Trial Outcomes & Findings for Permanent Versus Absorbable Colpopexy Trial (NCT NCT02277925)

NCT ID: NCT02277925

Last Updated: 2019-11-19

Results Overview

Total number of participants with vaginal mesh and/or suture exposure thru 1 year

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

204 participants

Primary outcome timeframe

1 year

Results posted on

2019-11-19

Participant Flow

Participant milestones

Participant milestones
Measure
Gore-Tex Permanent Suture
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Overall Study
STARTED
102
102
Overall Study
Surgery
99
101
Overall Study
COMPLETED
95
87
Overall Study
NOT COMPLETED
7
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Permanent Versus Absorbable Colpopexy Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gore-Tex Permanent Suture
n=99 Participants
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=101 Participants
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Total
n=200 Participants
Total of all reporting groups
Age, Continuous
59.7 years
STANDARD_DEVIATION 10.7 • n=5 Participants
59.0 years
STANDARD_DEVIATION 10.2 • n=7 Participants
59.3 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
99 Participants
n=5 Participants
101 Participants
n=7 Participants
200 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=5 Participants
11 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
85 Participants
n=5 Participants
90 Participants
n=7 Participants
175 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 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
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
White
90 Participants
n=5 Participants
89 Participants
n=7 Participants
179 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
99 Participants
n=5 Participants
101 Participants
n=7 Participants
200 Participants
n=5 Participants
Current smoker
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Body mass index (kg/m^2)
27.5 kg/m^2
STANDARD_DEVIATION 5.0 • n=5 Participants
57.5 kg/m^2
STANDARD_DEVIATION 4.7 • n=7 Participants
27.5 kg/m^2
STANDARD_DEVIATION 4.9 • n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Participants who underwent sacral colpopexy surgery with 1-year follow up data

Total number of participants with vaginal mesh and/or suture exposure thru 1 year

Outcome measures

Outcome measures
Measure
Gore-Tex Permanent Suture
n=95 Participants
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=87 Participants
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Number of Participants With Vaginal Mesh or Suture Exposure
5 Participants
8 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Participants who underwent sacral colpopexy surgery with 1-year follow-up

Total number of participants with treatment success, which was a composite measure of 1) leading edge of prolapse not beyond hymen and apex not descended \> 1/3 of vaginal length, 2) no subjective feeling of bulge on validated questionnaire, and 3) no prolapse re-treatment with pessary or surgery

Outcome measures

Outcome measures
Measure
Gore-Tex Permanent Suture
n=95 Participants
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=87 Participants
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Number of Participants With Treatment Success
88 Participants
83 Participants

SECONDARY outcome

Timeframe: 1 year

Condition-specific questionnaire, pelvic floor distress inventory-20 (PFDI-20) is used. Minimum value is 0. Maximum is 300. Higher scores mean more bothersome symptoms.

Outcome measures

Outcome measures
Measure
Gore-Tex Permanent Suture
n=95 Participants
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=87 Participants
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Pelvic Floor Distress Inventory-20 (PFDI-20) Mean Score
42.4 score on a scale
Standard Deviation 35.9
37.9 score on a scale
Standard Deviation 33.9

Adverse Events

Gore-Tex Permanent Suture

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

PDS Delayed Absorbable Suture

Serious events: 5 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gore-Tex Permanent Suture
n=99 participants at risk
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=101 participants at risk
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Surgical and medical procedures
Ureteral injury
0.00%
0/99 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.99%
1/101 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
Infections and infestations
Sepsis
0.00%
0/99 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.99%
1/101 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
Blood and lymphatic system disorders
Pulmonary embolism
0.00%
0/99 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.99%
1/101 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
Surgical and medical procedures
Port site hernia
0.00%
0/99 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.99%
1/101 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
Gastrointestinal disorders
Bowel obstruction
1.0%
1/99 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.00%
0/101 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
Infections and infestations
Infected hematoma
0.00%
0/99 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
0.99%
1/101 • Number of events 1 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.

Other adverse events

Other adverse events
Measure
Gore-Tex Permanent Suture
n=99 participants at risk
Participants in this arm will receive Gore-Tex permanent suture
PDS Delayed Absorbable Suture
n=101 participants at risk
Participants in this arm will receive 2-0 PDS delayed absorbable suture
Surgical and medical procedures
Intraoperative complications
10.1%
10/99 • Number of events 10 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.
5.0%
5/101 • Number of events 5 • Adverse events were collected from surgery to 1 year follow-up visit, approximate total of 14 months
Systematic assessment was performed with medical records review and detailed adverse event case report forms that were completed at study visits.

Additional Information

Jennifer Wu, MD, MPH

University of North Carolina at Chapel Hill

Phone: 919-966-0014

Results disclosure agreements

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