Trial Outcomes & Findings for Parietex Progrip Study (NCT NCT00827944)

NCT ID: NCT00827944

Last Updated: 2016-11-17

Results Overview

Pain assessment during patient follow up after surgery using VAS score. VAS going from 0 mm (no pain) to 150 mm (worst conceivable pain) is presented to the patient who draw a vertical line on the scale to indicate the average amount of pain at the time of consultation or at home.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

603 participants

Primary outcome timeframe

M3, M12 after surgery

Results posted on

2016-11-17

Participant Flow

Study period: 42 months First patient in: 13 October 2008 Last patient in: 27 April 2011 Last Patient visit: 8 May 2012 Follow-up duration: 1 year

Participant milestones

Participant milestones
Measure
Progrip Group
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Overall Study
STARTED
304
299
Overall Study
COMPLETED
241
240
Overall Study
NOT COMPLETED
63
59

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Parietex Progrip Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Progrip Group
n=304 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=299 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Total
n=603 Participants
Total of all reporting groups
Age, Continuous
57.3 years
STANDARD_DEVIATION 12.1 • n=5 Participants
57.2 years
STANDARD_DEVIATION 10.9 • n=7 Participants
57.2 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Gender
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Gender
Male
304 Participants
n=5 Participants
299 Participants
n=7 Participants
603 Participants
n=5 Participants
Region of Enrollment
Belgium
13 participants
n=5 Participants
12 participants
n=7 Participants
25 participants
n=5 Participants
Region of Enrollment
Germany
54 participants
n=5 Participants
53 participants
n=7 Participants
107 participants
n=5 Participants
Region of Enrollment
Netherlands
58 participants
n=5 Participants
59 participants
n=7 Participants
117 participants
n=5 Participants
Region of Enrollment
United Kingdom
92 participants
n=5 Participants
89 participants
n=7 Participants
181 participants
n=5 Participants
Region of Enrollment
Sweden
87 participants
n=5 Participants
86 participants
n=7 Participants
173 participants
n=5 Participants

PRIMARY outcome

Timeframe: M3, M12 after surgery

Population: The analysis were performed on an As Treated (AT)population, with a 5% significance level.

Pain assessment during patient follow up after surgery using VAS score. VAS going from 0 mm (no pain) to 150 mm (worst conceivable pain) is presented to the patient who draw a vertical line on the scale to indicate the average amount of pain at the time of consultation or at home.

Outcome measures

Outcome measures
Measure
Progrip Group
n=241 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=240 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Pain Assessment During the First Three Months and at One Year After Surgery Using a Visual Analogue Scale (VAS)
VAS - 3 months
7.48 units on a scale
Standard Deviation 15.82
6.76 units on a scale
Standard Deviation 17.05
Pain Assessment During the First Three Months and at One Year After Surgery Using a Visual Analogue Scale (VAS)
VAS - 12 months
4.62 units on a scale
Standard Deviation 10.81
5.27 units on a scale
Standard Deviation 13.27

PRIMARY outcome

Timeframe: M3, M12 after surgery

Population: The analysis were performed on an As Treated population (AT), with a 5% significance level.

Surgical pain scales (=SPS) completed by patient during consultation or will be sent to the patient with instructions to complete it and send it back by mailing. The score of evaluation will be reported in mm, specifying if pain occurs at rest, during normal activities, during exercise. The score is ranged from 0 (no pain) to 150 mm (the worst pain yu have never known).

Outcome measures

Outcome measures
Measure
Progrip Group
n=241 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=240 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Pain Assessment During the First Three Months and at One Year After Surgery Using a Surgical Pain Scales (SPS)
Surgical Pain - 3 months
6.62 units on a scale
Standard Deviation 15.42
7.85 units on a scale
Standard Deviation 15.52
Pain Assessment During the First Three Months and at One Year After Surgery Using a Surgical Pain Scales (SPS)
Surgical Pain - 12 months
5.51 units on a scale
Standard Deviation 15.12
4.37 units on a scale
Standard Deviation 9.77

SECONDARY outcome

Timeframe: M1, M3, M12 months after surgery

Population: The analysis were performed on an As Treated population, with a 5% significance level.

