HerniaNCT07360691
Prospective Clinical Evaluation of High-Purity Type I Collagen in Select High-Risk Hernia Repair Scenarios
A study testing High-Purity Type I Collagen Mesh in people with Hernia and Ventral Hernia, run by Adichunchanagiri Institute of Medical Sciences, B G Nagara at 1 site in India.
Trial summary
This prospective, single-arm clinical study evaluates the safety, feasibility, and early clinical outcomes of High-Purity Type I Collagen (HPTC; Surgicoll-Mesh®) when used as a biologic reinforcement in selected hernia repair scenarios where permanent synthetic mesh placement is undesirable. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hernia, Ventral Hernia, Incisional Hernia
- What is being tested?
- High-Purity Type I Collagen Mesh
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteIndia
- Study dates
- 5 Jan 2026to 12 Mar 2026
- 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
- Age ≥18 years
- Ventral, incisional, umbilical, or para-umbilical hernia
- Contaminated or potentially contaminated surgical field
- Hernia repair following infected mesh explantation
- High-risk patients (diabetes, obesity, smoking, immunosuppression)
- Ability to provide informed consent
Who cannot join
- Clean, low-risk primary hernia suitable for synthetic mesh
- Large defects requiring permanent load-bearing prosthesis
- Generalized peritonitis or uncontrolled sepsis
- Known collagen hypersensitivity
- Pregnancy
- Inability to comply with follow-up
Trial locations and contacts
1 site in 1 country.
India1 site
Adichunchanagiri Institute of Medical Sciences
Mandya, Karnataka, 571448
About this study
Official title: Early Clinical Outcomes of High-Purity Type I Collagen as a Biologic Reinforcement in Selected Hernia Repair Scenarios: A Prospective Clinical Study
This prospective, single-arm clinical study evaluates the safety, feasibility, and early clinical outcomes of High-Purity Type I Collagen (HPTC; Surgicoll-Mesh®) when used as a biologic reinforcement in selected hernia repair scenarios where permanent synthetic mesh placement is undesirable. Outcomes focus on early postoperative safety, wound healing, and complication profiles over an 8-week follow-up period.
Read the detailed description
Synthetic mesh has reduced hernia recurrence but is associated with significant complications in contaminated fields and high-risk patients. Biologic meshes offer potential advantages including biocompatibility, resistance to infection, and tissue remodeling. High-Purity Type I Collagen (>97% purity) is an un-crosslinked, resorbable scaffold designed to support host tissue integration.
This prospective observational study systematically evaluates early clinical outcomes following HPTC-reinforced hernia repair, including surgical site infection, wound healing, postoperative pain, and early integrity of repair. The study is not designed to assess long-term recurrence.
- Conditions
- Hernia, Ventral Hernia, Incisional Hernia, İnguinal Hernia, Abdominal Wall Hernia, Surgical Site Infection
- Being tested
- High-Purity Type I Collagen Mesh
- Keywords
- Hernia Repair, Ventral Hernia Repair, Incisional Hernia Repair, Inguinal Hernia Repair, Biological Mesh, Type I Collagen, Wound Healing, Postoperative Pain, Hernia Recurrence
- Medical subject headings
- Hernia, Hernia, Ventral, Incisional Hernia, Hernia, Inguinal, Hernia, Abdominal, Surgical Wound Infection, Postoperative Complications, Osteogenesis Imperfecta, Type IV
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
High-Purity Type I Collagen MeshDevice
High-Purity Type I Collagen mesh (>97% purity), un-crosslinked and resorbable, designed to function as a temporary biologic scaffold facilitating host tissue integration and remodeling. The device is applied as a biologic reinforcement following anatomical hernia repair in selected high-risk or contaminated surgical fields where permanent synthetic mesh placement is associated with increased risk.
| Study group | Role | What they receive |
|---|---|---|
| HPTC-Reinforced Hernia Repair | Experimental | Participants undergo standard hernia repair with primary fascial closure where feasible, reinforced using High-Purity Type I Collagen mesh (Surgicoll-Mesh®). The biologic mesh is used as an adjunct reinforcement and not as a routine replacement for permanent synthetic mesh. Mesh placement (onlay or sublay) and peri-operative management are performed according to surgeon discretion and institutional protocols. The arm evaluates early postoperative safety, wound healing, and short-term clinical outcomes over an 8-week follow-up period in selected high-risk or contaminated hernia repair scenarios. Receives: Device: High-Purity Type I Collagen Mesh |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Early Postoperative Safety Events (Surgical Site Infection, Mesh-Related Adverse Events, or Reoperation)
Incidence (number of participants) of surgical site infection, mesh-related adverse events, and need for re-intervention or mesh removal within 8 weeks postoperatively.
Measured: Up to 8 weeks post-operatively
Secondary outcomes (6)
Number of Participants With Early Wound Complications (Seroma, Hematoma, or Wound Dehiscence)
Incidence (number of participants) of wound complications including seroma, hematoma, and wound dehiscence within 8 weeks postoperatively.
