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NCT03730207

Xpede Clinical Study

Completed NA Results posted Last updated 10 January 2023
What this trial tests

NA trial testing Xpede™ Bone Cement in Pathological Fracture of Vertebra Due to Secondary Osteoporosis (Disorder) in 180 participants. Completed in 14 October 2021.

Timeline
18 December 2018
Primary endpoint
14 October 2021
14 October 2021

Quick facts

Lead sponsorMedtronic Spinal and Biologics
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment180
Start date18 December 2018
Primary completion14 October 2021
Estimated completion14 October 2021
Sites3 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Medtronic Spinal and Biologics — full company profile →

Who can join

Adults 18 to 80, any sex, with Pathological Fracture of Vertebra Due to Secondary Osteoporosis (Disorder) or Pathological Fracture of Vertebra Due to Neoplastic Disease (Disorder). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Change of Numerical Rating Scale (NRS) Score From Baseline at 6 Months Postoperative Primary · Baseline and 6 months

NRS is used for rating patient pain intensity from 0-10, with a score of 0 representing "no pain" and a score of 10 representing "pain as bad as it could be."

GroupValue95% CI
Xpede™ Bone Cement-4.2± 2.86
Mendec Spine Bone Cement-4.4± 2.76
The Change of Index Vertebral Body Angle From Baseline at 6 Months Primary · Baseline and 6 months

Vertebral body angle is defined the angle formed by lines drawn parallel to the superior endplate of the fractured vertebral body and the inferior endplate of the fractured vertebral body for each fractured vertebral body.

GroupValue95% CI
Xpede™ Bone Cement-0.869-1.817 – 0.078
Mendec Spine Bone Cement-0.952-1.878 – -0.027
The Change of NRS Score From Baseline at 1 Day and 3 Months Secondary · Baseline, 1 day, and 3 months

NRS is used for rating patient pain intensity from 0-10, with a score of 0 representing "no pain" and a score of 10 representing "pain as bad as it could be."

The change of NRS score from baseline at 1 day
GroupValue95% CI
Xpede™ Bone Cement-2.9-3.5 – -2.3
Mendec Spine Bone Cement-2.3-2.9 – -1.7
The change of NRS score from baseline at 3 months
GroupValue95% CI
Xpede™ Bone Cement-3.6-4.2 – -3.1
Mendec Spine Bone Cement-3.8-4.4 – -3.3
The Change of Oswestry Disability Index (ODI) Score From Baseline at 1 Day, 3 Months, and 6 Months Secondary · Baseline, 1 day, 3 months, and 6 months

ODI Questionnaire is used to assess patient back function. The ODI score ranges from 0-100. The best score is 0 (no disability) and worst is 100 (maximum disability).

The change of ODI score from baseline 3 months
GroupValue95% CI
Xpede™ Bone Cement-26.407-31.714 – -21.100
Mendec Spine Bone Cement-29.108-34.331 – -23.885
The change of ODI score from baseline 6 months
GroupValue95% CI
Xpede™ Bone Cement-26.407-31.714 – -21.100
Mendec Spine Bone Cement-29.108-34.331 – -23.885
The change of ODI score from baseline 1 day
GroupValue95% CI
Xpede™ Bone Cement-1.757-7.297 – 3.782
Mendec Spine Bone Cement1.746-3.698 – 7.190
The Change of SF-36 From Baseline at 1 Day, 3 Months, and 6 Months Secondary · Baseline, 1 day, 3 months, and 6 months

The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) is used to assess general health status. The SF-36 results were summarized into two components, a physical component summary (PCS) and a mental component summary (MCS). The score for PCS/MCS is between 0 and 100, with higher scores denoting better quality of life.

The change of SF-36(MCS)from baseline at 6 months
GroupValue95% CI
Xpede™ Bone Cement3.781-0.106 – 7.668
Mendec Spine Bone Cement-1.436-5.190 – 2.317
The change of SF-36(MCS) from baseline at 3 months
GroupValue95% CI
Xpede™ Bone Cement5.7402.018 – 9.462
Mendec Spine Bone Cement0.086-3.498 – 3.671
The change of SF-36(MCS)from baseline at 1 day
GroupValue95% CI
Xpede™ Bone Cement0.650-2.591 – 3.890
Mendec Spine Bone Cement0.809-2.293 – 3.911
The change of SF-36(PCS)from baseline at 6 months
GroupValue95% CI
Xpede™ Bone Cement7.8554.838 – 10.872
Mendec Spine Bone Cement9.6836.725 – 12.641
The change of SF-36(PCS)from baseline at 3 months
GroupValue95% CI
Xpede™ Bone Cement5.7402.783 – 8.697
Mendec Spine Bone Cement6.5043.605 – 9.404
The change of SF-36(PCS)from baseline at 1 day
GroupValue95% CI
Xpede™ Bone Cement-3.104-5.596 – -0.611
Mendec Spine Bone Cement-3.654-6.097 – -1.211
Change in Vertebral Body Height at 1 Day, 3 Months, and 6 Months Secondary · 1 day, 3 months, and 6 months

