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Comparative Sedation Study of the MyoSure Hysteroscopic Tissue Removal System

Primary Purpose

Uterine Fibroids, Polyps

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Hysteroscopic Morcellator
Sponsored by
Hologic, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uterine Fibroids focused on measuring morcellator, hysteroscope, myomectomy, polypectomy, uterine fibroids, uterine polyps, local anesthetic, cervical block, pain management

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy female between the ages of 18 and 65
  • Subject must be able to understand, read and sign the study specific informed consent forms after the nature of the study has been fully explained to her
  • Subject is a pre-menopausal or peri-menopausal female, either nulliparous or parous
  • Subject is indicated for myomectomy or polypectomy for benign pathology, based on hysteroscopic, ultrasound, or saline infused sonogram assessment within 60 days
  • Subject exhibits intrauterine polyps and/or submucous myomas which meet one of the following criteria. In cases of subjects with multiple intrauterine pathology, classification is based as follows:

    • All polyps
    • A single Type 0 or Type 1 myoma ≤ 3 cm
    • Polyps plus a single Type 0 or Type 1 myoma ≤ 3 cm
  • Negative pregnancy test within 48 hours prior to planned index procedure and willing to use reliable birth control for the next 30 days. Reliable birth control is defined as a chemical or barrier method, including an oral contraceptive, injectable contraceptive, or the combination of a spermicide and condoms

Exclusion Criteria:

  • Known or suspected cancer, including breast, endometrial, and ovarian
  • Subject has Type 2 myoma
  • Contraindication and/or allergy to local anesthetic, or oral medications specified in the treatment protocol
  • Subject has a history of chronic narcotic use
  • Previous uterine artery embolization or other uterine artery occlusion procedure (Doppler or laparoscopic)
  • Subject with blood borne pathogens-HIV, hepatitis B, CJD, etc.
  • Subject plans to become pregnant within the study period
  • Subject has an IUD at the time of the procedure. A subject may be enrolled in the study if the IUD is removed prior to the treatment procedure
  • Subject is taking an anticoagulant or antiplatelet medication other than low dose aspirin
  • Active pelvic inflammatory disease or pelvic/vaginal infection
  • Subject has a known or suspected coagulopathy or bleeding disorder
  • Subject has a history of unmanaged endocrine disease
  • Subject has current or past, acute or chronic psychiatric disorder which, in the opinion of the Investigator, may preclude proper evaluation and follow-up
  • Subject has history of auto-immune, inflammatory, or connective tissue disease
  • Subject has a history of disease which increases the risk for fluid overload (i.e. significant cardiac, hepatic, or renal dysfunction)
  • Uncontrolled hypertension lasting two years or more
  • Use of any experimental drug or device within 30 days prior to the screening visit
  • The subject has a terminal illness that may prevent the completion of any follow-up assessments
  • Any employee or relative of an employee of the Sponsor company or any Investigator site employee or relative of employees working on the study
  • Subject has other co-morbid condition(s) that, in the opinion of the Investigator, could limit the subject's ability to participate in the study or impact the scientific integrity of the study

Sites / Locations

  • Phoenix Gynecology Consultants
  • Florida Woman Care
  • Wayne State University
  • Minnesota Gynecology and Surgery
  • Carolina Women's Research and Wellness Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cervical Block, 6 injection sites

Cervical Block, 2 injection sites

Ibuprofen q. 8 hours

Ibuprofen PRN

Arm Description

Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 2cc at 12:00, 10cc at 3:00, 10 cc at 9:00, 5 cc at 4:00, 5 cc at 8:00, and 5 cc at 6:00.

Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 10 cc at 4:00, and 10 cc at 8:00.

Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg every 8 hours, for the first 24 hours and then PRN.

Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg PRN.

Outcomes

Primary Outcome Measures

Subject tolerance of procedure-related pain rated on an 11 point scale (0-10)

Secondary Outcome Measures

Subject assessment of most severe post-procedural pain rated on an 11 point scale
Subject assessment of most severe pain experienced during 48 hours post procedure, rated on an 11 point scale

Full Information

First Posted
September 17, 2009
Last Updated
July 22, 2010
Sponsor
Hologic, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00979342
Brief Title
Comparative Sedation Study of the MyoSure Hysteroscopic Tissue Removal System
Official Title
Interlace Medical Comparative Sedation Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2010
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
July 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Hologic, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to develop a recommended local anesthetic protocol and post-treatment pain management regimen, in order to assure patient comfort during office-based treatment with the MyoSure Hysteroscopic Tissue Removal Device. Subject self-reported pain scores (as rated on an 11 point scale) will be compared at multiple time intervals between all treatment groups.
Detailed Description
Forty subjects will be enrolled in a randomized, controlled study conducted at four physician offices or day surgery settings. Subjects will be randomized 1:1 to a local anesthetic group (Group #1 or Group #2). Subjects will undergo a hysteroscopic tissue removal procedure to remove intrauterine polyps, type 0 fibroids, or type I fibroids. Subsequent to the procedure, subjects will be randomized 1:1 within the local anesthetic group to a post procedure pain management group (Group A or Group B). Subject self-reported pain scores (as rated on an 11 point scale)will be compared at three time points: Immediately post procedure, prior to discharge from the treatment facility, and at 48 hours post procedure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Fibroids, Polyps
Keywords
morcellator, hysteroscope, myomectomy, polypectomy, uterine fibroids, uterine polyps, local anesthetic, cervical block, pain management

