Protein-Powered bone graft put to the test in spinal fusion surgery
NCT ID NCT03810573
First seen Oct 15, 2026 · Last updated Oct 16, 2026 · Updated 1 time
Summary
Researchers are testing a new bone graft material called NB1 in people with degenerative disc disease who are having a specific type of spinal fusion surgery called transforaminal lumbar interbody fusion. The study enrolls about 30 adults with up to mild spinal slippage (Grade I spondylolisthesis) at one spinal level between L2 and S1. Participants receive either NB1 or standard graft during surgery, and researchers track how well the bones fuse and whether any graft problems require reoperation. The trial also monitors safety, immune response, pain, and quality of life over 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NB1 bone graft, a putty made from a bone protein called rhNELL-1 and a carrier material
- What this could lead to
- If it works, NB1 could offer surgeons another option to help spinal bones fuse during lumbar fusion surgery.
- What could go wrong
- This is a small, early-stage pilot study with about 30 participants, so results may not hold in larger trials. Spinal fusion surgery carries risks such as infection, bleeding, nerve injury, and the graft may fail to fuse, requiring further surgery.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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17 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Documented diagnosis of degenerative disc disease * Up to Grade I spondylolisthesis * Eligible to undergo a single vertebral level spine fusion (L2 to S1) Exclusion Criteria: * Previous spinal instrumentation or previous interbody fusion procedure at the involved level * Grade II or greater spondylolisthesis * Systemic or local infection at the site of surgery
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Monash Medical Center
RECRUITINGClayton, Victoria, 3168, Australia
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St Vincent Melbourne
RECRUITINGFitzroy, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Cuff training aims to save muscle after spinal surgery
- Bone graft showdown: can a lab-made fiber match a patient's own bone in spinal fusion?
- A conversation before spine surgery could change how patients recover
- Can a new bone graft match the gold standard for spinal fusion?
- Can a nanotube surface help spinal bones fuse faster?