Thoracolumbar Disc DegenerationPASS DEGENNCT04670536
The Degen Study: Post-market Clinical Follow-up on the PASS LP, PASS Degen and PASS Tulip Systems (PASS DEGEN)
An observational study of Thoracolumbar Disc Degeneration and Thoracolumbar Spondylolisthesis, run by Medicrea International at 4 sites in France.
Trial summary
The purpose of this post-market clinical study is to evaluate the long-term safety and efficacy of the MEDICREA's systems PASS LP, PASS DEGEN, and PASS Tulip PRIME to treat degenerative diseases. This study is supporting the clinical evaluation report. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Thoracolumbar Disc Degeneration, Thoracolumbar Spondylolisthesis, Spinal Deformity
- What is being tested?
- PASS LP implants, PASS DEGEN and PASS TULIP PRIME
- Type of treatment
- Medical device
- How many people
- 77 participants
- Where
- 4 sitesFrance
- Study dates
- 17 May 2018to 22 May 2024
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All patients
Who may be able to join
- Patients of at least 18 years old
- Patient suffering from a spinal degenerative disease.
- Patient requiring spinal surgery for less than 4 levels for a spinal degenerative disease
- Patient implanted with MEDICREA's products, or patients who are candidate to receive including at least the PASS LP and/or PASS DEGEN and/or PASS TULIP Prime implants
- Patient affiliated to a national insurance system
Who cannot join
- Patient unable or unwilling to sign and understand an information note with proof of patient consent
- Patient unable to complete a self-administered questionnaire
- Patient presenting contra-indications to a Xray follow-up
- Patient of more than 18 years old under a protection procedure
- Patient judged as non-compliant by the investigator or not able to come back for follow-up visits up to 2 years
Trial locations and contacts
4 sites in 1 country.
France4 sites
Clinique du Dos Bordeaux - Terrefort
Bruges, 33520
Clinique des Cèdres
Cornebarrieu, 31700
Hôpital Pitié-Salpêtrière AP-HP
Paris, Île-de-France Region, 75651
CHRU Tours, Hôpital de Bretonneau
Tours, 37044
About this study
Official title: The Degen Study: Post-market Clinical Follow-up on the PASS LP, PASS Degen and PASS Tulip Systems.
The purpose of this post-market clinical study is to evaluate the long-term safety and efficacy of the MEDICREA's systems PASS LP, PASS DEGEN, and PASS Tulip PRIME to treat degenerative diseases. This study is supporting the clinical evaluation report. From the standard-of-care perspective, the results of The Degen study are expected to contribute to a better understanding of expected safety and clinical outcomes from a short (intra- and peri-operative) to a medium-term follow-up (post-operatively).
- Conditions
- Thoracolumbar Disc Degeneration, Thoracolumbar Spondylolisthesis, Spinal Deformity, Spinal Degeneration
- Being tested
- PASS LP implants, PASS DEGEN, PASS TULIP PRIME
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PASS LP implantsDevice
Thoraco lumbar arthrodesis
PASS DEGENDevice
Thoraco lumbar arthrodesis
PASS TULIP PRIMEDevice
Thoraco lumbar arthrodesis
| Study group | Role | What they receive |
|---|---|---|
| PASS LP implants | Patient suffering from a spinal degenerative disease and who is operated with PASS LP Receives: Device: PASS LP implants | |
| PASS Degen implants | Patient suffering from a spinal degenerative disease and who is operated with PASS DEGEN Receives: Device: PASS DEGEN | |
| PASS Tulip PRIME implants | Patient suffering from a spinal degenerative disease and who is operated with PASS TULIP PRIME Receives: Device: PASS TULIP PRIME |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participant Who Achieved Their Fusion at 24 Months
The primary endpoint is the fusion status of each patient at the 24-month visit postoperative. This fusion assessment will be done through the analysis of the standard of care imaging (CT-scan, X-rays, and/or MRI) by the investigator and through the clinical examination of the patient by the investigator.
Measured: At 24months
Secondary outcomes (6)
Evolution of the Pain (VAS)
Change of leg and back pain score from the preoperative visit to all available postoperative timepoints: from 0 (better) to 10 (worst)
Measured: Preoperative, and 1-6, 12 and 24 months postoperative
Quality of Life With ODI
Change of non-validated ODI score from the preoperative visit to all available postoperative timepoints: from 0 (better) to 50 (worst)
Measured: Preoperative, and 1-6, 12 and 24 months postoperative
Quality of Life With SF-12
Change of non-validated SF-12 score from the preoperative visit to all available postoperative timepoints: from to 0 (better) to 5 (worst) by question, then questions are combined following the SF12 provider recommendation. The scoring yields two summary measures: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The PCS and MCS can be between O and 100.
Measured: Preoperative, and 1-6, 12 and 24 months postoperative
Surgeons'Satisfaction With These Implants and Instruments
Surgeons will be requested to complete questions about device/surgery satisfaction.
