Trial Outcomes & Findings for Pelvic Floor Repair Systems for Prolapse Repair (NCT NCT00638235)

NCT ID: NCT00638235

Last Updated: 2016-10-28

Results Overview

Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Recruitment status

COMPLETED

Target enrollment

725 participants

Primary outcome timeframe

12-months

Results posted on

2016-10-28

Participant Flow

Phases duration: Phase I: May 2006 - Oct 2009 Phase II: Feb 2007 - Jun 2010 Phase III/IV: Apr 2007 - May 2010 Phase V: Apr 2008 - Jan 2011 Phase VI: Oct 2008 - Mar 2010 Phase VII: Apr 2009 - Feb 2012

Only those subjects who meet all study criteria, provide written consent and are implanted with an AMS PFR System device for prolapse repair will be considered evaluable for analysis in the study

Participant milestones

Participant milestones
Measure
Phase I (IntePro, US Only)
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, for Study Use Only, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Overall Study
STARTED
141
26
81
56
55
139
23
35
142
Overall Study
COMPLETED
110
23
63
46
42
113
23
34
124
Overall Study
NOT COMPLETED
31
3
18
10
13
26
0
1
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase I (IntePro, US Only)
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, for Study Use Only, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Overall Study
Lost to Follow-up
31
3
18
10
13
26
0
1
18

Baseline Characteristics

Pelvic Floor Repair Systems for Prolapse Repair

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, For PROPEL Study Use Only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Total
n=698 Participants
Total of all reporting groups
Age, Continuous
59.7 years
STANDARD_DEVIATION 12.2 • n=5 Participants
63.4 years
STANDARD_DEVIATION 9.0 • n=7 Participants
69.7 years
STANDARD_DEVIATION 10.9 • n=5 Participants
63.4 years
STANDARD_DEVIATION 11.1 • n=4 Participants
63.3 years
STANDARD_DEVIATION 11.8 • n=21 Participants
62.5 years
STANDARD_DEVIATION 11.6 • n=8 Participants
63.4 years
STANDARD_DEVIATION 9.6 • n=8 Participants
65.4 years
STANDARD_DEVIATION 8.4 • n=24 Participants
63.9 years
STANDARD_DEVIATION 9.8 • n=42 Participants
NA years
STANDARD_DEVIATION 0 • n=42 Participants
Sex: Female, Male
Female
141 Participants
n=5 Participants
26 Participants
n=7 Participants
81 Participants
n=5 Participants
56 Participants
n=4 Participants
55 Participants
n=21 Participants
139 Participants
n=8 Participants
23 Participants
n=8 Participants
35 Participants
n=24 Participants
142 Participants
n=42 Participants
698 Participants
n=42 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants

PRIMARY outcome

Timeframe: 12-months

Population: Analysis conducted only for those subjects with posterior vaginal wall prolapse \>= stage II at baseline. Where a "zero" is indicated, no subjects meeting this criteria were enrolled.

Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=117 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=120 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS (International Incontinence Society) POP-Q (Pelvic Organ Prolapse Quantification System) Stage of </= Stage I in the Posterior Compartment at One Year Post Procedure
93.2 percentage of participant
Interval 87.0 to 97.0
100 percentage of participant
Interval 85.8 to 100.0
93.2 percentage of participant
Interval 81.3 to 98.6
92.5 percentage of participant
Interval 86.2 to 96.5
100 percentage of participant
Interval 85.2 to 100.0

PRIMARY outcome

Timeframe: 12-months

Population: Analysis includes only subjects with uterine descent \>=stage II at baseline

Analysis includes only subjects with uterine descent \>= stage II at baselineThe POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=36 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=7 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=7 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=37 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=11 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=30 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=73 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Apical Compartment at One Year Post Procedure
86.1 percentage of participant
Interval 70.5 to 95.3
100 percentage of participant
Interval 59.0 to 100.0
100 percentage of participant
Interval 59.0 to 100.0
89.2 percentage of participant
Interval 74.6 to 97.0
90.9 percentage of participant
Interval 58.7 to 100.0
90.0 percentage of participant
Interval 73.5 to 97.9
95.9 percentage of participant
Interval 88.5 to 99.1

PRIMARY outcome

Timeframe: 12-months

Population: Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline

Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method (LFCF). Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=44 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=127 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Anterior Compartment at One Year Post Procedure
71.2 percentage of participant
Interval 59.4 to 81.2
85.1 percentage of participant
Interval 71.7 to 93.8
58.8 percentage of participant
Interval 40.7 to 75.4
87.4 percentage of participant
Interval 80.3 to 92.6

SECONDARY outcome

Timeframe: 6 Months

Population: Changes in QoL scores between follow-up and baseline were presented. Only those subjects who completed both baseline and follow-up were included.

Quality of Life as measure by Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). A higher or increasing score represents an improvement in perceived sexual function versus baseline. Changes in QoL scores between follow-up and baseline were presented. Only those subjects who completed both baseline and follow-up were included.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=67 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=8 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=24 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=16 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=18 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=47 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=9 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=16 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=51 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at 6M
37.1 scores on a scale
Standard Deviation 5.7
36.8 scores on a scale
Standard Deviation 7.2
36.8 scores on a scale
Standard Deviation 4.7
35.4 scores on a scale
Standard Deviation 5.9
35.4 scores on a scale
Standard Deviation 5.9
36.3 scores on a scale
Standard Deviation 5.5
35.0 scores on a scale
Standard Deviation 7.7
38.1 scores on a scale
Standard Deviation 6.4
36.6 scores on a scale
Standard Deviation 6.1
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at baseline
32.5 scores on a scale
Standard Deviation 7.1
32.1 scores on a scale
Standard Deviation 5.6
34.8 scores on a scale
Standard Deviation 5.5
33.4 scores on a scale
Standard Deviation 5.6
32.4 scores on a scale
Standard Deviation 6.4
34.0 scores on a scale
Standard Deviation 5.9
33.9 scores on a scale
Standard Deviation 4.4
34.0 scores on a scale
Standard Deviation 4.8
32.6 scores on a scale
Standard Deviation 8.1

SECONDARY outcome

Timeframe: Approximately 30 minutes

Procedural time was measured as the time between the first incision to place the study device and the time to close the vaginal incision for the study device. Procedure duration in minutes

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Procedural Time
44.8 minutes
Standard Deviation 20.3
40.8 minutes
Standard Deviation 17.7
50.2 minutes
Standard Deviation 38.3
42.4 minutes
Standard Deviation 16.4
51.7 minutes
Standard Deviation 23.1
45.8 minutes
Standard Deviation 19.2
48.6 minutes
Standard Deviation 14.8
63.5 minutes
Standard Deviation 19.0
54.6 minutes
Standard Deviation 21.5

SECONDARY outcome

Timeframe: Approximately 30 minutes

Estimated Blood Loss - defined as the estimated blood loss associated with the implantation of the study device, measured in ml

