Clinical Trials Directory

Trials / Conditions / Spinal Stenosis

Spinal Stenosis

160 registered clinical trials studyying Spinal Stenosis29 currently recruiting.

StatusTrialSponsorPhase
Not Yet RecruitingCGM-Based Glycemic Analysis After ESI
NCT07280780
Korea University Anam Hospital
RecruitingNovel Soluble Epoxide Hydrolase Inhibitor for Neuropathic Pain in Patients With Spinal Cord Injury
NCT06438471
EicOsis Human Health Inc.Phase 1
Not Yet RecruitingProprio Spine Measurement Tool
NCT07023393
Duke UniversityN/A
RecruitingQuadro-Iliac vs Thoracolumbar Interfascial Plane Block for Analgesia After Single-Level Lumbar Disc Surgery
NCT07348419
Samsun UniversityN/A
Not Yet RecruitingCytokines, Neuroplasticity Modulators, and Biomarkers in Spinal Canal Stenosis and Endoscopic Decompression
NCT07232836
Poznan University of Physical EducationN/A
Not Yet RecruitingEffects of Maitland and Mulligan Spinal Mobilizations Along With Canal Enlargement Exercises in Lumbar Spinal
NCT07080073
Riphah International UniversityN/A
RecruitingVertebropexy - Randomized-controlled Trial
NCT06024785
Balgrist University HospitalN/A
Not Yet RecruitingEnhanced Recovery After Surgery for Spine Fusion Surgeries in the Elderly
NCT06577389
Sixth Affiliated Hospital of Xinjiang Medical University
CompletedStudy of Collagen-Based Thrombin Hemostat for the Control of Bleeding in Spinal Surgery
NCT07354178
DALIM TISSEN Co., Ltd.N/A
RecruitingDexamethasone vs. Dexmedetomidine for ESPB in Pain Management After Spine Surgery
NCT06233617
Poznan University of Medical SciencesPhase 4
RecruitingESCAPE : Evaluation of Spinal Conservation by Endoscopic Procedures to Avoid Fusion
NCT06950853
University Hospital, Bordeaux
Enrolling By InvitationNatural Matrix Protein™ (NMP™) Fibers in Cervical and Lumbar Interbody Fusion
NCT06000319
Induce Biologics USA Inc.
RecruitingPulse-Width Modulation
NCT06120231
Dartmouth-Hitchcock Medical CenterN/A
RecruitingEffect of Ketamine on Intraoperative Motor Evoked Potentials
NCT06140927
University of California, San FranciscoPhase 3
Not Yet RecruitingEffects of Cognitive Intervention Therapy on Postoperative Delirium
NCT06178939
Yonsei UniversityN/A
CompletedCEUS For Intraoperative Spinal Cord Injury
NCT05530798
Medical University of South CarolinaN/A
RecruitingComparative Study of Gene-Activated Bone Substitute "Histograft" for Lumbar and Cervical Spinal Fusion
NCT06365307
Histograft Co., Ltd.N/A
CompletedValidity and Reliability of the 2-minute Step Test in Patients With Lumbar Spinal Stenosis
NCT06060821
Istanbul Physical Medicine Rehabilitation Training and Research Hospital
RecruitingEffectiveness of a 6-week Specific Rehabilitation Program on Walking Capacity in Patients with Lumbar Spinal S
NCT05513326
Université du Québec à Trois-RivièresN/A
RecruitingPREventing Pain After Surgery
NCT05306665
Brigham and Women's HospitalN/A
RecruitingThe Spine PROMCO Study
NCT05963815
Park Medical centrum
CompletedPerioperative ACT for Preventing CPSP: a Single-arm Non-randomized Pilot Trial
NCT06750874
Samantha MeintsN/A
UnknownPrevalence of Cardiac Amyloidosis in Patients Undergoing Surgery for Lumbar Spinal Stenosis.
NCT05701397
Steen Hvitfeldt PoulsenN/A
UnknownPrevalence of Cardiac Amyloidosis Among Patients With a History of Lumbar Spinal Stenosis.
