The NeuGuide™ System for Vaginal Colpopexy in the Treatment of Uterine Prolapse
The NeuGuide™ System for Vaginal Colpopexy in the Treatment of Uterine Prolapse Post-Market Surveillance Clinical Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Berlin-Tempelhof, Germany
- St. Joseph Krankenhaus
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Berlin-Zehlendorf, Germany, 14163
- Krankenhaus Waldfriede
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München, Germany
- Isar Kliniken GmbH
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Be'er Sheva, Israel
- Soroka Medical Center
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Medstar Health Research Institute
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Florida
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Fort Lauderdale, Florida, United States, 33364
- Holy Cross Hospital
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Weston, Florida, United States, 33331
- Cleveland Clinic Florida
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Massachusetts
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Cambridge, Massachusetts, United States, 02138
- Mount Auburn Hospital
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New York
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Brooklyn, New York, United States, 11220
- Maimonides Medical Center
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Valley Stream, New York, United States, 11580
- South Nassau Community Hospital Cancer Center
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Cleveland
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Pennsylvania
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Allentown, Pennsylvania, United States, 18103
- The Institute for Female Pelvic Medicine and Reconstructive Surgery
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Newtown, Pennsylvania, United States, 18940
- Female Pelvic Health Center
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Texas
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Dallas, Texas, United States, 75231
- Walnut Hill OB/GYN Associates
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Virginia
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Falls Church, Virginia, United States, 22046
- INOVA Women's Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient with POP-Q C point greater than (-) 1 cm.
- Patients who have previously had a partial hysterectomy in which the cervix is intact may be included in this study.
- Non-pregnant female (female of child bearing potential must have a negative pregnancy test).
- Patient understands the nature and potential hazards of the procedure and provides written informed consent prior to any study specific assessments.
- Patient is able to complete written questionnaires.
- Patient is willing and able to comply with the specified study requirements and follow-up assessments, and can be contacted by telephone.
Exclusion Criteria:
- Known diagnosis of reproductive tract abnormalities.
- Prior pelvic radiation therapy, any malignancy or active pelvic inflammatory disease.
- Known history of severe Pelvic Inflammatory Disease (PID).
- Prior total hysterectomy.
- Prior pelvic prolapse surgery using synthetic mesh.
- Pathological PAP in the past year.
- Moderate or severe bacterial cervicitis.
- Moderate or severe pelvic pain (> 3 on VAS).
- Severe morbid obesity (BMI >45).
- Temperature > 38°C (oral or equivalent), sepsis, or active infection requiring IV anti-microbial treatment.
- Significant cognitive impairment.
- Active malignancy other than non-melanoma skin cancer.
- Planned surgery (more than a minor one) in the next 30 days.
- Patient has a known hypersensitivity to device materials (Nickel, suture material).
- Moribund patient or patient with severe or deteriorating damage in critical body systems.
- Any condition that in the judgment of the investigators would interfere with the subject's ability to provide informed consent, comply with study instructions, place the subject at increased risk, or which might confound interpretation of study results.
- Concurrent enrollment in another device or drug trial that has not completed the primary endpoint or clinically interferes with the current study endpoints.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Subjects
Subjects who are undergoing surgical treatment for uterine prolapse will be included in the study and will be treated using the NeuGuide™ System.
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The NeuGuide™ device is indicated for anchoring sutures to ligaments of the pelvic floor.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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A composite of the Pelvic Organ Prolapse Quantification (POP-Q) C point score, patient-rated symptom of vaginal bulging after vaginal colpopexy performed using the NeuGuide™ and the absence of further surgical therapy for uterine prolapse.
Time Frame: 12 months
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Primary composite performance outcome
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12 months
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The number of device / procedure related Serious Adverse Events (SAE).
Time Frame: 30 days
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Primary safety of surgical implantation as reflected by adverse events
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30 days
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The number of Serious Adverse Events and Adverse Events.
Time Frame: 12 months
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Primary safety of NeuGuide treatment as reflected by adverse events
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12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in mean POP-Q C point score from baseline (cm).
Time Frame: one month
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Secondary anatomical performance of the NeuGuide treatment
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one month
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Change in mean POP-Q C point score from baseline (cm).
Time Frame: 6 months
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Secondary anatomical performance of the NeuGuide treatment
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6 months
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Change in mean POP-Q C point score from baseline (cm).
Time Frame: 12 months
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Secondary anatomical of the NeuGuide treatment
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12 months
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Change in mean POP-Q C point score from baseline (cm).
Time Frame: 24 months
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Secondary anatomical performance of the NeuGuide treatment outcome
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24 months
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Change in mean POP-Q C point score from baseline (cm).
Time Frame: 36 months
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Secondary anatomical performance of the NeuGuide treatment
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36 months
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Number of subjects who require surgical therapy of uterine prolapse or urinary incontinence.
Time Frame: 36 months
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Secondary performance: durability of the NeuGuide treatment
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36 months
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Number of subjects in whom the primary symptomatic reason for repair of prolapse persists.
Time Frame: 12 months
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Secondary symptomatic performance of the NeuGuide treatment
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12 months
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The time utilization of staff performing the NeuGuide procedure.
Time Frame: one month
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Secondary outcome: Cost performance of the procedure
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one month
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The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen
Time Frame: Baseline
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Secondary outcome: POP-Q Stage Score.
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Baseline
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The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen
Time Frame: one month
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Secondary outcome: POP-Q Stage Score.
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one month
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The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen
Time Frame: 12 months
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Secondary outcome: POP-Q Stage Score.
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12 months
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The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen
Time Frame: 24 months
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Secondary outcome: POP-Q Stage Score.
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24 months
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The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen
Time Frame: 36 months
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Secondary outcome: POP-Q Stage Score.
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36 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: James C Leiter, M.D., Avania
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 06-CLP-0098
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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