Hyaluronic Acid and Uterine Synechiae

NCT ID: NCT02248376

Last Updated: 2021-08-03

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

Clinical Phase

PHASE3

Total Enrollment

364 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-14

Study Completion Date

2018-09-14

Brief Summary

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The primary purpose of the study is to compare efficiency of a non-stick gel application after scraping surgery for natural miscarriage with no non-stick gel application after scraping surgery.

Post-scraping uterine synechiae rate will be established at the diagnostical hysteroscopy 6-8 weeks after surgery.

Detailed Description

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Women patients coming for natural miscarriage will be compared according to whether a non-stick gel will be applicated or not after scraping surgery.

6-8 weeks after this surgery uterine synechiae rate will be established at a diagnostical hysteroscopy. Proofreading of this exam will be made by 2 experts at the end of the study without knowing the randomization arm.

Long-term follow-up of the patients will be performed to evaluate the effect of the non-stick gel application on post-surgical fertility at 6, 12, and 24 months after scraping surgery using questionnaire asked by post, mail or phone.

Conditions

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Uterine Synechiae After Scraping for Natural Miscarriage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Gel +

Patients aged of more than 18 years-old coming for a natural miscarriage who will have the stick gel application at the end of the scraping surgery.

Group Type EXPERIMENTAL

Gel

Intervention Type DRUG

Patients aged of more than 18 years-old coming for a natural miscarriage who will have the stick gel application at the end of the scraping surgery.

Gel -

Patients aged of more than 18 years-old coming for a natural miscarriage who will not have the non-stick gel application at the end of the scraping surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Gel

Patients aged of more than 18 years-old coming for a natural miscarriage who will have the stick gel application at the end of the scraping surgery.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Women patients aged between 18 and 46 years old
* Term ≥ 7 weeks amenorrhea and ≤ 14 weeks amenorrhea
* Blighted ovum or not completed miscarriage or haemorrhagic miscarriage or retention miscarriage
* Consent signature
* Social security coverage
* Women who wants to be pregnant

Exclusion Criteria

* Infected miscarriage
* Uncertain diagnosis between miscarriage and extra-uterine pregnancy
* Hydatiform mole
* Uterine synechiae history
* Surgical zone infection
* Hyalobarrier® gel Endo hypersensitivity
* Clotting disorder
* Unstable diabetes
* Maternal malignant diseases
* Psychiatric disorder
* Incapacity in understanding the consent form and the questionnaires
* Law protected adult person
Minimum Eligible Age

18 Years

Maximum Eligible Age

46 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Louis Benifla, MD-PhD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique

Locations

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Hôpital Lariboisière - Service de Gynécologie-Obstétrique

Paris, , France

Site Status

Countries

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France

References

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Sroussi J, Bourret A, Pourcelot AG, Thubert T, Lesavre M, Legendre G, Tuffet S, Rousseau A, Benifla JL; HYFACO group. Does hyaluronic acid gel reduce intrauterine adhesions after dilation and curettage in women with miscarriage? A Multicentric randomized controlled trial (HYFACO Study). Am J Obstet Gynecol. 2022 Oct;227(4):597.e1-597.e8. doi: 10.1016/j.ajog.2022.05.064. Epub 2022 Jun 3.

Reference Type DERIVED
PMID: 35667420 (View on PubMed)

Other Identifiers

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AOR13019

Identifier Type: OTHER

Identifier Source: secondary_id

P 130911

Identifier Type: -

Identifier Source: org_study_id

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