Vertebral Body Height in the lateral projection will be measured at each treated vertebra as well as the next adjacent vertebrae (superior and inferior) without fracture and reported in millimeters. Vertebral Body Height is the distance between comparable points on the superior and inferior endplates of the vertebral body at the posterior (Hp), midline (Hm) and anterior (Ha) locations。

Change in vertebral body height (Anterior height) restoration at 6 months
GroupValue95% CI
Xpede™ Bone Cement-4.271-5.348 – -3.195
Mendec Spine Bone Cement-4.429-5.492 – -3.366
Change in vertebral body height (Anterior height) restoration at 3 months
GroupValue95% CI
Xpede™ Bone Cement-3.949-5.040 – -2.859
Mendec Spine Bone Cement-4.154-5.234 – -3.074
Change in vertebral body height (Anterior height) restoration at 1 day
GroupValue95% CI
Xpede™ Bone Cement-2.514-3.597 – -1.432
Mendec Spine Bone Cement-2.738-3.809 – -1.666
Change in vertebral body height (Mid-vertebral height) restoration at 1 day
GroupValue95% CI
Xpede™ Bone Cement-2.375-2.375 – -1.531
Mendec Spine Bone Cement-2.845-3.679 – -2.011
Change in vertebral body height (Mid-vertebral height) restoration at 3 months
GroupValue95% CI
Xpede™ Bone Cement-3.727-4.610 – -2.844
Mendec Spine Bone Cement-3.979-4.850 – -3.108
Change in vertebral body height (Mid-vertebral height) restoration at 6 months
GroupValue95% CI
Xpede™ Bone Cement-3.426-4.255 – -2.597
Mendec Spine Bone Cement-3.603-4.418 – -2.788
Change in vertebral body height (Posterior height) restoration at 1 day
GroupValue95% CI
Xpede™ Bone Cement-0.128-0.912 – 0.656
Mendec Spine Bone Cement-0.613-1.387 – 0.160
Change in vertebral body height (Posterior height) restoration at 3 months
GroupValue95% CI
Xpede™ Bone Cement-0.821-1.682 – 0.041
Mendec Spine Bone Cement-1.579-2.426 – -0.732
Change in Vertebral Body Angle From Baseline at 1 Day and 3 Months Secondary · Baseline, 1 day and 3 months

Vertebral body angle is defined the angle formed by lines drawn parallel to the superior endplate of the fractured vertebral body and the inferior endplate of the fractured vertebral body for each fractured vertebral body.

Change in Vertebral body angle from baseline at 3 months
GroupValue95% CI
Xpede™ Bone Cement-1.710-2.693 – -0.727
Mendec Spine Bone Cement-1.662-2.629 – -0.695
Change in Vertebral body angle from baseline at 1 day
GroupValue95% CI
Xpede™ Bone Cement-2.739-3.629 – -1.848
Mendec Spine Bone Cement-2.375-3.254 – -1.496
Number of Participants With Adverse Events Reported Through 6 Months Secondary · 6 months

Adverse events reported through 6 months, in particular, the following events will be reported: * Bone Cement Implantation Syndrome; * Bone Cement leakage; * Vertebral body compression fracture; * Adjacent vertebral body fracture;

GroupValue95% CI
Xpede™ Bone Cement28
Mendec Spine Bone Cement32

Adverse events — posted to ClinicalTrials.gov

Time frame: The mean (±sd) total duration of study exposure was 196.3±49.49 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Xpede™ Bone Cement
Serious: 1/89 (1%)
Deaths: 2/89
Mendec Spine Bone Cement
Serious: 1/91 (1%)
Deaths: 1/91

Serious adverse events (3 terms)

ReactionSystemXpede™ Bone CementMendec Spine Bone Cement
Multiple organ failureGeneral disorders
Post-operative recurrence of right breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myelomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (1 terms — click to expand)

ReactionSystemXpede™ Bone CementMendec Spine Bone Cement
Musculoskeletal and connective tissue disordersMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Multiple organ failure, Post-operative recurrence of right breast cancer, Multiple myeloma.

Data from ClinicalTrials.gov NCT03730207 adverse events section.

Sponsor's own description

The purpose of this clinical study is to confirm the efficacy and safety of the Kyphon®Xpede™ Bone Cement in human use in China.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03730207.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing