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Clinical Performance of GYNECARE PROSIMA* Pelvic Floor Repair System for Symptomatic Pelvic Organ Prolapse

Primary Purpose

Pelvic Organ Prolapse, Stage II-III

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Procedure: GYNECARE PROSIMA* Pelvic Floor Repair System
Sponsored by
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pelvic Organ Prolapse

Eligibility Criteria

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

Inclusion Criteria:

  • Candidates with symptomatic pelvic organ prolapse of ICS POP-Q Stage II or III, suitable for surgical repair. Vaginal hysterectomy and mid-urethral sling procedures for incontinence may be performed concurrently.
  • Age ≥ 18 years.
  • Agrees to participate in the study, including completion of all study-related procedures, evaluations and questionnaires, and documents this agreement by signing the Ethics Committee approved informed consent.

Exclusion Criteria:

  • Additional surgical intervention concurrent to the procedure (e.g. sacrocolpopexy, paravaginal repair, tubal sterilisation).
  • Previous repair of pelvic organ prolapse involving insertion of mesh.
  • Previous hysterectomy within 6 months of scheduled surgery.
  • Experimental drug or experimental medical device within 3 months prior to the planned procedure.
  • Active genital, urinary or systemic infection at the time of the surgical procedure. Surgery may be delayed in such subjects until the infection is cleared.
  • Coagulation disorder or on therapeutic anticoagulant therapy at the time of surgery.
  • History of chemotherapy or pelvic radiation therapy.
  • Systemic disease known to affect bladder or bowel function (e.g. Parkinson's disease, multiple sclerosis, spinal cord injury or trauma).
  • Current evaluation or treatment for chronic pelvic pain (e.g. interstitial cystitis, endometriosis, coccydynia, vulvodynia).
  • Nursing or pregnant or intends future pregnancy.
  • Chronic cough not well-controlled.
  • BMI≥30.
  • In the investigator's opinion, any medical condition or psychiatric illness that could potentially be life threatening or affect their ability to complete the study visits according to this protocol.

Sites / Locations

  • Fujian Provincial Hospital
  • The First Affiliated Hospital of Fujian Medical University
  • Xiamen First Hospital Affiliated to Xiamen UniversityRecruiting
  • The First People's Hospital of Foshan
  • The First Hospital of Sun Yat-sen University
  • The First Affiliated Hospital of Guangzhou Medical College
  • Peking University Shenzhen HospitalRecruiting
  • The First Affiliated Hospital of Harbin Medical University
  • The People's Hospital of Hubei Provincial
  • The Third Hospital of Wuhan
  • The Second Hospital of Xiangya,Central South UniversityRecruiting
  • The First Hospital Affiliated to Nanjing Medical University
  • Wuxi Maternal and Child Health Hospital, Nanjing Medical UniversityRecruiting
  • Affiliated Shengjing Hospital of China Medical UniversityRecruiting
  • The Second Affiliated Hospital, Shandong University
  • West China Hospital, Sichuan UniversityRecruiting
  • West China Second Hospital of Sichuan University
  • Sichuan Provincial People's Hospital
  • The Fifth People' Hospital of Chengdu
  • Mianyang Central HospitalRecruiting
  • Beijing Chaoyang Hospital Affiliated to Capital University of Medical SciencesRecruiting
  • The First Affiliated Hospital of Chinese PLA General HospitalRecruiting
  • Beijing Hospital
  • Peking Union Medical College HospitalRecruiting
  • The First Hospital of Chongqing Medical University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PROSIMA group

Arm Description

Reconstructive surgeries with GYNECARE PROSIMA* were performed in all patients.

Outcomes

Primary Outcome Measures

Anatomical improvement according to POP-Q score.
Anatomical improvement according to POP-Q score.
Anatomical improvement according to POP-Q score.
Anatomical improvement according to POP-Q score.
Anatomical improvement according to POP-Q score.

