapy or anti- therapy
  26. Pregnancy or subjects with that are unwilling to use throughout the study duration.
  27. Patient known to be involved in medical litigation including Workmen's Compensation prior to the surgery
Terms in these criteria, in plain language(9)

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.

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.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Groups and cohorts

  • Implant of the VCFix device per IFU

    Patients with a (suspected) diagnosis of severe osteoporosis and a single vertebral compression fracture

    Device: VCFix Spinal System in stand-alone configuration

Interventions

  • DeviceVCFix Spinal System in stand-alone configuration

    The distinguishing features of this inetrvention reside in: 1. In situ adjustment and maintenance of the height and angle of the device that allows expansion of the fractured VB in the cranio-caudal direction to realign the vertebral endplates and correct kyphosis. 2. The complex titanium perforated structure with optimized surface roughness that allows possible bone attachment, thereby permitting natural healing of the bone and potentially providing more stability to the device and the treated vertebra over time. 3. The ability to connect the posterior to the anterior column of the spine through the pedicle screw component of the VCFix implant, therefore improving the biomechanical load distribution and consequently the ability to stabilize more severe fractures.

06

What researchers measure

Primary outcomes

  1. Incidence of serious adverse events (SAEs) related to the device and/or investigational procedure (safety)

    Incidence of serious adverse events (SAEs) related to the device and/or investigational procedure within 30 days post-procedure. This includes SAEs resulting from mechanical malfunction, structural compromise, device failure, or loss of intended function, as well as events representing deviations from the device's intended medical purpose.

    Time frame: 1 month

  2. Vertebral fracture-related pain as assessed by the Numeric Pain Rating Scale (NPRS)

    Difference in vertebral fracture-related pain from baseline 6 months post procedure measured by the 11-point (0 = no pain, 10 is worst pain) Numerical Pain Rating Scale (NPRS).

    Time frame: 6 months

  3. Functional disability, measured by the Oswestry disability index (ODI)

    Difference in functional disability, measured by the Oswestry disability index (ODI) (0-100 scale, where 0 is no disability and 100 is bed bound), from baseline to 6 months post procedure.

    Time frame: 6 months

Secondary outcomes

  1. Vertebral height difference (anterior, midline, and posterior aspects)

    Vertebral height difference (anterior, midline, and posterior aspects) at PO (Post-OP), 1M FU, 6M FU and 12M FU as compared to baseline.

    Time frame: Post-Operative, 1Month FU, 6 Months FU, 12 Months FU

  2. Kyphotic angle and Cobb angle improvement at Post-Operative, 1 Month FU, 6 Months FU and 12 Months FU.

    Kyphotic angle and Cobb angle improvement

    Time frame: Post-Operative, 1 Month FU, 6 Months FU and 12 Months FU.

  3. Vertebral fracture-related pain as assessed by the Numeric Pain Rating Scale (NPRS)

    Difference in vertebral fracture-related pain from baseline to Discharge, 1, 3, 6 and 12 Months post procedure measured by the 11-point (0 = no pain, 10 is worst pain) Numerical Pain Rating Scale (NPRS).

    Time frame: Discharge, 1, 3, 6 and 12 Months FU compared to baseline.

  4. Functional disability, measured by the Oswestry disability index (ODI)

    Improvement in function (measured by the 100-point Oswestry Disability Index (ODI)) at discharge, 1, 3, 6 and 12 months FU compared to baseline.

    Time frame: Discharge, 1, 3, 6 and 12 months FU

  5. Health-related quality of life (HRQoL) measured by EuroQol 5-Dimension Scale (EQ-5D-5L) at 1 Month, 3 Months, 6 Months and 12 Months post-procedure compared to baseline

    Improvement of Health-related quality of life (HRQoL)

    Time frame: 1 Month, 3 Months, 6 Months and 12 Months post-procedure compared to baseline

  6. Device-related serious adverse events assessed at 12- and 24- months post-procedure.

    Device-related serious adverse events

    Time frame: 12 months FU, 24 months FU

  7. All (per protocol reportable) adverse events assessed at 12- and 24- months post-procedure.

    All (per protocol reportable) adverse events assessed at 12- and 24- months post-procedure.

    Time frame: 12 Months FU, 24 Months FU

07

Study locations

1 of 3 sites recruiting
  • Montefiore Medical Center
    New York, New York 10467, United States
    Recruiting
    • Research Administrator · Contact(718) 920-6202
  • University of Oklahoma Health Campus
    Oklahoma City, Oklahoma 73104, United States
    Not yet recruiting
    • Research Project Manager · Contact(405) 271-8001
  • Rothman Orthopaedics
    Philadelphia, Pennsylvania 19107, United States
    Not yet recruiting
    • Clinical Research Coordinator · Contact(484) 335-2910
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Jul 2027, 9 months after the start.

Of 86 observational studies under Fractures, Bone, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 124. This study's planned 9 months is below that.

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

Registered
Jul 31, 2026
First posted
Nov 5, 2026
StartActual
Oct 4, 2026
Primary completionEst.
Jul 21, 2027
CompletionEst.
Dec 31, 2028
Last update
Nov 5, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07920484
Lead sponsor
Amber Implants B.V.
Responsible party
Sponsor
First posted
Nov 5, 2026
Start date
Oct 4, 2026
Primary completion
Jul 21, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Nov 5, 2026

Study contacts

Clinical Research Manager
Contact
expand-US@amberimplants.com
+31 15 200 2151

Oversight

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

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