Study of VIA Disc NP Injection for Treating Lumbar Discogenic Pain in Adults with Degenerative Disc Disease
Led by VIVEX Biologics, Inc. · Updated on 2026-04-24
496
Participants Needed
19
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
This research investigates the safety and effectiveness of VIA Disc NP, a non-surgical treatment designed to supplement nucleus pulposus tissue in people experiencing lumbar discogenic pain due to degenerative disc disease DDD. The study is a randomized, sham-controlled, double-blind trial conducted across multiple centers, including an initial open-label roll-in phase for one participant per site. It focuses on adults aged 22 to 85 years with moderate to severe disc degeneration confirmed by MRI and persistent low-back pain unresponsive to conservative care.
Participants receive a single intradiscal injection of VIA Disc NP, which is made from processed cadaveric disc tissue, at up to two affected lumbar levels L1-S1. Participants who enroll after the roll-in phase are randomly assigned in a 21 ratio to receive either the VIA Disc NP injection or a sham procedure where a needle is inserted but no injection is given. Those initially assigned to the sham group who continue to have symptoms after 12 months may cross over to receive VIA Disc NP and undergo an additional 12 months of follow-up.
During the study, participants will be monitored through assessments including pain severity using the Visual Analog Scale VAS and safety evaluations for any treatment-related adverse events over a 12-month period. The primary outcomes measure the proportion of participants achieving meaningful improvement in pain scores and the incidence of treatment-related side effects. The study duration includes screening, treatment, and follow-up visits, with careful tracking of participants symptoms and safety throughout the trial.
CONDITIONS
Brief Title
Clinical Trial Evaluating the Safety and Efficacy of Nucleus Pulposus Allograft in Participants With Degenerative Disc Disease
Research Team
L
Leslie Zaccari
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
VIA Disc NP
Sham control
Conservative care
What it is
A micronized nucleus pulposus allograft derived from cadaveric disc tissue (VIA Disc NP) injected into the degenerated disc.
A sham procedure involving needle insertion only, without penetration of the annulus or injection.
Noninvasive management including exercises, physical therapy, pain medications and rehabilitation.
Role in trial
Participants receive the VIA Disc NP injection in one study period.
Participants undergo a sham needle insertion without injection in the alternate study period.
Represents typical non‑surgical care that participants may have already undergone prior to study enrollment.
Primary use
Investigational treatment intended to regenerate or replace disc nucleus to reduce discogenic low back pain.
Control procedure used to isolate effects of the investigational injection.
Standard first‑line non‑invasive approach to manage discogenic pain symptoms.
How it is given or performed
Injected into the intervertebral disc following needle insertion through skin and muscle.
Needle insertion through skin and muscle, without annulus penetration or injection.
Delivered through outpatient sessions of physical therapy, medications, and home‑based exercises.
Evidence status
Safety and efficacy are currently under investigation; no published outcome data yet.
Control used to assess injection effects; not intended as treatment.
Widely supported by evidence as first‑line management to reduce pain and improve function in discogenic low back pain.
Important risks
Risks are unknown and under evaluation in this clinical trial.
Procedure carries minimal procedural risk from needle insertion.
Generally low‑risk; potential for medication side effects or therapy‑related discomfort.
Important limitations
Effectiveness and long‑term outcomes are unproven; trial is ongoing and single intervention arm only.
Provides control measure but does not inform on how this compares to standard care.
May provide symptom relief but does not address structural disc degeneration.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 22Years - 85Years
All Genders
Eligibility Criteria
You may qualify if you...
Age 22 to 85 years old
Diagnosis of moderate to severe degenerative disc disease confirmed by MRI, Modified Pfirrmann Grade 3-7
Chronic axial midline low-back pain for at least 6 months unresponsive to at least 3 months of conservative care
Low-back pain severity score between 40 and 90 mm on the Visual Analog Scale
Oswestry Disability Index (ODI) score between 40 and 80
Positive sustained hip flexion test
Demonstrated intolerance to sitting
Able and willing to provide written informed consent
Willing and able to comply with all study procedures and available for study duration with life expectancy over 2 years
You will not qualify if you...
Contraindications to sedation or anesthetic protocols
More than two lumbar discs affected by degeneration (3 or more discs with Modified Pfirrmann grade 3 or higher)
Disc height less than 4 mm between L1 and S1
Symptomatic vertebral compression fracture
Prior lumbar spine surgery
Sacroiliac joint fusion within past 6 months
Received certain lumbar injections or procedures within 3 months prior to Day 0 procedure
Previous intradiscal stem cell or biological therapy at target level within 12 months
Evidence of lumbar instability or significant spinal conditions (e.g., grade 2+ spondylolisthesis, spondylitis)
Full thickness annular tear or abnormal disc morphology
Clinical suspicion of facet joint pain as primary source
Unstable systemic diseases or infections
Prior VIA Disc NP treatment
Substance abuse or opioid use over 90 MME/day
Current radiation, chemotherapy, immunosuppression, or chronic steroid therapy above allowed dose
Metal or ceramic implants in lumbar spine
Contraindications to MRI including incompatible devices
Recent litigation related to back pain
Unmanaged psychiatric conditions or recent medication changes
Traumatic neurological disorders impacting study
Pregnant or breastfeeding women or those not using reliable contraception
Use of experimental treatments for same condition within 6 months
Other persistent nerve or pain conditions like radiculopathy or cauda equina syndrome
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 12 months
Participants receive a single dose of VIA Disc NP or a sham procedure for lumbar discogenic pain.
Multiple visits during the 12 months for assessments
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Safety and efficacy of intradiscal nucleus pulposus allograft versus sham for lumbar discogenic pain associated with degenerative disc disease: study protocol for a randomized clinical trial.
Timothy R Deer, Pierce D Nunley, Ramana K Naidu...