NCT05701410
Steen Hvitfeldt PoulsenN/A
CompletedClinical Study With a Robotic Assistant in Patients Requiring a Spinal Transpedicular Fixation
NCT06153511
Cyber Surgery S.L.N/A
WithdrawnEffects of a Spine Navigation System on Op-time and Radiation Exposure
NCT04461964
NYU Langone HealthN/A
WithdrawnComparison of Three Approaches of Electrode Placement to Detect Changes in Motor Evoked Potentials During Spin
NCT05098431
Allina Health SystemN/A
UnknownStudy Comparing Postoperative Treatment After Surgical Decompression for Lumbar Spinal Stenosis.
NCT05312281
SRH Gesundheitszentrum Bad HerrenalbN/A
RecruitingNecessity of Fusion Following Decompression Surgery in Patients With Single-level Lumbar Stenosis
NCT05273879
Sklifosovsky Institute of Emergency CareN/A
CompletedClinical Evaluation of Orion Lamina Cover in Patients Undergoing Lumbar Laminectomy With Instrumented Fusion
NCT06532968
Orion Biotech Inc.N/A
RecruitingOssDsign® Spine Registry Study ("Propel")
NCT05329129
OssDsign
CompletedLong-term Follow-up Motion Analysis of ACD Versus ACDA
NCT04545983
Zuyderland Medisch CentrumN/A
RecruitingThoracic-Lumbar Arthrodesis- Implanet Jazz
NCT05366140
Francis Farhadi
Enrolling By InvitationQuest to Analyze One Thousand Humans Meditating
NCT06583395
Tobias Moeller-Bertram
Enrolling By InvitationApplying Artificial Intelligence in Developing Personalized and Sustainable Healthcare for Spinal Disorders
NCT05745129
Oslo Metropolitan University
TerminatedSpine Registration Using 3D Scanning
NCT05195580
Advanced Scanners Inc.
UnknownThe Effect of Combination of Ultrasound and Flouroscopy Guidance in Caudal Epidural Injections
NCT05145842
Gaziler Physical Medicine and Rehabilitation Education and Research HospitalN/A
CompletedPercutaneous Trans-facet Screw Fixation Under CT-scan Guidance for Remaining Symptoms at a Distance of Previou
NCT05525052
Centre Hospitalier Universitaire de Nice
TerminatedFirst-In-Human Study of AK1320 Encapsulated Microspheres (AK1320 MS)
NCT04483297
Asahi Kasei Therapeutics CorporationPhase 1
RecruitingPersonalized Spine Study Group (PSSG) Registry
NCT04601363
University of Colorado, Denver
WithdrawnPost-surgical Outcomes Measure Using the ERAS Protocol for Posterior Cervical Decompression and Fusion
NCT04315090
Mayo Clinic
CompletedPhysical Activity Intervention for Patients Following Lumbar Spine Surgery
NCT04591249
Vanderbilt University Medical CenterN/A
Enrolling By InvitationLumbar Interbody Implant Study
NCT04418830
NuVasive
RecruitingPhysical Therapy vs Surgical Decompression for Lumbar Spinal Stenosis
NCT04552145
Norwegian University of Science and TechnologyN/A
CompletedImproving Spine Surgical Care With Real-Time Objective Patient Tracking Using the Apple Watch
NCT04379921
Stanford UniversityN/A
UnknownSPIRA™-A 3D and HCT/p DBM vs. Medtronic Divergent™-L/Perimeter™ and Recombinant BMP-2
NCT04566874
Camber Spine TechnologiesN/A
TerminatedSingle Position Spine Surgery Registry
NCT04839783
Spine and Scoliosis Research Associates
UnknownMIS-D Versus MIS-TLIF for the Treatment of Lumbar Spinal Stenosis
NCT04318795
Third Affiliated Hospital, Sun Yat-Sen UniversityN/A
CompletedWound Infiltration With Tramadol, Dexmedetomidine, or Magnesium Plus Ropivacaine for Pain Relief After Spine S
NCT04391855
Aristotle University Of ThessalonikiPhase 4
Enrolling By InvitationDose Responsiveness as a Measure of Clinical Effectiveness During Neuromonitored Spine Surgery
NCT05110833
Allina Health System
UnknownProspective SPINE Registry
