Post Approval NovaSure Essure Labeling Study

NCT ID: NCT01934244

Last Updated: 2018-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

318 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-12-31

Study Completion Date

2019-01-31

Brief Summary

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This post approval, observational study is being conducted to further evaluate the safety of the NovaSure Endometrial Ablation System when it is performed in the presence of Essure micro-inserts.

Detailed Description

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A prospective, single arm, multi-center, post approval study that is designed to provide additional information on the safety of performing a NovaSure Impedence Controlled Endometrial Ablation System in the presence of Essure Permanent Birth Control System, following the Essure Confirmation Test has confirmed both bilateral tubal occlusion and the satisfactory location of the Essure micro-inserts. The study will be conducted at up to 15 clinical sites and enroll 318 patients. Patients who meet the inclusion and none of the exclusion criteria will have the study explained to them and be invited to participate. Enrolled subjects will have baseline data collected at the time of their NovaSure procedure and will be followed for 1 month after the NovaSure procedure to be assessed for adverse events.

Conditions

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Menorrhagia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Per Protocol

All enrolled patients in which all inclusion/exclusion criteria were met and the NovaSure endometrial ablation was completed.

NovaSure Endometrial Ablation

Intervention Type DEVICE

The NovaSure Endometrial Ablation device consists of a disposable single-use, conformable bipolar electrode array mounted on an expandable frame that can create a confluent lesion on the entire interior surface area of the uterine cavity. The device is inserted transcervically into the uterine cavity, and the sheath is retracted to allow the bipolar electrode array to be deployed and conform to the uterine cavity. The disposable device works in conjunction with a dedicated NovaSure RF (radio frequency) controller to perform customized, global endometrial ablation.

Primary

All enrolled patients in whom the Novasure device was inserted.

No interventions assigned to this group

Intent to treat

All enrolled patients in which NovaSure device was attempted.

No interventions assigned to this group

Interventions

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NovaSure Endometrial Ablation

The NovaSure Endometrial Ablation device consists of a disposable single-use, conformable bipolar electrode array mounted on an expandable frame that can create a confluent lesion on the entire interior surface area of the uterine cavity. The device is inserted transcervically into the uterine cavity, and the sheath is retracted to allow the bipolar electrode array to be deployed and conform to the uterine cavity. The disposable device works in conjunction with a dedicated NovaSure RF (radio frequency) controller to perform customized, global endometrial ablation.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject is 18 years of age or older and premenopausal.
* Subject's gynecological history supports the use of NovaSure endometrial ablation for the treatment of menorrhagia.
* Subject has had an Essure Permanent Birth Control System procedure.
* The Essure Confirmation Test has confirmed both bilateral tubal occlusion and satisfactory placement of the Essure micro-inserts. A written report or ECT radiologic films need to be provided by the physician who performed the ECT. If neither is available, the ECT must be repeated prior to enrollment.
* Subject is able to provide informed consent

Exclusion Criteria

* Subject has known or suspected endometrial carcinoma (uterine cancer) or pre-malignant conditions of the endometrium, such as unresolved (atypical) adenomatous hyperplasia.
* Subject has abnormal/obstructive uterine cavity as confirmed by hysteroscopy or other imaging study (e.g. congenital malformation, large fibroid or large polyp)
* Subject with any anatomic condition (e.g. history of previous classical cesarean section or transmural myomectomy) or pathologic condition (e.g. long term medical therapy) that could lead to weakening of the myometrium.
* Subject has an active genital or urinary tract infection at the time of the procedure (e.g., cervicitis, vaginitis, endometritis, salpingitis, or cystitis).
* Subject has an intrauterine device (IUD) currently in place.
* Subject has active pelvic inflammatory disease or history of recent pelvic infection.
* Subject has undiagnosed vaginal bleeding.
* ECT unable to adequately assess bilateral tubal occlusion and proper micro-insert placement.
* Subject has uterine sound measurement greater than 10 cm.
* Subject with a uterine cavity length less than 4 cm.
* Subject with a uterine cavity width less than 2.5 cm, as determined by the width dial of the disposable NovaSure device following device deployment.
* Subject is unable to comply with the protocol and be available for follow up
* In the opinion of the investigator, the subject has a medical condition that precludes safe participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hologic, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Edward Evantash, MD

Role: STUDY_DIRECTOR

Hologic, Inc.

Locations

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New Horizon Women's Care

Chandler, Arizona, United States

Site Status

Westside Women's Care

Arvada, Colorado, United States

Site Status

Physicians Care Clinical Research, LLC

Sarasota, Florida, United States

Site Status

Western DuPage Obstetrics and Gynecology

Downers Grove, Illinois, United States

Site Status

Oakwood Hospital and Medical Center

Dearborn, Michigan, United States

Site Status

Saginaw Valley Medical Research Group, LLC

Saginaw, Michigan, United States

Site Status

Minnesota Gynecology and Surgery

Edina, Minnesota, United States

Site Status

Bosque Women's Care

Albuquerque, New Mexico, United States

Site Status

Lyndhurst Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Seven Hills Women's Center

Cincinnati, Ohio, United States

Site Status

Amy Brenner MD & Associates, LLC

West Chester, Ohio, United States

Site Status

Chattanooga Medical Research, LLC

Chattanooga, Tennessee, United States

Site Status

Tennessee Women's Care

Nashville, Tennessee, United States

Site Status

Rockwood Clinic, P.S.

Spokane, Washington, United States

Site Status

Countries

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United States

References

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Basinski CM, Price P, Burkhart J, Johnson J. Safety and Effectiveness of NovaSure(R) Endometrial Ablation After Placement of Essure(R) Micro-Inserts. J Gynecol Surg. 2012 Apr;28(2):83-88. doi: 10.1089/gyn.2011.0061.

Reference Type BACKGROUND
PMID: 24761128 (View on PubMed)

Saunders, D: Essure and Endometrial Ablation: Clinical studies and case reviews of Essure with 118 NovaSure procedures, Supplement to OBG Management, April, 2010.

Reference Type BACKGROUND

Related Links

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http://www.hologic.com

Hologic, Inc. website

Other Identifiers

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S0112003

Identifier Type: -

Identifier Source: org_study_id

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