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| General |
| Study Status |
Study Pending |
Application Number / Requirement Number |
P250028 / PAS001 |
| Date Original Protocol Accepted |
04/09/2026
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| Date Current Protocol Accepted |
04/09/2026
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| Study Name |
Continued Follow-up Study
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| Device Name |
Synergy Disc
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| Clinical Trial Number(s) |
NCT04469231
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| General Study Protocol Parameters |
| Study Design |
Prospective Cohort Study
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| Data Source |
New Data Collection
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| Comparison Group |
No Control
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| Analysis Type |
Descriptive
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| Study Population |
Adult: At least 22 yrs
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| Detailed Study Protocol Parameters |
| Study Objectives |
Continued follow-up of a multi-center, prospective, non-randomized, historically controlled to evaluate the 5-year long-term safety and effectiveness of the Synergy Disc.
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| Study Population |
Subjects implanted with the Synergy Disc during the IDE Study
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| Sample Size |
Number of subjects: Up to 160 patients Assumptions for sample size estimation: Continued study participation from subjects available from the As Treated Analysis Set who were enrolled in the pivotal study Number of sites: Up to 20 study sites Sites location: United States
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| Key Study Endpoints |
Primary: The primary safety endpoints for the post approval study are serious adverse events (SAEs), and device- or procedure-related adverse events (AEs). Secondary: Additional safety analyses will include the rate of AEs, including by relatedness to device or procedure and severity (mild, moderate, or severe), time-to-event, including mean and ranges if applicable, and Subsequent Surgical Intervention (SSI) by rate and type.
Effectiveness Endpoints Primary: The primary endpoint of the investigation is individual patient success, which requires the patient to meet all of the following criteria at 60 months: Greater than or equal to 15-point improvement in NDI Score (out of 100) in subjects at 60 months compared with baseline; Maintenance or improvement in neurological status (motor and sensory only) at 60 months compared to baseline; No study failure due to secondary surgical interventions (revision, removal, re-operation, supplemental fixation) at the index level; Absence of radiographic failure, defined as any implant or component breakage or migration at the index level Absence of device-related Serious Adverse Event as adjudicated by the CEC
Secondary: The following secondary evaluations will be collected: Health Survey (SF-36) at baseline and at each follow-up time-point Visual analogue scale (VAS) will be used to evaluate pain where a change of at least 20mm will be considered clinically significant Neck pain as measured on a 100mm VAS at baseline and at each follow-up time-point Left and Right arm/shoulder pain as measured on a 100mm VAS at baseline and at each follow-up timepoint. Please note, this assessment will include a “Worst” to pool together the left or right arm/shoulder scores with the higher baseline score. Patient Satisfaction
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| Follow-up Visits and Length of Follow-up |
Annually through 60 months after surgery.
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