Secondary Outcome Measures

Hospital data including operative time, estimated blood loss, length of stay, maximum temperature, time of voiding recovery.
Pain score measured using Visual Analog Scale (VAS).
Discomfort of balloon removal, measured using VAS at time of removal.
Subject discomfort of VSD by VAS.
Presence/absence of complications (composite score)
The occurrence (in the per-operative phase or within 6 weeks post-op) of at least one of the following: 1) bleeding complications; 2) infectious complications; 3) any wound caused by a surgeon movement: bladder, ureteral, or vascular injuries; 4)medical complications: deep vein thrombosis, pulmonary embolism and etc. Complications will be categorized using the Dindo surgical complication grading scale.
Change from baseline in PFIQ-7 scores.
In subjects sexually active at baseline, assessment of sexual function using PISQ-12 (mean scores and change from baseline).
Subject global impression assessed on a 5 point Likert scale.
Presence/absence of complications (composite score)
Long-term negative outcomes of the surgical procedure will also be recorded until 3 years after surgery. For example, mesh erosion, de novo urinary incontinence, de novo dyspareunia and overall failure rate. Complications will be categorized using the Dindo surgical complication grading scale.

Full Information

First Posted
July 13, 2011
Last Updated
December 25, 2012
Sponsor
Peking Union Medical College Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01396122
Brief Title
Clinical Performance of GYNECARE PROSIMA* Pelvic Floor Repair System for Symptomatic Pelvic Organ Prolapse
Official Title
A Prospective, Multicenter Study to Evaluate the Clinical Performance of the GYNECARE PROSIMA* Pelvic Floor Repair System as a Procedure for Symptomatic POP-Q Stage II-III Pelvic Organ Prolapse
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Unknown status
Study Start Date
March 2011 (undefined)
Primary Completion Date
March 2016 (Anticipated)
Study Completion Date
March 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking Union Medical College Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and effectiveness of the GYNECARE PROSIMA* Pelvic Floor Repair System as a Device in Women with Symptomatic Pelvic Organ Prolapse.
Detailed Description
The GYNECARE PROSIMA* system is a new technique and now available in China. It provides a simplified unanchored mesh repair, making surgery much simpler to perform and reduces the risk of the specific complications that may occur when tunneling devices beyond the pelvic cavity. In clinical practice, many women have symptomatic prolapse, which requires surgical correction. They are relatively young, and therefore care more about the long-term outcomes and quality of life after procedure. The purpose of this multicenter and prospective study is to evaluate the effectiveness and safety of the GYNECARE PROSIMA* system in the treatment of symptomatic POP-Q Stage II-III pelvic organ prolapse.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pelvic Organ Prolapse, Stage II-III

