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Pelvic Organ ProlapseUphold LITENCT01917968

Uphold LITE Post-Market Surveillance Study

A study testing Uphold Lightweight Vaginal Support System and Traditional native tissue repair in people with Pelvic Organ Prolapse, run by Boston Scientific Corporation at 28 sites 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

The purpose of this study is to compare transvaginal mesh repair to traditional native tissue repair in women surgically treated for anterior and/or apical pelvic organ prolapse. Read more about this study

Who is it for?
Ages 18 to 100 years, women only
Conditions the study is for
Pelvic Organ Prolapse
What is being tested?
Uphold Lightweight Vaginal Support System and Traditional native tissue repair
Could I receive a placebo?
No, everyone receives an active treatment
How many people
289 participants
Where
28 sitesUnited States
Study dates
10 Oct 2013to 12 Feb 2020
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 100 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is female
  • Subject is ≥18 years of age
  • Subject has pelvic organ prolapse with the leading edge at or beyond the hymen. At or beyond the hymen is defined as POP-Q scores of Ba≥0 or (for prolapse of the anterior compartment alone) C≥0 (for prolapse of the apical compartment alone) or C≥-1/2 TVL and Ba≥0 (for a multi-compartment prolapse that includes the anterior and apical compartments).
  • Subject reports of a bothersome bulge they can see or feel per PFDI-20, question 3 response of 2 or higher (i.e. responses of "somewhat", "moderately" or "quite a bit")
  • Subject or subject's legally authorized representative must be willing to provide written informed consent
  • Subject is willing and able to comply with the follow-up regimen

Who cannot join

  • Subject has an active or chronic systemic infection including any gynecologic infection, untreated urinary tract infection (UTI) or tissue necrosis
  • Subject has history of pelvic organ cancer (e.g. uterine, ovarian, bladder, colo-rectal or cervical)
  • Subject has had prior or is currently undergoing radiation, laser therapy, or chemotherapy in the pelvic area
  • Subject has taken systemic steroids (within the last month) or immunosuppressive or immunomodulatory treatment (within the last 3 months)
  • Subject has systemic connective tissue disease (e.g. scleroderma, systemic lupus erythematosus (SLE), Marfans syndrome, Ehlers Danlos, collagenosis, polymyositis polymyalgia rheumatica)
  • Subject has a known neurologic or medical condition affecting bladder function (e.g. multiple sclerosis, spinal cord injury, or stroke with residual neurologic deficit)
Show all 15Show fewer
  • Subject is seeking obliterative vaginal surgery as treatment for pelvic organ prolapse (colpocleisis)
  • Subject has a previous prolapse repair with mesh in the target compartment
  • Subject is planning to undergo a concomitant repair with use of mesh in the non-target compartment
  • Subject is not able to conform to the modified dorsal lithotomy position
  • Subject has chronic systemic pain that includes the pelvic area or chronic focal pain that includes the pelvis
  • Subject has uncontrolled diabetes mellitus (DM)
  • Subject is currently participating in or plans to participate in another device or drug study during this study
  • Subject has a known hypersensitivity to polypropylene mesh
  • Subject is pregnant or intends to become pregnant during the study

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Institute for Female Pelvic Medicine & Reconstructive Surgery

    Allentown, Pennsylvania, 18103

  • University of Alabama at Birmingham Kirklin Clinic

    Birmingham, Alabama, 35233

  • St. Alexius Medical Center/Mid Dakota Clinic

    Bismarck, North Dakota, 58501

  • Holston Medical Group at Seasons Center for Urogynecology & Advanced Pelvic Surgery