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=139 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=80 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Estimated Blood Loss
68.6 milliliters
Standard Deviation 67.8
67.7 milliliters
Standard Deviation 43.9
48.8 milliliters
Standard Deviation 29.3
58.4 milliliters
Standard Deviation 54.7
58.9 milliliters
Standard Deviation 44.6
55.4 milliliters
Standard Deviation 45.7
62.4 milliliters
Standard Deviation 39.0
84.4 milliliters
Standard Deviation 60.9
75.5 milliliters
Standard Deviation 76.3

SECONDARY outcome

Timeframe: Through 24 months

Population: Total subjects experienced major complications(%)

This may have included: perforation of internal organs during the implant procedure; graft erosion; serious infection requiring intravenous antibiotics; death, related to procedure or device; blood loss related to device placement which may have required blood transfusion during the procedure

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects Experiencing Major Device Related Complications
Perforation
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percent of Subjects Experiencing Major Device Related Complications
Graft erosion
0.7 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percent of Subjects Experiencing Major Device Related Complications
Serious infe
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percent of Subjects Experiencing Major Device Related Complications
Death related to procedure or device
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
Percent of Subjects Experiencing Major Device Related Complications
Blood loss
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.7 Percentage of participants

SECONDARY outcome

Timeframe: Through 24 months

Population: Rate of subjects experiencing graft exposure through the vagina (%)

Rate of Graft Extrusion pertains to study device graft exposure/protrusion through the vaginal wall

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Rate of Graft Extrusions
9.2 Percentage of participants
0 Percentage of participants
3.7 Percentage of participants
5.4 Percentage of participants
7.3 Percentage of participants
7.9 Percentage of participants
0 Percentage of participants
5.7 Percentage of participants
5.6 Percentage of participants

SECONDARY outcome

Timeframe: Through 24 months

Population: Rate of subjects experiencing different type of incontinenece (%)

Rate of subjects experiencing de novo or worsening urinary and or/ anal incontinence

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - de novo Stress
0 Percentage of participants
3.8 Percentage of participants
12.3 Percentage of participants
1.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
11.4 Percentage of participants
4.2 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - Worsening Urge
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
4.3 Percentage of participants
2.9 Percentage of participants
0.7 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - worsening Stress
0 Percentage of participants
0 Percentage of participants
8.6 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.7 Percentage of participants
0 Percentage of participants
11.4 Percentage of participants
0 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - de novo Urge
0 Percentage of participants
0 Percentage of participants
1.2 Percentage of participants
1.8 Percentage of participants
1.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.7 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - de novo Mixed
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
0 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Urinary Incontinence - Worsening Mixed
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
0.7 Percentage of participants
Rates of de Novo or Worsening Urinary and/or Anal Incontinence
Fecal Incontinence
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.7 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: baseline and 6 weeks

Population: Changes in pain scores between follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Pain - defined as the level of pain or discomfort associated with the pelvic area measured by the Wong-Baker Faces Pain Scale (scale of 0-10, with 10 indicating "hurts worst") at baseline, and 6 weeks post procedure

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=136 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=25 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=79 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=55 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=53 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=134 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=22 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=140 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Wong-Baker Faces Pain Scale at 6 Weeks Post Procedure
Mean level of pain per WBPS at baseline
1.9 scores on a scale
Standard Deviation 2.5
2.0 scores on a scale
Standard Deviation 2.2
1.5 scores on a scale
Standard Deviation 1.8
1.2 scores on a scale
Standard Deviation 2.1
1.4 scores on a scale
Standard Deviation 2.1
1.8 scores on a scale
Standard Deviation 2.2
2.1 scores on a scale
Standard Deviation 2.9
1.1 scores on a scale
Standard Deviation 1.5
1.4 scores on a scale
Standard Deviation 2.0
Wong-Baker Faces Pain Scale at 6 Weeks Post Procedure
Mean level of pain per WBPS at 6 weeks post-op
0.7 scores on a scale
Standard Deviation 1.3
0.2 scores on a scale
Standard Deviation 0.6
0.9 scores on a scale
Standard Deviation 1.5
0.5 scores on a scale
Standard Deviation 1.1
0.7 scores on a scale
Standard Deviation 1.4
0.6 scores on a scale
Standard Deviation 1.3
0.8 scores on a scale
Standard Deviation 1.4
0.5 scores on a scale
Standard Deviation 1.0
0.7 scores on a scale
Standard Deviation 1.3

SECONDARY outcome

Timeframe: 6 Months

Population: Overall, what outcome do you feel you have achieved after having this surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 6 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=129 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=131 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 6 Months by Question (Q#1)
Did not answer this question
0.8 Percentage of participants
0 Percentage of participants
5.5 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#1)
Worse than before surgery
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
4.3 Percentage of participants
2.2 Percentage of participants
1.5 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
1.5 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#1)
No improvement from before surgery
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.5 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#1)
Some improvement from before surgery
17.1 Percentage of participants
15.4 Percentage of participants
8.2 Percentage of participants
21.3 Percentage of participants
8.7 Percentage of participants
21.4 Percentage of participants
13.0 Percentage of participants
11.8 Percentage of participants
12.2 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#1)
A lot of improvement from before surgery
82.2 Percentage of participants
84.6 Percentage of participants
86.3 Percentage of participants
74.5 Percentage of participants
89.1 Percentage of participants
74.0 Percentage of participants
87.0 Percentage of participants
82.4 Percentage of participants
84.0 Percentage of participants

SECONDARY outcome

Timeframe: Through 24 months

Population: Percentage of total subjects experienced surgical revision (%)

The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=141 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Surgical Revision Rate
7.1 Percentage of participants
0 Percentage of participants
11.1 Percentage of participants
5.4 Percentage of participants
3.6 Percentage of participants
8.6 Percentage of participants
4.3 Percentage of participants
25.7 Percentage of participants
9.2 Percentage of participants

SECONDARY outcome

Timeframe: 6 months

Population: POP-Q analysis employed last failure carried forward method, which carries subject's objective failure at previous visits if the results are missing in the visit of interest. It's also considers re-operation for recurrent in study compartment as failure. 95% CI calculated via binominal distribution including only subjects w/POP-Q≥II at baseline.

The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=125 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 6 Months
Posterior Compartment Success
94.4 Percentage of participants
Interval 88.8 to 97.7
100 Percentage of participants
Interval 86.8 to 100.0
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
91.3 Percentage of participants
Interval 79.2 to 97.6
96.8 Percentage of participants
Interval 92.1 to 99.1
100 Percentage of participants
Interval 85.2 to 100.0
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 6 Months
Apical Compartment Success
94.7 Percentage of participants
Interval 82.3 to 99.4
100 Percentage of participants
Interval 59.0 to 100.0
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
100 Percentage of participants
Interval 66.4 to 100.0
92.5 Percentage of participants
Interval 79.6 to 98.4
90.9 Percentage of participants
Interval 58.7 to 99.8
90.0 Percentage of participants
Interval 73.5 to 97.9
98.8 Percentage of participants
Interval 93.4 to 100.0
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 6 Months
Anterior Compartment Success
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
76.7 Percentage of participants
Interval 65.4 to 85.8
91.5 Percentage of participants
Interval 79.6 to 97.6
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
61.8 Percentage of participants
Interval 43.6 to 77.8
86.3 Percentage of participants
Interval 79.2 to 91.6

SECONDARY outcome

Timeframe: 24 months

Population: POP-Q analysis employed last failure carried forward method, which carries subject's objective failure at previous visits if the results are missing in the visit of interest. It's also considers re-operation for recurrent in study compartment as failure. 95% CI calculated via binominal distribution including only subjects w/POP-Q≥II at baseline.