Foreign body sensation using a specific questionnaire at M1, M3, M12 months after surgery. Questionnaire will be completed by patient during consultation or will be sent to the patient with instructions to complete it and send it back by mailing.

Outcome measures

Outcome measures
Measure
Progrip Group
n=304 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=299 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Foreign Body Sensation
FBS General Feeling - M1 (Answer : No)
144 participants
151 participants
Foreign Body Sensation
FBS at Rest - M1 (Answer : No)
159 participants
173 participants
Foreign Body Sensation
FBS Normal Activities - M1 (Answer: No)
139 participants
148 participants
Foreign Body Sensation
FBS Doing exercise - M1 (Answer : No)
121 participants
128 participants
Foreign Body Sensation
FBS at Rest - M3 (Answer : No)
186 participants
198 participants
Foreign Body Sensation
FBS Normal Activities - M3 (Answer: No)
166 participants
177 participants
Foreign Body Sensation
FBS Doing exercise - M3 (Answer : No)
140 participants
155 participants
Foreign Body Sensation
FBS General feeling - M3 (Answer : No)
172 participants
189 participants
Foreign Body Sensation
FBS at Rest - M12 (Answer : No)
178 participants
196 participants
Foreign Body Sensation
FBS Normal Activities - M12 (Answer: No)
169 participants
197 participants
Foreign Body Sensation
FBS Doing exercise - M12 (Answer : No)
171 participants
165 participants
Foreign Body Sensation
FBS General Feeling - M12 (Answer : No)
176 participants
199 participants

SECONDARY outcome

Timeframe: 3 months after surgery

Chronic pain defined as pain lasting more than 3 months using VAS score. A VAS going from 0 mm (no pain) to 150 mm (worst conceivable pain) is presented to the patient who draw a vertical line on the scale to indicate the average amount of pain at the time of consultation or at home.

Outcome measures

Outcome measures
Measure
Progrip Group
n=241 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=240 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Chronic Pain Defined as Pain Lasting More Than 3 Months Using VAS Score
9 participants
12 participants

SECONDARY outcome

Timeframe: M12 after surgery

Population: The analysis were performed on an As Treated (AT) population, with a 5% significance level.

Outcome measures

Outcome measures
Measure
Progrip Group
n=262 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=267 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Wound Complications and Hernia Recurrences
Seroma
4 participants
6 participants
Wound Complications and Hernia Recurrences
Hematoma
13 participants
5 participants
Wound Complications and Hernia Recurrences
Site Surgical Infection
9 participants
14 participants
Wound Complications and Hernia Recurrences
Recurrence
4 participants
8 participants

SECONDARY outcome

Timeframe: Effective date

Population: The analysis were performed on an As Treated (AT) population, with a 5% significance level.

Outcome measures

Outcome measures
Measure
Progrip Group
n=304 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=299 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Return to Work and to Normal Daily Activities
Return to work
14.61 days
Standard Error 11.61
14.79 days
Standard Error 11.51
Return to Work and to Normal Daily Activities
Return to daily activities
7.99 days
Standard Error 8.78
8.426 days
Standard Error 8.145

SECONDARY outcome

Timeframe: M12 after surgery

Population: As Treated population

Outcome measures

Outcome measures
Measure
Progrip Group
n=262 Participants
Parietex ProGrip Parietex Progrip : Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=267 Participants
Low weight polypropylene mesh Low weight polypropylene mesh : Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Other Post-operative Complications
23 participants
29 participants

