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Elective Cranial Procedures With Dural IncisionNCT00704340

DuraSeal Sealant Post Market Study

A study testing DuraSeal Dural Sealant System in people with Elective Cranial Procedures With Dural Incision, run by Integra LifeSciences Corporation at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

DuraSeal Dural Sealant has been approved as a dural sealant by the FDA for use in cranial and spinal procedures. This study was completed to further evaluate the safety of the DuraSeal Sealant in a post-approval setting as compared to control (defined as methods typically employed by surgeons to seal the dura). Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
DuraSeal Dural Sealant System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
237 participants
Where
1 siteUnited States
Study dates
Sep 2005to May 2009
Phase
Interventional
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is between 18 and 75 years of age
  • Patient is scheduled for an elective cranial procedure that entails a dural incision
  • Evidence of intraoperative non-watertight closure

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Confluent Surgical

    Waltham, Massachusetts, 02451

Other trials in United States

About this study

DuraSeal Dural Sealant has been approved as a dural sealant by the FDA for use in cranial and spinal procedures. This study was completed to further evaluate the safety of the DuraSeal Sealant in a post-approval setting as compared to control (defined as methods typically employed by surgeons to seal the dura).

Being tested
DuraSeal Dural Sealant System, Standard of Care

What participants receive

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

  • DuraSeal Dural Sealant SystemDevice

    The DuraSeal™ Dural Sealant System is a polyethylene glycol (PEG) hydrogel that has been FDA approved as a dural sealant to achieve watertight dural closure in cranial and spinal surgery after primary repair with suturing is complete. It was developed as a means of providing a dural seal by covering small holes around the suture with an absorbable hydrogel. DuraSeal should only be used with autologous duraplasty material.

  • Standard of CareOther

    Also called Standard procedure to obtain intraoperative watertight dural closure

    Standard procedure to obtain intraoperative watertight dural closure. These methods could have included additional sutures, adhesive glue, absorbable gelatin sponge, dural substitute, soft tissue patch, or another method typically used by the investigator.

Study groups in NCT00704340
Study groupRoleWhat they receive
1ExperimentalDuraSeal Dural Sealant System - FDA Approved Device: The DuraSeal™ Dural Sealant System is a polyethylene glycol (PEG) hydrogel that has been FDA approved as a dural sealant to achieve watertight dural closure in cranial and spinal surgery after primary repair with suturing is complete. It was developed as a means of providing a dural seal by covering small holes around the suture with an absorbable hydrogel.
Receives: Device: DuraSeal Dural Sealant System
2Active comparatorStandard of Care (control): Standard procedure to obtain intraoperative watertight dural closure. These methods could have included additional sutures, adhesive glue, absorbable gelatin sponge, dural substitute, soft tissue patch, or another method typically used by the investigator.
Receives: Other: Standard of Care

What is being measured

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

  1. Percentage of Subjects With Surgical Wound Complications, Central Nervous System Events, and Neurosurgical Complications Related to Unplanned Intervention or Return to the Operating Room.

    Surgical Wound Complications;

    • Superficial incisional surgical site infection (SSI)
    • Deep incisional SSI
    • Organ/Space SSI
    • Late incisional infection: superficial incisional infection that occurs more than 31 but less than 38 days after surgery
    • Poor wound healing

    Central Nervous System Events;

    • Cerebrospinal Fluid (CSF) leak
    • Hydrocephalus
    • Bacterial meningitis
    • Aseptic meningitis

    In addition, any complication related to the neurosurgical procedure that required unplanned intervention (i.e., minimally invasive procedures) or return to the operating room was counted.

    Measured: 30 days

Secondary outcomes (2)
  1. Percentage of Subjects With Post-operative Surgical Site Infections

    Measured: 30 days

  2. Percentage of Subjects With a Cerebrospinal Fluid (CSF) Leak

    As determined from clinical diagnosis by one of the following methods:

    • CSF leak or pseudomeningocele related surgical intervention (i.e., breaking skin) within 30 days post-operation
    • CSF leak confirmation by diagnostic testing within 30 days post-operation
    • CSF leak confirmation by clinical evaluation including physical examination of the surgical site within 30 days post-operation

    Measured: 30 days

Timeline

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

  1. First posted24 Jun 2008 (estimated)
  2. Study startSep 2005
  3. Primary completionMay 2009
  4. Study completionMay 2009

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
237 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00704340
Sponsor's protocol ID
DRS-05-002
Status last verified
Aug 2017
First submitted
23 Jun 2008
Last updated
7 Sep 2017
Data monitoring committee
No

Publications

  • Osbun JW, Ellenbogen RG, Chesnut RM, Chin LS, Connolly PJ, Cosgrove GR, Delashaw JB Jr, Golfinos JG, Greenlee JD, Haines SJ, Jallo J, Muizelaar JP, Nanda A, Shaffrey M, Shah MV, Tew JM Jr, van Loveren HR, Weinand ME, White JA, Wilberger JE. A multicenter, single-blind, prospective randomized trial to evaluate the safety of a polyethylene glycol hydrogel (Duraseal Dural Sealant System) as a dural sealant in cranial surgery. World Neurosurg. 2012 Nov;78(5):498-504. doi: 10.1016/j.wneu.2011.12.011. Epub 2011 Dec 10.

    PubMed 22381303

Questions about this trial

What is this clinical trial studying?

A study testing DuraSeal Dural Sealant System in people with Elective Cranial Procedures With Dural Incision, run by Integra LifeSciences Corporation at 1 site 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 3 inclusion and 0 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: finished, as of the sponsor's last update on 7 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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 28 Jul 2010). 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?

Percentage of Subjects With Surgical Wound Complications, Central Nervous System Events, and Neurosurgical Complications Related to Unplanned Intervention or Return to the Operating Room. (time frame: 30 days). 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 NCT00704340, 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 7 Sep 2017; AzTrials last refreshed its copy on 30 Oct 2026.

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