Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04042844

A Single Dose of BRTX 100 for Patients With Chronic Lumbar Disc Disease (cLDD)

Led by BioRestorative Therapies · Updated on 2025-08-26

99

Participants Needed

19

Research Sites

282 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a double-blind, controlled, randomized study with blinded assessments using a single dose. Subjects that have a current diagnosis of chronic lumbar disc disease and meet eligibility criteria will be enrolled. Chronic lumbar disc disease is defined as back and/or radicular pain with degeneration of the disc confirmed by patient history, physical examination, and radiographic measures such as computed tomography (CT), magnetic resonance imaging (MRI), plain film, myelography, discography, or other acceptable means.

CONDITIONS

Official Title

A Single Dose of BRTX 100 for Patients With Chronic Lumbar Disc Disease (cLDD)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older at the time of consent
  • Diagnosis of chronic lumbar disc disease with back and/or radicular pain confirmed by history, physical exam, and imaging
  • Chronic lower back pain lasting at least 6 months
  • Pain triggered by activities like sitting, bending, lifting, twisting, coughing, sneezing, or Valsalva maneuvers
  • Failure of at least 6 months of conservative back pain care including medications, injections, or physical therapy
  • Low back pain visual analog scale (VAS) score between 40 and 80 mm at screening
  • Oswestry Disability Index (ODI) score between 30 and less than 90 at screening
  • No significant localized pain below the beltline without lumbar pain
  • Thigh or leg pain, if present, is nonradicular
  • Diagnostic medial branch block or facet joint injection in the last 12 months indicating no prevailing facet joint involvement
  • Degenerative disc disease confirmed by MRI with specific Pfirrmann scores and Modic changes
  • Maintained intervertebral disc height of at least 50% on MRI
  • Discography performed if multiple discs are degenerative and symptomatic disc unclear
  • Willing and able to provide written informed consent
  • No contraindications to the procedure such as pregnancy, active infection, bleeding disorder, or metastatic cancer
Not Eligible

You will not qualify if you...

  • Spinal deformity including scoliosis 20 degrees or greater, spondylolysis, significant retrolisthesis or spondylolisthesis
  • Disc extrusions, sequestered fragments, facet cysts, or greater than moderate spinal stenosis on MRI
  • Grade V annular fissure at index disc level if discography performed
  • Modified Pfirrmann Grade 8 or higher on MRI
  • Bleeding disorders or required anticoagulation that cannot be interrupted
  • Platelet count 100,000 or less
  • INR 1.5 or greater
  • Extreme obesity with BMI 40 or greater
  • Clinically relevant spinal instability on flexion-extension films
  • Previous lumbar spine surgery or interventions such as discectomy, laminectomy, fusion, or intradiscal therapies
  • Acute or chronic lumbosacral spine fracture
  • Lumbosacral epidural steroid injections within 1 month prior to consent
  • Planned use of systemic NSAIDs within 72 hours prior to treatment
  • Known hypersensitivity or anaphylaxis to dimethyl sulfoxide (DMSO)
  • Active significant non-lumbosacral spinal orthopedic pain including hip, knee, or cervical disc disease
  • Widespread or ill-defined myofascial pain
  • Treatment with cellular or biological investigational therapy within 6 months or plans to participate in such trials during follow-up
  • Previous lumbosacral intervertebral disc injection for therapy
  • Recent inpatient treatment for alcohol or drug abuse within 6 months
  • Ongoing poorly controlled psychological or somatic disease
  • Social or geographical barriers to study compliance
  • Known autoimmune diseases affecting musculoskeletal or neurological systems
  • Required chronic immunosuppression
  • Positive hepatitis C or HIV test
  • Pregnant or lactating women
  • Women of childbearing potential not using highly effective contraception
  • Abnormal lab values including elevated bilirubin, liver enzymes, low neutrophils, low hemoglobin, or reduced kidney function
  • Other active medical or psychiatric illnesses affecting safety or evaluation
  • Inability to comply with study requirements
  • Active workers compensation or litigation related to lumbosacral pain
  • History of drug or alcohol abuse or noncompliance with controlled substances
  • Regular long-term daily opioid use of 30 MME or more

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 19 locations

1

Alabama Clinical Therapeutics, LLC

Birmingham, Alabama, United States, 35235

Withdrawn

2

Source Healthcare

Santa Monica, California, United States, 90403

Actively Recruiting

3

Boomerang Healthcare

Walnut Creek, California, United States, 94598

Actively Recruiting

4

Denver Back Pain Specialists, LLC

Greenwood Village, Colorado, United States, 80111

Actively Recruiting

5

Cantor Spine Institute

Fort Lauderdale, Florida, United States, 33306

Withdrawn

6

Coastal Health

Jacksonville, Florida, United States, 32257

Actively Recruiting

7

Pain Relief Centers

St. Petersburg, Florida, United States, 33709

Actively Recruiting

8

Tampa Pain Relief Center

Tampa, Florida, United States, 33603

Actively Recruiting

9

Florida Pain Relief Center

Tampa, Florida, United States, 33614

Actively Recruiting

10

Conquest Research

Winter Park, Florida, United States, 32789

Actively Recruiting

11

Northwell Health

New York, New York, United States, 10022

Actively Recruiting

12

The Center of Clinical Research, LLC

Winston-Salem, North Carolina, United States, 27103

Actively Recruiting

13

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

14

Clinical Investigations LLC

Edmond, Oklahoma, United States, 73013

Withdrawn

15

Coastal Carolina Research Center

North Charleston, South Carolina, United States, 29406,

Withdrawn

16

Science Connections

Austin, Texas, United States, 78758

Actively Recruiting

17

NCP Center for Clinical Research and Innovation

Houston, Texas, United States, 77008

Actively Recruiting

18

Precision Spine Care

Tyler, Texas, United States, 75701

Withdrawn

19

Virginia iSpine Physicians

Richmond, Virginia, United States, 23235

Actively Recruiting

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Research Team

F

Francisco Silva

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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