Adverse Events

Progrip Group

Serious events: 18 serious events
Other events: 23 other events
Deaths: 0 deaths

Lichtenstein Group

Serious events: 21 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Progrip Group
n=304 participants at risk
Parietex ProGrip Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=299 participants at risk
Low weight polypropylene mesh Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Reproductive system and breast disorders
Ischemic left testis
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
General disorders
High pain just after surgery, ilioinguinal nerve trapped in suture
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Surgical and medical procedures
Inguinal hernia recurrence
1.3%
4/304 • Number of events 4 • 12 months after surgery
1.7%
5/299 • Number of events 5 • 12 months after surgery
Surgical and medical procedures
Right Total Hip Replacement
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
General disorders
inguinal pain after lifting a heavy weight, suspected hernia recurrence
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Renal and urinary disorders
Acute retention of urine
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Renal and urinary disorders
prostate adenocarcinoma
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Injury, poisoning and procedural complications
Hand Tendon Injury
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Renal and urinary disorders
Ureter transection left, direct suture
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Blood and lymphatic system disorders
Melena red blood loss per anum Hospitalisation
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Respiratory, thoracic and mediastinal disorders
Pulmonary sarcoïdosis
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Vascular disorders
atrial flutter
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Vascular disorders
Atrial fibrillation
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Respiratory, thoracic and mediastinal disorders
lungmetastasis dorsolateral right lung
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Cardiac disorders
necrotic defect 0,5cm scar pace maker
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Respiratory, thoracic and mediastinal disorders
Lung Embol
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Reproductive system and breast disorders
Elective trans-urethral resection of prostate
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
General disorders
edema, poor kidney function, decompensation cordes, pneumonia
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Reproductive system and breast disorders
enlarged prostate gland resulting in surgical intervention
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Surgical and medical procedures
HERNIA RECURRENCE ADMISSION FOR REPAIR
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
General disorders
NEURALGIC PAIN RIGHT GROIN (post-op)
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Surgical and medical procedures
hospitalization surgery umbilical hernia
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Gastrointestinal disorders
Cancer colon + metastasis liver and spleen
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery
Infections and infestations
Wound infection
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Skin and subcutaneous tissue disorders
Hematoma
0.66%
2/304 • Number of events 2 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
General disorders
Increasing pain in the inguinal area
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Gastrointestinal disorders
Gastric Ulcus Perforation
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Eye disorders
neuronitis vestibularis left
0.33%
1/304 • Number of events 1 • 12 months after surgery
0.00%
0/299 • 12 months after surgery
Renal and urinary disorders
acute on chronic renal insufficiency
0.00%
0/304 • 12 months after surgery
0.33%
1/299 • Number of events 1 • 12 months after surgery

Other adverse events

Other adverse events
Measure
Progrip Group
n=304 participants at risk
Parietex ProGrip Surgical technique: Self-gripping lightweight Polyester and Polylactic acid meshes providing a sutureless fixation.
Lichtenstein Group
n=299 participants at risk
Low weight polypropylene mesh Surgical technique: Lichtenstein repair with lightweight polypropylene mesh (inferior to 70gr/m2) secured to the posterior inguinal wall with sutures
Skin and subcutaneous tissue disorders
Seroma
1.3%
4/304 • Number of events 4 • 12 months after surgery
2.0%
6/299 • Number of events 6 • 12 months after surgery
Skin and subcutaneous tissue disorders
Hematoma
4.3%
13/304 • Number of events 13 • 12 months after surgery
1.7%
5/299 • Number of events 5 • 12 months after surgery
Skin and subcutaneous tissue disorders
Site Surgical Infection
3.0%
9/304 • Number of events 9 • 12 months after surgery
4.7%
14/299 • Number of events 14 • 12 months after surgery
Skin and subcutaneous tissue disorders
Recurrence
1.3%
4/304 • Number of events 4 • 12 months after surgery
2.7%
8/299 • Number of events 8 • 12 months after surgery

Additional Information

Pr. Andrew KINGSNORTH

Derriford Hospital, Department of Surgery

Phone: +44 175 276 3017

Results disclosure agreements

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

Restriction type: LTE60