- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05836844
Pragmatic Evaluation of Performance and Safety of the Anchorsure® Transvaginal Device for Surgical Treatment of Apical Prolapse in Women (APAS)
APAS Study: Pragmatic Evaluation of the Performance and Safety of the Anchorsure System® Transvaginal Device for Surgical Treatment of Apical Prolapse in Women. A Post-market Multicentre Prospective Observational Cohort Study.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Renaud de TAYRAC, Professor
- Phone Number: +334 66 68 32 16
- Email: renaud.detayrac@chu-nimes.fr
Study Contact Backup
- Name: Anissa MEGZARI
- Phone Number: +334 66 68 42 36
- Email: drc@chu-nimes.fr
Study Locations
-
-
-
La Rochelle, France, 17000
- Recruiting
- La Rochelle General Hospital
-
Contact:
- Philippe Ferry, Doctor
-
Lille, France, 59000
- Recruiting
- Lille University Hospital
-
Contact:
- Michel Cosson, Professor
-
Paris, France, 94270
- Recruiting
- Kremlin-Bicêtre Hospital
-
Contact:
- Hervé Pr H Fernandez, Professor
-
Strasbourg, France, 67000
- Recruiting
- Clinique Sainte-Anne
-
Contact:
- David Hamid, Dr.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Women with pelvic organ prolapse with leading edge at or beyond the hymen as confirmed by the pelvic organ prolapse quantification system (POP-Q), i.e. Ba ≥ -1 cm for the anterior compartment, and/or Bp ≥ -1 cm for the posterior compartment, and/or C ≥ -1 cm for the apical compartment including recurrence.
- Women due for POP surgery using the Anchorsure System® for apical prolapse suspension with or without concomitant native tissue repair, with or without concomitant hysterectomy and with or without concomitant sling for stress urinary incontinence.
- All women who have not indicated any objection to participating in the study.
- All women who have been correctly informed.
Exclusion Criteria:
- Patient taking part or having taken part in a device or drug interventional study within the last three months (except for VIGI-MESH national registry).
- Patients due for pelvic organ prolapse repair without apical suspension or with anything other than native tissue repair and the Anchorsure System®.
- Patients with uncontrolled diabetes mellitus.
- Patients with active non-controlled or chronic gynaecologic or urinary tract infection and/or local tissue necrosis.
- Patients with ongoing pelvic organ cancer (e.g. uterine, ovarian, bladder, cervix …).
- Patients with a history of radiotherapy in the pelvic area.
- Patients on therapy with immunosuppressive or immunomodulatory treatment within the previous month.
- patients under ongoing oral anticoagulant therapy.
- Patients with stage 0 and 1 pelvic organ prolapse at the time of surgery
- Patients with a preoperative infection contraindicating the surgery
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Successful performance after sacrospinous fixation of the Anchorsure System®.
Time Frame: 12 months after fixation
|
YES /NO
|
12 months after fixation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Device or procedure-related adverse events: Daily Pain score
Time Frame: Day 0 to Day 30
|
All procedure-related adverse events and complications will be recorded using the Clavien-Dindo classification system with a one-month pain diary (filled in once a day using a visual analog scale of 0 to 10 for buttock pain;
|
Day 0 to Day 30
|
Device or procedure-related adverse events: Anchor palpability
Time Frame: 36 months after surgery
|
The anchor palpability score will be recorded regularly for up to 36 months after surgery.
|
36 months after surgery
|
Device or procedure-related adverse events: Abnormal findings on clinical examination
Time Frame: 36 months after surgery
|
All abnormal findings on clinical examination will be reported including suture exposure, anchor extrusion into another organ, perforation, organ or vascular or nerve injury/damage, fistula, bleeding including hematoma (requiring transfusion or not), thrombotic event, neuromuscular problems (including pain), pelvic discomfort or pain, de novo dyspareunia, infection (e.g.
vaginal, urinary tract infection), urinary tract complications including ureteric disorders, urinary retention requiring drainage > 48h, urge symptoms or incontinence (worsening or de novo), de novo constipation or faecal incontinence.
