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Adolescent Idiopathic ScoliosisNCT04684927

PMS Evaluation of Safety and Efficacy of the MID-C System 5 Years Post-implantation in AIS

A study testing MID-C System -Minimal invasive deformity correction system for the treatment of AIS in people with Adolescent Idiopathic Scoliosis, run by Apifix.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The ApiFix MID-C System is a unidirectional expandable rod, designed to be connected unilaterally to the spine via 2 anchor points on the concave side of a scoliotic deformity above and below the apex of the major curvature to treat adolescent idiopathic scoliosis. Read more about this study

Who is it for?
Ages 10 to 18 years
Conditions the study is for
Adolescent Idiopathic Scoliosis
What is being tested?
MID-C System -Minimal invasive deformity correction system for the treatment of AIS
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
20 Jan 2021to 20 Mar 2028
Phase
Interventional
Are there results?
None posted in the registry

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 10 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • 1. Adolescent Idiopathic Scoliosis classified as Lenke Type 1 or Type 5 curves; 2.
  • Patients with Risser stage 0-1, primary Cobb angle between 35-50 degrees (inclusive), or
  • Patients with Risser stage 0-1 and good brace compliant but curve progression above 6°, or
  • Patients with Risser stage 0-1 that are non-compliant with brace treatment and primary Cobb angle between 30-50 degrees or
  • Patients with Risser stage 2, primary Cobb angle between 40-50 degrees (inclusive) 3. Flexible curve that that reduces to ≤ 30 degrees on lateral side-bending radiographs or as evident by traction x-ray; 4. Kyphosis angles of ≤ 45 degrees measured from T5 to T12; 5. Appropriate candidate for posterior surgical approach; 6. Patient has good general health; 7. Patient has no known hypersensitivity or allergies to titanium; 8. Patient's guardian signs a written informed consent form (ICF).

Who cannot join

  • Any type of non-idiopathic scoliosis;
  • Any main thoracic deformity that includes vertebral levels and cranial including to T2;
  • Cumulative vertebral wedging over the apex of the curve>15º
  • Known history of existing malignancy, or any systemic or local infection;
  • Spinal cord abnormalities that require treatment;
  • Known neurological deficit (defined as motor grades < 5/5);
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  • Known poor bone quality defined as T score -1.5 or less;
  • Previous spine surgery that would prevent the successful performance of the MID-C system;
  • Active systemic disease, such as AIDS, HIV, or active infection;
  • Active infection or the skin is compromised at the surgical site; and
  • Systemic disease that would affect the patient's welfare or overall outcome of the study

About this study

Official title: Post-approval Study to Evaluate the Continued Safety and Efficacy of the MID-C System 5 Years Post-implantation in Adolescent Idiopathic Scoliosis (AIS)

The ApiFix MID-C System is a unidirectional expandable rod, designed to be connected unilaterally to the spine via 2 anchor points on the concave side of a scoliotic deformity above and below the apex of the major curvature to treat adolescent idiopathic scoliosis. The MID-C System is designed to act as an internal brace. A total of 10 patients, who are planned to undrego the MID-C System implantation procedure will be enrolled for the study. A 5 years follow-up post surgery will be performed for these patients in order to evaluate the long term safety and efficacy of the MID-C System.

Being tested
MID-C System -Minimal invasive deformity correction system for the treatment of AIS

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MID-C System -Minimal invasive deformity correction system for the treatment of AISDevice

    A 5 years follow-up will be performed for all patients who underwent AIS repair surgery using the MID-C System. The follow-up in order to assess safety and efficacy measurments. Eligible Patients will be followed and assessed at the following time points: Immediate Post-op up to 6 weeks, 6 months, 12 months, and then annually out to 5 years post-implantation.

    During the study, the following rating scales and assessments will be conducted to assess the probable benefit and safety of the treatment: Physical exam,X-rays,Cobb angle measurements,Adverse Events (AEs) and Scoliosis research society (SRS-22) questionnaire: The questionnaire is commonly used to assess health related quality of life in children with AIS.

Study groups in NCT04684927
Study groupRoleWhat they receive
MID-C treatmentExperimentalFollow-up measurements during 5 years post MIC-C system implantationin order to evaluate safety and efficacy parameters.
Receives: Device: MID-C System -Minimal invasive deformity correction system for the treatment of AIS

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy endpoint

    Maintenance of major Cobb angle ≤ 30° 5 years post-surgery

    Measured: 5 years post MID-C system implantation

  2. Safety endpoint

    Serious adverse events, and device or procedure-related adverse events

    Measured: 5 years post MID-C system implantation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Dec 2020
  2. Study start20 Jan 2021 (estimated)
  3. Primary completion20 Jan 2028 (estimated)
  4. Study completion20 Mar 2028 (estimated)

Why it stopped: project not initiated

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
The study is a prospective, single arm, non-randomized, new enrollment cohort study
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04684927
Sponsor's protocol ID
MID-C AIS 06-19
Status last verified
Feb 2021
First submitted
22 Dec 2020
Last updated
10 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing MID-C System -Minimal invasive deformity correction system for the treatment of AIS in people with Adolescent Idiopathic Scoliosis, run by Apifix.

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 11 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: withdrawn, as of the sponsor's last update on 10 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Efficacy endpoint (time frame: 5 years post MID-C system implantation). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Mar 2021.

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