EASE: The Materna Prep Pivotal Study

NCT ID: NCT03973281

Last Updated: 2025-09-17

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-11

Study Completion Date

2026-08-30

Brief Summary

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This study is designed to evaluate the safety and effectiveness of the Materna Prep Device in reducing pelvic muscle injuries during vaginal delivery.

Subjects are randomized to Materna Prep Device or Standard of Care without use of the Materna Prep Device

Intervention with the Materna Prep Device is expected to be a one-time use of approximately 30-90 minutes during the 1st stage of labor.

Subject participation in the study is targeted to be 12 months from the time of the use of the device during delivery.

Detailed Description

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Vaginal delivery is a major risk factor for pelvic floor dysfunction. Clinical aspects of pelvic floor dysfunction include pelvic organ prolapse, sexual dysfunction, and fecal and urinary incontinence. Trauma to the pelvic structures occurs as the fetal head passes through the vaginal canal, especially with acute distension at the time of crowning - the exiting of the fetal head.

The Materna Prep Device is a single-use, semi-automated dilator used during the first phase of labor in order to prepare the vaginal canal for vaginal delivery. By slowly pre-stretching the vagina and surrounding pelvic tissues during labor, the device is essentially dictating the strain rate of the tissue during labor. In previous feasibility studies, the elastic recovery of the tissue has been shown to be on the order of several hours, allowing the benefits of pre-stretching the vagina and surrounding pelvic tissues to last throughout labor. The device is intended to be removed prior to the initiation of the second stage of labor, for delivery to occur unobstructed.

The target patient population for this study is nulliparous women entering the first phase of labor and scheduled for vaginal delivery with an epidural.

Conditions

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Vaginal Delivery Pelvic Organ Prolapse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Control Study
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors
The physician reading all ultrasound images will be blinded to randomization

Study Groups

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Materna Prep Device

Materna Prep Device

Group Type ACTIVE_COMPARATOR

Materna Prep Device

Intervention Type DEVICE

Materna Prep Device

Standard of Care (SOC)

Standard of Care (SOC)

Group Type OTHER

Standard of Care (SOC)

Intervention Type OTHER

Standard of Care (SOC)

Interventions

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Materna Prep Device

Materna Prep Device

Intervention Type DEVICE

Standard of Care (SOC)

Standard of Care (SOC)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Criteria for inclusion

1. Subject is scheduled for vaginal birth.
2. Subject is gestating a single fetus.
3. Subject is nulliparous, or had a previous pregnancy terminated within 24 weeks gestation.
4. Subject is able and willing to comply with the protocol required follow-up visits.
5. Subject is able and willing to provide written informed consent prior to enrollment.
6. In the opinion of the Investigator, the subject has sufficient mental capacity to understand the informed consent form (ICF), comply with the protocol requirements, and provide clinically relevant and reliable feedback regarding their experience with the device.
7. Subject receives epidural anesthesia during labor prior to enrollment.
8. Subject is 18 years of age or older at time of consent.

Exclusion Criteria

Criteria for exclusion

1. Subject has high likelihood of less than 1 hour of potential device dilation time after she arrives at the hospital.
2. Subject is planning or requires a Caesarean-section prior to randomization.
3. Subject begins labor with less than 36 weeks gestation.
4. Subject has a neurological disorder that could cause pelvic floor dysfunction, such as multiple sclerosis or spinal cord injury.
5. Subject has a collagen-associated disorder that affects tissue elasticity, such as scleroderma or Ehlers-Danlos syndrome.
6. Subject has a localized (genital tract) or systemic infection.
7. Subject has a medical history which could lead to pelvic floor dysfunction, such as prior pelvic fractures, pelvic soft tissue injuries, or vaginal surgery.
8. Subject has any general health condition or systemic disease that may represent, in the opinion of the Investigator, a potential increased risk associated with device use or pregnancy.
9. Subject has placenta previa or vasa previa.
10. Subject has known significant chromosomal or structural fetal anomalies.
11. Subject has a category 2 and/or 3 fetal tracing that is unresolved.
12. Subject is observed to have friable, denuded, or markedly edematous vaginal tissue during the course of labor.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role collaborator

Materna Medical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

La Follette Ob/Gyn

Greenbrae, California, United States

Site Status

University of California Los Angeles

Los Angeles, California, United States

Site Status

El Camino Hospital

Mountain View, California, United States

Site Status

Christiana Care - Center for Women's & Children's Health

Newark, Delaware, United States

Site Status

MedStar Washington Hospital Center

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

Site Status

USF Ob/Gyn

Tampa, Florida, United States

Site Status

The Healing Sanctuary

Idaho Falls, Idaho, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

The Cooper Health System

Camden, New Jersey, United States

Site Status

Rutgers Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status

Rutgers New Jersey Medical School

Newark, New Jersey, United States

Site Status

New York Presbyterian -Queens (NYPQ)

Flushing, New York, United States

Site Status

Columbia University Irving Medical Center

New York, New York, United States

Site Status

The Metro Health System

Cleveland, Ohio, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Lewis Katz School of Medicine at Temple

Philadelphia, Pennsylvania, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Maximos Ob/Gyn

League City, Texas, United States

Site Status

Univ of Utah Ob/Gyn

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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MaternaMedical

Identifier Type: -

Identifier Source: org_study_id

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