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NCT03072927ClinicalTrials.gov

MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study

מגייסמקבל משתתפים כעת, לפי רשומת המרשם.
יצירת קשר עם המחקר

בקצרה

This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of…

תצפיתידרושים 8,000 משתתפים2,388 אתריםמדינה אחת

קטגוריות

רשום במרשם אחד

מחקר יחיד יכול להיות רשום בכמה מרשמים. אנו מציגים אותו פעם אחת ומקשרים לכל רשומה שברשותנו.

מידע הניסוי מוצג כפי שפורסם על ידי המרשם, בשפת המקור שלו.

מתעניינים במחקר הזה?

התחברות או צרו חשבון כדי לרשום את התעניינותכם ולעקוב אחר המחקר הזה.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2017-03-07; recorded start 2017-03-10
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Whether participants are randomly assigned is not stated in the registry recordNo allocation method is recorded
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Not stated: Whether the study is blinded is not stated in the registry recordNo masking information is recorded
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 1 other study in this databaseCounted from the lead sponsor named in the record (Stryker Instruments)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a study of this type, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Allocation not stated in the record

  • Blinding0/20

    Masking not stated in the record

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 2343 sites

  • Data monitoring committee0/7

    No data monitoring committee stated

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEGA

A very large study: 8,000 participants (target), run at 2,388 sites.

How this score is built
  • Enrolment37/40

    8,000 participants (target)

  • Site count25/25

    2,343 sites

  • Country count0/15

    Single country

  • Planned duration10/10

    Planned over about 118 months

  • Sponsor scale1/10

    Stryker Instruments has led 2 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

תקציר

This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of similar patients that have had a comparable procedure. This study will start with patients treated with a study procedure having an index date on or after January 1, 2017, and enrollment will continue until stopped by the sponsor.

In this study the treatment group will include all patients receiving MILD, and the control group will include all patients receiving IPD for the treatment of LSS during the enrollment period. Reoperation and harms data will be studied for the MILD and IPD procedures for a 24-month follow-up period after the index procedure using Medicare claims data. This study is exempt from IRB oversight (Department of Health and Human Services regulations 45 CFR 46) and does not require prior enrollment nor patient consent. The inclusion of the study's NCT number on MILD Medicare claims is required and results in enrollment.

מצבים רפואיים

  • Lumbar Spinal Stenosis

זכאות

זכאות
מיןהכול
גילאים18 Yearsללא מקסימום
מתנדבים בריאיםלא
שיטת דגימהPROBABILITY_SAMPLE

אוכלוסיית המחקר

Study participants will include Medicare beneficiaries for whom claims have been submitted to the Medicare Claims database and who have been enrolled in Medicare fee-for-service or Medicare Advantage for one year prior to their index procedure and two years post index procedure.

זכאות כפי שנכתבה במרשם

Inclusion Criteria: * Medicare beneficiaries receiving MILD or interspinous process decompression * Diagnosis of LSS with NC Exclusion Criteria: * Patients that have received a laminectomy, laminotomy, fusion, interspinous process decompression, or MILD in the lumbar region during the 12 months prior to the index date

זכאות במשפטים פשוטים

הקריטריונים של רשומה זו טרם פורקו למשפטים נפרדים. טקסט המרשם שלמעלה שלם והוא הגרסה המחייבת.

תכנון המחקר

תכנון המחקר
סוג המחקרתצפיתי
שלבלא צוין ברשומת המרשם
הקצאהלא צוין ברשומת המרשם
מודל ההתערבותלא צוין ברשומת המרשם
מטרה ראשיתלא צוין ברשומת המרשם
הסתרהלא צוין ברשומת המרשם
גיוסדרושים 8,000 משתתפים

נותן חסות ושותפים

  • Stryker Instruments נותן חסות

זרועות והתערבויות

  • MILD

    All Medicare patients treated with MILD as reported via CPT® Code 0275T or successor codes (62330/62331).

  • Interspinous Process Decompression

    All Medicare patients treated with interspinous process decompression (CPT Code 22869 or 22870, or successor code(s)) for the treatment of LSS with NC.

התערבויות

  • התקן Interspinous Process Decompression

    Interspinous Process Decompression

  • התקן MILD

    MILD is performed under fluoroscopic image guidance through an ipsilateral interlaminar dorsal approach to the spine. Partial decompression is performed through the removal of tissue and bone at the symptomatic level confirmed with correlated MRI and clinical findings.

מדדי תוצאה

  1. מדד תוצאה ראשוני

    Rate of participants with harms associated with the index procedure

    Rate of participants with harms associated with the index procedure including, but not limited to, revisions, displacement, mechanical complications, and death. Complications will be counted if they are recorded during the index hospitalization, or any rehospitalization within 30 days of discharge.

    מסגרת זמן 24 months

  2. מדד תוצאה ראשוני

    Rate of surgical, minimally invasive intervention.

    Measure the rate of Medicare beneficiary surgical and minimally invasive intervention for LSS with NC post index procedure.