The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline. Note: 1. Phase VI ended after 12M follow up visit because the next generation of the study device was already under clinical evaluation in Phase VII 2. Phase II ended early before all subjects reached their 24M visit because the study device is no longer marketed due to release of models with enhancements to the design

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=108 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=23 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=68 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=106 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 24 Months
Posterior Compartment Success
93.5 Percentage of participants
Interval 87.1 to 97.4
95.7 Percentage of participants
Interval 78.1 to 99.9
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
90.9 Percentage of participants
Interval 78.3 to 97.5
91.5 Percentage of participants
Interval 84.5 to 96.0
90.9 Percentage of participants
Interval 58.7 to 99.8
NA Percentage of participants
Phase device does not treat this compartment
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 24 Months
Apical Compartment Success
84.4 Percentage of participants
Interval 67.2 to 94.7
100 Percentage of participants
Interval 54.1 to 100.0
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
75.0 Percentage of participants
Interval 42.1 to 99.6
88.2 Percentage of participants
Interval 72.5 to 96.7
100 Percentage of participants
Interval 85.2 to 100.0
96.2 Percentage of participants
Interval 89.3 to 99.2
Percent of Subjects With an ICS POP-Q Stage of </= Stage I at 24 Months
Anterior Compartment Success
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
69.1 Percentage of participants
Interval 56.7 to 79.8
87.0 Percentage of participants
Interval 73.7 to 95.1
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
NA Percentage of participants
Phase device does not treat this compartment
81.6 Percentage of participants
Interval 73.7 to 88.0

SECONDARY outcome

Timeframe: 12 months

Population: Overall, what outcome do you feel you have achieved after having this surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 6 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=71 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 12 Months by Question (Q#1)
A lot of improvement from before surgery
80.7 Percentage of participants
79.2 Percentage of participants
78.9 Percentage of participants
86.7 Percentage of participants
93.2 Percentage of participants
71.4 Percentage of participants
73.9 Percentage of participants
88.2 Percentage of participants
90.4 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#1)
Did not answer this question
0 Percentage of participants
4.2 Percentage of participants
7.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.6 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
0 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#1)
Worse than before surgery
1.7 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.6 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#1)
No improvement from before surgery
0 Percentage of participants
4.2 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
2.4 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.4 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#1)
Some improvement from before surgery
17.6 Percentage of participants
12.5 Percentage of participants
14.1 Percentage of participants
13.3 Percentage of participants
4.5 Percentage of participants
23.0 Percentage of participants
26.1 Percentage of participants
8.8 Percentage of participants
6.4 Percentage of participants

SECONDARY outcome

Timeframe: 24 months

Population: Overall, what outcome do you feel you have achieved after having this surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 6 months post-procedure. Note: 1. Phase VI ended after 12M follow up visit because the next generation of the study device was already under clinical evaluation in Phase VII 2. Phase II ended early before all subjects reached their 24M visit because the study device is no longer marketed due to release of models with enhancements to the design

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=110 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=23 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=113 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 24 Months by Question (Q#1)
Did not answer this question
0 Percentage of participants
4.3 Percentage of participants
11.1 Percentage of participants
2.2 Percentage of participants
0 Percentage of participants
0.9 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#1)
Worse than before surgery
2.7 Percentage of participants
0 Percentage of participants
0 Percentage of participants
4.3 Percentage of participants
2.4 Percentage of participants
4.4 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#1)
No improvement from before surgery
0.9 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
3.5 Percentage of participants
0 Percentage of participants
1.6 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#1)
Some improvement from before surgery
10.9 Percentage of participants
4.3 Percentage of participants
7.9 Percentage of participants
17.4 Percentage of participants
11.9 Percentage of participants
20.4 Percentage of participants
30.4 Percentage of participants
12.1 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#1)
A lot of improvement from before surgery
85.5 Percentage of participants
91.3 Percentage of participants
81.0 Percentage of participants
76.1 Percentage of participants
85.7 Percentage of participants
70.8 Percentage of participants
69.6 Percentage of participants
84.7 Percentage of participants

SECONDARY outcome

Timeframe: 6 months

Population: How satisfied are you with the outcome of your prolapse surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 6 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=129 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=131 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Did not answer this question
0.8 Percentage of participants
0 Percentage of participants
5.5 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Not at all satisfied
0.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
1.5 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
3.1 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Slightly satisfied
0.8 Percentage of participants
3.8 Percentage of participants
0 Percentage of participants
2.1 Percentage of participants
2.2 Percentage of participants
4.6 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
1.5 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Moderately satisfied
11.6 Percentage of participants
3.8 Percentage of participants
6.8 Percentage of participants
6.4 Percentage of participants
4.3 Percentage of participants
12.2 Percentage of participants
0 Percentage of participants
5.9 Percentage of participants
5.3 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Very satisfied
34.1 Percentage of participants
38.5 Percentage of participants
47.9 Percentage of participants
46.8 Percentage of participants
34.8 Percentage of participants
38.2 Percentage of participants
47.8 Percentage of participants
61.8 Percentage of participants
40.5 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#2)
Extremely satisfied
51.9 Percentage of participants
53.8 Percentage of participants
39.7 Percentage of participants
44.7 Percentage of participants
58.7 Percentage of participants
41.2 Percentage of participants
52.2 Percentage of participants
26.5 Percentage of participants
48.9 Percentage of participants

SECONDARY outcome

Timeframe: 12 months

Population: How satisfied are you with the outcome of your prolapse surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 12 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=71 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Moderately satisfied
13.4 Percentage of participants
8.3 Percentage of participants
9.9 Percentage of participants
17.8 Percentage of participants
6.8 Percentage of participants
13.5 Percentage of participants
4.3 Percentage of participants
8.8 Percentage of participants
3.2 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Very satisfied
32.8 Percentage of participants
33.3 Percentage of participants
45.1 Percentage of participants
40 Percentage of participants
40.9 Percentage of participants
42.1 Percentage of participants
26.1 Percentage of participants
52.9 Percentage of participants
32.8 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Extremely satisfied
48.7 Percentage of participants
50 Percentage of participants
38.0 Percentage of participants
42.2 Percentage of participants
50.0 Percentage of participants
38.9 Percentage of participants
60.9 Percentage of participants
35.3 Percentage of participants
58.4 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Did not answer this question
0 Percentage of participants
4.2 Percentage of participants
7.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
0 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Not at all satisfied
0.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.4 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#2)
Slightly satisfied
4.2 Percentage of participants
4.2 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
2.4 Percentage of participants
8.7 Percentage of participants
0 Percentage of participants
4.8 Percentage of participants

