Safety and Effectiveness of Juveena™ Hydrogel System Following TCGP At High-Risk for Intrauterine Adhesions

NCT ID: NCT05394662

Last Updated: 2025-05-23

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-11

Study Completion Date

2025-04-23

Brief Summary

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This study is to determine whether intrauterine instillation of Juveena hydrogel following adhesiogenic hysteroscopic procedures (TCGP + Juveena) can safely and effectively reduce the incidence and severity of intrauterine adhesions (IUA) compared to TCGP alone.

Detailed Description

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This is a prospective, multicenter, randomized controlled subject and evaluator-blinded pivotal study to investigate the safety and effectiveness of the Juveena Hydrogel System when used to reduce the occurrence of IUA in women undergoing TCGPs associated with a high prevalence of post-procedural IUA (i.e., adhesiolysis for moderate to severe adhesions or myomectomy of multiple or large myoma). A second look hysteroscopy (SLH) will be performed at the Week 8 visit to evaluate the presence and severity of IUA.

Conditions

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Intrauterine Adhesion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Juveena Hydrogel vs No Hydrogel
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Subjects won't be told which group they were assigned. Primary outcome reviewed by blinded independent central review.

Study Groups

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Transcervical Gynecological Procedure + Juveena Hydrogel

Transcervical Gynecological Procedure + Juveena Hydrogel

Group Type EXPERIMENTAL

Juveena Hydrogel System

Intervention Type DEVICE

Application of a novel hydrogel immediately following the transcervical procedure

Transcervical Gynecological Procedure alone (standard of care)

Transcervical Gynecological Procedure alone (standard of care)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Juveena Hydrogel System

Application of a novel hydrogel immediately following the transcervical procedure

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Premenopausal
2. Candidate for one of the following hysteroscopic procedures:

1. Adhesiolysis of moderate to severe adhesions confirmed hysteroscopically
2. Hysteroscopic Myomectomy confirmed via imaging in subjects with symptomatic disease
3. Subject agrees to all protocol requirements including returning for specified visits within intervals identified within this protocol.
4. Subject is willing to undergo an SLH at the Week 8 visit.
5. Subject agrees to abstain from sexual intercourse or use a reliable form of barrier contraception following the study procedure through the Week 8 visit.
6. Subject has signed the IRB/EC approved informed consent

Exclusion Criteria

1. Postmenopausal
2. IUD present at time of TCGP (unless removed before or during procedure)
3. Past history of endometrial cancer or atypical endometrial hyperplasia (endometrial intraepithelial neoplasia).
4. Planned intrauterine interventions post-TCGP through the Week 8 visit.
5. Recent intrauterine surgery within 6 weeks before the planned study procedure.
6. Pregnant (positive pregnancy test) or lactating.
7. Pregnancy within the last 6 weeks prior to the planned study procedure for a trimester loss (≤13 weeks gestation) within 3 months of planned study procedure for all other pregnancies.
8. Active sexually transmitted infection (i.e., positive testing for gonorrhea/chlamydia), or genital or urinary tract infection at the time of procedure (e.g., cervicitis, vaginitis, endometritis, salpingitis, or cystitis) or other active and/or systemic infection.
9. Use of systemic corticosteroids within 1 week of study procedure.
10. Treated with long-acting injectable hormone/hormone implant that would still be active at the time of the TCGP.
11. Known allergy to FD\&C No.1 dye or polyethylene glycol (PEG).
12. Known clotting defects or bleeding disorders.
13. Any other general health or mental condition that in the opinion of the investigator could represent an increased risk for the subject, affect the primary outcomes of this study and/or impact the subject's ability to comply with protocol requirements.
14. Participating or considering participation in a clinical trial of another investigational drug or device during this study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rejoni Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ian Feldberg

Role: STUDY_DIRECTOR

Rejoni Inc.

Locations

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Arizona Gynecology Consultants

Phoenix, Arizona, United States

Site Status

UCSF Center for Reproductive Health

San Francisco, California, United States

Site Status

MedStar Washington Hospital Center

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

Site Status

Dr. Charles Miller and Associates

Park Ridge, Illinois, United States

Site Status

Cypress Medical Research Center

Wichita, Kansas, United States

Site Status

Newton Wellesley Hospital

Newton, Massachusetts, United States

Site Status

Boston IVF

Waltham, Massachusetts, United States

Site Status

Maimonides Medical Center

Brooklyn, New York, United States

Site Status

Duke Universtiy Health System

Morrisville, North Carolina, United States

Site Status

University Hospitals Landerbrook

Mayfield Heights, Ohio, United States

Site Status

Prisma Health, Greensville Memorial Hospital

Greenville, South Carolina, United States

Site Status

The University of Texas at Austin Dept of Womens' Health

Austin, Texas, United States

Site Status

Texas Fertility Center

Austin, Texas, United States

Site Status

Aspire Houston Fertility Institute

Houston, Texas, United States

Site Status

Generations Fertility Care

Middleton, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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REJ-CT-0003

Identifier Type: -

Identifier Source: org_study_id

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