RCT for SSLF vs. ISFF With Conventional Surgical Instruments in Chinese Apical Prolapse Female Patients

NCT ID: NCT04213027

Last Updated: 2020-01-02

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2025-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This trial is designed to investigate the efficacy and safety of two native tissue repair procedure with conventional surgical instruments in Chinese apical prolapse female patients (POP-Q II-IV) and compare the outcome in prolapse women randomized to Sacrospinous ligament fixation (SSLF) and Ischial spinous fascia fixation (ISFF).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The population will include Chinese female patients with advanced apical prolapse (stage II-III) and who are undergoing Sacrospinous Ligament Fixation (SSLF) and Ischial spinous fascia fixation (ISFF) procedure using conventional surgical instruments without special instrument. After enrollment, standardized baseline data including demographics, POPQ evaluation, series of validated questionaires via interviews( PFDI-20, PFIQ-7, PISQ-12) will be collected by study personnel at the baseline visit. Eligible consenting patients will proceed to randomizations with equal probability of assignment to SSLF or ISFF. Randomization to either SSLF or ISFF will take place preoperatively by each clinical site using a random permutated block design. After index surgical intervention, scheduled follow-up will occur at 3, 6, 12, 24 and 36 months after the index surgery. At the follow-up visits, POPQ examination will be performed and an update of current medications, an assessment of new or continuing pelvic floor disorders, adverse events that occurred since the previous evaluation, and an assessment of health care costs. A series of validated instruments will be administered via interviews to including PFDI-20, PFIQ-7, PISQ-12, PGI-C.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Apical Prolapse

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

SSLF-CSI

native tissue repair procedure with conventional surgical instruments in Chinese apical prolapse female patients randomized to Sacrospinous ligament fixation (SSLF) .

Group Type ACTIVE_COMPARATOR

native tissue repair procedures with conventional surgical instruments

Intervention Type PROCEDURE

Sacrospinous ligament fixation (SSLF): treatment for apical prolapse with vaginal fornix suspended to sacrospinous ligament; Ischial spinous fascia fixation (ISFF): treatment for apical prolapse with vaginal fornix suspended to ischial spinous fascia (ISFF).

ISFF-CSI

native tissue repair procedure with conventional surgical instruments in Chinese apical prolapse female patients randomized to Ischial spinous fascia fixation (ISFF)

Group Type ACTIVE_COMPARATOR

native tissue repair procedures with conventional surgical instruments

Intervention Type PROCEDURE

Sacrospinous ligament fixation (SSLF): treatment for apical prolapse with vaginal fornix suspended to sacrospinous ligament; Ischial spinous fascia fixation (ISFF): treatment for apical prolapse with vaginal fornix suspended to ischial spinous fascia (ISFF).

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

native tissue repair procedures with conventional surgical instruments

Sacrospinous ligament fixation (SSLF): treatment for apical prolapse with vaginal fornix suspended to sacrospinous ligament; Ischial spinous fascia fixation (ISFF): treatment for apical prolapse with vaginal fornix suspended to ischial spinous fascia (ISFF).

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Women with apical prolapse with POP-Q II-IV (but no anterior wall prolapse stage IV)
2. SSLF or ISFF is proceeded as described before,while ancillary procedures like vaginal hysterectomy, anterior/posterior vaginal wall repair without mesh or mid-urethral suspension could be performed simultaneously.
3. Women who have been eligible for long-term follow-up.
4. Women who agreed to participate in the study and signed informed consent.