NCT04176562
Xtant Medical
CompletedQuintex® Follow-up After One Year Minimum
NCT04489394
Aesculap AG
CompletedMid-Transverse Process to Pleural (MTP) Block and Erector Spinal Plan (ESP) Block in Spinal Surgery
NCT04193488
Gulhane School of MedicineN/A
Active Not RecruitingPMCF Neo Pedicle Screw and Cage Systems
NCT03956537
Neo Medical SA
CompletedSpinal Epidural Lipomatosis: a Case Report and Review of the Literature
NCT04622501
Canadian Memorial Chiropractic College
TerminatedNeurosurgical Transitional Care Programme
NCT03593330
Barts & The London NHS TrustN/A
CompletedFibergraft Interbody Fusion Retrospective
NCT03898232
Bone and Joint Clinic of Baton Rouge
CompletedScreening for Systemic Amyloidosis Via the Ligamentum Flavum
NCT03923920
The Cleveland Clinic
CompletedSpine MRI in Patients With Deep Brain Stimulation (DBS)
NCT03753945
University Health Network, TorontoN/A
TerminatedSingle-Armed Use of ViviGen Cellular Bone Matrix in Patients Undergoing Posterolateral Lumbar Surgery
NCT04007094
Ohio State UniversityN/A
Active Not RecruitingThe European Robotic Spinal Instrumentation (EUROSPIN) Study
NCT03398915
Marc Schröder
UnknownBone Marrow Concentrate (BMC) Injection in Intervertebral Discs
NCT04559295
Stem CuresPhase 2 / Phase 3
UnknownAutomatic Diagnosis of Spinal Stenosis on CT
NCT03746561
Shanghai 10th People's Hospital
CompletedRPE-P/TLIF for Lumbar Spinal Stenosis With Instability
NCT06290908
Wen-xi Sun
RecruitingVancomycin Powder Combined With Autogenous Bone Graft as a Prevention for Post-operative Infection for Spine S
NCT03883022
Taipei Veterans General Hospital, TaiwanN/A
CompletedThe Comparison of Postoperative Pain After Lumbar Fusion Surgery in Intravenous Patient-controlled Analgesia B
NCT03047044
Yonsei UniversityN/A
CompletedDecompression vs Physical Training for the Treatment of Lumbar Spinal Stenosis
NCT03495661
Uppsala UniversityN/A
CompletedValue of Three-dimensional Rotational Epidurography on Percutaneous Epidural Adhesiolysis
NCT04216992
Tri-Service General Hospital
WithdrawnEfficacy of Using Solum IV and BMC With GFC in TLIF
NCT03223701
Seton Healthcare FamilyPhase 4
UnknownBurst Biologics Spinal Fusion Registry
NCT03064802
Burst Biologics
UnknownTranexamic Acid in Reducing Gross Hemorrhage and Transfusions of Spine Surgeries
NCT03011866
Peking Union Medical College HospitalN/A
CompletedInstr. vs. Non-instr. Posterolateral Spinal Fusion in Patients With Spinal Stenosis and Degenerative Listhesis
NCT04166981
Spine Centre of Southern DenmarkN/A
TerminatedProspective Follow-up of Elderly Patients Undergoing Instrumented Lumbar Arthrodesis Supplemented by the Impla
NCT03434223
Ohio State University
CompletedA Study Comparison of Clinical Outcome After Different Rate of Infusion in Caudal Epidural Steroid Injection
NCT02939482
Navamindradhiraj UniversityN/A
CompletedPASS OCT® Post-market Clinical Follow-up
NCT02931279
Medicrea International
CompletedThe Effect of Dexmedetomidine on Neuroendocrine Stress Hormone Release and Heart Rate Variability in Patients
NCT02902380
Yonsei UniversityN/A
UnknownProtection of Autonomic Nervous System During Lower Spine Surgical Procedures: A Safety and Feasibility Study
NCT02873182
Stanley SkinnerN/A
CompletedRetrospective Evaluation of Performance of Coflex® Interlaminer Technology Versus Decompression With or Withou
NCT03041896
Paradigm Spine
CompletedComparison of Transforaminal vs. Parasagittal Interlaminar Epidural Injection
NCT02838615
Keimyung University Dongsan Medical CenterN/A