    Bristol, Tennessee, 37620

  • Presbyterian Hospital

    Charlotte, North Carolina, 28210

  • University of Cincinnati Physicians Co

    Cincinnati, Ohio, 45267

  • MultiCare Women's Health Care

    Covington, Washington, 98042

  • NorthShore University HealthSystem

    Evanston, Illinois, 60201

  • Capital Women's Care - Frederick

    Frederick, Maryland, 21702

  • Prisma Health System

    Greenville, South Carolina, 29605

  • UCSD Health/Women's Pelvic Medicine Center

    La Jolla, California, 92037

  • Las Vegas Minimally Invasive Surgery Women's Pelvic Health Center

    Las Vegas, Nevada, 89135

  • Montgomery Women's Health Associates, PC

    Montgomery, Alabama, 36117

  • Dr. M. Mitchell Silver, FACOG, PA

    Nacogdoches, Texas, 25965

  • Kyle P. McMorries, MD

    Nacogdoches, Texas, 75965

  • The Florida Bladder Institute

    Naples, Florida, 34109

  • Columbia University Irving Medical Center/NY Presbyterian Hospital

    New York, New York, 10032

  • Sherry Thomas, PC

    North Hollywood, California, 91301

  • Institute for Female Pelvic Medicine & Reconstructive Surgery

    North Wales, Pennsylvania, 19454

  • University of CA Irvine Medical Center

    Orange, California, 92868

  • Women's OB/GYN Center

    Pasadena, Texas, 77505

  • Kaiser Permanente OB/GYN Urogynecology

    San Diego, California, 92110

  • Scripps Clinic Carmel Valley

    San Diego, California, 92130

  • Regional Urology, LLC

    Shreveport, Louisiana, 71106

  • Cooper University Hospital

    Voorhees Township, New Jersey, 08043

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Aurora West Allis Medical Center

    West Allis, Wisconsin, 53227

  • Lyndhurst Clinical Research

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Prospective, Non-Randomized, Parallel Cohort, Multi-center Study of Uphold LITE Versus Native Tissue for the Treatment of Women With Anterior/Apical Pelvic Organ Prolapse

The purpose of this study is to compare transvaginal mesh repair to traditional native tissue repair in women surgically treated for anterior and/or apical pelvic organ prolapse.

Read the detailed description

The primary objective is to evaluate clinical effectiveness of transvaginal repair with mesh (Uphold LITE) against traditional native tissue repair in women surgically treated for anterior and/or apical pelvic organ prolapse. Secondary objectives are to evaluate Uphold LITE-related complications and subject reported outcomes.

The primary endpoint of the study is to achieve superiority of transvaginal repair with mesh (Uphold LITE) over native tissue repair at 36 months as compared to baseline. Success will be based on a composite of objective and subjective measures.

Additionally, a co-primary endpoint of the study is to achieve non-inferiority of transvaginal repair with mesh (Uphold LITE) to native tissue repair for safety by comparing rates of serious device or serious procedure related complications between baseline and the 36 month time point.

The secondary endpoints of the study include assessments of complications and subject reported outcomes.

Being tested
Uphold Lightweight Vaginal Support System, Traditional native tissue repair
Keywords
POP, Transvaginal, Native Tissue Repair, Repair Augmented with Mesh, Pelvic Organ Prolapse
Medical subject headings
Pelvic Organ Prolapse

What participants receive

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

  • Uphold Lightweight Vaginal Support SystemDevice

    Also called Uphold LITE

    Pelvic organ prolapse repair via transvaginal mesh (Uphold LITE)

  • Traditional native tissue repairProcedure or surgery

    Sarcrospinous ligament fixation or uterosacral ligament suspension and/or colporrhaphy

Study groups in NCT01917968
Study groupRoleWhat they receive
Uphold Lightweight Vaginal Support SystemActive comparatorTransvaginal repair with mesh (Uphold LITE)
Receives: Device: Uphold Lightweight Vaginal Support System
Traditional native tissue repairActive comparatorSacrospinous ligament fixation or uterosacral ligament suspension and/or colporrhaphy
Receives: Procedure: Traditional native tissue repair

What is being measured

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

  1. Primary Efficacy Endpoint - Number of Participants With Composite Anatomic and Symptomatic Success at 36 Months

    Success based on a composite of objective and subjective measures:

