Efficacy and Dose Ranging Study of Seroguard

This is an interventional prevention trial for Adhesion focused on measuring Adhesion, Efficacy Read More

Inclusion Criteria:

1. Female patients aged from 18 to 45 years with the confirmed diagnosis of pelvic adhesions having indications for surgery (laparoscopic adhesiolysis).
2. Voluntarily and personally signed and dated Form of Informed Consent.
3. Female patients with pelvic adhesions confirmed by gynecological and ultrasound examination.

Exclusion Criteria:

1. Female patients having contraindications to surgical treatment (including acute or exacerbated chronical adnexal inflammation);
2. Body mass index of 30.0 kg/m2 and more;
3. Known hypersensitivity to the test drug components (Seroguard);
4. Pregnancy, breastfeeding or planning a pregnancy during the clinical trial;
5. Refusal to use effective contraception methods throughout the study;
6. Positive HIV, RW, HBV or HCV test result;
7. Alcohol abuse, drug addiction, and toxicomania (except smoking);
8. American Society of Anesthesiologists physical status category III and more (ASA);
9. Purulent process in the abdominal cavity;
10. Disseminated endometriosis;
11. WBC count more than 10*109/L at the complete blood count;
12. Need of using any drugs during the surgery other than 0.02% chlorhexidine aqueous solution throughout the surgery, as well as the test drug or the placebo (0.9% sodium chloride) administered intraperitoneally in the end of surgery.
13. Concomitant diseases that may require conversion of the surgical intervention by other indications;
14. Type I or II diabetes mellitus;
15. Deep vein thrombosis and/or PATE at the screening or in the medical history;
16. Renal impairment (glomerular filtration rate less than 60 mL/min/1.73 m2 assessed by the CKD-EPI equation);
17. Liver disorders defined as more than 2-fold rise of the upper limit of normal of one of the following enzymes: ALT, AST, GGTP, AP, or more than 2-fold total bilirubin increase;
18. Myocardial infarction within 6 months before screening;
19. Any concomitant diseases accompanied by heart failure;
20. Clinically significant ECG changes (as to the investigator's opinion);
21. Any concomitant diseases accompanied by respiratory failure;
22. Any oncological disease within 3 years before enrollment into the study;
23. Systemic inflammatory diseases;
24. Diseases associated with chronic hemorrhages;
25. Blood diseases (anemias of any origin, hemoglobinopathies, inherited and acquired coagulopathies, hemostasis disorders, thrombocytopenias, and thrombocytopathias, any hemoblastoses);
26. Any other disease that, in the investigator's opinion, may affect study results or present an additional threat to well-being of a patient after administration of the study drug;
27. Use of anticoagulants, antiaggregants (except for acetylsalicylic acid at the dose of less than 325 mg/day) at the moment of inclusion into the study or planning to do so during the study;
28. Use of drugs with pronounced hemato-, hepato-, or nephrotoxic action, drugs of biological origin;
29. Need to administer cytostatics, systemic glucocorticosteroids, and other immunosuppressive agents during the patient's participation in the study.
30. Participation in any other clinical trial within 30 days before screening;
31. Contraindications to MRI (presence of implants or implanted electronic devices);
32. Impossibility or inability to comply with the requirements of the protocol, including for physical, psychic or social reasons, in the investigator's opinion.