Microlyte in Prevention of SSI After Open Ventral Hernia Repair

NCT ID: NCT05093894

Last Updated: 2022-10-10

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-14

Study Completion Date

2022-10-06

Brief Summary

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Participants who are scheduled to have open ventral hernia repair (OVHR) will be asked to take part in this study.

The purpose of this study is to find out if placing Microlyte (which is a dissolvable sheet coated in silver) on the surgical incision is better than placing nothing on the surgical incision when it comes to decreasing the chance of surgical site infections.

The study device has been cleared by the Food and Drug Administration (FDA) for use on surgical incisions.

A total of 280 participants will be included in the study.

Participation will last for about 90 days.

Detailed Description

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The aim of our study is to assess the impact of Microlyte-AG® (Imbed Biosciences, Fitchburg, WI), a silver-coated bioabsorbable matrix, on surgical site infection (SSI) on patients undergoing clean open ventral hernia repair (OVHR) at Carolinas Medical Center/Atrium Health (Charlotte, NC), Prisma Health-Upstate (Greenville, SC), and Mission Health/HCA Healthcare (Asheville, NC).

Those who agree to participate in the study will undergo the following:

Information will be collected, including demographics, past medical and surgical history, and hospital outcomes.

On the day of surgery, participants will be "randomized" into one of the study groups listed below.

* Group 1: The study device will be cut into strips and placed in the surgical incision
* Group 2: Nothing will be placed in the surgical incision

For both groups, the surgical incision will then be closed with absorbable sutures, which is the usual treatment.

Participants will be seen by the study doctor 30 and 90 days after surgery for a checkup. At the 30-day visit, participants will have a physical examination, and the study doctor will check to see if any complications have happened since the last visit. The 90-day follow-up visit can be done in person or over the telephone and will be done to check and see if there have been any problems with the healing of the surgical incision.

Conditions

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Ventral Hernia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1: Microlyte will be cut into strips and placed on the surgical incision

Microlyte will be cut into strips and placed on the surgical incision

Group Type ACTIVE_COMPARATOR

Group 1

Intervention Type DEVICE

Microlyte will be cut into strips and placed on the subcutaneous space

Group 2: Nothing will be placed on the surgical incision

Nothing will be placed on the surgical incision

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Group 1

Microlyte will be cut into strips and placed on the subcutaneous space

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men and women over 18 years of age
* Patients undergoing open hernia repair with retromuscular or preperitoneal placement of polypropylene mesh in clean (Class I) operative fields, and who are candidates for complete skin closure
* Capable and willing to attend the scheduled postoperative visits
* Signed ICF for study enrollment

Exclusion Criteria

* Prisoners
* Minimally invasive repairs (laparoscopy, robotics)
* CDC Wound Class II-IV
* Irrigation of the wound or peritoneal cavity with antibiotic or antimicrobial fluid
* Inability to completely close the midline fascia
* Mesh placed as a bridge, onlay, or intraperitoneal position to the fascia
* Skin left open or packed at the time of the index operation
* Use of wound wicks at the time of the index operation
* Use of an investigational product within the preceding 60 days
* Allergy to silver
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role collaborator

Kendall Healthcare Group, Ltd.

INDUSTRY

Sponsor Role collaborator

Prisma Health-Upstate

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alfredo M Carbonell, DO

Role: PRINCIPAL_INVESTIGATOR

Prisma Health

Locations

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Mission Hospital/HCA Healthcare

Asheville, North Carolina, United States

Site Status

Carolinas Medical Center/Atrium Health

Charlotte, North Carolina, United States

Site Status

Prisma Health

Greenville, South Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00115720

Identifier Type: -

Identifier Source: org_study_id

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