    מסגרת זמן 24 months

תאריכים

תאריכים
תאריך התחלה10 במרץ 2017 (בפועל)
סיום ראשוני1 בדצמבר 2026 (משוער)
סיום1 בדצמבר 2026 (משוער)
פורסם לראשונה7 במרץ 2017 (בפועל)
עודכן לאחרונה4 בספטמבר 2026
התוצאות פורסמולא צוין ברשומת המרשם
המצב אומת לאחרונהינואר 2026

בפועל פירושו שהאירוע התרחש. משוער פירושו שנותן החסות צופה אותו. שתי המשמעויות שונות זו מזו.

מיקומים

2,383 אתרים מגייסים

United States

United States
מתקןעירמדינה או אזורמצב
Abilene Spine and Joint Surgery CenterAbileneTexasמגייס
Hendrick Med Ctr SouthAbileneTexasמגייס
Abilene Ctr For Ortho and MultiAbileneTexasמגייס
Abington Memorial HospitalAbingtonPennsylvaniaמגייס
Center for Spine Interventions ASC, LLC (ASC3)AcworthGeorgiaמגייס
Apex Surgery CenterAdaOklahomaמגייס
Ambulatory Surgical Institute of DallasAddisonTexasמגייס
Star Valley Med CtrAftonWyomingמגייס
Vidant Roanoke Chowan Hospital- Pain ManagementAhoskieNorth Carolinaמגייס
Aiken Regional Medical CenterAikenSouth Carolinaמגייס
Parkwest Surgical CtrAkronOhioמגייס
Waverly Surgery CenterAlbanyOregonמגייס
Everett Road Surgery CenterAlbanyNew Yorkמגייס
OrthoNYAlbanyNew Yorkמגייס
VA Medical CenterAlbuquerqueNew Mexicoמגייס
University of New Mexico HospitalAlbuquerqueNew Mexicoמגייס
Outpatient Surg and Imaging SvcsAlbuquerqueNew Mexicoמגייס
Modern Pain & Spine PCAlbuquerqueNew Mexicoמגייס
Center for Pain Management Ambulatory Surgery, LLCAlexandriaMinnesotaמגייס
Pacific Ambulatory Surgery CenterAlhambraCaliforniaמגייס
Western PA Surg Ctr Beaver CountyAliquippaPennsylvaniaמגייס
Northaven Surg CtrAllenTexasמגייס
Lehigh Valley Hospital - Cedar CrestAllentownPennsylvaniaמגייס
Surgery Center of AllentownAllentownPennsylvaniaמגייס
Carepath Injury Ctr of PennsylvaniaAllentownPennsylvaniaמגייס
Cedar Crest Surg CtrAllentownPennsylvaniaמגייס
Aultman Alliance Community HospitalAllianceOhioמגייס
Bacon County HospitalAlmaGeorgiaמגייס
Pain Physicians of AtlantaAlpharettaGeorgiaמגייס
Advanced AscAltamonte SpringsFloridaמגייס
Alton Memorial HospitalAltonIllinoisמגייס
OSF Saint Anthony Medical CenterAltonIllinoisמגייס
Allegheny Surgery CenterAltoonaPennsylvaniaמגייס
Oakleaf Surgl HospAltoonaWisconsinמגייס
Ctr For the Surgl ArtsAltoonaPennsylvaniaמגייס
Acute & Chronic Pain and Spine Center Ambulatory Surgery CenterAmarilloTexasמגייס
Surgery Center of AmarilloAmarilloTexasמגייס
Ames Surgery CenterAmesIowaמגייס
Amherst Surgery CenterAmherstNew Yorkמגייס
Island Health HospitalAnacortesWashingtonמגייס
Unicare Surgery CenterAnaheimCaliforniaמגייס
AA Spine & Pain ClinicAnchorageAlaskaמגייס
Memorial Hermann Surgery Center BrazoriaAngletonTexasמגייס
Ann Arbor Surgl CtrAnn ArborMichiganמגייס
East Ann Arbor Amb Surg and MedAnn ArborMichiganמגייס
Univ of Michigan Univ HospAnn ArborMichiganמגייס
Medstar Surg Ctr At AnnapolisAnnapolisMarylandמגייס
Riva Road Surgery CenterAnnapolisMarylandמגייס
Clearway Pain SolutionsAnnapolisMarylandמגייס
AdventHealth OrlandoApopkaFloridaמגייס

2,338 אתרים נוספים מצוינים ברשומת המרשם.

מסמכי המחקר

לא צורפו מסמכים ברשומת מרשם זו.

שינויים לאורך זמן

  1. 4 בספטמבר 2026

    אתר נוסף

    18 sites added (2388 total)

    23702388

  2. 1 בספטמבר 2026

    אתר נוסף

    1 site added (2370 total)

    23692370

  3. 18 באוגוסט 2026

    אתר נוסף

    1 site added (2369 total)

    23682369

  4. 10 באוגוסט 2026

    אתר נוסף

    25 sites added (2368 total)

    23432368