- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06024109
Performance of SYMMCORA® vs. V-Loc® Suture Material in Patients Undergoing Laparoscopic Total Hysterectomy (BARHYSTER)
Prospective, International, Randomized, Multicentric, Controlled Study on the Performance of SYMMCORA® Mid-term Unidirectional Barbed Suture Versus V-loc® Suture Material in Patients Undergoing Laparoscopic Total Hysterectomy
The aim of this study is to show the superiority of the new unidirectional barbed suture (SYMMCORA® mid-term, unidirectional) to conventional suture material in terms of time to perform the vaginal cuff closure during gynecologic surgeries without an increase in the complication rate.
Secondly, the superiority of SYMMCORA®, mid-term unidirectional compared to the V-Loc®, unidirectional will be assessed regarding the mean time to close the vaginal cuff. The study will be performed in routine clinical setting, the only difference will be the randomization into two different suture groups. Both suture materials which will be applied to approximate the vaginal cuff are approved and carrying the CE-marks. Additionally, both sutures will be applied in their intended use. Neither additional invasive measures nor additional burden in regard to the patient will be performed.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Petra Baumann
- Phone Number: 1646 +49746195
- Email: petra.baumann@aesculap.de
Study Locations
-
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Hessen
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Frankfurt/Main, Hessen, Germany, 60594
- Recruiting
- Klinikum Sachsenhausen der DGD
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Contact:
- Amadeus Hornemann, Prof. Dr.
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Principal Investigator:
- Amadeus Hornemann, Prof. Dr.
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-
-
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Barcelona
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Manresa, Barcelona, Spain, 08243
- Not yet recruiting
- Hospital Sant Joan de Déu de Manresa
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Sub-Investigator:
- Arantxa Monteils Llabenia, Dra.
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Contact:
- Lourdes Hinojosa Sánchez, Dra.
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Principal Investigator:
- Lourdes Hinojosa Sánchez, Dra.
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Sub-Investigator:
- Núria Grané Garcia, Dra
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Sub-Investigator:
- Carmen Bergos Sorolla, Dra.
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Females undergoing an elective, laparoscopic total hysterectomy
- Age ≥ 18 years
- Written informed consent
Exclusion Criteria:
- Emergency surgery
- Open surgery
- Patients undergone immunosuppressive drug treatment within the prior 6 months
- Patients with hypersensitivity or allergy to the suture material.
- Participation in another clinical study
- Non-compliance of patient
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
SYMMCORA®
Barbed suture SYMMCORA® used for the vaginal cuff closure in female patients undergoing total laparoscopic hysterectomy.
The product under investigation and the comparator suture material will be used in routine clinical practice and according to the Instructions for Use (IfU).
|
Closure of the vaginal cuff in patients undergoing laparoscopic total hysterectomy.
The product under investigation and the comparator suture material will be used in routine clinical practice and according to the Instructions for Use (IfU).
Other Names:
|
V-Loc®
Barbed suture V-Loc® used for the vaginal cuff closure in female patients undergoing total laparoscopic hysterectomy.
The product under investigation and the comparator suture material will be used in routine clinical practice and according to the Instructions for Use (IfU).
|
Closure of the vaginal cuff in patients undergoing laparoscopic total hysterectomy.
The product under investigation and the comparator suture material will be used in routine clinical practice and according to the Instructions for Use (IfU).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Suturing time to close the vaginal cuff
Time Frame: intraoperatively
|
Measured in Minutes.
Time to perform the vaginal cuff closure after laparoscopic total hysterectomy using a stop watch.
Time starts when the needle passes the first time the tissue and ends after completion of the wound closure (cut of the needle from the thread).
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intraoperatively
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients with early complications
Time Frame: at discharge (up to 10 days after surgery)
|
Documented early complications include Hemoglobin drop and Fever more than 38°C within 48 hours
|
at discharge (up to 10 days after surgery)
|
Number of patients with complications over the study period
Time Frame: at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
|
Documented complications include Vaginal cuff infection, Vaginal cuff dehiscence (Defined as a visually confirmed partial or complete opening of the vaginal stump with or without visceral organ herniation), Vaginal cuff granulation formation, Pelvic Abscess Formation, Hematoma, Vaginal spotting (defined as bloody vaginal discharge that did not require extraordinary procedures or medication and disappeared spontaneously.
(Days of postoperative bleeding, Number of pads / tampons used), Vaginal bleeding (Defined as postoperative vaginal stump bleeding that required additional stump suture to stop bleeding.
(Days of postoperative bleeding, number of pads / tampons used), Urinary tract infection, Bladder injury, Ureter injury, Bowel obstruction, Ileus, Cystitis and Pelvic Adhesions.
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at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Number of patients with device deficiencies over the study period
Time Frame: intraoperatively, at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Documented device deficiencies include Suture rupture, Knots in the thread, Connection between needle and thread not intact and Disconnection of the anchor from the thread
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intraoperatively, at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Patient satisfaction (VAS 0-100) over time
Time Frame: at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
|
The patient's self assessment of her satisfaction with the surgery.
This parameter will be noted using the Visual Analogue Scale (VAS), represented by a line 10 cm of length, which states "0" at one end representing "low" and "100" at the opposite end representing "high".
