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ChildbirthNCT06698185

A Clinical Phase II Study of the Materna Device to Shorten Delivery Time During Childbirth

A study testing Materna Prep Device in people with Childbirth, run by Materna Medical at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This feasibility study is a prospective, non-randomized, single arm study to evaluate safety and prevention of maternal pelvic soft-tissue damage using the Materna Medical Device. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Childbirth
What is being tested?
Materna Prep Device
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 siteUnited States
Study dates
Sep 2014to Dec 2014
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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Primiparas, or previous pregnancy terminated before 24 weeks gestation
  • Single fetus birth
  • Subject is able to understand the risks and potential benefits of participating in the study and is willing to provide written informed consent.
  • Subject is willing and able to comply with specified follow-up evaluations.
  • Planned to have epidural during birthing process

Who cannot join

  • Previous delivery, or previous pregnancy beyond 24 weeks gestation
  • Less than 36 weeks gestation
  • Neurological diseases e.g. Multiple Sclerosis that may result in unrelated pelvic disorders
  • Muscular or skin disorder that affects elasticity of tissue such as scleroderma or lupus.
  • Local or systemic infection e.g. HIV, herpes
  • Any prior surgical procedures to the vaginal anatomy that could lead to pelvic dysfunction, pelvic fractures, or pelvic soft tissue injuries. Evaluated during baseline screening
  • High likelihood of less than 1 hour of potential device dilation time after the woman arrives at the center and receives epidural

Trial locations and contacts

1 site in 1 country.

United States1 site
  • El Camino Hospital

    Mountain View, California, 94040

Other trials in United States

About this study

This feasibility study is a prospective, non-randomized, single arm study to evaluate safety and prevention of maternal pelvic soft-tissue damage using the Materna Medical Device. The device will be used during the first stage of labor, following initiation of epidural anesthesia and after the cervix has dilated to between 3-8 cm. Up to 20 subjects will be included in the initial study, with the option to increase the number of subjects to 50 based on early data.

Read the detailed description

Study Inclusion Criteria are:

  1. Patients attending for antenatal care at El Camino Hospital with the Altos Oaks Obstetrics Group
  2. First ongoing pregnancy beyond 20 weeks
  3. Singleton, cephalic presentation
  4. No pregnancy complications which are likely to require Caesarean Section
  5. Planned vaginal delivery

The primary outcome measure is device safety as defined by freedom of device related adverse events. Secondary efficacy outcome measures are:

  1. Pelvic muscle damage as determined by ultrasound imaging
  2. Length of the 2nd stage of labour
  3. Delivery mode
  4. Perineal and anal sphincter trauma
  5. Symptoms of incontinence, prolapse and sexual dysfunction 2 years postpartum
  6. Pelvic organ support (ICS POP-Q system) and pelvic organ descent on ultrasound

Interested patients will have the study presented to them during their pre-natal visits with the Altos Oaks Obstetrics group. Interested patients will have the study explained to them and will be given the Informed Consent document.After the informed consent procedure, patients will undergo an interview and 4D translabial ultrasound.

The screened patients will have the Materna device administered by a researcher from the Altos Oaks Obstetrics group. The patients will be flagged in their charts regarding their participation in this study. When an enrolled patient arrives at the hospital and is deemed to be in labor, the Altos Oaks physician on call will be notified, and called to administer the use of the device. All other obstetric services are provided by routine staff. The device will be dilated up to a maximum diameter of 8-10cm and is then removed to allow delivery. The Control arm patients will experience normal care during labor. Participants are followed up at 3 months and 1 year after childbirth with an interview, including validated questionnaires on bladder, bowel and sexual function, and repeat ultrasound. Delivery details will be collected by the midwives and through the institutional database.

The study's primary efficacy outcome measure is levator avulsion injury diagnosed on volume ultrasound data obtained at the 1-3 month follow-up appointment. Secondary outcomes include both objective findings related to pelvic floor function and anatomy, as well as symptoms of pelvic floor dysfunction such as pelvic organ prolapse, urinary / fecal incontinence and dyspareunia, as ascertained by interview and questionnaire, at 3 months after childbirth. Assessment of stored ultrasound volume data (obtained on pelvic floor muscle contraction, or, if that is not possible, at rest) is undertaken at a later date by one single operator within the Altos Oaks Obstetrics group.

Conditions
Childbirth
Being tested
Materna Prep Device, Sham Control
Keywords
Childbirth, Tearing, perineal lacerations, pelvic muscle, avulsion, pelvic floor disorders, vaginal delivery, instrument delivery, delivery time, ultrasound
Medical subject headings
Lacerations, Fractures, Avulsion, Pelvic Floor Disorders

What participants receive

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

  • Materna Prep DeviceDevice

    Materna Prep Device

  • Sham ControlDevice

    Sham Control

Study groups in NCT06698185
Study groupRoleWhat they receive
Materna Prep DeviceExperimentalMaterna Prep Device
Receives: Device: Materna Prep Device
Sham ControlSham comparatorSham Control
Receives: Device: Sham Control

What is being measured

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

  1. Safety

    Freedom from device related adverse events

    Measured: 3 months post-delivery follow-up

Secondary outcomes (5)
  1. Pelvic Muscle Avulsion

    Binary, determined with ultrasound imaging

    Measured: 1-3 months post delivery

  2. Pelvic Muscle Damage

    Measured by changes in levator hiatus area, determined with ultrasound imaging

    Measured: 1-3 Months Post-Delivery

  3. Delivery Time

    Measure the length of the second phase of labor

    Measured: Immediate after delivery

  4. Perineal Lacerations

    Record the grade of perineal lacerations, and if sutures were used to repair lacerations

    Measured: Immediate Post Delivery

  5. Instrument Deliveries

    Record if instruments were used for delivery

    Measured: Immediate Post-Delivery

Timeline

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

  1. First posted20 Nov 2024
  2. Study startSep 2014
  3. Primary completionDec 2014
  4. Study completionDec 2014

Why it stopped: Change in IRB jurisdiction for study, study is suspended

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
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06698185
Sponsor's protocol ID
MAT-2002
Status last verified
Nov 2024
First submitted
14 Mar 2016
Last updated
20 Nov 2024
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Materna Prep Device in people with Childbirth, run by Materna Medical 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 5 inclusion and 7 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: withdrawn, as of the sponsor's last update on 20 Nov 2024. 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. Some participants in this study may receive a placebo. 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 was withdrawn before enrolling participants, so there are no results.

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?

Safety (time frame: 3 months post-delivery follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Nov 2024; AzTrials last refreshed its copy on 7 Nov 2026.

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