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ProlapseE-CARENCT00099372

Long-term Effectiveness of Abdominal Sacrocolpopexy for the Treatment of Pelvic Organ Prolapse

An observational study of Prolapse and Urinary Incontinence, run by NICHD Pelvic Floor Disorders Network at 8 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The Colpopexy and Urinary Reduction Effort (CARE) trial is a research study designed to evaluate whether the addition of a second surgical procedure in addition to a procedure for female pelvic organ prolapse (POP) affects the rates of urinary incontinence. Read more about this study

Who is it for?
Ages 21 years and older, women only
Conditions the study is for
Prolapse, Urinary Incontinence
How many people
215 participants
Where
8 sitesUnited States
Study dates
May 2004to Jun 2011
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Women who completed the CARE study

Who may be able to join

  • Women enrolled in CARE

Who cannot join

  • Inability to provide informed consent.
  • Subjects who, at the time of enrollment into E-CARE, are long-term residents of a skilled nursing facility (that is, residency is not limited to short-term rehabilitation).

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Johns Hopkins School of Medicine

    Baltimore, Maryland, 21287

  • The University of Alabama at Birmingham

    Birmingham, Alabama, 35233-7333

  • Duke University

    Durham, North Carolina, 27710

  • University of Iowa

    Iowa City, Iowa, 52242

  • USCD Medical Center

    La Jolla, California, 92037

  • Loyola University Medical Center

    Maywood, Illinois, 60153

  • Magee-Womens Hospital

    Pittsburgh, Pennsylvania, 15213-3180

  • Kaiser Permanente

    San Diego, California, 92120

Other trials in United States

About this study

Official title: Long-term Effectiveness of Abdominal Sacrocolpopexy for the Treatment of Pelvic Organ Prolapse: The Extended Colpopexy and Urinary Reduction Efforts (E-CARE) Study

The Colpopexy and Urinary Reduction Effort (CARE) trial is a research study designed to evaluate whether the addition of a second surgical procedure in addition to a procedure for female pelvic organ prolapse (POP) affects the rates of urinary incontinence. This study will follow women in the CARE study for 10 years from the time of the surgery to compare success and complication rates in the two groups. Recruitment into this study is open only to women that already participated in CARE. Recruitment into CARE is closed.

Read the detailed description

The primary aims of this prospective cohort study are:

  1. To determine the long-term (up to 10 years) anatomic success rate of sacrocolpopexy (defined as Stage 0 apical prolapse AND <= Stage 2 anterior and posterior prolapse AND no re-operation or pessary treatment for POP), and whether anatomic success differs between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy;
  2. To determine whether there is a difference in long-term stress continence (by symptoms) between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy;
  3. To determine whether there is a long-term difference between overall pelvic floor symptoms and pelvic-floor specific quality of life between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy.
Keywords
sacrocolpopexy, abdominal sacrocolpopexy, surgical procedure, prolapse, pelvic organ prolapse, urinary incontinence, stress urinary incontinence
Medical subject headings
Prolapse, Urinary Incontinence, Pelvic Organ Prolapse, Urinary Incontinence, Stress

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00099372
Study groupRoleWhat they receive
Abdominal Sacral Colpopexy with no Burch colposuspensionParticipants had an Abdominal Sacral Colpopexy without Burch colposuspension for treatment of pelvic organ prolapse
Abdominal Sacral Colpopexy with Burch ColposuspensionParticipants had an Abdominal Sacral Colpopexy with Burch colposuspension for treatment of pelvic organ prolapse

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 24 months

  2. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 3 year

  3. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 4 year

  4. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 5 year

  5. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 6 year

  6. Number of Participants With Symptomatic Failure

    Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

    Measured: 7 year

  7. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 24 months

  8. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 3 year

  9. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 4 year

  10. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 5 year

  11. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 6 year

  12. Number of Participants With Anatomic Failure (Original Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends >= 2 cm, or the anterior or posterior vaginal wall decends >1 cm beyond the hymen

    Measured: 7 year

  13. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 24 months

  14. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 3 year

  15. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 4 year

  16. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 5 year

  17. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 6 year

  18. Number of Participants With Anatomic Failure (Updated Definition)

    Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

    Measured: 7 year

  19. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 24 months

  20. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 3 year

  21. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 4 year

  22. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 5 year

  23. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 6 year

  24. Number of Participants With Composite Failure

    Anatomic failure (updated definition) or symptomatic failure

    Measured: 7 year

  25. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 24 months

  26. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 3 year

  27. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 4 year

  28. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 5 year

  29. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 6 year

  30. Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

    Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

    Measured: 7 year

  31. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 24 months

  32. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 3 year

  33. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 4 year

  34. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 5 year

  35. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 6 year

  36. Number of Participants With Stress Urinary Incontinence (SUI) Prevention

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

    Measured: 7 year

  37. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 24 months

  38. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 3 year

  39. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 4 year

  40. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 5 year

  41. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 6 year

  42. Number of Participants With Stress Urinary Incontinence (SUI)

    One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

    Measured: 7 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Dec 2004 (estimated)
  2. Study startMay 2004
  3. Primary completionJun 2011
  4. Study completionJun 2011

Why it stopped: resource and prioritization change as Network transition to a new funding cycle

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
215 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00099372
Sponsor's protocol ID
PFD 001; U01HD41249
Other IDs
U01HD041249, U10HD041268, U10HD041248, U10HD041250, U10HD041261, U10HD041263, U10HD041269, U10HD041267
Acronym
E-CARE
Status last verified
Dec 2020
First submitted
10 Dec 2004
Last updated
22 Mar 2021
Data monitoring committee
Yes

Publications

  • Nygaard I, Brubaker L, Zyczynski HM, Cundiff G, Richter H, Gantz M, Fine P, Menefee S, Ridgeway B, Visco A, Warren LK, Zhang M, Meikle S. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA. 2013 May 15;309(19):2016-24. doi: 10.1001/jama.2013.4919.

    PubMed 23677313

Questions about this trial

What is this clinical trial studying?

An observational study of Prolapse and Urinary Incontinence, run by NICHD Pelvic Floor Disorders Network at 8 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 22 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Mar 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Symptomatic Failure (time frame: 24 months). The study lists 42 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00099372, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Mar 2021.

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