Exclusion Criteria

1. Women who have surgical history for prolapse with mesh.
2. Women who have contraindication for surgical procedure
3. Women who are unable to comply with the study procedures
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

zhulan

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Yongxian Lu

Role: PRINCIPAL_INVESTIGATOR

1st Affiliated hospital of PLA general hospital

Zhiyuan Dai

Role: PRINCIPAL_INVESTIGATOR

Shanghai First Maternity and Infant Hospital

Wenyan Wang

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated hospital of Anhui Medical college

Zhaoai Li

Role: PRINCIPAL_INVESTIGATOR

Shan'xi Province Women's and Children's Hospital

Yuling Wang

Role: PRINCIPAL_INVESTIGATOR

Foshan Women's and Children's Hospital

Shunyu Hou

Role: PRINCIPAL_INVESTIGATOR

Suzhou City Hospital

Xiangjuan Li

Role: PRINCIPAL_INVESTIGATOR

Hangzhou Women's and Children's Hospital

Lubin Liu

Role: PRINCIPAL_INVESTIGATOR

Chongqing Women's and Children's Hospital

Le Ma

Role: PRINCIPAL_INVESTIGATOR

Beijing Obstetrics and Gynecology Hospital

Tao Xu

Role: PRINCIPAL_INVESTIGATOR

Statistics Department of Peking Union Medical College

Joseph Schaffer

Role: PRINCIPAL_INVESTIGATOR

UT Southwestern Medical Center

Marko J Jachtorowycz

Role: PRINCIPAL_INVESTIGATOR

Saint Francis Hospital

Lan Zhu

Role: STUDY_CHAIR

Peking Union Medical College Hospital

Yuxin Dai

Role: STUDY_DIRECTOR

Peking Union Medical College Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

2nd Affiliated hospital of Anhui Medical college

Hefei, Anhui, China

Site Status RECRUITING

1st Affiliated hospital of PLA general hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Suzhou City Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

Shanghai First Maternity and Infant Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

China

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Yuxin Dai, MD

Role: CONTACT

0086-010-69156204

Lan Zhu, MD

Role: CONTACT

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Wenyan Wang

Role: primary

Yongxian Lu

Role: primary

Yuxin Dai, MD

Role: primary

0086-010-69156204

Lan Zhu

Role: backup

Shunyu Hou

Role: primary

Zhiyuan Dai

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013 Apr 30;(4):CD004014. doi: 10.1002/14651858.CD004014.pub5.

Reference Type BACKGROUND
PMID: 23633316 (View on PubMed)

Barber MD, Maher C. Apical prolapse. Int Urogynecol J. 2013 Nov;24(11):1815-33. doi: 10.1007/s00192-013-2172-1.

Reference Type BACKGROUND
PMID: 24142057 (View on PubMed)

Zhu L, Lang J, Zhang Q. Clinical study of ischia spinous fascia fixation--a new pelvic reconstructive surgery. Int Urogynecol J. 2011 Apr;22(4):499-503. doi: 10.1007/s00192-010-1307-x.

Reference Type BACKGROUND
PMID: 21060988 (View on PubMed)

Ren C, Song XC, Zhu L, Ai FF, Shi HH, Sun ZJ, Chen J, Lang JH. [Prospective cohort study on the outcomes of sacrospinous ligament fixation using conventional instruments in treating stage Ⅲ-Ⅳ pelvic organ prolapse]. Zhonghua Fu Chan Ke Za Zhi. 2017 Jun 25;52(6):369-373. doi: 10.3760/cma.j.issn.0529-567X.2017.06.003. Chinese.

Reference Type BACKGROUND
PMID: 28647958 (View on PubMed)

Haya N, Baessler K, Christmann-Schmid C, de Tayrac R, Dietz V, Guldberg R, Mascarenhas T, Nussler E, Ballard E, Ankardal M, Boudemaghe T, Wu JM, Maher CF. Prolapse and continence surgery in countries of the Organization for Economic Cooperation and Development in 2012. Am J Obstet Gynecol. 2015 Jun;212(6):755.e1-755.e27. doi: 10.1016/j.ajog.2015.02.017. Epub 2015 Feb 25.

Reference Type RESULT
PMID: 25724403 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

PekingUMCH SSLFvsISFF-CSI

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Modified Mini-Open TLIF vs Traditional Open TLIF
NCT07279051 NOT_YET_RECRUITING NA