New shot during back surgery may boost spine healing in disc disease patients
NCT ID NCT06115512
First seen Jun 27, 2026 · Last updated Jun 30, 2026 · Updated 2 times
Summary
This study tests a single injection of a drug called AGA111 given directly into the spine during back fusion surgery for people with degenerative disc disease. The goal is to see if it helps the bones heal together more successfully and improves pain and function. About 412 adults aged 18 to 80 with disc disease at certain spine levels are taking part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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412 people
The number who actually took part.
- Started
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Dec 2023
- Finished
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Jun 2026
- 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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18 to 80 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: 1. Has degenerative disc disease of L3-S1 with low back pain, with or without a history of radiating leg or buttock pain, paresthesia, numbness or weakness secondary to radiculopathy of the corresponding spinal segment; 2. Has radiographic evidence (e.g., X-ray and CT/magnetic resonance imaging MRI) of degenerative disc disease; 3. Adults ≥ 18 and ≤ 80 years of age and skeletally mature at the time of surgery; 4. Plan to undergo a single-level lumbar interbody fusion; 5. Preoperative ODI score ≥ 30; 6. Has not respond to conservative treatment (e.g, bed rest, physical therapy, drugs, local injections, manipulation and other non-surgical treatments) for a period of at least 3 months; 7. Willing and able to comply with the protocol and able to understand and sign the subject's informed consent form (ICF) ; 8. Female subjects of child-bearing potential must agree to use a highly effective method of birth control during the study and for 1 year after the administration of investigational drug, and must have a negative pregnancy test prior to the randomization. Exclusion Criteria: 1. Has undergone other decompression, fusion, and/or other non-fusion spinal surgery at the spinal segment intended to undergo the surgery prior to the screening (except for transforaminal endoscopic discectomy); 2. Known other significant lumbar instability; 3. Lumbar scoliosis \> 30 degrees (evaluated by investigators); 4. Presence of active malignancy or prior history of malignancy; 5. Overt or active infection, either local to surgical space or systemic; 6. Patients with a dual-energy X-ray absorption (DXA) total hip T-score ≤ -3.0; 7. Body weight index (BMI) \<18.5 kg/m2 or BMI \> 35 kg/m2; 8. Have received other treatments affecting fusion surgery, such as radiotherapy near the surgical site; 9. Presence of other co-morbidities of the spine or upper/lower extremities that may affect the investigator's assessment of the lumbosacral nervous system and/or pain; 10. Presence of mental disease or psychiatric condition that interferes with the patient's self-assessment of function, pain, or quality of life; 11. History of progressive osseous heteroplasia or fibrodysplasia ossificans progressiva; 12. Known hypersensitivity or allergy to bone morphogenetic protein (BMP) products or their excipient; and/or instrumentation materials in surgery, e.g., titanium, titanium alloy, cobalt chrome, cobalt chrome alloy, or polyetheretherketone (PEEK); 13. Pregnant or lactating women; or plan to become pregnant within 1 year following the study surgery. 14. Other conditions that, in the opinion of the investigator, would interfere with the subject's ability to comply with the protocol, and other conditions that will make the subject inappropriate for participation in the study as judged by the investigator.
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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.
Contacts and locations
Locations
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Beijing Jishuitan Hospital
Beijing, Beijing Municipality, China
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Beijing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, China
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General Hospital of Ningxia Medical University
Yinchuan, Ningxia, China
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Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China
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Hebei Medical University Third Hospital
Shijiazhuang, Hebei, China
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Nanfang Hospital
Guangzhou, Guangdong, China
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Nanjing Drum Tower Hospital
Nanjing, Jiangsu, China
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
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Peking University Shenzhen Hospital
Shenzhen, Guangdong, China
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Peking University Third Hospital
Beijing, Beijing Municipality, China
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Qilu Hospital of Shandong University
Jinan, Shandong, China
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Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, China
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Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, China
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Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine
Shanghai, Shanghai Municipality, China
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Shanxi Bethune Hospital
Taiyuan, Shanxi, China
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Shenyang Orthopedics Hospital
Shenyang, Liaoning, China
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Shenzhen Second People's Hospital
Shenzhen, Guangdong, China
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Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China
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The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
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The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China
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The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
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The First Affiliated Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China
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The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
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The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China
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The Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
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The University of Hong Kong - Shenzhen Hospital
Shenzhen, Guangdong, China
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Tianjin First Central Hospital
Tianjin, Tianjin Municipality, China
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Tongji Hospital, Tongji Medical College, Huazhong Universit of Science and Technology
Wuhan, Hubei, China
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
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West China Hospital of Sichuan University
Chengdu, Sichuan, China
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Xi'an Honghui Hospital
Xi’an, Shanxi, China
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Xuanwu Hospital Capital Medical University
Beijing, Beijing Municipality, China
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Yuebei People's Hospital
Shaoguan, Guangdong, China
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Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, China
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Zhejiang Provincial People's Hospital Bijie Hospital
Bijie, Guizhou, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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?
- Can a growth factor from donor bone improve spinal fusion?
- 3D-Printed spinal cages could revolutionize back surgery
- Bone scan may help avoid unnecessary back surgery