SECONDARY outcome

Timeframe: 24 months

Population: How satisfied are you with the outcome of your prolapse surgery? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 24 months post-procedure. Note: 1. Phase VI ended after 12M follow up visit because the next generation of the study device was already under clinical evaluation in Phase VII 2. Phase II ended early before all subjects reached their 24M visit because the study device is no longer marketed due to release of models with enhancements to the design

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=110 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=23 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=113 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Not at all satisfied
3.6 Percentage of participants
0 Percentage of participants
0 Percentage of participants
4.3 Percentage of participants
2.4 Percentage of participants
2.7 Percentage of participants
0 Percentage of participants
2.4 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Did not answer this question
0 Percentage of participants
4.3 Percentage of participants
11.1 Percentage of participants
2.2 Percentage of participants
0 Percentage of participants
0.9 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Slightly satisfied
1.8 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.2 Percentage of participants
4.8 Percentage of participants
8.0 Percentage of participants
0 Percentage of participants
3.2 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Very satisfied
23.6 Percentage of participants
26.1 Percentage of participants
44.4 Percentage of participants
41.3 Percentage of participants
35.7 Percentage of participants
40.7 Percentage of participants
47.8 Percentage of participants
29.8 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Moderately satisfied
11.8 Percentage of participants
4.3 Percentage of participants
6.3 Percentage of participants
8.7 Percentage of participants
9.5 Percentage of participants
9.7 Percentage of participants
8.7 Percentage of participants
5.6 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#2)
Extremely satisfied
59.1 Percentage of participants
65.2 Percentage of participants
38.1 Percentage of participants
41.3 Percentage of participants
47.6 Percentage of participants
38.1 Percentage of participants
43.5 Percentage of participants
58.1 Percentage of participants

SECONDARY outcome

Timeframe: 6 months

Population: Would you recommend this procedure to a friend suffering from prolapse? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 6 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=129 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=131 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 6 Months by Question (Q#3)
Did not answer this question
2.3 Percentage of participants
0 Percentage of participants
5.5 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0.8 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#3)
Yes
94.6 Percentage of participants
100 Percentage of participants
94.5 Percentage of participants
95.7 Percentage of participants
93.5 Percentage of participants
96.9 Percentage of participants
100 Percentage of participants
97.1 Percentage of participants
96.9 Percentage of participants
Patient Satisfaction Questionnaire at 6 Months by Question (Q#3)
No
3.1 Percentage of participants
0 Percentage of participants
0 Percentage of participants
4.3 Percentage of participants
6.5 Percentage of participants
0.8 Percentage of participants
0 Percentage of participants
2.9 Percentage of participants
2.3 Percentage of participants

SECONDARY outcome

Timeframe: 12 months

Population: Would you recommend this procedure to a friend suffering from prolapse? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 12 months post-procedure.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=71 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 12 Months by Question (Q#3)
Did not answer this question
1.7 Percentage of participants
4.2 Percentage of participants
7.0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.4 Percentage of participants
0 Percentage of participants
5.9 Percentage of participants
1.6 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#3)
Yes
92.4 Percentage of participants
95.8 Percentage of participants
93.0 Percentage of participants
100 Percentage of participants
97.7 Percentage of participants
96.0 Percentage of participants
95.7 Percentage of participants
94.1 Percentage of participants
96.8 Percentage of participants
Patient Satisfaction Questionnaire at 12 Months by Question (Q#3)
No
5.9 Percentage of participants
0 Percentage of participants
0 Percentage of participants
0 Percentage of participants
2.3 Percentage of participants
1.6 Percentage of participants
4.3 Percentage of participants
0 Percentage of participants
1.6 Percentage of participants

SECONDARY outcome

Timeframe: 24 months

Population: Would you recommend this procedure to a friend suffering from prolapse? (% of subjects answering this question)

Subject satisfaction with experience and outcomes of the procedure, as reported on the Patient Satisfaction Questionnaires at 24 months post-procedure. Note: 1. Phase VI ended after 12M follow up visit because the next generation of the study device was already under clinical evaluation in Phase VII 2. Phase II ended early before all subjects reached their 24M visit because the study device is no longer marketed due to release of models with enhancements to the design

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=110 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=23 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=113 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Patient Satisfaction Questionnaire at 24 Months by Question (Q#3)
Did not answer this question
0.9 Percentage of participants
4.3 Percentage of participants
11.1 Percentage of participants
2.2 Percentage of participants
0 Percentage of participants
0.9 Percentage of participants
0 Percentage of participants
2.4 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#3)
Yes
90.9 Percentage of participants
95.7 Percentage of participants
87.3 Percentage of participants
93.5 Percentage of participants
95.2 Percentage of participants
92.0 Percentage of participants
95.7 Percentage of participants
94.4 Percentage of participants
Patient Satisfaction Questionnaire at 24 Months by Question (Q#3)
No
8.2 Percentage of participants
0 Percentage of participants
1.6 Percentage of participants
4.3 Percentage of participants
4.8 Percentage of participants
7.1 Percentage of participants
4.3 Percentage of participants
3.2 Percentage of participants

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Changes in pain scores between follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Pain - defined as the level of pain or discomfort associated with the pelvic area measured by the Wong-Baker Faces Pain Scale at baseline and 3 months post procedure

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=134 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=25 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=77 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=37 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=38 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=123 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=33 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Wong-Baker Faces Pain Scale at 3 Months Post Procedure
Mean level of pain per WBPS at baseline
1.9 Percentage of participants
Standard Deviation 2.5
2.0 Percentage of participants
Standard Deviation 2.2
1.5 Percentage of participants
Standard Deviation 1.8
1.2 Percentage of participants
Standard Deviation 2.2
1.6 Percentage of participants
Standard Deviation 2.2
1.7 Percentage of participants
Standard Deviation 2.0
2.2 Percentage of participants
Standard Deviation 2.8
1.2 Percentage of participants
Standard Deviation 1.5
1.4 Percentage of participants
Standard Deviation 2.0
Wong-Baker Faces Pain Scale at 3 Months Post Procedure
Mean level of pain per WBPS at 3 months post-op
0.5 Percentage of participants
Standard Deviation 1.0
0.2 Percentage of participants
Standard Deviation 0.6
0.9 Percentage of participants
Standard Deviation 1.5
0.2 Percentage of participants
Standard Deviation 0.6
0.2 Percentage of participants
Standard Deviation 0.6
0.3 Percentage of participants
Standard Deviation 0.9
0.4 Percentage of participants
Standard Deviation 0.8
0.4 Percentage of participants
Standard Deviation 1.0
0.5 Percentage of participants
Standard Deviation 1.2

