Restorelle® Mesh Versus Native Tissue Repair for Prolapse

NCT ID: NCT02162615

Last Updated: 2022-01-27

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

COMPLETED

Total Enrollment

810 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2021-11-06

Brief Summary

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The purpose of this study is to collect information on the safety and effectiveness of Restorelle Direct Fix mesh and the surgical procedure to implant Restorelle. These results will be compared to the safety and effectiveness results in patients who have native tissue repair (without mesh) as their pelvic organ prolapse treatment.

Detailed Description

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Conditions

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Pelvic Organ Prolapse

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Restorelle Direct Fix A

Anterior/Apical prolapse repair with Restorelle Direct Fix A

Restorelle Direct Fix A

Intervention Type DEVICE

Native Tissue Repair Anterior

Anterior/Apical prolapse repair with native tissue only

Native Tissue Repair Anterior

Intervention Type PROCEDURE

Restorelle Direct Fix P

Posterior/Apical prolapse repair with Restorelle Direct Fix P

Restorelle Direct Fix P

Intervention Type DEVICE

Native Tissue Repair Posterior

Posterior/Apical prolapse repair with native tissue only

Native Tissue Repair Posterior

Intervention Type PROCEDURE

Interventions

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Restorelle Direct Fix A

Intervention Type DEVICE

Restorelle Direct Fix P

Intervention Type DEVICE

Native Tissue Repair Anterior

Intervention Type PROCEDURE

Native Tissue Repair Posterior

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Female at least 18 years of age
* Subject has pelvic organ prolapse with leading edge at or beyond the hymen. At or beyond the hymen is defined as POP-Q scores of Ba ≥0 and C≥ -1/2 tvl or Bp ≥0 and C≥ -1/2 tvl
* Subject reports a bothersome bulge they can see or feel per PFDI-20 question 3, response of 2 or higher (i.e. responses of "somewhat", "moderately" or "quite a bit")
* Subject is willing to provide written informed consent
* Subject is willing and able to comply with the follow-up regimen

Exclusion Criteria

* Subject is pregnant or intends to become pregnant during the study
* Subject has an active or chronic systemic infection including any gynecologic infection, untreated urinary tract infection (UTI), or tissue necrosis
* Subject has a history of pelvic organ cancer (e.g. uterine, ovarian, bladder, or cervical)
* Subject has had prior or is currently undergoing radiation, laser therapy, or chemotherapy in the pelvic area
* Subject has taken systemic steroids (within the last month), or immunosuppressive or immunomodulatory treatment (within the last 3 months)
* Subject has a systemic connective tissue disease (e.g. scleroderma, systemic lupus erythematosus (SLE), Marfan syndrome, Ehlers Danlos, collagenosis, polymyositis or polymyalgia rheumatica)
* Subject has chronic systemic pain that includes the pelvic area or chronic focal pain that involves the pelvis
* Subject has uncontrolled diabetes mellitus (DM)
* Subject has a known neurologic or medical condition affecting bladder function (e.g. multiple sclerosis, spinal cord injury, or stroke with residual neurologic deficit)
* Subject is seeking obliterative vaginal surgery as treatment for pelvic organ prolapse (colpocleisis)
* Subject is not able to conform to the modified dorsal lithotomy position
* Subject is currently participating in or plans to participate in another device or drug study during this study
* Subject has a known sensitivity to polypropylene
* Subject has had previous prolapse repair with mesh in the target compartment(s)
* Subject is planning to undergo a concomitant prolapse repair in a non-target compartment with anything other than native tissue repair
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Coloplast A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jan-Paul Roovers, MD

Role: PRINCIPAL_INVESTIGATOR

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Locations

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Sherry Thomas, M.D.