CompletedEpidural Intervention of Spinal Nerves With Tumor Necrosis Factor-Alpha Inhibitor
NCT04062474
Nanjing First Hospital, Nanjing Medical UniversityN/A
CompletedChanges in Motor Latency During Spinal Decompression: Relationship to Outcomes
NCT02529943
University of Saskatchewan
CompletedPost-op Acetaminophen vs NSAID Use on Lumbar Spinal Fusion Outcomes
NCT02700451
Hospital for Special Surgery, New YorkN/A
UnknownThermographic Images as an Objective Method for Assessing the Efficacy of Steroidal Epidural Injections
NCT02725723
Tel-Aviv Sourasky Medical CenterPhase 2 / Phase 3
TerminatedInvestigation of Hypermobility, Biomarkers, and Pain Generators in Chronic Pain Patients
NCT02761928
The University of Texas Health Science Center, Houston
UnknownGaleazzi Spine Surgery RegistryGaleazzi Spine Registry: Prospective Study for Clinical Monitoring
NCT03644407
I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
Withdrawn"Is Instrumentation Necessary for "Static" Degenerative Spondylolisthesis"
NCT02530775
University of PittsburghN/A
CompletedNew Robotic Assistance System for Spinal Fusion Surgery
NCT02558621
KB Medical SAN/A
UnknownDecompression vs. Fusion for Stable Degenerative Spondylolisthesis
NCT02348645
University Health Network, TorontoN/A
CompletedThe Coflex®COMMUNITY Study: An Observational Study of Coflex® Interlaminar Technology
NCT02457468
Predicted, Reported and Observed Outcomes Foundation
TerminatedInstrumented Thoracic and Lumbar Arthrodesis Supplemented by the Implanet Jazz SystemTMd
NCT02411799
Ohio State University
UnknownPostural Balance and Stability Among Patients With Cervical and Back Pain
NCT02395887
Meir Medical Center
TerminatedA Prospective Study of NuCel® in Cervical Spine Fusion
NCT02381067
NuTech Medical, IncN/A
CompletedClinical Trial of a Serious Game for Individuals With SCI/D
NCT02341950
University of MichiganN/A
CompletedPostoperative Analgesia With Buprenorphine for Postoperative Pain Control and Quality of Life After Spinal Sur
NCT02416804
Seoul National University HospitalPhase 4
CompleteddHACM in Lumbar Decompression and Microdiscectomy Surgery
NCT02300909
MiMedx Group, Inc.N/A
TerminatedEvaluation of Fusion Rate Using K2M VESUVIUS® Demineralized Fibers With K2M EVEREST® Spinal System
NCT02064855
K2M, Inc.
CompletedA Clinical Study of a Spine Fusion System in Vertebral Body Fusion Surgery
NCT02252185
Johnson & Johnson Medical (Suzhou) Ltd.N/A
UnknownLevel of Activity in Lumbar Spinal Stenosis Patients Pre- and Post-surgery
NCT02154191
University of ManitobaN/A
UnknownRetrospective, Multicenter Clinical Evaluation of Health Economic Drivers and Complications for Two Lumbar Fus
NCT02171169
Baxano Surgical, Inc.
UnknownEffectiveness of Percutaneous Foraminotomy
NCT02597244
Seoul National University HospitalN/A
UnknownThe Impact of Spinal Manipulation on Leg Movement in Lumbar Spinal Stenosis Patients
NCT02118103
University of ManitobaN/A
WithdrawnSteroid Injections Given at the "Level of MRI Pathology" Versus at the "Level of Clinical Symptoms" to See if
NCT02196883
State University of New York - Upstate Medical UniversityN/A
TerminatedHuman Amniotic Tissue-derived Allograft, NuCel, in Posteriolateral Lumbar Fusions for Degenerative Disc Diseas
NCT02070484
OhioHealthN/A
CompletedComparative Effectiveness of Microdecompression and Laminectomy for Central Lumbar Spinal Stenosis
NCT02006901
St. Olavs Hospital
WithdrawnPersonalized Spine Study Group Registry
NCT03843476
Medicrea, USA Corp.
