A Prospective, Multi-Center Study of Phasix™ Mesh for Ventral or Incisional Hernia Repair.

Completed · Not applicable

Conditions studied: Ventral Hernia, Incisional Hernia

In brief

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

Key facts

Study ID

NCT01961687

Run by

C. R. Bard

People needed

121

Starts

2013-09-01

Expected to finish

2020-01-27

Last updated by the study team

2021-01-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subjects must have met all of the criteria listed below to be enrolled in the study:
• 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:
• Body Mass Index (BMI) between 30-40 kg/m2, inclusive
• 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)
• COPD presence on patient self-report
• Diabetes mellitus
• Immunosuppression
• Coronary Artery Disease
• Chronic corticosteroid use: greater than 6 months systemic use
• Serum albumin less than 3.4 g/dL
• Advanced age: 75 years or older
• Renal insufficiency, defined as serum creatinine concentration ≥2.5 mg/dL

You may not qualify if…

• Subjects were excluded from study enrollment if any of the following criteria were met:
• Subject's hernia had recurred more than once (protocol version 1.4)
• Subject has had 4 or more previous hernia repairs (of the index hernia) (protocol version 2.0)
• The subject had peritonitis
• The subject was on or suspected to be placed on chemotherapy medications during any part of the study
• The subject's Body Mass Index (BMI) was greater than 40 kg/m2
• The subject had cirrhosis of the liver and/or ascites
• Subject was American Society of Anesthesiology Class 4 or 5
• Subject was known to be infected with human immunodeficiency virus (HIV)
• Subject had a life expectancy of less than 2 years at the time of enrollment
• 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
• Subject's hernia repair utilized intraabdominal mesh placement
• 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)
• Subject had an active or latent systemic infection
• Subject required surgical bridge repair as the sole repair
• Subject was pregnant or had plans to become pregnant during the study period or was breastfeeding
• Subject had enrolled in another clinical study within the last 30 days
• Subject was part of the site personnel directly involved with this study
• Subject had a known allergy to the test device or component materials (patients with known allergies to tetracycline hydrochloride or kanamycin sulfate were avoided).

Where it is running

• University of California, San Diego — San Diego, California, United States
• Florida Hospital/Celebration Health — Celebration, Florida, United States
• NorthShore University HealthSystem — Evanston, Illinois, United States
• Indiana University — Indianapolis, Indiana, United States
• University of Kentucky Medical Center — Lexington, Kentucky, United States
• Baystate Medical Center — Springfield, Massachusetts, United States
• University of Massachusetts Worcester — Worcester, Massachusetts, United States
• Methodist Health System — Omaha, Nebraska, United States
• Southeast Area Health and Education Center — Wilmington, North Carolina, United States
• Oregon Health and Science University — Portland, Oregon, United States
• Univerity of Tennessee Health Science Center — Germantown, Tennessee, United States
• University of Tennessee Health Sciences Center — Knoxville, Tennessee, United States
• Vanderbilt University Medical Center — Nashville, Tennessee, United States
• Virginia Commonwealth University — Richmond, Virginia, United States
• University of Wisconsin System — Madison, Wisconsin, United States
• Medical College of Wisconsin — Milwaukee, Wisconsin, United States

Full record on ClinicalTrials.gov

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