SECONDARY outcome

Timeframe: 12 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=62 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=9 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=22 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=15 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=15 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=48 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=9 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=18 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=48 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at baseline
33.4 Percentage of participants
Standard Deviation 7.3
31.7 Percentage of participants
Standard Deviation 5.4
35.3 Percentage of participants
Standard Deviation 5.3
32.8 Percentage of participants
Standard Deviation 5.5
33.0 Percentage of participants
Standard Deviation 6.2
34.1 Percentage of participants
Standard Deviation 6.1
34.3 Percentage of participants
Standard Deviation 4.5
33.4 Percentage of participants
Standard Deviation 4.8
31.9 Percentage of participants
Standard Deviation 8.4
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at 12M
37.2 Percentage of participants
Standard Deviation 5.9
33.8 Percentage of participants
Standard Deviation 9.3
36.3 Percentage of participants
Standard Deviation 4.9
34.9 Percentage of participants
Standard Deviation 5.6
36.4 Percentage of participants
Standard Deviation 5.8
36.5 Percentage of participants
Standard Deviation 5.5
35.6 Percentage of participants
Standard Deviation 5.5
37.7 Percentage of participants
Standard Deviation 5.8
37.4 Percentage of participants
Standard Deviation 5.7

SECONDARY outcome

Timeframe: baseline and 24 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=56 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=9 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=22 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=16 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=13 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=37 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=8 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=45 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at 24M
36.9 Percentage of participants
Standard Deviation 6.4
36.6 Percentage of participants
Standard Deviation 5.3
36.0 Percentage of participants
Standard Deviation 4.4
35.3 Percentage of participants
Standard Deviation 4.6
35.9 Percentage of participants
Standard Deviation 4.8
36.6 Percentage of participants
Standard Deviation 6.5
34.6 Percentage of participants
Standard Deviation 5.5
36.3 Percentage of participants
Standard Deviation 6.1
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PISQ-12
PISQ-12 mean score at baseline
32.4 Percentage of participants
Standard Deviation 7.4
31.7 Percentage of participants
Standard Deviation 5.4
34.5 Percentage of participants
Standard Deviation 6.5
32.4 Percentage of participants
Standard Deviation 5.3
31.9 Percentage of participants
Standard Deviation 5.2
34.9 Percentage of participants
Standard Deviation 5.8
33.6 Percentage of participants
Standard Deviation 4.2
32.0 Percentage of participants
Standard Deviation 8.4

SECONDARY outcome

Timeframe: baseline and 6 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Impact Questionnaire - Short Form 7(PFIQ-7) QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented. .

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=124 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=25 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=65 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=45 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=123 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=30 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=127 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 6M
PFIQ-7 mean score at baseline
70.4 Percentage of participants
Standard Deviation 72.2
68.2 Percentage of participants
Standard Deviation 62.8
54.9 Percentage of participants
Standard Deviation 55.7
61.5 Percentage of participants
Standard Deviation 75.7
58.9 Percentage of participants
Standard Deviation 70.1
65.4 Percentage of participants
Standard Deviation 59.8
60.2 Percentage of participants
Standard Deviation 40.0
71.4 Percentage of participants
Standard Deviation 67.2
59.8 Percentage of participants
Standard Deviation 61.1
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 6M
PFIQ-7 mean score at 6M
16.3 Percentage of participants
Standard Deviation 35.7
21.7 Percentage of participants
Standard Deviation 44.0
9.9 Percentage of participants
Standard Deviation 21.1
8.4 Percentage of participants
Standard Deviation 20.5
9.2 Percentage of participants
Standard Deviation 28.3
22.3 Percentage of participants
Standard Deviation 40.8
6.0 Percentage of participants
Standard Deviation 13.6
22.8 Percentage of participants
Standard Deviation 36.5
12.9 Percentage of participants
Standard Deviation 29.0

SECONDARY outcome

Timeframe: baseline and 12 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Impact Questionnaire - Short Form 7(PFIQ-7) QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=117 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=22 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=67 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=120 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=28 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=122 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 12M
PFIQ-7 mean score at baseline
64.9 Percentage of participants
Standard Deviation 70.5
59.3 Percentage of participants
Standard Deviation 48.2
59.1 Percentage of participants
Standard Deviation 57.4
61.7 Percentage of participants
Standard Deviation 74.6
57.5 Percentage of participants
Standard Deviation 65.0
65.6 Percentage of participants
Standard Deviation 59.7
60.2 Percentage of participants
Standard Deviation 40.0
73.0 Percentage of participants
Standard Deviation 68.1
55.8 Percentage of participants
Standard Deviation 60.5
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 12M
PFIQ-7 mean score at 12M
13.1 Percentage of participants
Standard Deviation 27.8
10.0 Percentage of participants
Standard Deviation 19.8
9.1 Percentage of participants
Standard Deviation 16.0
10.7 Percentage of participants
Standard Deviation 21.8
8.8 Percentage of participants
Standard Deviation 26.7
17.9 Percentage of participants
Standard Deviation 39.9
8.5 Percentage of participants
Standard Deviation 17.3
8.7 Percentage of participants
Standard Deviation 13.6
14.0 Percentage of participants
Standard Deviation 39.0

SECONDARY outcome

Timeframe: baseline and 24 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Impact Questionnaire - Short Form 7(PFIQ-7) QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=108 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=21 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=55 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=41 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=108 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=121 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 24M
PFIQ-7 mean score at baseline
59.1 Percentage of participants
Standard Deviation 63.8
55.6 Percentage of participants
Standard Deviation 46.0
60.9 Percentage of participants
Standard Deviation 59.3
56.5 Percentage of participants
Standard Deviation 71.6
59.0 Percentage of participants
Standard Deviation 69.5
64.3 Percentage of participants
Standard Deviation 56.5
60.2 Percentage of participants
Standard Deviation 40.0
54.8 Percentage of participants
Standard Deviation 56.1
QoL Status - Defined as the Improvement in Subjects' QoL Over Baseline Values as Measured in Three Questionnaires Post Procedure: PFIQ-7 at 24M
PFIQ-7 mean score at 24M
15.8 Percentage of participants
Standard Deviation 40.9
5.0 Percentage of participants
Standard Deviation 8.0
11.9 Percentage of participants
Standard Deviation 27.8
10.5 Percentage of participants
Standard Deviation 36.1
7.8 Percentage of participants
Standard Deviation 23.4
17.9 Percentage of participants
Standard Deviation 34.7
9.7 Percentage of participants
Standard Deviation 15.0
9.3 Percentage of participants
Standard Deviation 24.8

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Changes in QoL scores between follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by PFDI subscale UDI. UDI scale ranges from 0-100 with 100 representing the most urinary distress. Changes in UDI scores between follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=128 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=64 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=45 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=130 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=130 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI (Pelvic Floor Distress Inventory) Sub-scale UDI (Urinary Distress Inventory) at 6M
PFDI- UDI mean score at baseline
98.4 scores on a scale
Standard Deviation 59.6
106.7 scores on a scale
Standard Deviation 63.4
65.5 scores on a scale
Standard Deviation 34.5
93.2 scores on a scale
Standard Deviation 55.1
93.0 scores on a scale
Standard Deviation 55.0
97.6 scores on a scale
Standard Deviation 59.8
83.0 scores on a scale
Standard Deviation 40.4
75.5 scores on a scale
Standard Deviation 54.2
87.0 scores on a scale
Standard Deviation 55.5
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI (Pelvic Floor Distress Inventory) Sub-scale UDI (Urinary Distress Inventory) at 6M
PFDI- UDI mean score at 6M
29.1 scores on a scale
Standard Deviation 37.2
36.4 scores on a scale
Standard Deviation 38.4
15.4 scores on a scale
Standard Deviation 19.1
21.8 scores on a scale
Standard Deviation 22.4
29.2 scores on a scale
Standard Deviation 37.7
31.2 scores on a scale
Standard Deviation 35.6
14.6 scores on a scale
Standard Deviation 23.4
29.7 scores on a scale
Standard Deviation 33.5
23.2 scores on a scale
Standard Deviation 27.2