    1. Objective success was achieved by the subject having an anatomic outcome defined as the leading edge of prolapse at or above the hymen in the operated compartment:
    • Anterior segment: Leading edge of anterior prolapse was at or above the hymen or POP-Q point Ba ≤ 0.
    • Apical segment: The vaginal apex did not descend more than one-half into the vaginal canal (i.e., POP-Q point C < -1/2 TVL) for multi-compartment prolapse or POP-Q point C ≤ 0 for single compartment apical prolapse.
    1. Subjective success was achieved if the patient denied symptoms of vaginal bulging per Pelvic Floor Distress Inventory (PFDI-20) question 3, answering "no" or "yes" but "Not at all" bothersome (< 2).
    2. No retreatment for POP: no additional surgical treatment for POP in the segment(s) of the vagina treated at the index surgery or no pessary use since index surgery (i.e., 'treated segment' refers to the target compartment).

    Measured: 36 Months

  2. Co-Primary Safety Endpoint - Number of Participants With One or More Serious Device-Related and/or Procedure-Related Complications at 36 Months

    A co-primary endpoint of the study was to achieve non-inferiority of transvaginal repair with Uphold LITE vs. NTR for safety by comparing the overall complication rate (device-related and/or procedure-related SAEs) at 36 months

    Measured: 36 months

Secondary outcomes (9)
  1. Secondary Endpoint - Number of Participants With Mesh Erosion and Exposures Over Time in Intent-to-Treat Subjects

    Provides a summary of the number of subjects who reported mesh erosion or exposure at each of the study follow-up time points.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months, Overall

  2. Secondary Endpoint - Number of Participants With One or More Device-Related and/or Procedure-Related Adverse Events

    Number of subjects with the following device-related and/or procedure-related adverse events: de novo dyspareunia, pelvic pain, infection, vaginal shortening, atypical vaginal discharge, neuromuscular problems, vaginal scarring, de novo vaginal bleeding, fistula formation, and/or de novo voiding dysfunction. The Intent-to-Treat (ITT) population includes all enrolled subjects who had a surgery initiated; the As Treated population includes all subjects who successfully completed the surgical procedure. Both ITT and As Treated populations are identical to the Overall Number of Participants Analyzed.

    Measured: 36 Months

  3. Secondary Endpoint - PFDI-20 Change From Baseline in Intent-to-Treat Subjects

    The Pelvic Floor Distress Inventory-20 (PFDI-20) consists of three components: Pelvic Organ Prolapse Distress Inventory (POPDI; 6 questions), Urinary Distress Inventory (UDI; 6 questions), and Colorectal-Anal Distress Inventory (CRADI; 8 questions). Each individual component score is summed. The total ranges from 0 to 300, with a higher score indicating a greater impact to QOL (i.e., distress symptoms are more noticeable) and a lower score indicating a lesser impact to QOL (i.e., distress symptoms are less noticeable). Reported outcomes are the change from Baseline for the time periods indicated.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months

  4. Secondary Endpoint - PFIQ-7 Change From Baseline in Intent-to-Treat Subjects

    The Pelvic Floor Impact Questionnaire (PFIQ-7) is composed of 3 separate but related assessments: the Urinary Impact Questionnaire, addresses the impact of urinary incontinence symptoms, the Colorectal-Anal Impact Questionnaire addresses the impact of colorectal-anal or bowel symptoms, and the Pelvic Organ Prolapse Impact Questionnaire addresses impact of vaginal and pelvic symptoms. For each question, the low score (0) corresponds to "not at all" and the high score (3) corresponds to "quite a bit". The scores for the UIQ-7, CRAIQ-7 and POPIQ-7 are additive to yield the final PFIQ-7 score, which ranges from 0-300. A lower score means there is a lesser effect on quality of life.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months

  5. Secondary Endpoint - PISQ-12 Change From Baseline in Intent-to-Treat Subjects

    The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) is a validated short form that can be used to ascertain improvement in sexual function and desire in women undergoing therapy for pelvic organ prolapse. The PISQ-12 consists of 12 questions graded on a five-point Likert scale ranging from 0 (always) to 4 (never). Values range from 0-48 and a higher score indicates better sexual function. Reported outcomes are the change from Baseline for the time periods indicated.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months