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PROSIMA group
Arm Type
Experimental
Arm Description
Reconstructive surgeries with GYNECARE PROSIMA* were performed in all patients.
Intervention Type
Procedure
Intervention Name(s)
Procedure: GYNECARE PROSIMA* Pelvic Floor Repair System
Intervention Description
Perform surgery with GYNECARE PROSIMA* Pelvic Floor Repair System. Vaginal hysterectomy or mid-urethral sling procedure for incontinence could be performed concurrently.
Primary Outcome Measure Information:
Title
Anatomical improvement according to POP-Q score.
Time Frame
4 weeks
Title
Anatomical improvement according to POP-Q score.
Time Frame
6 months
Title
Anatomical improvement according to POP-Q score.
Time Frame
12 months
Title
Anatomical improvement according to POP-Q score.
Time Frame
2 years
Title
Anatomical improvement according to POP-Q score.
Time Frame
3 years
Secondary Outcome Measure Information:
Title
Hospital data including operative time, estimated blood loss, length of stay, maximum temperature, time of voiding recovery.
Time Frame
At discharge, an expected average of 5 days after operation.
Title
Pain score measured using Visual Analog Scale (VAS).
Time Frame
24 hours after surgery and postoperation visit at the 3-4 weeks.
Title
Discomfort of balloon removal, measured using VAS at time of removal.
Time Frame
24 hours after surgery.
Title
Subject discomfort of VSD by VAS.
Time Frame
postoperation visit at 3-4 weeks.
Title
Presence/absence of complications (composite score)
Description
The occurrence (in the per-operative phase or within 6 weeks post-op) of at least one of the following: 1) bleeding complications; 2) infectious complications; 3) any wound caused by a surgeon movement: bladder, ureteral, or vascular injuries; 4)medical complications: deep vein thrombosis, pulmonary embolism and etc. Complications will be categorized using the Dindo surgical complication grading scale.
Time Frame
Up to 6 weeks.
Title
Change from baseline in PFIQ-7 scores.
Time Frame
6 months, 12 months, 2 years and 3 years.
Title
In subjects sexually active at baseline, assessment of sexual function using PISQ-12 (mean scores and change from baseline).
Time Frame
6 months, 12 months, 2 years and 3 years.
Title
Subject global impression assessed on a 5 point Likert scale.
Time Frame
6 months, 12 months, 2 years and 3 years.
Title
Presence/absence of complications (composite score)
Description
Long-term negative outcomes of the surgical procedure will also be recorded until 3 years after surgery. For example, mesh erosion, de novo urinary incontinence, de novo dyspareunia and overall failure rate. Complications will be categorized using the Dindo surgical complication grading scale.
Time Frame
Up to 3 years.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Candidates with symptomatic pelvic organ prolapse of ICS POP-Q Stage II or III, suitable for surgical repair. Vaginal hysterectomy and mid-urethral sling procedures for incontinence may be performed concurrently. Age ≥ 18 years. Agrees to participate in the study, including completion of all study-related procedures, evaluations and questionnaires, and documents this agreement by signing the Ethics Committee approved informed consent. Exclusion Criteria: Additional surgical intervention concurrent to the procedure (e.g. sacrocolpopexy, paravaginal repair, tubal sterilisation). Previous repair of pelvic organ prolapse involving insertion of mesh. Previous hysterectomy within 6 months of scheduled surgery. Experimental drug or experimental medical device within 3 months prior to the planned procedure. Active genital, urinary or systemic infection at the time of the surgical procedure. Surgery may be delayed in such subjects until the infection is cleared. Coagulation disorder or on therapeutic anticoagulant therapy at the time of surgery. History of chemotherapy or pelvic radiation therapy. Systemic disease known to affect bladder or bowel function (e.g. Parkinson's disease, multiple sclerosis, spinal cord injury or trauma). Current evaluation or treatment for chronic pelvic pain (e.g. interstitial cystitis, endometriosis, coccydynia, vulvodynia). Nursing or pregnant or intends future pregnancy. Chronic cough not well-controlled. BMI≥30. In the investigator's opinion, any medical condition or psychiatric illness that could potentially be life threatening or affect their ability to complete the study visits according to this protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lan Zhu
Phone
86-10-65296238
Email
zhu_julie@vip.sina.com
First Name & Middle Initial & Last Name or Official Title & Degree
Juan Chen
Phone
86-13521354364
Email
pumchcj@sina.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lan Zhu
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fujian Provincial Hospital
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350001
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350005
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Xiamen First Hospital Affiliated to Xiamen University
City
Xiamen
State/Province
Fujian
ZIP/Postal Code
361004