Agoura Hills, California, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

SurgOne Pelvic Solutions Center

Denver, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Center for Urogynecology and Pelvic Surgery, Christiana Care Health System

Newark, Delaware, United States

Site Status

MedStar Washington Hospital Center, National Center for Advanced Pelvic Surgery

Washington D.C., District of Columbia, United States

Site Status

Rosemark Women Care Specialists

Idaho Falls, Idaho, United States

Site Status

Andrew Shapiro

Owings Mills, Maryland, United States

Site Status

Baystate Health System

Springfield, Massachusetts, United States

Site Status

Female Pelvic Medicine & Urogynecology Institute of MI

Grand Rapids, Michigan, United States

Site Status

Beyer Research

Kalamazoo, Michigan, United States

Site Status

Adult & Pediatric Urology, PC

Omaha, Nebraska, United States

Site Status

Cooper University Hospital

Camden, New Jersey, United States

Site Status

Atlantic Health System

Morristown, New Jersey, United States

Site Status

Premier Medical Group of Hudson Valley, PC

Poughkeepsie, New York, United States

Site Status

Montefiore Medical Research Center

The Bronx, New York, United States

Site Status

Novant Health Urogynecology

Charlotte, North Carolina, United States

Site Status

Women's Pelvic Health and Continence Center

Hamlet, North Carolina, United States

Site Status

Novant Health Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Akron Urogynecology Associates

Akron, Ohio, United States

Site Status

Good Samaritan Hospital

Cincinnati, Ohio, United States

Site Status

MetroHealth Medical Center

Cleveland, Ohio, United States

Site Status

The Institute for Female Pelvic Medicine and Reconstructive Surgery

Allentown, Pennsylvania, United States

Site Status

Center for Women's Health of Lansdale

Lansdale, Pennsylvania, United States

Site Status

The Female Pelvic Health Center

Newtown, Pennsylvania, United States

Site Status

Wellspan Urogynecology and Pelvic Reconstructive Surgery

York, Pennsylvania, United States

Site Status

Sanford Research

Sioux Falls, South Dakota, United States

Site Status

Swan Urogynecology

Nashville, Tennessee, United States

Site Status

Central Texas Urogynecology and Continence Center

Austin, Texas, United States

Site Status

Scott D. Lauer, DO, PA

Colleyville, Texas, United States

Site Status

Carilion Clinic New River Valley

Christiansburg, Virginia, United States

Site Status

The Group for Women

Norfolk, Virginia, United States

Site Status

Integrity Medical Research

Mountlake Terrace, Washington, United States

Site Status

Centre for Advanced Reproductive Endosurgery

St Leonards, New South Wales, Australia

Site Status

Mater Pelvic Health

Pimlico, Queensland, Australia

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

Kingston General Hospital

Kingston, Ontario, Canada

Site Status

Hôpital Maisonneuve-Rosemount

Montreal, Quebec, Canada

Site Status

CHUS-CRC

Sherbrooke, Quebec, Canada

Site Status

CHRU Lille

Lille, , France

Site Status

CHU Nimes

Nîmes, , France

Site Status

Bergman Clinics

Amsterdam, , Netherlands

Site Status

AMC Medical Center

Amsterdam, , Netherlands

Site Status

Bergman Clinics

Bilthoven, , Netherlands

Site Status

Amphia Hospital

Breda, , Netherlands

Site Status

Spaarne Gasthuis

Haarlem, , Netherlands

Site Status

Maastricht UMC

Maastricht, , Netherlands

Site Status

St. Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

ISALA

Zwolle, , Netherlands

Site Status

Countries

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United States Australia Belgium Canada France Netherlands

References

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Sokol ER, Cosson M, Harris-Hicks JE, Mangel J, Thomas SL, Roovers JW. A Multicenter Prospective Study of Posterior Transvaginal Mesh Compared to Native Tissue Repair for Pelvic Organ Prolapse: 36 Month Outcomes. J Minim Invasive Gynecol. 2025 Oct;32(10):921-928. doi: 10.1016/j.jmig.2025.06.016. Epub 2025 Jun 26.

Reference Type DERIVED
PMID: 40581283 (View on PubMed)

Other Identifiers

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SU014

Identifier Type: -

Identifier Source: org_study_id

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