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cervical Block, 6 injection sites
Arm Type
Experimental
Arm Description
Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 2cc at 12:00, 10cc at 3:00, 10 cc at 9:00, 5 cc at 4:00, 5 cc at 8:00, and 5 cc at 6:00.
Arm Title
Cervical Block, 2 injection sites
Arm Type
Experimental
Arm Description
Subject will receive a cervical block of 1% lidocaine and 0.25% bupivacaine, with injections in the following locations: 10 cc at 4:00, and 10 cc at 8:00.
Arm Title
Ibuprofen q. 8 hours
Arm Type
Experimental
Arm Description
Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg every 8 hours, for the first 24 hours and then PRN.
Arm Title
Ibuprofen PRN
Arm Type
Experimental
Arm Description
Subjects will receive a post procedure pain management regimen of ibuprofen 800 mg PRN.
Intervention Type
Device
Intervention Name(s)
Hysteroscopic Morcellator
Other Intervention Name(s)
MyoSure Hysteroscopic Tissue Removal System, MyoSure Tissue Removal Device
Intervention Description
The MyoSure Tissue Removal Device consists of a hand-held tissue removal device comprising a mechanical drive assembly connected to a drive cable and associated control box on one end, and a 3 mm shaft on the other end of the device. The shaft is approximately 12 cm long and equipped with an open channel that houses an oscillating blade.When the side channel is exposed to target tissue and the motor is activated, the oscillating blade will cut the tissue within the channel. Once cut, the tissue travels down the center of the 3mm shaft via suction coupled to the proximal end of the tissue removal device, and is trapped in a vacutainer bottle.
Primary Outcome Measure Information:
Title
Subject tolerance of procedure-related pain rated on an 11 point scale (0-10)
Time Frame
Immediately post treatment
Secondary Outcome Measure Information:
Title
Subject assessment of most severe post-procedural pain rated on an 11 point scale
Time Frame
Prior to subject discharge from office/day surgery unit
Title
Subject assessment of most severe pain experienced during 48 hours post procedure, rated on an 11 point scale
Time Frame
48 hours (+ 24 hours) post procedure

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy female between the ages of 18 and 65 Subject must be able to understand, read and sign the study specific informed consent forms after the nature of the study has been fully explained to her Subject is a pre-menopausal or peri-menopausal female, either nulliparous or parous Subject is indicated for myomectomy or polypectomy for benign pathology, based on hysteroscopic, ultrasound, or saline infused sonogram assessment within 60 days Subject exhibits intrauterine polyps and/or submucous myomas which meet one of the following criteria. In cases of subjects with multiple intrauterine pathology, classification is based as follows: All polyps A single Type 0 or Type 1 myoma ≤ 3 cm Polyps plus a single Type 0 or Type 1 myoma ≤ 3 cm Negative pregnancy test within 48 hours prior to planned index procedure and willing to use reliable birth control for the next 30 days. Reliable birth control is defined as a chemical or barrier method, including an oral contraceptive, injectable contraceptive, or the combination of a spermicide and condoms Exclusion Criteria: Known or suspected cancer, including breast, endometrial, and ovarian Subject has Type 2 myoma Contraindication and/or allergy to local anesthetic, or oral medications specified in the treatment protocol Subject has a history of chronic narcotic use Previous uterine artery embolization or other uterine artery occlusion procedure (Doppler or laparoscopic) Subject with blood borne pathogens-HIV, hepatitis B, CJD, etc. Subject plans to become pregnant within the study period Subject has an IUD at the time of the procedure. A subject may be enrolled in the study if the IUD is removed prior to the treatment procedure Subject is taking an anticoagulant or antiplatelet medication other than low dose aspirin Active pelvic inflammatory disease or pelvic/vaginal infection Subject has a known or suspected coagulopathy or bleeding disorder Subject has a history of unmanaged endocrine disease Subject has current or past, acute or chronic psychiatric disorder which, in the opinion of the Investigator, may preclude proper evaluation and follow-up Subject has history of auto-immune, inflammatory, or connective tissue disease Subject has a history of disease which increases the risk for fluid overload (i.e. significant cardiac, hepatic, or renal dysfunction) Uncontrolled hypertension lasting two years or more Use of any experimental drug or device within 30 days prior to the screening visit The subject has a terminal illness that may prevent the completion of any follow-up assessments Any employee or relative of an employee of the Sponsor company or any Investigator site employee or relative of employees working on the study Subject has other co-morbid condition(s) that, in the opinion of the Investigator, could limit the subject's ability to participate in the study or impact the scientific integrity of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrea Lukes, MD
Organizational Affiliation
Carolina Women's Research and Wellness Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Phoenix Gynecology Consultants
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
Florida Woman Care
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33431
Country
United States
Facility Name
Wayne State University
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Minnesota Gynecology and Surgery
City
Edina
State/Province
Minnesota
ZIP/Postal Code
55435
Country
United States
Facility Name
Carolina Women's Research and Wellness Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27713
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Comparative Sedation Study of the MyoSure Hysteroscopic Tissue Removal System

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