Measured: During the surgery and until the 24months postoperative visit
Fusion Status at the 1/6 Month and 12-month Visit
The primary objective is defined as the ability of the implant to promote the stabilization
Measured: At the 1-6, and 12 months postoperative
Patient Satisfaction at All Available Postoperative Timepoints
Patient satisfaction is used to evaluate patient satisfaction after surgery and during the follow-up period.
Satisfaction is measured at four different levels: 1 (better) to 4 (worst)
Measured: At 1-6, 12 and 24 months postoperative
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2020
- Study start17 May 2018
- Primary completion22 May 2024
- Study completion22 May 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Thoracolumbar Disc DegenerationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Other
- Enrolment
- 77 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medicrea International
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04670536
- Sponsor's protocol ID
- 0313
- Acronym
- PASS DEGEN
- Status last verified
- Apr 2026
- First submitted
- 3 Dec 2020
- Last updated
- 1 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, Carreon LY. Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J. 2008 Nov-Dec;8(6):968-74. doi: 10.1016/j.spinee.2007.11.006. Epub 2008 Jan 16.
PubMed 18201937Hagg O, Fritzell P, Nordwall A; Swedish Lumbar Spine Study Group. The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J. 2003 Feb;12(1):12-20. doi: 10.1007/s00586-002-0464-0. Epub 2002 Oct 24.
PubMed 12592542Glassman SD, Carreon LY, Djurasovic M, Dimar JR, Johnson JR, Puno RM, Campbell MJ. Lumbar fusion outcomes stratified by specific diagnostic indication. Spine J. 2009 Jan-Feb;9(1):13-21. doi: 10.1016/j.spinee.2008.08.011. Epub 2008 Sep 19.
PubMed 18805059Fairbank JC. Why are there different versions of the Oswestry Disability Index? J Neurosurg Spine. 2014 Jan;20(1):83-6. doi: 10.3171/2013.9.SPINE13344. Epub 2013 Nov 8.
PubMed 24206036Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. doi: 10.1097/00007632-200011150-00017.
PubMed 11074683Johnsen LG, Hellum C, Nygaard OP, Storheim K, Brox JI, Rossvoll I, Leivseth G, Grotle M. Comparison of the SF6D, the EQ5D, and the oswestry disability index in patients with chronic low back pain and degenerative disc disease. BMC Musculoskelet Disord. 2013 Apr 26;14:148. doi: 10.1186/1471-2474-14-148.
PubMed 23622053Gum JL, Carreon LY, Stimac JD, Glassman SD. Predictors of Oswestry Disability Index worsening after lumbar fusion. Orthopedics. 2013 Apr;36(4):e478-83. doi: 10.3928/01477447-20130327-26.
PubMed 23590789Ghogawala Z, Whitmore RG, Watters WC 3rd, Sharan A, Mummaneni PV, Dailey AT, Choudhri TF, Eck JC, Groff MW, Wang JC, Resnick DK, Dhall SS, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3: assessment of economic outcome. J Neurosurg Spine. 2014 Jul;21(1):14-22. doi: 10.3171/2014.4.SPINE14259.
PubMed 24980580Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Bullinger M, Kaasa S, Leplege A, Prieto L, Sullivan M. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol. 1998 Nov;51(11):1171-8. doi: 10.1016/s0895-4356(98)00109-7.
PubMed 9817135
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Degen Study: Post-market Clinical Follow-up on the PASS LP, PASS Degen and PASS Tulip Systems.
- ClinicalTrials.gov ID
- NCT04670536
- Acronym / sponsor ID
- PASS DEGEN / 0313
- Conditions
- Thoracolumbar Disc Degeneration, Thoracolumbar Spondylolisthesis, Spinal Deformity, Spinal Degeneration
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 77 participants (actual)
- Lead sponsor
- Medicrea InternationalIndustry (pharma, biotech, devices)
- Study start
- 17 May 2018 (actual)
- Primary completion
- 22 May 2024 (actual)
- Study completion
- 22 May 2024 (actual)
- First posted
- 17 Dec 2020 (actual)
- Results
- Posted 1 May 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this post-market clinical study is to evaluate the long-term safety and efficacy of the MEDICREA's systems PASS LP, PASS DEGEN, and PASS Tulip PRIME to treat degenerative diseases. This study is supporting the clinical evaluation report. From the standard-of-care perspective, the results of The Degen study are expected to contribute to a better understanding of expected safety and clinical outcomes from a short (intra- and peri-operative) to a medium-term follow-up (post-operatively).
Study design
- Observational model
- Cohort
- Time perspective
- Other
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| PASS LP implants | – | Device: PASS LP implantsPatient suffering from a spinal degenerative disease and who is operated with PASS LP |
| PASS Degen implants | – | Device: PASS DEGENPatient suffering from a spinal degenerative disease and who is operated with PASS DEGEN |
| PASS Tulip PRIME implants | – | Device: PASS TULIP PRIMEPatient suffering from a spinal degenerative disease and who is operated with PASS TULIP PRIME |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All patients
Key inclusion criteria (5 listed)
- Patients of at least 18 years old
- Patient suffering from a spinal degenerative disease.