CompletedSafety and Efficacy of the CarboFix Pedicle Screw System
NCT02039232
CarboFix Orthopedics Ltd.N/A
UnknownInterbody vs Instrumented Posterolateral Fusion Following Decompression for Lumbar Spinal Stenosis With Degene
NCT01921530
The London Spine CentrePhase 4
CompletedEfficacy Study of NuCel® in Patients Undergoing Fusion of the Lumbar Spine
NCT02023372
NuTech Medical, IncN/A
CompletedAcupuncture for Lumbar Spinal Stenosis
NCT01987622
Korean Medicine Hospital of Pusan National UniversityN/A
WithdrawnClinical Outcome and Fusion Results Using the VerteLoc® Facet Fixation Device
NCT01892878
VG Innovations, LLCN/A
CompletedAssessment of nanOss Bioactive 3D in the Posterolateral Spine
NCT01829997
Pioneer Surgical Technology, Inc.N/A
TerminatedMultimodal Analgesia Versus Routine Care Pain Management
NCT01861743
Rush University Medical CenterN/A
CompletedA Study Comparing Fusion Rates of Two Lumbar Fusion Procedures
NCT01972256
Baxano Surgical, Inc.
CompletedThe Impact of Epidural Fat Resection on Postoperative Outcomes in Posterior Surgery of Lumbar Spine
NCT02127008
Seoul National University HospitalN/A
CompletedPost-Approval Clinical Trial Comparing the Long Term Safety and Effectiveness Coflex vs. Fusion to Treat Lumba
NCT00534235
Paradigm SpineN/A
CompletedPre-surgery Physiotherapy for Patients With Specific Low Back Pain
NCT02454400
Linkoeping UniversityN/A
UnknownEvaluation of Aspen Spinous Process Fixation System and PLIF Technique for the Treatment of Low Back Pain
NCT01918943
American British Cowdray Medical Center
CompletedDoes PTH 1-34 (Teriparatide) Enhance Spinal Fusion in Humans?
NCT02090244
University Hospital, LinkoepingPhase 4
UnknownCerebrospinal Fluid Congestion in Spinal Stenosis Patients
NCT01630382
Seoul National University Hospital
TerminatedRAMP Study: A Study Comparing Two Lumbar Fusion Procedures
NCT01716182
Baxano Surgical, Inc.
CompletedEffect of Nicardipine on Renal Function in Deliberate Hypotension
NCT02271191
Yonsei UniversityPhase 4
UnknownThe Clinical Effect of i-FACTOR® Versus Allograft in Non-instrumented Posterolateral Spondylodesis Operation i
NCT01618435
Sygehus LillebaeltPhase 3
CompletedThe Clinical Effect of i-FACTOR® Versus Allograft in Non-instrumented Posterolateral Fusion The IVANOS-study
NCT02895555
Spine Centre of Southern DenmarkN/A
CompletedCognitive-Behavioral Physical Therapy
NCT01131611
Vanderbilt UniversityPhase 1 / Phase 2
CompletedHeparin Solution and INTEM/HEPTEM Analysis
NCT01522846
Seoul National University Bundang Hospital
RecruitingThe Effect of Integrated CAM Treatment in Hospitalized Patients
NCT02257723
Jaseng Hospital of Korean Medicine
CompletedStabilimax Investigational Device Exemption (IDE) Clinical Investigation Patient Followup Study
NCT01485289
Rachiotek LLC
CompletedLumbar Epidural Steroid Injections for Spinal Stenosis Multicenter Randomized, Controlled Trial (LESS Trial)
NCT01238536
University of WashingtonPhase 4
CompletedThe Analgesic Effect of Combined Treatment With Intranasal S-ketamine and Intranasal Midazolam
NCT01275547
University Hospital, Basel, SwitzerlandPhase 2 / Phase 3
CompletedOutcome of Surgery for Lumbar Spinal Stenosis - a Comparison of Data From Three National Quality Registries
NCT02897947
St. Olavs Hospital
CompletedHelping Patients With Spinal Stenosis Make a Treatment Decision: A Randomized Study Assessing The Benefits of
NCT01263678
Dartmouth-Hitchcock Medical CenterN/A
TerminatedPilot Study on the Effect of Dexmedetomidine on Inflammatory Responses in Patients Undergoing Lumbar Spinal Fu
NCT01377623
NYU Langone HealthN/A