The value is measured in [mm] with a ruler and documented in whole numbers.
|
at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
|
Progress of Female Sexual Function Index (FSFI) compared to baseline
Time Frame: Preoperatively (baseline), at follow-up visits 6-8 weeks postoperatively and 6 months postoperatively
|
The Female Sexual Function Index (FSFI) is a 19-item, self-report measure of female sexual function that provides scores on overall levels of sexual function as well as the primary components of sexual function in women, including sexual desire, arousal, orgasm, pain, and satisfaction.
The 19 items of the FSFI use a 5-point Likert scale ranging from 1-5 with higher scores indicating greater levels of sexual functioning on the respective item.
(0 points in some cases for items that are not applicable).
To score the measure, the sum of each domain score is first multiplied by a domain factor ratio (0.6 for desire; 0.3 for arousal and lubrication; 0.4 for orgasm, satisfaction and pain) in order to place all domain totals on a more comparable scale, and then subsequently summed to derive a total FSFI score.
The domain scores range from 1.2 - 6, the overall score ranges from 7.2 - 36.
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Preoperatively (baseline), at follow-up visits 6-8 weeks postoperatively and 6 months postoperatively
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Overall operation time
Time Frame: intraoperatively
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From the first cut to the end of the surgery
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intraoperatively
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Cost of treatment
Time Frame: at discharge (approximately 10 days after surgery)
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Calculation using the length of hospitalization (days until discharge), suturing time, suture costs and needed transfusions)
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at discharge (approximately 10 days after surgery)
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Length of postoperative hospital stay
Time Frame: at discharge (approximately 10 days after surgery)
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calculated by subtracting the surgery date from the date of discharge
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at discharge (approximately 10 days after surgery)
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Progress of Patient's abdominal pain (VAS 0-100) compared to baseline
Time Frame: preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
|
The patient's self assessment of her abdominal pain.
This parameter will be noted using the Visual Analogue Scale (VAS), represented by a line 10 cm of length, which states "0" at one end representing "no pain" and "100" at the opposite end representing "heavy pain".
The value is measured in [mm] with a ruler and documented in whole numbers
|
preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Progress of Patient's pelvic pain (VAS 0-100) compared to baseline
Time Frame: preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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The patient's self assessment of her pelvic pain.
This parameter will be noted using the Visual Analogue Scale (VAS), represented by a line 10 cm of length, which states "0" at one end representing "no pain" and "100" at the opposite end representing "heavy pain".
The value is measured in [mm] with a ruler and documented in whole numbers
|
preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Progress of Patient's lumbar pain (VAS 0-100) compared to baseline
Time Frame: preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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The patient's self assessment of her lumbar pain.
This parameter will be noted using the Visual Analogue Scale (VAS), represented by a line 10 cm of length, which states "0" at one end representing "no pain" and "100" at the opposite end representing "heavy pain".
The value is measured in [mm] with a ruler and documented in whole numbers
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preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
|
Progress of General Health Status compared to baseline
Time Frame: preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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The patient's self assessment of her general health status.
Health status is based on assessment of the patient to the question, "Would you say your health in general is...:" The options are excellent / very good / good / fair / poor
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preoperatively (baseline) and at discharge (up to 10 days after surgery), 6-8 weeks postoperatively, 6 months postoperatively
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Patient assessment of postoperative Dyspareunia
Time Frame: at both follow-up visits (6-8 weeks postoperatively and 6 months postoperatively)
|
Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse.
The patient answers with yes or no.
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at both follow-up visits (6-8 weeks postoperatively and 6 months postoperatively)
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Assessment of the handling of the barbed suture (SYMMCORA®)
Time Frame: intraoperatively
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Assessment of the handling of the unidirectional barbed suture (SYMMCORA®) intra-operatively including eleven different dimensions (pliability, Pass-through, traumaticity, anchoring capacity, safety of closure, locking system size, locking system deployment, locking system unbarbed area, locking system safety of closure, atraumaticity, wound closure approximation) and an overall impression with 5 evaluations levels (excellent, very good, good, satisfied, poor).
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intraoperatively
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Assessment of the handling of the barbed suture (SYMMCORA®) compared to conventional suture
Time Frame: intraoperatively
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Assessment of the handling of the barbed suture (SYMMCORA®) compared to conventional suture regarding degree of difficulties and the ease of handling.
(Likert Scale: strongly agree, agree, neither agree nor disagree, disagree, strongly disagree).
|
intraoperatively
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Assessment of the handling of the barbed suture (SYMMCORA®) compared to barbed suture (V-Loc)
Time Frame: intraoperatively
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Assessment of the barbed suture (SYMMCORA®) compared to barbed suture (V-Loc®) regarding smoothness, suppleness, traumaticity of the thread, the handling, the opening of the package and the overall opinion (Likert Scale: worse, equal, better).
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intraoperatively
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Amadeus Hornemann, Prof. Dr., Klinikum Sachsenhausen der DGD
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
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Genital Neoplasms, Female
- Uterine Diseases
- Adnexal Diseases
- Hemorrhage
- Pathological Conditions, Anatomical
- Fallopian Tube Diseases
- Pelvic Organ Prolapse
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Endometriosis
- Fallopian Tube Neoplasms
- Prolapse
- Endometrial Neoplasms
- Uterine Neoplasms
- Uterine Hemorrhage
- Uterine Prolapse
Other Study ID Numbers
- AAG-O-H-2001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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