NCT03072927ClinicalTrials.gov
MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study
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
- ClinicalTrials.govNCT03072927פתיחת רשומה זו ב־ClinicalTrials.govסונכרן לפני שבועיים
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.
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
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
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.
מצבים רפואיים
- Lumbar Spinal Stenosis
זכאות
| מין | הכול |
|---|---|
| גילאים | 18 Years – ללא מקסימום |
| מתנדבים בריאים | לא |
| שיטת דגימה | PROBABILITY_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
זכאות במשפטים פשוטים
הקריטריונים של רשומה זו טרם פורקו למשפטים נפרדים. טקסט המרשם שלמעלה שלם והוא הגרסה המחייבת.
תכנון המחקר
| סוג המחקר | תצפיתי |
|---|---|
| שלב | לא צוין ברשומת המרשם |
| הקצאה | לא צוין ברשומת המרשם |
| מודל ההתערבות | לא צוין ברשומת המרשם |
| מטרה ראשית | לא צוין ברשומת המרשם |
| הסתרה | לא צוין ברשומת המרשם |
| גיוס | דרושים 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
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
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
| תאריך התחלה | 10 במרץ 2017 (בפועל) |
|---|---|
| סיום ראשוני | 1 בדצמבר 2026 (משוער) |
| סיום | 1 בדצמבר 2026 (משוער) |
| פורסם לראשונה | 7 במרץ 2017 (בפועל) |
| עודכן לאחרונה | 4 בספטמבר 2026 |
| התוצאות פורסמו | לא צוין ברשומת המרשם |
| המצב אומת לאחרונה | ינואר 2026 |
בפועל פירושו שהאירוע התרחש. משוער פירושו שנותן החסות צופה אותו. שתי המשמעויות שונות זו מזו.
מיקומים
2,383 אתרים מגייסים
United States
| מתקן | עיר | מדינה או אזור | מצב |
|---|---|---|---|
| Abilene Spine and Joint Surgery Center | Abilene | Texas | מגייס |
| Hendrick Med Ctr South | Abilene | Texas | מגייס |
| Abilene Ctr For Ortho and Multi | Abilene | Texas | מגייס |
| Abington Memorial Hospital | Abington | Pennsylvania | מגייס |
| Center for Spine Interventions ASC, LLC (ASC3) | Acworth | Georgia | מגייס |
| Apex Surgery Center | Ada | Oklahoma | מגייס |
| Ambulatory Surgical Institute of Dallas | Addison | Texas | מגייס |
| Star Valley Med Ctr | Afton | Wyoming | מגייס |
| Vidant Roanoke Chowan Hospital- Pain Management | Ahoskie | North Carolina | מגייס |
| Aiken Regional Medical Center | Aiken | South Carolina | מגייס |
| Parkwest Surgical Ctr | Akron | Ohio | מגייס |
| Waverly Surgery Center | Albany | Oregon | מגייס |
| Everett Road Surgery Center | Albany | New York | מגייס |
| OrthoNY | Albany | New York | מגייס |
| VA Medical Center | Albuquerque | New Mexico | מגייס |
| University of New Mexico Hospital | Albuquerque | New Mexico | מגייס |
| Outpatient Surg and Imaging Svcs | Albuquerque | New Mexico | מגייס |
| Modern Pain & Spine PC | Albuquerque | New Mexico | מגייס |
| Center for Pain Management Ambulatory Surgery, LLC | Alexandria | Minnesota | מגייס |
| Pacific Ambulatory Surgery Center | Alhambra | California | מגייס |
| Western PA Surg Ctr Beaver County | Aliquippa | Pennsylvania | מגייס |
| Northaven Surg Ctr | Allen | Texas | מגייס |
| Lehigh Valley Hospital - Cedar Crest | Allentown | Pennsylvania | מגייס |
| Surgery Center of Allentown | Allentown | Pennsylvania | מגייס |
| Carepath Injury Ctr of Pennsylvania | Allentown | Pennsylvania | מגייס |
| Cedar Crest Surg Ctr | Allentown | Pennsylvania | מגייס |
| Aultman Alliance Community Hospital | Alliance | Ohio | מגייס |
| Bacon County Hospital | Alma | Georgia | מגייס |
| Pain Physicians of Atlanta | Alpharetta | Georgia | מגייס |
| Advanced Asc | Altamonte Springs | Florida | מגייס |
| Alton Memorial Hospital | Alton | Illinois | מגייס |
| OSF Saint Anthony Medical Center | Alton | Illinois | מגייס |
| Allegheny Surgery Center | Altoona | Pennsylvania | מגייס |
| Oakleaf Surgl Hosp | Altoona | Wisconsin | מגייס |
| Ctr For the Surgl Arts | Altoona | Pennsylvania | מגייס |
| Acute & Chronic Pain and Spine Center Ambulatory Surgery Center | Amarillo | Texas | מגייס |
| Surgery Center of Amarillo | Amarillo | Texas | מגייס |
| Ames Surgery Center | Ames | Iowa | מגייס |
| Amherst Surgery Center | Amherst | New York | מגייס |
| Island Health Hospital | Anacortes | Washington | מגייס |
| Unicare Surgery Center | Anaheim | California | מגייס |
| AA Spine & Pain Clinic | Anchorage | Alaska | מגייס |
| Memorial Hermann Surgery Center Brazoria | Angleton | Texas | מגייס |
| Ann Arbor Surgl Ctr | Ann Arbor | Michigan | מגייס |
| East Ann Arbor Amb Surg and Med | Ann Arbor | Michigan | מגייס |
| Univ of Michigan Univ Hosp | Ann Arbor | Michigan | מגייס |
| Medstar Surg Ctr At Annapolis | Annapolis | Maryland | מגייס |
| Riva Road Surgery Center | Annapolis | Maryland | מגייס |
| Clearway Pain Solutions | Annapolis | Maryland | מגייס |
| AdventHealth Orlando | Apopka | Florida | מגייס |
2,338 אתרים נוספים מצוינים ברשומת המרשם.
מסמכי המחקר
לא צורפו מסמכים ברשומת מרשם זו.
שינויים לאורך זמן
- 4 בספטמבר 2026
אתר נוסף
18 sites added (2388 total)
23702388
- 1 בספטמבר 2026
אתר נוסף
1 site added (2370 total)
23692370
- 18 באוגוסט 2026
אתר נוסף
1 site added (2369 total)
23682369
- 10 באוגוסט 2026
אתר נוסף
25 sites added (2368 total)
23432368