TerminatedEffectiveness of Lumbar Fusion When NanOss Bioactive Is Used With Posterolateral Gutter Fusions
NCT01452516
Pioneer Surgical Technology, Inc.N/A
CompletedSafety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discecto
NCT01097486
Mesoblast, Ltd.Phase 2
CompletedSafety and Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusio
NCT01106417
Mesoblast, Ltd.Phase 1 / Phase 2
CompletedGabapentin Versus Transdermal Fentanyl Matrix for Chronic Neuropathic Pain
NCT01127100
Seoul National University HospitalPhase 4
CompletedNeurogenic Intermittent Claudication Evaluation Study
NCT00905359
Medtronic Spinal and BiologicsPhase 4
CompletedComparison of nanOss Bioactive With Autograft and Bone Marrow Aspirate to Autograft in the Posterolateral Spin
NCT01968993
Pioneer Surgical Technology, Inc.N/A
UnknownProspective Study of Minimally Invasive Spine Surgery
NCT01045473
Society for Minimally Invasive Spine Surgery
CompletedSafety and Preliminary Efficacy Study of NeoFuse in Subjects Requiring Lumbar Interbody Fusion
NCT00996073
Mesoblast, Ltd.Phase 2
TerminatedBone Graft Materials Observational Registry
NCT00974623
Baxter Healthcare Corporation
CompletedIntraoperative Infusion of Precedex to Reduce Length of Stay After Lumbar Spine Fusion
NCT00808665
Vanderbilt University Medical CenterPhase 4
CompletedEfficacy of Pregabalin in Patients With Radicular Pain
NCT00908375
Northwestern UniversityPhase 4
WithdrawnSafety and Efficacy Study of NeoFuse in Subjects Requiring Posterolateral Lumbar Fusion
NCT00810212
Mesoblast, Ltd.Phase 1 / Phase 2
TerminatedA Study of the In-Space Device for Treatment of Moderate Spinal Stenosis
NCT00697827
Synthes USA HQ, Inc.Phase 3
TerminatedClinical Outcomes of the Trinica(R) Anterior Lumbar Plate: Fixed Screws vs. Variable Screws
NCT00762723
Zimmer BiometN/A
CompletedClinical Trial Comparing Decompression With and Without Coflex™ Interlaminar Technology Treating Lumbar Spinal
NCT01316211
Paradigm SpineN/A
CompletedStudy of 3 Doses of NeoFuse Combined With MasterGraft Granules in Subjects Requiring Posterolateral Lumbar Fus
NCT00549913
Mesoblast, Ltd.Phase 1 / Phase 2
CompletedSpine Research With Roentgen Stereophotogrammetric Analysis
NCT00493558
Nova Scotia Health AuthorityPhase 4
CompletedIntermittent Neurogenic Claudication Treatment With APERIUS®
NCT00887744
Medtronic Spinal and BiologicsPhase 4
CompletedSpine Fusion Instrumented With BMP-2 vs Uninstrumented With Infuse BMP-2 Alone
NCT00405600
Nova Scotia Health AuthorityN/A
UnknownTotal Facet Arthroplasty System®(TFAS®) Clinical Trial
NCT00418197
Archus Orthopedics, Inc.Phase 3
TerminatedLumbar Interbody Fusion Using the Telamon® Peek™ Versus the Telamon® Hydrosorb™ Fusion Device
NCT00095095
Medtronic Spinal and BiologicsPhase 4
CompletedSpine Patient Outcomes Registry for Biomet/EBI (Electro-Biology, Inc)
NCT00726284
Zimmer Biomet
TerminatedA Clinical Study of the Dynesys(R) Spinal System
NCT00759057
Zimmer BiometPhase 3
CompletedGreenwich Lumbar Stenosis SLIP Study
NCT00109213
Greenwich HospitalPhase 3
CompletedEpsilon-Aminocaproaic Acid to Reduce the Need for Blood Transfusions During and Following Spine Surgery
NCT00320619
National Heart, Lung, and Blood Institute (NHLBI)N/A
CompletedSurgical Versus Nonsurgical Treatment for Spinal Stenosis
NCT00022776
University of PittsburghPhase 3
CompletedSpine Patient Outcomes Research Trial (SPORT): Spinal Stenosis
NCT00000411
Dartmouth-Hitchcock Medical CenterPhase 4
CompletedSpine Patient Outcomes Research Trial (SPORT): Degenerative Spondylolisthesis With Spinal Stenosis
NCT00000409
Dartmouth-Hitchcock Medical CenterPhase 4