SECONDARY outcome

Timeframe: baseline and 12 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale UDI (Urinary Distress Inventory) at 12M
PFDI- UDI mean score at 12M
34.8 Percentage of participants
Standard Deviation 44.3
28.3 Percentage of participants
Standard Deviation 40.7
14.0 Percentage of participants
Standard Deviation 14.6
22.8 Percentage of participants
Standard Deviation 25.4
20.3 Percentage of participants
Standard Deviation 28.9
33.0 Percentage of participants
Standard Deviation 36.5
19.8 Percentage of participants
Standard Deviation 22.6
26.4 Percentage of participants
Standard Deviation 30.8
21.0 Percentage of participants
Standard Deviation 28.1
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale UDI (Urinary Distress Inventory) at 12M
PFDI- UDI mean score at baseline
97.5 Percentage of participants
Standard Deviation 59.1
103.6 Percentage of participants
Standard Deviation 53.1
66.7 Percentage of participants
Standard Deviation 33.7
92.4 Percentage of participants
Standard Deviation 51.7
93.4 Percentage of participants
Standard Deviation 54.4
97.6 Percentage of participants
Standard Deviation 58.6
83.0 Percentage of participants
Standard Deviation 40.4
75.5 Percentage of participants
Standard Deviation 54.2
84.4 Percentage of participants
Standard Deviation 50.8

SECONDARY outcome

Timeframe: baseline and 24 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=110 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=22 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=55 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=113 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale UDI (Urinary Distress Inventory) at 24M
PFDI- UDI mean score at baseline
96.5 Percentage of participants
Standard Deviation 56.7
94.9 Percentage of participants
Standard Deviation 55.8
69.9 Percentage of participants
Standard Deviation 34.5
89.6 Percentage of participants
Standard Deviation 51.5
95.8 Percentage of participants
Standard Deviation 56.9
97.6 Percentage of participants
Standard Deviation 57.1
83.0 Percentage of participants
Standard Deviation 40.4
82.5 Percentage of participants
Standard Deviation 50.6
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale UDI (Urinary Distress Inventory) at 24M
PFDI- UDI mean score at 24M
28.1 Percentage of participants
Standard Deviation 35.7
13.2 Percentage of participants
Standard Deviation 17.1
19.8 Percentage of participants
Standard Deviation 22.7
20.3 Percentage of participants
Standard Deviation 21.8
29.8 Percentage of participants
Standard Deviation 39.1
29.4 Percentage of participants
Standard Deviation 30.9
15.1 Percentage of participants
Standard Deviation 14.1
20.5 Percentage of participants
Standard Deviation 25.0

SECONDARY outcome

Timeframe: baseline and 6 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=127 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=130 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=130 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 6M
PFDI- POPDI mean score at baseline
137.0 Percentage of participants
Standard Deviation 69.9
128.9 Percentage of participants
Standard Deviation 65.9
102.3 Percentage of participants
Standard Deviation 45.4
112.0 Percentage of participants
Standard Deviation 67.2
115.7 Percentage of participants
Standard Deviation 69.9
122.7 Percentage of participants
Standard Deviation 64.3
115.5 Percentage of participants
Standard Deviation 53.5
105.4 Percentage of participants
Standard Deviation 61.3
107.8 Percentage of participants
Standard Deviation 65.9
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 6M
PFDI- POPDI mean score at 6M
37.5 Percentage of participants
Standard Deviation 43.4
34.7 Percentage of participants
Standard Deviation 48.8
27.8 Percentage of participants
Standard Deviation 34.8
19.1 Percentage of participants
Standard Deviation 21.9
30.3 Percentage of participants
Standard Deviation 35.2
42.9 Percentage of participants
Standard Deviation 50.9
21.6 Percentage of participants
Standard Deviation 24.4
36.1 Percentage of participants
Standard Deviation 48.3
31.8 Percentage of participants
Standard Deviation 40.7

SECONDARY outcome

Timeframe: baseline and 6 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=127 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=45 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=128 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=33 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=128 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 6M
PFDI- CRADI mean score at baseline
129.6 Percentage of participants
Standard Deviation 88.1
125.8 Percentage of participants
Standard Deviation 83.3
52.6 Percentage of participants
Standard Deviation 48.3
82.4 Percentage of participants
Standard Deviation 75.1
94.1 Percentage of participants
Standard Deviation 71.8
110.0 Percentage of participants
Standard Deviation 74.0
102.1 Percentage of participants
Standard Deviation 65.9
70.5 Percentage of participants
Standard Deviation 60.7
80.6 Percentage of participants
Standard Deviation 68.1
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 6M
PFDI- CRADI mean score at 6M
49.2 Percentage of participants
Standard Deviation 63.1
45.3 Percentage of participants
Standard Deviation 42.6
30.6 Percentage of participants
Standard Deviation 38.9
23.4 Percentage of participants
Standard Deviation 28.3
31.2 Percentage of participants
Standard Deviation 36.5
52.9 Percentage of participants
Standard Deviation 62.5
29.0 Percentage of participants
Standard Deviation 35.6
41.8 Percentage of participants
Standard Deviation 44.1
36.3 Percentage of participants
Standard Deviation 46.5

SECONDARY outcome

Timeframe: baseline and 12 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=62 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 12M
PFDI- POPDI mean score at baseline
135.1 Percentage of participants
Standard Deviation 68.9
128.2 Percentage of participants
Standard Deviation 55.4
103.3 Percentage of participants
Standard Deviation 45.6
105.7 Percentage of participants
Standard Deviation 58.8
116.1 Percentage of participants
Standard Deviation 65.9
122.0 Percentage of participants
Standard Deviation 63.7
115.5 Percentage of participants
Standard Deviation 53.5
105.4 Percentage of participants
Standard Deviation 61.3
104.4 Percentage of participants
Standard Deviation 62.6
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 12M
PFDI- POPDI mean score at 12M
45.2 Percentage of participants
Standard Deviation 49.3
42.4 Percentage of participants
Standard Deviation 50.5
25.8 Percentage of participants
Standard Deviation 30.3
23.6 Percentage of participants
Standard Deviation 30.3
19.9 Percentage of participants
Standard Deviation 28.0
43.0 Percentage of participants
Standard Deviation 52.5
29.9 Percentage of participants
Standard Deviation 27.7
32.5 Percentage of participants
Standard Deviation 34.2
23.8 Percentage of participants
Standard Deviation 36.5

