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Adhesion; Uterus, InternalNCT03446755

Use of an Intra Uterine Balloon to Prevent Recurrent Adhesions (REpAIR)

A study testing intra uterine Cook balloon in people with Adhesion; Uterus, Internal, run by University Hospital, Ghent at 1 site in Belgium.

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

Patients suffering of subfertility as a consequence of intrauterine adhesions could be treated with hysteroscopic adhesiolysis. Adhesion recurrence may occur postoperative. An intrauterine balloon, inserted after hysteroscopic adhesiolysis, may prevent adhesion reformation. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Adhesion; Uterus, Internal
What is being tested?
intra uterine Cook balloon
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteBelgium
Study dates
17 Jan 2018to 16 Dec 2020
Phase
Interventional
Are there results?
None posted in the registry

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 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • patients with intra uterine adhesions scheduled for hysteroscopic adhesiolysis

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • University hospital Ghent

    Ghent, East-Flanders, 9000

Other trials in Belgium

About this study

Official title: The Use of an Intrauterine Balloon in Preventing Adhesion Recurrence After Hysteroscopic Adhesiolysis: a Feasibility Study.

Patients suffering of subfertility as a consequence of intrauterine adhesions could be treated with hysteroscopic adhesiolysis. Adhesion recurrence may occur postoperative. An intrauterine balloon, inserted after hysteroscopic adhesiolysis, may prevent adhesion reformation.

A Foley catheter can serve for this purpose, but its not ideal. COOK medical® developed a hearth shaped intrauterine balloon to reduce bleeding after intrauterine surgery.

We aimed to perform a pilot study of 10 procedures with insertion of a hearth shaped intrauterine balloon as antiadhesion method subsequent to a hysteroscopic adhesiolysis, to study its feasibility in terms of surgeon's and patient's experience.

Being tested
intra uterine Cook balloon
Keywords
antiadhesion treatment, Asherman's syndrome, hysteroscopic adhesiolysis, intrauterine adhesions, intrauterine balloon
Medical subject headings
Tissue Adhesions, Gynatresia

What participants receive

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

  • intra uterine Cook balloonDevice

    Insertion of a hearth shaped intrauterine balloon immediately after hysteroscopic adhesiolysis and left in place for 7 days under antibiotic prophylaxis.

Study groups in NCT03446755
Study groupRoleWhat they receive
Intrauterine balloon (Cook medical)ExperimentalInsertion of a hearth shaped intrauterine balloon immediately after hysteroscopic adhesiolysis and left in place for 7 days under antibiotic prophylaxis.
Receives: Device: intra uterine Cook balloon

What is being measured

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

  1. The number of recurrent adhesions after adhesiolysis

    Measured: 5-10 weeks after adhesiolysis

  2. The number of complications after adhesiolysis

    Measured: 5-10 weeks after adhesiolysis

Secondary outcomes (8)
  1. Pain after placement of the intra uterine balloon

    via Visual Analogue Scale (VAS scale). The patient has to indicate her pain score from 0 (no pain) to 10 (worst pain ever).

    Measured: 1 to 6 days after adhesiolysis

  2. Complications after placement of the intra uterine balloon

    Measured: 1 to 6 days after adhesiolysis

  3. Pain at the time of the removal of the intra uterine balloon

    via Visual Analogue Scale (VAS scale). The patient has to indicate her pain score from 0 (no pain) to 10 (worst pain ever).

    Measured: 6 days after adhesiolysis

  4. Patient Satisfaction after removal of the intra uterine balloon

    Via questionnaire

    Measured: 6 days after adhesiolysis

  5. Malaise after placement of the intra uterine balloon

    Via questionnaire

    Measured: 6 days after adhesiolysis

  6. Daily functioning after placement of the intra uterine balloon (absence from work, impact on work productivity, impact on household, physical activity, daily life)

    Via questionnaire and via via Visual Analogue Scale (VAS scale). The patient has to indicate her daily functioning from 0 (the balloon had no influence on my daily function) to 10 (because of the balloon I couldn't do anything of my daily work).

    Measured: 6 days after adhesiolysis

  7. The ease of inserting the intra uterine balloon

    Via questionnaire

    Measured: once at the time of the surgical procedure (adhesiolysis). This is day 0 of the study

  8. The ease of removing the intra uterine balloon

    Via questionnaire

    Measured: 6 days after adhesiolysis

Timeline

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

  1. First posted27 Feb 2018
  2. Study start17 Jan 2018
  3. Primary completion16 Dec 2020
  4. Study completion16 Dec 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
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Model description
To evaluate the feasibility of a hearth shaped intrauterine balloon as antiadhesion method subsequent to a hysteroscopic adhesiolysis in terms of surgeon's and patient's experience.
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03446755
Sponsor's protocol ID
B670201733915
Status last verified
Jun 2021
First submitted
24 Jan 2018
Last updated
2 Jul 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • van Wessel S, Wauters L, Weyers S, Hamerlynck T. The use of an intrauterine balloon in preventing adhesion recurrence after hysteroscopic adhesiolysis: a feasibility study. J Obstet Gynaecol. 2022 Nov;42(8):3720-3724. doi: 10.1080/01443615.2022.2158320. Epub 2022 Dec 21.

    PubMed 36541390

Questions about this trial

What is this clinical trial studying?

A study testing intra uterine Cook balloon in people with Adhesion; Uterus, Internal, run by University Hospital, Ghent at 1 site in Belgium.

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 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 2 Jul 2021. 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 Belgium. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The number of recurrent adhesions after adhesiolysis (time frame: 5-10 weeks after adhesiolysis). 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 NCT03446755, 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 2 Jul 2021.

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