Xen Matrix™ AB Surgical Graft in Ventral or Incisional Midline Hernias

NCT ID: NCT02691962

Last Updated: 2021-10-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-31

Study Completion Date

2020-05-31

Brief Summary

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This study aims to prospectively explore the use of XenMatrix™ AB Surgical Graft for ventral or incisional midline hernia repair in patients across all wound classes ("All Comers") through 24 months post repair.

Detailed Description

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This is a post-market, on-label study to understand the performance of the graft in the US.

Conditions

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Incisional Hernia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Xen Matrix AB

Subjects treated with Xen Matrix AB

Group Type EXPERIMENTAL

Xen Matrix AB

Intervention Type DEVICE

Xen Matrix™ AB Surgical Graft is an acellular, sterile, non-pyrogenic porcine dermal matrix packed dry for use in the reconstruction of soft tissue deficiencies. The device surfaces are coated with the antibacterial agents Rifampin and Minocycline in a bioresorbable L-Tyrosine succinate polymer carrier.

Interventions

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Xen Matrix AB

Xen Matrix™ AB Surgical Graft is an acellular, sterile, non-pyrogenic porcine dermal matrix packed dry for use in the reconstruction of soft tissue deficiencies. The device surfaces are coated with the antibacterial agents Rifampin and Minocycline in a bioresorbable L-Tyrosine succinate polymer carrier.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject must be willing and able to give written informed consent.
* Subject must be diagnosed with a ventral or incisional midline hernia.
* Mesh must be placed in the retro-rectus or intraperitoneal plane.
* Subject must be willing to undergo open hernia repair and be able to undergo all other study procedures as outlined in this protocol.

Exclusion Criteria

* The use of surgical graft as a bridge repair.
* The subject has more than 4 prior recurrences.
* Subject has a contraindication for the placement of surgical graft.
* Complete removal of existing mesh from a prior hernia repair (in the same affected area) is not possible.
* The study hernia repair requires more than a single piece mesh (including sufficient overlap beyond margins of the defect on all sides).
* Subject has intact permanent mesh adjacent to the current hernia to be repaired.
* Subject has peritonitis at the time of surgery.
* The subject is an active smoker within the last 2 weeks prior to surgery.
* Clinically significant Chronic Obstructive Pulmonary Disease or heart failure, defined as marked limitation in ability or inability to perform activities of daily living.
* Subject had chemotherapy within the last 12 months, is on or suspected to be placed on chemotherapy medications during any part of the study.
* Chronic steroid use (\>6 months) or immunosuppression drugs.
* Subject's body mass index (BMI) \>45 kg/m2.
* Subject has cirrhosis, and/or ascites.
* Subject has a defined collagen disorder.
* Known to be infected with human immunodeficiency virus (HIV).
* Subject has clinically significant (not based solely on creatinine levels) kidney disease that limits Activities of Daily Living, is on hemodialysis or peritoneal dialysis.
* Subject is American Society of Anesthesiology (ASA) Class 4 or 5.
* Subject has a life expectancy \< 2 years at the time of enrollment.
* Subject is pregnant, breastfeeding or planning on becoming pregnant during the course of the study.
* Subjects with known sensitivity to porcine products.
* Subjects with allergy, history of allergy or hypersensitivity to tetracyclines (including minocycline) or rifamycins (including rifampin).
* Subject has any condition in the opinion of the Investigator that would preclude the use of the study device, or preclude the subject from completing the follow-up requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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C. R. Bard

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Martindale, MD

Role: PRINCIPAL_INVESTIGATOR

Oregon Health and Science University

Locations

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Keck Hospital of USC

Los Angeles, California, United States

Site Status

California Pacific Medical Center - Sutter Health

San Francisco, California, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Trustees of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Texas Tech University Health Sciences Center

El Paso, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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DVL-HE-012

Identifier Type: -

Identifier Source: org_study_id