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Cortoss Pivotal Trial (Sponsored clinical trial listing)

Do you have back pain that makes it difficult to walk or move freely?
We are conducting a study for the treatment of painful vertebral compression fractures caused by osteoporosis.

Research study description
Doctors are studying an investigational treatment to be used during the vertebroplasty procedure when treating vertebral compression fractures (spine fractures) that may help to reduce pain and restore mobility. If you have experienced back pain for at least 4 weeks but not longer than 1 year, you may be eligible to participate.

Eligible patients with painful osteoporotic compression fractures of the spine are divided into two groups. Each enrolled patient will have the vertebroplasty procedure; however one group of patients will have the vertebroplasty procedure using PMMA (an FDA-approved bone cement) and the other group of patients will have the vertebroplasty procedure using a relatively new (investigational) biomaterial called Cortoss.

Status
Enrolling

Introduction
Each year more than 700,000 women and men suffer from vertebral compression fractures (spine fractures) that are often caused by osteoporosis. The pain can make it difficult to walk or move freely.

Osteoporosis is a fairly common disease, and is especially common in postmenopausal women. Osteoporosis causes bones to thin and become more brittle and weak. When bones in the spine weaken they can break or cave in under normal pressure. The thinning bones can collapse during normal activity, leading to a spinal fracture. These compression fractures can cause a great deal of pain and can permanently alter the shape and strength of the spine.

Vertebroplasty is a procedure that has been performed since 1984. It is minimally invasive and uses a bone cement to support the vertebra. Vertebroplasty restores the integrity and strength of the vertebra, preventing further collapse. Some benefits of vertebroplasty are almost immediate and can include significant relief of pain in 70% to 90% of treated patients, early mobilization, and a return to pre-fracture activity levels.

Doctors are studying an investigational treatment to be used during the vertebroplasty procedure when treating vertebral compression fractures (spine fractures) that may help to reduce pain and restore mobility. If you have experienced back pain for at least 4 weeks but not longer than 1 year, you may be eligible to participate.

Study overview
Patients who qualify for the study will be placed into one of two groups: (1) treatment with the investigational bone void filler (Cortoss) or (2) treatment with PMMA (FDA-approved bone cement). This is a random selection, like the flip of a coin.

All enrolled patients will need to be evaluated at regular follow-up visits. There will be follow-up visits at 1 week, 1 month, 3, 6, 12, & 24 months. It is important to know and understand that enrollment in the study requires that each patient complete all follow-up visits in a timely manner. This is an agreement that each patient will make with the physician.

19 sites throughout the United States are participating in this study, which will include a total of 300 patients. Several patients have already been enrolled. Patients will be paid for their time and travel, and reimbursed for study-related expenses.

Study sponsor
http://www.orthovita.com

Eligibility criteria
To be considered eligible for this study, candidates must meet the criteria below. Pain and function questionnaires, physical and neurological exams, and radiographic imaging studies (CT Scan, X-Ray, MRI or Bone Scans) will be used to determine if the candidate meets all study criteria.

    • Is at least 18 years of age;
    • Is willing and able to give written Informed Consent to participate in the study and is willing to comply with protocol requirements;
    • Has one or two painful osteoporotic vertebral compression fracture (from T6 to L5) that requires the regular use of analgesics or has resulted in a substantially altered lifestyle due to the pain;
    • Has pain that has lasted at least 4 weeks but no longer than 1 year, or has radiographic images that indicates the fracture is worsening;
    • Is appropriately communicative to verbalize and differentiate with regard to location and intensity of his/her pain;

Candidates will not be eligible to participate in this study if any of the following apply:

    • Has a vertebral compression fracture caused by bone tumor or myeloma
    • Is currently being treated for cancer or HIV;
    • Has a known allergy to acrylics (e.g., methyl methacrylate);
    • Is currently an alcohol, solvent or drug abuser;
    • Female patients that are pregnant or nursing, or of childbearing potential not using a reliable contraceptive method;
    • Is involved in medical litigation;
    • Is a prisoner; and
    • Have participated in another investigational study within 30 days prior to inclusion

Participating sites and contact information
If you are interested in learning more about this study or you know of someone who may be eligible, please feel free to contact us at 1-(866) 876-9871 or have their doctor contact us directly.


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