SMART™ clinical study

What is the
SMART™ Cervical Total Disc Replacement
Clinical Study?

The SMART Study is a nationwide clinical trial investigating the treatment of Two-Level Symptomatic Cervical Disc Disease (SCDD). The purpose of the trial is to evaluate the safety and effectiveness of two investigational devices, the prodisc® C SK and prodisc® C Vivo compared to the Mobi-C® Cervical Total Disc Replacement.

cervical disc replacement clinical study

Am I a Potential Candidate for the Trial?


Listed below are some questions to help you determine whether your condition makes you a potential candidate for the study:

Do you have arm pain and/or neurological symptoms such as numbness or weakness with or without neck pain?

Have you tried at least 6 weeks of nonsurgical care such as physical therapy or medication, or have symptoms that are getting progressively worse?

Has a physician indicated that you may need surgery in your cervical spine (neck)?

Clinical Study Sites are Available in Your Area

To contact the participating surgeon(s) near you to determine if you may be a candidate for the study, please click the buttons below.


Lanman Spinal Neurosurgery

Investigators:

Todd Lanman, MD
Jason Cuellar, MD

Office Locations:

Beverly Hills, CA
San Pedro, CA

CONTACT THE STUDY COORDINATORS

Beverly Hills Spine Surgery

Investigators:

Brian Perri, MD
Neel Anand, MD
Patrick Hill, MD
Edward Nomoto, MD
Khawar Siddique, MD
Albert Wong, MD

Office Location:

Los Angeles, CA

CONTACT THE STUDY COORDINATORS

Rasouli Spine

Investigator:

Alexandre Rasouli, MD

Office Location:

Los Angeles, CA

CONTACT THE STUDY COORDINATORS

For more information, visit ClinicalTrials.gov (Identifier NCT04012996).

Why Participate in the SMART Clinical Study?


1

Potential access to spinal implants not currently available in the US

2

Benefit future United States patients by validating the safety and effectiveness of advancements in cervical total disc replacement technology

3

Receive post-operative study-related care

disc replacement clinical study devices

The primary purpose of the SMART study is to show that the prodisc C SK and prodisc C Vivo are at least as safe and effective as a similar, currently marketed cervical disc prosthesis (Mobi-C) to treat symptomatic cervical disc disease (SCDD) in patients at two contiguous levels from C3 to C7.

The Mobi-C is the most widely used total disc replacement (TDR) in the US.

The prodisc C Vivo is the most widely used TDR outside the US, while the prodisc C SK is a modification of the currently US-approved prodisc C.

Available in U.S.

Since

2007

Investigational Device

Available Outside U.S.

Since

2009

Mobi-C

Available in U.S.

Since

2013

Investigational Device

Under Study

Studied in

2019


What is a clinical trial?


Clinical trials are scientific studies conducted to find new therapies.

The SMART Study assesses results between two different total disc replacement technologies. Both device types are composed of three components:

  1. A superior endplate (top component) that provides immediate stability with a porous titanium coating to enable bone to grow onto over time. The endplate provides a smoooth interior surface for articulation over the plastic component (#2).
  2. A medical grade polyethylene (plastic) core that acts as an articulating surface between the other two components.
  3. An inferior endplate (bottom component) that provides immediate stability with a porous titanium coating to enable bone to grow onto over time. The polyethylene core is locked into the inferior endplate.

The prodisc C Vivo and the prodisc C SK are different from each other in that the bone facing surfaces have different shapes and stabilizing features to accommodate differing patient anatomy.


What should I know about my participation?


Every clinical trial has a protocol that must be followed. The protocol outlines how to conduct the trial and the eligibility criteria for patient selection. Using standardized eligibility criteria (inclusion and exclusion criteria) helps the researchers understand that the results are due to the treatment. Participation in the SMART Study requires commitment to return to your physician for follow-up visits.

Your trial visits are different than a regular clinical visit. For instance, you will meet with the research team at each visit. When you agree to be in a trial, the expectation is that you will remain in the study for all of the follow-up visits.


Please Note:
You may have extra procedures, questionnaires or visits. You can stop participating at any time without affecting your regular medical care. You may receive a stipend for study-related expenses.


What should I expect?


What happens before the trial?

Before participating in a study, patients are provided with information about the study and are given the chance to ask questions. This process is called Informed Consent. The purpose of the informed consent process is to make sure patients are adequately informed of important details about the clinical study so they can make an informed choice about their participation. Informed Consent begins before a research volunteer agrees to participate in a trial and continues throughout the study.

The Informed Consent document describes the study to research patients. It includes details about the study’s purpose, length, procedures, risks and benefits, and other information that all patients should know. Patients sign the document before they enter the study, but only after having read and discussed it with the research team and demonstrating an understanding of the information provided. In some cases, there will be multiple Informed Consent documents throughout the study as changes are made to the study protocol or new safety information becomes available. Signing the document(s) and providing consent is not a contract. Patients may withdraw from a study at any time, even if the study is not over.

How am I protected during the trial?

The SMART Study has been reviewed and approved by the FDA. Hospitals and physicians won’t participate until their institutional review board (IRB) has thoroughly reviewed the study protocol and approved it. It is the responsibility of the IRB under federal guidelines to “protect the rights and welfare of research subjects.”

Your rights include:

  1. Ability to ask your physician or Centinel Spine about the study at any time.
  2. Privacy/confidentiality – your research records will be handled as confidentially as is possible within the law.
  3. Ability to withdraw your consent to participate in the study without penalty or loss of benefits at any time.
  4. Compensation for participation will be provided for your time. The ‘informed consent’ document outlines the details of this compensation.
  5. You will be informed of any new risks or findings during the course of the study.

What happens when the trial is over?

All anonymized patient data will be analyzed and submitted to the FDA for review. If the clinical trial is approved, the prodisc C SK and prodisc C Vivo can become available to other surgeons and patients in the U.S. Additionally, the results will be publicly shared on ClinicalTrials.gov, and in appropriate medical journals and with qualified medical professionals.