  6. Secondary Endpoint - TOMUS Pain Score Change From Baseline in Intent-to-Treat Subjects

    The TOMUS Pain Score, a visual analog instrument with a scale of 0 (no pain sensation) to 10 (most intense pain sensation imaginable), was used to assess pain associated with surgery for pelvic organ prolapse. There are seven (7) questions each with a maximum score of 10 and a possible score range of 0-70. Reported outcomes are the change from Baseline for the time periods indicated.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months

  7. Secondary Endpoint: PGI-I for Prolapse Symptoms in Intent-to-Treat Subjects

    The Patient Global Impression of Improvement (PGI-I) for prolapse symptoms is a validated QOL instrument that assesses patient perception of overall improvement after surgical interventions for pelvic organ prolapse. The scale is as follows: 1- Very much better; 2- Much better; 3- A little better; 4- No change; 5- A little worse; 6- Much worse; 7- Very much worse.

    Measured: 6 Month, 12 Months, 18 Months, 24 Months, 36 Months

  8. Secondary Endpoint - Number of Participants With Intervention for Recurrent Prolapse and Complications at 36 Months Post Index Procedure

    Compares the office-based and surgical intervention for recurrent prolapse and complications between the Uphold LITE arm and the NTR arm 36 months from the index procedure in the Intent-to-Treat (ITT) and As Treated populations. The ITT population includes all enrolled subjects who had a surgery initiated; the As Treated population includes all subjects who successfully completed the surgical procedure. Both ITT and As Treated populations are identical to the Overall Number of Participants Analyzed.

    Measured: 36 Months

  9. Secondary Efficacy Endpoint - Number of Participants With Composite Anatomic and Symptomatic Success at 36 Months

    Secondary efficacy endpoint defined similarly to the primary efficacy endpoint except for the definition of objective success. Objective success for this endpoint is defined as:

    • Anatomic success in the operated compartment was achieved by:
    • Anterior segment: No anterior prolapse at or beyond the hymen or POP-Q point Ba < 0.
    • Apical segment: The vaginal apex did not descend more than one-half into the vaginal canal (i.e., POP-Q point C < -1/2 TVL) for multi-compartment prolapse or POP-Q point C < 0 for single compartment apical prolapse.
    • Subjective success was achieved if the patient denied symptoms of vaginal bulging per PFDI-20 question 3, answering "no" or "yes" but "Not at all" bothersome (< 2).
    • No retreatment for POP: No additional surgical treatment for POP in segment(s) of the vagina treated at the index surgery or no pessary use since index surgery ('treated segment' refers to the target compartments in this study, which are the anterior and apical compartments).

    Measured: 36 Months

Timeline

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

  1. First posted7 Aug 2013 (estimated)
  2. Study start10 Oct 2013
  3. Primary completion12 Feb 2020
  4. Study completion12 Feb 2020

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
289 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01917968
Sponsor's protocol ID
U8090
Acronym
Uphold LITE
Status last verified
Apr 2021
First submitted
18 Jul 2013
Last updated
20 May 2021
Data monitoring committee
No

Publications

  • Kahn B, Varner RE, Murphy M, Sand P, Thomas S, Lipetskaia L, Chung DE, Mahdy A, Noblett K. Transvaginal Mesh Compared With Native Tissue Repair for Pelvic Organ Prolapse. Obstet Gynecol. 2022 Jun 1;139(6):975-985. doi: 10.1097/AOG.0000000000004794. Epub 2022 May 2.

    PubMed 35675593

Questions about this trial

What is this clinical trial studying?

A study testing Uphold Lightweight Vaginal Support System and Traditional native tissue repair in people with Pelvic Organ Prolapse, run by Boston Scientific Corporation at 28 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 6 inclusion and 15 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 20 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 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 15 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?

Primary Efficacy Endpoint - Number of Participants With Composite Anatomic and Symptomatic Success at 36 Months (time frame: 36 Months). The study lists 2 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 NCT01917968, 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 20 May 2021.

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