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CTRI Number  CTRI/2025/06/089874 [Registered on: 30/06/2025] Trial Registered Prospectively
Last Modified On: 28/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   Comparison of outcome lumbar spine vertebral fusion surgery using Micro and Nano-textured Titanium Cage implant versus PEEK material cage implant 
Scientific Title of Study   Assessment of lumbar fusion and its significance on functional outcome following the usage of Micro and Nano-textured Titanium Cages - A prospective single–blinded randomized controlled pilot study trial comparing nanotextured Titanium cages versus PEEK cages. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Imtiaz Ghani 
Designation  Consultant 
Affiliation  Room num 35, Spine surgery unit,Apollo main hospital, Greams lane, Thousand lights, Chennai.  
Address  Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai.
Room num 35, Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai, Tamilnadu-600006
Chennai
TAMIL NADU
600006
India 
Phone  09585232835  
Fax    
Email  imtiazghani@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Imtiaz Ghani 
Designation  Consultant 
Affiliation  Room num 35, Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai, Tamilnadu-600006  
Address  Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai.
Room num 35, Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai, Tamilnadu-600006
Chennai
TAMIL NADU
600006
India 
Phone  09585232835  
Fax    
Email  imtiazghani@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Imtiaz Ghani 
Designation  Consultant 
Affiliation  Room num 35, Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai, Tamilnadu-600006  
Address  Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai.
Room num 35, Spine surgery unit, Apollo main hospital, Greams lane, Thousand lights, Chennai, Tamilnadu-600006
Chennai
TAMIL NADU
600006
India 
Phone  09585232835  
Fax    
Email  imtiazghani@gmail.com  
 
Source of Monetary or Material Support  
M/s India Medtronic Private Limited, Plot No 609 Survey/Shed-188 (part) Chamunda Compound,Kasheli Village, Dist Thane, Bhiwandi 421301 Maharashtra, Thane, Maharashtra (India) - 421301 Telephone No.: 22330747001 FAX: 22330747001 
 
Primary Sponsor  
Name  Medtronics India 
Address  1261,Solitaire Corporate Park,Bldg No 12, 6th Floor | Andher-Ghatkopar link road Andheri East | Mumbai, Maharashtra 400093 | India 
Type of Sponsor  Other [MEDICAL IMPLANT COMPANY] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Imtiaz Ghani  Apollo hospital   Apollo main hospital Greams Lane, 21 Greams Road, Thousand Lights, Chennai
Chennai
TAMIL NADU 
09585232835

imtiazghani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETICAL COMMITTEE-CLINICAL STUDY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M995||Intervertebral disc stenosis of neural canal,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Spine fusion surgery using PEEK cage  One time surgical procedure of spine fusion surgery using pedicle screws and PEEK material cage implants for patients with lumbar disc degeneration. After surgery patients are periodically reviewed at 3rd month, 6th month and 12th month to assess lumbar fusion. 
Intervention  Spine fusion surgery using Titanium nano technology cage implant  One time surgical procedure of spine fusion surgery using pedicle screws and Titanium nano technology cage implants for patients with lumbar disc degeneration. After surgery patients are periodically reviewed at 3rd month, 6th month and 12th month to assess lumbar fusion. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Subject is scheduled to undergo interbody spinal fusion surgery using either the nanotechnology titanium cage or PEEK cage in conjunction with local autograft and supplementation with a pedicle screw system

The subject must in the investigators opinion be psychosocially mentally and physically able to fully comply with this protocol including the required follow-up visits and have the ability to understand and give written informed consent
 
 
ExclusionCriteria 
Details  1. Subjects with previous lumbar fusion surgery.
2. Subject has inadequate tissue coverage over the operative site.
3. Subject has an open wound local to the operative area, or rapid joint disease, bone absorption, or osteoporosis.
4. Subject has a condition requiring medications that may interfere with bone or soft tissue healing (i.e., oral or parenteral glucocorticoids, immunosuppressives, methotrexate, etc.).
5. Subject has an active local or systemic infection.
6. Subject has a metal sensitivity/foreign body sensitivity.
7. Subject is morbidly obese, defined as a body mass index (BMI) greater than 45.
8. Subject has any medical condition or extenuating circumstance that, in the opinion of the investigator, would preclude participation in the study.
9. Subject is currently involved in another investigational drug or device study that could confound study data.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Assessment of lumbar spine fusion  3 months, 6 months and 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
Clinical improvement after spoine fusion  3 months, 6 months and 12 months 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   25/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The purpose of this randomized controlled trial is to assess and compare radiographic fusion and clinical outcome in patients who undergo Transforminal lumbar interbody fusion procedure,supplemented  with pedicle screw instrumentation using one of the following interbody cages Titanium cages with roughened micro and nano textured surface cages vs poly-ether-ether-ketone cages 

This study will capture clinical and radiological outcomes on patients upto 1 year postoperatively Both cages will be used in conjunction with a autograft locally harvested during the decompression procedure 

 
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