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Na-xuan Qiu
Phone
13906011647
Email
qnx1106@sina.com
First Name & Middle Initial & Last Name & Degree
Na-xuan Qiu
Facility Name
The First People's Hospital of Foshan
City
Foshan
State/Province
Guangdong
ZIP/Postal Code
528000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gang Wang
Phone
86-13929928768
Email
Wallace1971@163.com
First Name & Middle Initial & Last Name & Degree
Gang Wang
Facility Name
The First Hospital of Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510080
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The First Affiliated Hospital of Guangzhou Medical College
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510120
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Peking University Shenzhen Hospital
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518036
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rui-fang Wu
Phone
86-13827433039
Email
Wurf100@126.com
First Name & Middle Initial & Last Name & Degree
Huan Li
Phone
86-13828700921
Email
szbdlh@163.com
First Name & Middle Initial & Last Name & Degree
Rui-fang Wu
Facility Name
The First Affiliated Hospital of Harbin Medical University
City
Harbin
State/Province
Heilongjiang
ZIP/Postal Code
150001
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The People's Hospital of Hubei Provincial
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430060
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The Third Hospital of Wuhan
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430060
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The Second Hospital of Xiangya,Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guang-shi Tao
Phone
86-13574850167
Email
taoguangshi@yahoo.com.cn
First Name & Middle Initial & Last Name & Degree
Guang-shi Tao
Facility Name
The First Hospital Affiliated to Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210006
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Wuxi Maternal and Child Health Hospital, Nanjing Medical University
City
Wuxi
State/Province
Jiangsu
ZIP/Postal Code
214002
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jian Gong
Phone
86-13812074116
Email
gongjianwx@126.com
First Name & Middle Initial & Last Name & Degree
Jian Gong
Facility Name
Affiliated Shengjing Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110004
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhi-jun Xia
Phone
86-13840118800
Email
xiazhijunhosp2@sina.com
First Name & Middle Initial & Last Name & Degree
Qing Hu
Phone
86-18940255559
Email
huq@sj-hospital.org
First Name & Middle Initial & Last Name & Degree
Zhi-jun Xia
Facility Name
The Second Affiliated Hospital, Shandong University
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250033
Country
China
Individual Site Status
Active, not recruiting
Facility Name
West China Hospital, Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hong Shen
Phone
86-18980601433
Email
shen1177@163.com
First Name & Middle Initial & Last Name & Degree
Hong Shen
Facility Name
West China Second Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Sichuan Provincial People's Hospital
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610072
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The Fifth People' Hospital of Chengdu
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
611130
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Mianyang Central Hospital
City
Mianyang
State/Province
Sichuan
ZIP/Postal Code
621000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yong Zhang
Phone
86-13808110138
Email
Zhangyong1215@gmail.com
First Name & Middle Initial & Last Name & Degree
Yong Zhang
Facility Name
Beijing Chaoyang Hospital Affiliated to Capital University of Medical Sciences
City
Beijing
ZIP/Postal Code
100020
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhenyu Zhang
Phone
86-13801237287
Email
Zhenyuzhang2000@yahoo.com
First Name & Middle Initial & Last Name & Degree
Hong Wang
Phone
86-13683690370
First Name & Middle Initial & Last Name & Degree
Zhenyu Zhang
Facility Name
The First Affiliated Hospital of Chinese PLA General Hospital
City
Beijing
ZIP/Postal Code
100048
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yong-xian Lu
Phone
86-13520476024
Email
Yongxianlu@sina.com
First Name & Middle Initial & Last Name & Degree
Yong-xina Lu
Facility Name
Beijing Hospital
City
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Peking Union Medical College Hospital
City
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lan Zhu
Phone
86-10-65296238
Email
zhu_julie@vip.sina.com
First Name & Middle Initial & Last Name & Degree
Juan Chen
Phone
86-13521354364
Email
pumchcj@sina.com
First Name & Middle Initial & Last Name & Degree
Lan Zhu
Facility Name
The First Hospital of Chongqing Medical University
City
Chongqin
ZIP/Postal Code
400016
Country
China
Individual Site Status
Active, not recruiting

12. IPD Sharing Statement

Learn more about this trial

Clinical Performance of GYNECARE PROSIMA* Pelvic Floor Repair System for Symptomatic Pelvic Organ Prolapse

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