- Patient requiring spinal surgery for less than 4 levels for a spinal degenerative disease
- Patient implanted with MEDICREA's products, or patients who are candidate to receive including at least the PASS LP and/or PASS DEGEN and/or PASS TULIP Prime implants
- Patient affiliated to a national insurance system
Key exclusion criteria (5 listed)
- Patient unable or unwilling to sign and understand an information note with proof of patient consent
- Patient unable to complete a self-administered questionnaire
- Patient presenting contra-indications to a Xray follow-up
- Patient of more than 18 years old under a protection procedure
- Patient judged as non-compliant by the investigator or not able to come back for follow-up visits up to 2 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PASS LP implantsThoraco lumbar arthrodesis | Device | PASS LP implants |
| PASS DEGENThoraco lumbar arthrodesis | Device | PASS Degen implants |
| PASS TULIP PRIMEThoraco lumbar arthrodesis | Device | PASS Tulip PRIME implants |
Primary outcome
Number of Participant Who Achieved Their Fusion at 24 Months
Time frame: At 24months
The primary endpoint is the fusion status of each patient at the 24-month visit postoperative. This fusion assessment will be done through the analysis of the standard of care imaging (CT-scan, X-rays, and/or MRI) by the investigator and through the clinical examination of the patient by the investigator.
6 secondary outcomes
Evolution of the Pain (VAS)
Time frame: Preoperative, and 1-6, 12 and 24 months postoperative
Quality of Life With ODI
Time frame: Preoperative, and 1-6, 12 and 24 months postoperative
Quality of Life With SF-12
Time frame: Preoperative, and 1-6, 12 and 24 months postoperative
Surgeons'Satisfaction With These Implants and Instruments
Time frame: During the surgery and until the 24months postoperative visit
Fusion Status at the 1/6 Month and 12-month Visit
Time frame: At the 1-6, and 12 months postoperative
Patient Satisfaction at All Available Postoperative Timepoints
Time frame: At 1-6, 12 and 24 months postoperative
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 18201937Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, Carreon LY. Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J. 2008 Nov-Dec;8(6):968-74. doi: 10.1016/j.spinee.2007.11.006. Epub 2008 Jan 16.
- Background: PubMed 12592542Hagg O, Fritzell P, Nordwall A; Swedish Lumbar Spine Study Group. The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J. 2003 Feb;12(1):12-20. doi: 10.1007/s00586-002-0464-0. Epub 2002 Oct 24.
- Background: PubMed 18805059Glassman SD, Carreon LY, Djurasovic M, Dimar JR, Johnson JR, Puno RM, Campbell MJ. Lumbar fusion outcomes stratified by specific diagnostic indication. Spine J. 2009 Jan-Feb;9(1):13-21. doi: 10.1016/j.spinee.2008.08.011. Epub 2008 Sep 19.
- Background: PubMed 24206036Fairbank JC. Why are there different versions of the Oswestry Disability Index? J Neurosurg Spine. 2014 Jan;20(1):83-6. doi: 10.3171/2013.9.SPINE13344. Epub 2013 Nov 8.
- Background: PubMed 11074683Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. doi: 10.1097/00007632-200011150-00017.
- Background: PubMed 23622053Johnsen LG, Hellum C, Nygaard OP, Storheim K, Brox JI, Rossvoll I, Leivseth G, Grotle M. Comparison of the SF6D, the EQ5D, and the oswestry disability index in patients with chronic low back pain and degenerative disc disease. BMC Musculoskelet Disord. 2013 Apr 26;14:148. doi: 10.1186/1471-2474-14-148.
- Background: PubMed 23590789Gum JL, Carreon LY, Stimac JD, Glassman SD. Predictors of Oswestry Disability Index worsening after lumbar fusion. Orthopedics. 2013 Apr;36(4):e478-83. doi: 10.3928/01477447-20130327-26.
- Background: PubMed 24980580Ghogawala Z, Whitmore RG, Watters WC 3rd, Sharan A, Mummaneni PV, Dailey AT, Choudhri TF, Eck JC, Groff MW, Wang JC, Resnick DK, Dhall SS, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3: assessment of economic outcome. J Neurosurg Spine. 2014 Jul;21(1):14-22. doi: 10.3171/2014.4.SPINE14259.
- Background: PubMed 9817135Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Bullinger M, Kaasa S, Leplege A, Prieto L, Sullivan M. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol. 1998 Nov;51(11):1171-8. doi: 10.1016/s0895-4356(98)00109-7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Thoracolumbar Disc Degeneration and Thoracolumbar Spondylolisthesis, run by Medicrea International at 4 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participant Who Achieved Their Fusion at 24 Months (time frame: At 24months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04670536, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.