Trial Outcomes & Findings for Randomized Trial of Y Mesh vs Dual Mesh (NCT NCT02156687)

NCT ID: NCT02156687

Last Updated: 2020-11-24

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

one day intraoperative

Results posted on

2020-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
Coloplast, Inc. Restorelle Y Mesh
Subjects implanted with Coloplast, Inc. Restorelle Y mesh at the time of minimally invasive sacrocolpopexy.
Coloplast, Inc. Restorelle Dual Flat Mesh
Subjects implanted with Coloplast, Inc. Restorelle Dual flat mesh at the time of minimally invasive sacrocolpopexy.
Overall Study
STARTED
30
29
Overall Study
COMPLETED
20
24
Overall Study
NOT COMPLETED
10
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Randomized Trial of Y Mesh vs Dual Mesh

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cololast, Inc. Restorell Y Mesh
n=30 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=29 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
60.3 years
STANDARD_DEVIATION 7.3 • n=5 Participants
62.4 years
STANDARD_DEVIATION 8.1 • n=7 Participants
61 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
30 Participants
n=5 Participants
29 Participants
n=7 Participants
59 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
28 Participants
n=5 Participants
27 Participants
n=7 Participants
55 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Body Mass Index (BMI)
28.9 kg/m^2
STANDARD_DEVIATION 3.5 • n=5 Participants
28.2 kg/m^2
STANDARD_DEVIATION 4.2 • n=7 Participants
28.5 kg/m^2
STANDARD_DEVIATION 3.9 • n=5 Participants
Tobacco use
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Parity
3 pregnancies
n=5 Participants
2 pregnancies
n=7 Participants
3 pregnancies
n=5 Participants
Prior prolapse surgery
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Prolapse Stage 1
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Prolapse Stage 2
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Prolapse Stage 3
20 Participants
n=5 Participants
17 Participants
n=7 Participants
37 Participants
n=5 Participants
Prolapse Stage 4
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: one day intraoperative

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=30 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=29 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Total Suturing Time for Mesh Placement = Time From Insertion of Y Mesh or First Flat Mesh Arm Into Pelvis to Last Sacral Suture Placed
46 minutes
Standard Deviation 14.7
46.3 minutes
Standard Deviation 12.3

PRIMARY outcome

Timeframe: one day intraoperative

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=30 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=29 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Total OR Time = Operating Room Time of Entry and Exit
204.2 minutes
Standard Deviation 52.8
204.5 minutes
Standard Deviation 43.7

SECONDARY outcome

Timeframe: 24 months

Mean difference between baseline (pre-procedure) and 24-months post-procedure. The POPDI is a six-item measure from the PFDI-20 which measures 6 different pelvic organ prolapse symptoms and degree of bother. The scale exists from 0-100 (0=no symptoms, 100=worse symptoms).

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Post-operative Mean Difference POPDI at 24 Months
-32.5 score on a scale
Standard Deviation 24.1
-40.7 score on a scale
Standard Deviation 26.9

SECONDARY outcome

Timeframe: 24 months

Mean difference between baseline (pre-procedure) and 24-months post-procedure. The CRADI is a eight-item measure from the PFDI-20 which measures 8 different pelvic organ prolapse symptoms and degree of bother. The scale exists from 0-100 (0=no symptoms, 100=worse symptoms).

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Postoperative Mean Difference CRADI at 24 Months
-24.2 score on a scale
Standard Deviation 20.6
-20.2 score on a scale
Standard Deviation 16.1

SECONDARY outcome

Timeframe: 24 months

Mean difference between baseline (pre-procedure) and 24-months post-procedure. The UDI is a six-item measure from the PFDI-20 which measures 6 different pelvic organ prolapse symptoms and degree of bother. The scale exists from 0-100 (0=no symptoms, 100=worse symptoms).

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Postoperative Mean Difference UDI at 24 Months
-39.0 score on a scale
Standard Deviation 27.0
-33.2 score on a scale
Standard Deviation 18.9

SECONDARY outcome

Timeframe: 24 months

Subjective Recurrence was defined as patients who complained of vaginal bulge symptoms (Question #3 on the PFDI-20).

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Postoperative Subjective Recurrence at 24 Months
2 Participants
2 Participants

SECONDARY outcome

Timeframe: 24 months

Objective Recurrence

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Postoperative Objective Recurrence at 24 Months
5 Participants
4 Participants

SECONDARY outcome

Timeframe: 24 months

Mesh Erosion was defined as presence of eroded mesh in the vagina on examination postoperatively up to 24-months after surgery.

Outcome measures

Outcome measures
Measure
Coloplast, Inc. Restorelle Y Mesh
n=20 Participants
Y mesh Y mesh: Y mesh
Coloplast, Inc. Restorelle Dual Flat Mesh
n=24 Participants
Dual flat mesh Dual flat mesh: Dual flat mesh
Reported Mesh Erosion at 24 Months
0 Participants
0 Participants

Adverse Events

Coloplast, Inc. Restorelle Y Mesh

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

Coloplast, Inc. Restorelle Dual Flat Mesh

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Cecile Ferrando, M.D.

Cleveland Clinic

Phone: 216-444-0642

Results disclosure agreements

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