Incidences of adverse events will be determined overall, by type of adverse event, severity, compartment and type of sacrospinous suspension (uni versus bilateral and anterior versus posterior).
|
36 months after surgery
|
Type of sacrospinous fixation technique used
Time Frame: Day 0
|
The type of sacrospinous fixation technique used: uni/bilateral, anterior/posterior will be recorded
|
Day 0
|
Success of the intervention
Time Frame: 36 months after surgery
|
Success is defined as per primary objective and assessed at 36 months after surgery; compartments treated: anterior, apical, posterior, total; type of prolapse: primary or recurrent prolapse.
|
36 months after surgery
|
Complications/adverse events
Time Frame: 36 months after surgery
|
Collection of all complications/adverse events up to 36 months after surgery.
|
36 months after surgery
|
Severity of adverse events
Time Frame: 36 months after surgery
|
Determination of the level of severity of the adverse event: mild, moderate, severe.
|
36 months after surgery
|
Compartments treated
Time Frame: 36 months after surgery
|
Compartments treated: anterior, apical, posterior, total; type of sacrospinous suspension: uni/bilateral, anterior/posterior.
|
36 months after surgery
|
Potential risk factors for the success/failure of the treatment at baseline: Age
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: The patient's age will be recorded
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Body Mass Index
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: the patient's Body Mass Index will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Previous history of pelvic surgery
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: Any history of pelvic surgery will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Chronic constipation
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: Any history of chronic constipation will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Chronic pulmonary conditions
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: Any history of chronic pulmonary conditions will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Vaginal compartment
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: Details of the patient's vaginal compartment will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Type of prolapse
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: The type of prolapse (recurrent or primary) will be recorded.
|
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Pelvic organ Prolapse Q grade
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: the patient's Pelvic Organ Prolapse (POPQ) grade will be recorded 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 Stage 2 the most distal portion of the prolapse is 1 cm or less proximal or distal to the hymenal plane Stage 3 the most distal portion of the prolapse protrudes more than 1 cm below the hymen but protrudes no farther than 2 cm less than the total vaginal length (for example., not all of the vagina has prolapsed) Stage 4 vaginal eversion is essentially complete |
Day 0
|
Potential risk factors for the success/failure of the treatment at baseline: Concomitant surgery
Time Frame: Day 0
|
Collection of potential risk factors for the success/failure of the treatment at baseline: details of any concomitant surgery will be recorded.
|
Day 0
|
Potential risk factors for the occurrence of complications: Age
Time Frame: Day 0
|
The patient's age will be recorded in years
|
Day 0
|
Potential risk factors for the occurrence of complications: Body Mass Index
Time Frame: Day 0
|
The patient's body mass index (BMI) will be calculated and recorded.
The formula is BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared.
|
Day 0
|
Potential risk factors for the occurrence of complications: Smoking.
Time Frame: Day 0
|
The patient's smoking status will be recorded (Regular smoker/Weaned/Number of cigarettes per day/week).
|
Day 0
|
Potential risk factors for the occurrence of complications: Sexual intercourse.
Time Frame: Day 0
|
The frequency of the patient's sexual intercourse will be recorded.
|
Day 0
|
Potential risk factors for the occurrence of complications: concomitant surgery
Time Frame: Day 0
|
All details of any concomitant surgery in non-target compartment, other concomitant surgery i.e. hysterectomy, mid uretral sling for SUI, etc…will be recorded.
|
Day 0
|
Evolution of the PFDI-20 quality of life score
Time Frame: Day 0
|
The Pelvic Floor Distress inventory (PFDI) includes 20 questions.
Each question begins with a "yes" or "no" response.
If "yes," the patient must indicate how much bowl, bladder, or pelvic symptoms have been bothering them in the past 3 months on a 4-point scale that ranges from "not at all" (0) to "quite a bit" (4).
