Summary

for people ages 18 years and up (full criteria)
at San Diego, California and other locations
study started
estimated completion:

Description

Summary

Single-arm study of Phasix Mesh in High Risk patients looking at SSI and recurrence rates.

Details

The objective of this study is to collect additional data on safety, performance and effectiveness of Phasix™ Mesh in subjects requiring primary ventral, incisional or first-recurrent (protocol version 1.4)/multiply-recurrent (protocol version 2.0) hernia repair in subjects at high risk for complications. Subjects at high risk are defined as having 1 or more of the following co-morbidity conditions: body mass index (BMI) between 30-40 kg/m2, inclusive, active smokers, chronic obstructive pulmonary disease (COPD), diabetes, immunosuppression, coronary artery disease, chronic corticosteroid use, low pre-operative serum albumin, advanced age, or renal insufficiency.

Keywords

Ventral Hernia Incisional Hernia Hernia Hernia, Ventral Resorbable Mesh

Eligibility

You can join if…

Open to people ages 18 years and up

Subjects must have met all of the criteria listed below to be enrolled in the study:

  1. Subject must have been 18 years of age or older 2. Subject or subject's legally authorized representative must have given written informed consent 3. Subject must have been diagnosed with primary ventral, incisional hernia or first time recurrent ventral or incisional hernia (protocol version 1.4) 3. Subject must be diagnosed with primary ventral,incisional hernia or multiply-recurrent (not to exceed 3 recurrences) ventral or incisional hernia (protocol version 2.0) 4. Subject must have had a hernia greater than 10 cm2 and≤350 cm2 5. Subject must have been willing to undergo initial ventral, incisional or first recurrent incisional hernia repair using retro-rectus or onlay placement (using absorbable suture) with or without Component Separation Technique (CST) (protocol version 1.4) 5.Subject must be willing to undergo initial ventral, incisional or multiply-recurrent incisional hernia repair using retro-rectus or onlay placement (using absorbable suture)with or without Component Separation Technique (CST) (protocol version 2.0) 6. Subject met the criteria for a Class I wound as defined by the CDC (Appendix 4 of the protocol) 7.

Subjects must have had 1 or more of the following pre-study conditions:

  1. Body Mass Index (BMI) between 30-40 kg/m2, inclusive
  2. Active smokers (if attempts to quit smoking within two weeks of surgery have failed and the patient was still an active smoker at the time of surgery)
  3. COPD presence on patient self-report
  4. Diabetes mellitus
  5. Immunosuppression
  6. Coronary Artery Disease
  7. Chronic corticosteroid use: greater than 6 months systemic use
  8. Serum albumin less than 3.4 g/dL
  9. Advanced age: 75 years or older
  10. . Renal insufficiency, defined as serum creatinine concentration ≥2.5 mg/dL

You CAN'T join if...

Subjects were excluded from study enrollment if any of the following criteria were met:

  1. Subject's hernia had recurred more than once (protocol version 1.4)
  2. Subject has had 4 or more previous hernia repairs (of the index hernia) (protocol version 2.0)
  3. The subject had peritonitis
  4. The subject was on or suspected to be placed on chemotherapy medications during any part of the study
  5. The subject's Body Mass Index (BMI) was greater than 40 kg/m2
  6. The subject had cirrhosis of the liver and/or ascites
  7. Subject was American Society of Anesthesiology Class 4 or 5
  8. Subject was known to be infected with human immunodeficiency virus (HIV)
  9. Subject had a life expectancy of less than 2 years at the time of enrollment
  10. Subject had any condition that, in the opinion of the Investigator, precluded the use of the study device, precluded the subject from completing the follow-up requirements
  11. . Subject's hernia repair utilized intraabdominal mesh placement
  12. . Subject had a surgical wound classified as Class II (Clean-Contaminated), Class III(Contaminated) or Class IV (Dirty-Contaminated) as defined by the CDC (Appendix 4 of the protocol)
  13. . Subject had an active or latent systemic infection
  14. . Subject required surgical bridge repair as the sole repair
  15. . Subject was pregnant or had plans to become pregnant during the study period or was breastfeeding
  16. . Subject had enrolled in another clinical study within the last 30 days
  17. . Subject was part of the site personnel directly involved with this study
  18. . Subject had a known allergy to the test device or component materials (patients with known allergies to tetracycline hydrochloride or kanamycin sulfate were avoided).

Locations

  • University of California, San Diego
    San Diego California 92103 United States
  • Oregon Health and Science University
    Portland Oregon 97239 United States
  • Methodist Health System
    Omaha Nebraska 68114 United States

Details

Status
in progress, not accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
C. R. Bard
ID
NCT01961687
Study Type
Interventional
Last Updated
April 16, 2018