SECONDARY outcome

Timeframe: baseline and 24 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=109 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=22 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=54 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=113 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=124 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 24M
PFDI- POPDI mean score at baseline
132.4 Percentage of participants
Standard Deviation 68.3
113.2 Percentage of participants
Standard Deviation 56.6
107.4 Percentage of participants
Standard Deviation 46.3
104.7 Percentage of participants
Standard Deviation 60.1
116.1 Percentage of participants
Standard Deviation 65.1
121.7 Percentage of participants
Standard Deviation 63.0
115.5 Percentage of participants
Standard Deviation 53.5
103.3 Percentage of participants
Standard Deviation 59.1
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale POPDI (Pelvic Organ Prolapse Distress Inventory) at 24M
PFDI- POPDI mean score at 24M
36.4 Percentage of participants
Standard Deviation 48.9
13.8 Percentage of participants
Standard Deviation 18.1
31.7 Percentage of participants
Standard Deviation 37.6
23.8 Percentage of participants
Standard Deviation 28.1
31.1 Percentage of participants
Standard Deviation 36.7
37.6 Percentage of participants
Standard Deviation 51.9
21.9 Percentage of participants
Standard Deviation 21.6
24.8 Percentage of participants
Standard Deviation 32.3

SECONDARY outcome

Timeframe: baseline and 12 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=119 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=24 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=63 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=44 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=43 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=33 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=121 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 12M
PFDI- CRADI mean score at baseline
129.8 Percentage of participants
Standard Deviation 88.9
123.5 Percentage of participants
Standard Deviation 73.8
50.9 Percentage of participants
Standard Deviation 49.3
85.1 Percentage of participants
Standard Deviation 72.3
100.8 Percentage of participants
Standard Deviation 72.8
108.2 Percentage of participants
Standard Deviation 71.7
102.1 Percentage of participants
Standard Deviation 65.9
70.5 Percentage of participants
Standard Deviation 60.7
77.2 Percentage of participants
Standard Deviation 66.9
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 12M
PFDI- CRADI mean score at 12M
46.6 Percentage of participants
Standard Deviation 60.5
47.3 Percentage of participants
Standard Deviation 51.2
27.3 Percentage of participants
Standard Deviation 36.2
29.9 Percentage of participants
Standard Deviation 42.1
22.7 Percentage of participants
Standard Deviation 30.6
49.6 Percentage of participants
Standard Deviation 55.1
32.5 Percentage of participants
Standard Deviation 41.0
39.4 Percentage of participants
Standard Deviation 42.8
29.4 Percentage of participants
Standard Deviation 44.7

SECONDARY outcome

Timeframe: baseline and 24 months

Population: QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Quality of Life as measure by Pelvic Floor Distress Inventory(PFDI). PFDI assesses the impact of urinary, prolapse and colorectal distress at baseline and post-op. QoL scores for follow-up and baseline were presented. Only data from those subjects who completed both baseline and follow-up were presented.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=109 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=22 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=54 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=45 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=42 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=112 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=122 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 24M
PFDI- CRADI mean score at baseline
126.9 Percentage of participants
Standard Deviation 84.9
110.6 Percentage of participants
Standard Deviation 73.2
58.3 Percentage of participants
Standard Deviation 50.4
79.8 Percentage of participants
Standard Deviation 73.2
95.5 Percentage of participants
Standard Deviation 74.3
105.9 Percentage of participants
Standard Deviation 70.3
102.1 Percentage of participants
Standard Deviation 65.9
77.2 Percentage of participants
Standard Deviation 65.2
QoL Status - Improvement in Subjects' QoL Over Baseline Values as Measured by PFDI Sub-scale CRADI (Colo-Rectal-Anal Distress Inventory) at 24M
PFDI- CRADI mean score at 24M
40.2 Percentage of participants
Standard Deviation 53.5
22.0 Percentage of participants
Standard Deviation 30.6
33.7 Percentage of participants
Standard Deviation 41.3
25.1 Percentage of participants
Standard Deviation 38.5
27.2 Percentage of participants
Standard Deviation 37.8
42.7 Percentage of participants
Standard Deviation 52.7
29.4 Percentage of participants
Standard Deviation 36.7
28.9 Percentage of participants
Standard Deviation 35.3

SECONDARY outcome

Timeframe: 6 months

Population: Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline

Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=125 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=46 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=126 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Posterior Compartment at 6M Post Procedure
94.4 percentage of participants
Interval 88.8 to 97.7
100 percentage of participants
Interval 86.8 to 100.0
91.3 percentage of participants
Interval 79.2 to 97.6
96.8 percentage of participants
Interval 92.1 to 99.1
100 percentage of participants
Interval 85.2 to 100.0

SECONDARY outcome

Timeframe: 24 months

Population: Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline

Analysis includes only subjects with posterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=108 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=23 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=44 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=106 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Posterior Compartment at 24M Post Procedure
93.5 percentage of participants
Interval 87.1 to 97.4
95.7 percentage of participants
Interval 78.1 to 99.9
90.9 percentage of participants
Interval 78.3 to 97.5
91.5 percentage of participants
Interval 84.5 to 96.0
100 percentage of participants
Interval 85.2 to 100.0

SECONDARY outcome

Timeframe: 6 months

Population: Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline

Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method (LFCF). Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=73 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=47 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=34 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=131 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Anterior Compartment at 6M Post Procedure
76.7 percentage of participants
Interval 65.4 to 85.8
91.5 percentage of participants
Interval 79.6 to 97.6
61.8 percentage of participants
Interval 43.6 to 77.8
86.3 percentage of participants
Interval 79.2 to 91.6

SECONDARY outcome

Timeframe: 24 months

Population: Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline

Analysis includes only subjects with anterior vaginal wall prolapse \>= stage II at baseline. The POP-Q primary endpoint analysis employed the last observed failure carried forward method (LFCF). Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=68 Participants
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
n=46 Participants
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=125 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Anterior Compartment at 24M Post Procedure
69.1 Percentage of participants
Interval 56.7 to 79.8
87.0 Percentage of participants
Interval 73.7 to 95.1
81.6 Percentage of participants
Interval 73.7 to 88.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Population: Analysis includes only subjects with uterine descent \>=stage II at baseline

Analysis includes only subjects with uterine descent \>= stage II at baselineThe POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=38 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=7 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=9 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=40 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=11 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=30 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=82 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Apical Compartment at 6M Post Procedure
94.7 Percentage of participants
Interval 82.3 to 99.4
100 Percentage of participants
Interval 59.0 to 100.0
100 Percentage of participants
Interval 66.4 to 100.0
92.5 Percentage of participants
Interval 79.6 to 98.4
90.9 Percentage of participants
Interval 58.7 to 99.8
90.0 Percentage of participants
Interval 73.5 to 97.9
98.8 Percentage of participants
Interval 93.4 to 100.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 24 months

Population: Analysis includes only subjects with uterine descent \>=stage II at baseline

Analysis includes only subjects with uterine descent \>= stage II at baselineThe POP-Q primary endpoint analysis employed the last observed failure carried forward method. Subjects with a follow-up POP-Q stage ≥ stage II were counted as failures, whereas subjects with a follow-up POP-Q stage \< stage I were counted as successes. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a failure were counted as failures. Subjects who missed the POP-Q at the visit of interest and had the previous visited noted as a success were counted as missing. Exact 95% confidence intervals were calculated via binomial distribution and were limited to subjects having a POPQ ≥ stage II at baseline.