The scale scores are found individually by calculating the mean value of their corresponding questions and then multiplying by 25 to obtain a value that ranges from 0 to 100.
The sum of the 3 scales are added together to get the PFDI-20 summary score, which ranges from 0 to 300.
|
Day 0
|
Evolution of the PFDI-20 quality of life score
Time Frame: Up to 36 months after surgery.
|
The Pelvic Floor Distress inventory (PFDI) includes 20 questions.
Each question begins with a "yes" or "no" response.
If "yes," the patient must indicate how much bowl, bladder, or pelvic symptoms have been bothering them in the past 3 months on a 4-point scale that ranges from "not at all" (0) to "quite a bit" (4).
The scale scores are found individually by calculating the mean value of their corresponding questions and then multiplying by 25 to obtain a value that ranges from 0 to 100.
The sum of the 3 scales are added together to get the PFDI-20 summary score, which ranges from 0 to 300.
|
Up to 36 months after surgery.
|
Evolution of quality of life scores : PFIQ-7
Time Frame: Day 0
|
The Pelvic Floor Impact Questionnaire-7 (PFIQ-7), a shortened, less comprehensive version of the Pelvic Floor Impact Questionnaire (PFIQ), is a questionnaire about the social impact of the patient's pelvic floor disorders.
It consistś of 7 questions and 3 columns, with each question addressing the impact of urinary symptoms, digestive symptoms, and symptoms directly related to prolapse.
|
Day 0
|
Evolution of quality of life scores : PFIQ-7
Time Frame: Up to 36 months after surgery.
|
The Pelvic Floor Impact Questionnaire-7 (PFIQ-7), a shortened, less comprehensive version of the Pelvic Floor Impact Questionnaire (PFIQ), is a questionnaire about the social impact of the patient's pelvic floor disorders.
It consistś of 7 questions and 3 columns, with each question addressing the impact of urinary symptoms, digestive symptoms, and symptoms directly related to prolapse.
|
Up to 36 months after surgery.
|
Evolution of quality of life scores : PISQ-IR
Time Frame: Day 0
|
The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, Revised by the International UroGynocological Association (PISQ-IR) is a disease-specific tool for evaluating the sexual function in women with pelvic floor disorders.
It is useful in screening for sexual disorders in women with Urinary Incontinence (UI), pelvic organ prolapse (POP), and anal incontinence.
It is used to assess the impact of pelvic floor disorders on female sexual activity and inactivity.
|
Day 0
|
Evolution of quality of life scores : PISQ-IR
Time Frame: Up to 36 months after surgery.
|
The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, Revised by the International UroGynocological Association (PISQ-IR) is a disease-specific tool for evaluating the sexual function in women with pelvic floor disorders.
It is useful in screening for sexual disorders in women with Urinary Incontinence (UI), pelvic organ prolapse (POP), and anal incontinence.
It is used to assess the impact of pelvic floor disorders on female sexual activity and inactivity.
|
Up to 36 months after surgery.
|
Patient satisfaction
Time Frame: Up to 36 months after surgery.
|
Patient satisfaction will be recorded on a Visual Analog Scale with scores ranging from 0= Extremely Dissatisfied to 6= Extremely Satisfied.
|
Up to 36 months after surgery.
|
Global impression of improvement (PGI-I)
Time Frame: Up to 36 months after surgery
|
The Patient Global impression of improvement (PGI-I) is a scale to describes how the patient's post-operative condition is compared with how it was before surgery: Very much better = 1, Much better = 2, A little better = 3, No change = 4, A little worse = 5, Much worse = 6, Very much worse = 7 |
Up to 36 months after surgery
|
Frequency of revision and/or surgical re-intervention
Time Frame: Up to 36 months
|
The frequency of revision and/or surgical re-intervention including anti-incontinence surgery after sacrospinous suspension will be recorded
|
Up to 36 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IDIL/2022/RdT01 2023-A00289-36
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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