Prophylactic Reinforcement of Ventral Abdominal Incisions Trial

NCT ID: NCT03911700

Last Updated: 2025-12-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

477 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-12

Study Completion Date

2031-12-31

Brief Summary

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This trial is being conducted to evaluate the efficacy of Phasix™ Mesh implantation at the time of midline fascial closure compared to primary suture closure in preventing a subsequent incisional hernia in subjects at risk for incisional hernia after open midline laparotomy surgery.

Detailed Description

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Subjects will be randomized (1:1) to one of the two treatment groups in the operating room after fascial closure.

Conditions

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Open Midline Laparotomy

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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Phasix™ Mesh

Prophylactic onlay placement of mesh.

Group Type EXPERIMENTAL

Phasix™ Mesh

Intervention Type DEVICE

Phasix™ Mesh is a resorbable mesh prepared from Poly-4-hydroxybutyrate (P4HB).

Primary Suture Closure

Standard Fascial closure.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Phasix™ Mesh

Phasix™ Mesh is a resorbable mesh prepared from Poly-4-hydroxybutyrate (P4HB).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Must be ≥ 18 years of age
2. Elective, open midline laparotomy ≥ 5 cm
3. Willing and able to provide written informed consent
4. Hernia risk equal to moderate or greater

Exclusion Criteria

1. Previous hernia repair
2. Emergent surgery
3. Creation of skin flaps is preplanned
4. Preplanned 2nd surgery
5. Active skin pathology
6. Life expectancy less than 36 months
7. Pregnant or planning to become pregnant
8. Receiving a medication/medical condition that may adversely affect wound healing
9. ASA Class \> IV
10. Enrolled in another clinical trial
11. Site personnel directly involved with this trial
12. Any condition that would preclude the use of the device or the subject form completing the follow-up requirements
13. Known or suspected allergy to tetracycline hydrochloride or kanamycin sulfate
14. Two separate incisions are created
15. Prior onlay mesh
16. Surgeon is unable to fully close the fascia
17. The surgery requires more than a single piece of mesh
18. Contraindication to placement of mesh
19. CDC Class IV/Active Infection
20. Breastfeeding
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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William Hope, MD

Role: PRINCIPAL_INVESTIGATOR

New Hanover Regional Medical Center

Locations

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Dignity Health

Phoenix, Arizona, United States

Site Status RECRUITING

Keck Medical Center of USC

Los Angeles, California, United States

Site Status WITHDRAWN

University of California San Francisco

San Francisco, California, United States

Site Status RECRUITING

Hartford Hospital

Hartford, Connecticut, United States

Site Status ACTIVE_NOT_RECRUITING

St. Francis Hospital and Medical Center

Hartford, Connecticut, United States

Site Status WITHDRAWN

Emory University

Atlanta, Georgia, United States

Site Status TERMINATED

OSF Saint Francis Medical Center

Peoria, Illinois, United States

Site Status ACTIVE_NOT_RECRUITING

Indiana University

Indianapolis, Indiana, United States

Site Status ACTIVE_NOT_RECRUITING

University of Kentucky Research Foundation

Lexington, Kentucky, United States

Site Status RECRUITING

Tulane University School of Medicine

New Orleans, Louisiana, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status WITHDRAWN

Minneapolis VA Health Care System

Minneapolis, Minnesota, United States

Site Status WITHDRAWN

University of Minnesota

Minneapolis, Minnesota, United States

Site Status RECRUITING

St. Luke's Hospital

Kansas City, Missouri, United States

Site Status WITHDRAWN

Cox Health

Springfield, Missouri, United States

Site Status WITHDRAWN

Washington University

St Louis, Missouri, United States

Site Status RECRUITING

Nebraska Medical Center

Omaha, Nebraska, United States

Site Status WITHDRAWN

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status WITHDRAWN

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status RECRUITING

New York Presbyterian Hospital-Columbia University Medical Center

New York, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Atrium Health

Charlotte, North Carolina, United States

Site Status ACTIVE_NOT_RECRUITING

Duke University

Durham, North Carolina, United States

Site Status WITHDRAWN

New Hanover Regional Medical Center

Wilmington, North Carolina, United States

Site Status RECRUITING

The Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Oregon Health & Science University

Portland, Oregon, United States

Site Status WITHDRAWN

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Baptist Clinical Research Institute

Memphis, Tennessee, United States

Site Status ACTIVE_NOT_RECRUITING

Vanderbilt University

Nashville, Tennessee, United States

Site Status RECRUITING

CAMC Health Education and Research Institute, Inc.

Charleston, West Virginia, United States

Site Status ACTIVE_NOT_RECRUITING

Krankenhaus der Barmherzigen Brüder Graz

Graz, , Austria

Site Status RECRUITING

Universitair Ziekenhuis Gent

Ghent, , Belgium

Site Status RECRUITING

CHU de Dijon Bourgogne

Dijon, , France

Site Status RECRUITING

Centre Hospitalier Universitaire de Lille

Lille, , France

Site Status RECRUITING

Centre Hospitalier Universitaire de Lille

Lille, , France

Site Status RECRUITING

Hôpital Paris St Joseph

Paris, , France

Site Status RECRUITING

Hôpital Lyon Sud

Pierre-Bénite, , France

Site Status RECRUITING

CHU Reims

Reims, , France

Site Status RECRUITING

Hopitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status RECRUITING

Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Gyneocology

Berlin, , Germany

Site Status WITHDRAWN

Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Surgery

Berlin, , Germany

Site Status WITHDRAWN

Asklepios Klinik Barmbek

Hamburg, , Germany

Site Status RECRUITING

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status RECRUITING

Bundeswehrzentralkrankenhaus Koblenz

Koblenz, , Germany

Site Status RECRUITING

Countries

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United States Austria Belgium France Germany

Central Contacts

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Amanda Resendes, MBA

Role: CONTACT

Phone: 401-209-7141

Email: [email protected]

Jaime Ritter, MPH

Role: CONTACT

Phone: 404-327-1221

Email: [email protected]

Facility Contacts

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Mitzy Vazquezgamez

Role: primary

Angelina Phan

Role: primary

Sydney Cloyd

Role: primary

Delainna Bartholomew

Role: primary

Kathryn Vera

Role: primary

Anna Rois

Role: primary

Christian Misdary

Role: primary

Samanthan Straka

Role: primary

Kayla Diaz

Role: primary

Carolina Reyes

Role: primary

Kimberly Fields

Role: primary

Gabriele Moitzi

Role: primary

Betsy van Loo

Role: primary

Aurélie Degot

Role: primary

Bertin Elion Dzon

Role: primary

Katia Lecolle

Role: primary

Camille Calvez

Role: primary

Claire-Angeline Goutard

Role: primary

Cédric Castex

Role: primary

Samantha Becker

Role: primary

Sabine Drießelmann

Role: primary

Oriel Mangadze

Role: primary

Ute Vahid Dastgerdi

Role: primary

Other Identifiers

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DVL-HE-018

Identifier Type: -

Identifier Source: org_study_id