Outcome measures

Outcome measures
Measure
Phase I (IntePro, US Only)
n=32 Participants
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=6 Participants
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse.
Phase III/IV (Perigee IntePro Lite, US Only)
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=7 Participants
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=34 Participants
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=11 Participants
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, for PROPEL study use only)
Phase VII (Elevate Anterior Gen 2, US & EU)
n=79 Participants
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Percent of Subjects With an ICS POP-Q Stage of </= Stage I in the Apical Compartment at 24M Post Procedure
84.4 Percentage of participants
Interval 67.2 to 94.7
100 Percentage of participants
Interval 54.1 to 100.0
85.4 Percentage of participants
Interval 42.1 to 99.6
88.2 Percentage of participants
Interval 72.5 to 96.7
90.9 Percentage of participants
Interval 58.7 to 99.8
96.2 Percentage of participants
Interval 89.3 to 99.2

Adverse Events

Phase I (IntePro, US Only)

Serious events: 10 serious events
Other events: 30 other events
Deaths: 0 deaths

Phase I (Intexen LP, US Only)

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase II (France Only)

Serious events: 11 serious events
Other events: 30 other events
Deaths: 0 deaths

Phase III/IV (Perigee IntePro Lite, US Only)

Serious events: 3 serious events
Other events: 20 other events
Deaths: 0 deaths

Phase III/IV (Apogee IntePro Lite, US Only)

Serious events: 3 serious events
Other events: 20 other events
Deaths: 0 deaths

Phase V (Elevate Posterior IntePro Lite, US & EU)

Serious events: 8 serious events
Other events: 30 other events
Deaths: 0 deaths

Phase V (Elevate Posterior InteXen LP, US Only)

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase VI (Elevate Anterior Gen 1, EU Only)

Serious events: 8 serious events
Other events: 7 other events
Deaths: 0 deaths

Phase VII (Elevate Anterior Gen 2, US & EU)

Serious events: 11 serious events
Other events: 62 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase I (IntePro, US Only)
n=141 participants at risk
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 participants at risk
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 participants at risk
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse. Phase II ended before all subjects reached their 24M follow up visit because next generation of Perigee was already under trial in Phase III/IV
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 participants at risk
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 participants at risk
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 participants at risk
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 participants at risk
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 participants at risk
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, For PROPEL Study Use Only) Phase VI ended after 12M visit because next generation of Elevate Anterior was already under trial in Phase VII
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 participants at risk
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
General disorders
any Serious Adverse Event
7.1%
10/141 • Number of events 10 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
3.8%
1/26 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
13.6%
11/81 • Number of events 11 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.4%
3/56 • Number of events 3 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.5%
3/55 • Number of events 3 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.8%
8/139 • Number of events 8 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
4.3%
1/23 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
22.9%
8/35 • Number of events 8 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
7.7%
11/142 • Number of events 11 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.

Other adverse events

Other adverse events
Measure
Phase I (IntePro, US Only)
n=141 participants at risk
AMS Apogee™ with IntePro: Mesh for the treatment of posterior vaginal wall prolapse
Phase I (Intexen LP, US Only)
n=26 participants at risk
AMS Apogee™ with InteXen LP: Graft for the treatment of posterior vaginal wall prolapse
Phase II (France Only)
n=81 participants at risk
AMS Perigee™ with IntePro: Mesh for the treatment of anterior vaginal wall prolapse. Phase II ended before all subjects reached their 24M follow up visit because next generation of Perigee was already under trial in Phase III/IV
Phase III/IV (Perigee IntePro Lite, US Only)
n=56 participants at risk
AMS Perigee™ with IntePro Lite: Mesh for the treatment of anterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase III/IV (Apogee IntePro Lite, US Only)
n=55 participants at risk
AMS Apogee™ with IntePro Lite: Mesh for the treatment of posterior vaginal wall prolapse Subjects in Phases III and IV were to be implanted with either an Apogee with IntePro Lite device, a Perigee with IntePro Lite device, or both devices
Phase V (Elevate Posterior IntePro Lite, US & EU)
n=139 participants at risk
AMS Elevate™ Apical \& Posterior with IntePro Lite: Mesh for the treatment of apical \& posterior vaginal wall prolapse
Phase V (Elevate Posterior InteXen LP, US Only)
n=23 participants at risk
AMS Elevate™ Apical \& Posterior with InteXen LP: Graft for the treatment of apical \& posterior vaginal wall prolapse
Phase VI (Elevate Anterior Gen 1, EU Only)
n=35 participants at risk
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 1, For PROPEL Study Use Only) Phase VI ended after 12M visit because next generation of Elevate Anterior was already under trial in Phase VII
Phase VII (Elevate Anterior Gen 2, US & EU)
n=142 participants at risk
AMS Elevate™ Anterior \& Apical with IntePro Lite: Mesh for the treatment of anterior \& apical vaginal wall prolapse (Generation 2)
Infections and infestations
Urinary Tract Infection
1.4%
2/141 • Number of events 2 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/26 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
6.2%
5/81 • Number of events 5 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
7.1%
4/56 • Number of events 4 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.5%
3/55 • Number of events 3 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
1.4%
2/139 • Number of events 2 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
4.3%
1/23 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/35 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.6%
8/142 • Number of events 9 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
Nervous system disorders
Dyspareunia
0.71%
1/141 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
3.8%
1/26 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
1.2%
1/81 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/56 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
1.8%
1/55 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/139 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/23 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
2.9%
1/35 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
4.9%
7/142 • Number of events 7 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
Infections and infestations
Infection- Vaginal
0.71%
1/141 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/26 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/81 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
3.6%
2/56 • Number of events 2 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
7.3%
4/55 • Number of events 4 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
1.4%
2/139 • Number of events 2 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/23 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/35 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.70%
1/142 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
Surgical and medical procedures
Device Malfunction
1.4%
2/141 • Number of events 2 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/26 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/81 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
5.4%
3/56 • Number of events 3 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
1.8%
1/55 • Number of events 1 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/139 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/23 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/35 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
0.00%
0/142 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
General disorders
Any non-serious adverse events
21.3%
30/141 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
11.5%
3/26 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
37.0%
30/81 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
35.7%
20/56 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
36.4%
20/55 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
21.6%
30/139 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
13.0%
3/23 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
20.0%
7/35 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.
43.7%
62/142 • The monitoring of AEs occured through the end of the follow up period. Any continuing AEs past the 24M visit or early exit of subject was not followed to resolution.
The Astora Women's Health business is closing and will no longer be able to provide updates to this results section. Specific adverse event data can no longer be provided or updated because the database that holds the raw data is no longer accessible by Astora personnel.

Additional Information

Dr. James C Lukban, Professor & Director Division of urogynecology

Eastern Virginia Medical School

Phone: 7574467900

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60