Measured: Up to 8 weeks
Postoperative Change in Visual Analog Scale (VAS) Pain Scores
Change in pain intensity assessed using the Visual Analog Scale for Pain, a patient-reported numeric scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores represent worse pain intensity.
Measured: Baseline (preoperatively) to 8 weeks postoperatively
Early Clinical Integrity of Repair
Clinical integrity of repair assessed by standardized postoperative clinical examination at scheduled follow-up visits (2, 4, and 8 weeks).
Definitions:
- Intact repair: No evidence of fascial separation, wound disruption, or abnormal protrusion on inspection and palpation.
- Fascial dehiscence: Partial or complete separation of the fascial closure identified clinically.
- Clinical bulge: Localized protrusion at the repair site without confirmed fascial defect, detected on standing or straining examination.
- Early recurrence: Reappearance of a hernia defect at or adjacent to the repair site confirmed on clinical examination within 8 weeks.
All assessments were performed by the treating surgical team using standardized clinical evaluation.
Measured: Up to 8 weeks
Length of Hospital Stay
Number of postoperative inpatient days
Measured: From immediately after the surgery until hospital discharge
Patient Satisfaction With Hernia Repair
Patient-reported satisfaction with surgical outcome assessed on a 5-point Likert scale:
Very satisfied / Satisfied / Neutral / Dissatisfied / Very dissatisfied
Measured: 8 weeks post-operatively
Hernia-Specific Quality of Life
Hernia-specific quality of life assessed using European Registry for Abdominal Wall Hernias Quality of Life Score (EuraHS-QoL), covering: Pain at rest and during activity, Restriction of activities, Cosmetic discomfort. Scores range from 0 (no impairment) to 90 (worst impairment)
Measured: Baseline and 8 weeks post-operatively
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jan 2026
- Study start5 Jan 2026
- Primary completion8 Mar 2026
- Study completion12 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for HerniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Adichunchanagiri Institute of Medical Sciences, B G Nagara
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Prema Dhanraj, MS, MCh, Study chair, Rajarajeshwari Medical College and Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07360691
- Sponsor's protocol ID
- AIMS/IEC/298/2026
- Status last verified
- Apr 2026
- First submitted
- 12 Jan 2026
- Last updated
- 23 Apr 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data underlying the results reported in this clinical study will be made available upon reasonable request. Shared data will include baseline characteristics, peri-operative variables, postoperative outcomes, and patient-reported outcome measures collected during the 8-week follow-up period. All shared data will be fully anonymized, with no direct or indirect identifiers.
Publications
Arturi K, Harris EJ, Gasser L, Escher BI, Braun G, Bosshard R, Hollender J. MLinvitroTox reloaded for high-throughput hazard-based prioritization of high-resolution mass spectrometry data. J Cheminform. 2025 Jan 31;17(1):14. doi: 10.1186/s13321-025-00950-4.
PubMed 39891244Ong JEX. How to restore lower complete edentulism with implant-supported overdentures: an evidence-based clinical management. Br Dent J. 2024 Nov;237(10):773-777. doi: 10.1038/s41415-024-7842-5. Epub 2024 Nov 22.
PubMed 39572811Cevasco M, Itani KM. Ventral hernia repair with synthetic, composite, and biologic mesh: characteristics, indications, and infection profile. Surg Infect (Larchmt). 2012 Aug;13(4):209-15. doi: 10.1089/sur.2012.123. Epub 2012 Aug 22.
PubMed 22913337Huntington CR, Cox TC, Blair LJ, Schell S, Randolph D, Prasad T, Lincourt A, Heniford BT, Augenstein VA. Biologic mesh in ventral hernia repair: Outcomes, recurrence, and charge analysis. Surgery. 2016 Dec;160(6):1517-1527. doi: 10.1016/j.surg.2016.07.008. Epub 2016 Aug 12.
PubMed 27528210Cheng AW, Abbas MA, Tejirian T. Outcome of abdominal wall hernia repair with biologic mesh: Permacol versus Strattice. Am Surg. 2014 Oct;80(10):999-1002.
PubMed 25264647Nahabedian MY, Sosin M, Bhanot P. A Current Review of Biologic Meshes in Abdominal Wall Reconstruction. Plast Reconstr Surg. 2018 Sep;142(3 Suppl):74S-81S. doi: 10.1097/PRS.0000000000004866.
PubMed 30138272Rhon-Calderon EA, Galarza RA, Lomniczi A, Faletti AG. The systemic and gonadal toxicity of 3-methylcholanthrene is prevented by daily administration of alpha-naphthoflavone. Toxicology. 2016 Apr 15;353-354:58-69. doi: 10.1016/j.tox.2016.05.005. Epub 2016 May 6.
PubMed 27163632
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Early Clinical Outcomes of High-Purity Type I Collagen as a Biologic Reinforcement in Selected Hernia Repair Scenarios: A Prospective Clinical Study
- ClinicalTrials.gov ID
- NCT07360691
- Acronym / sponsor ID
- AIMS/IEC/298/2026
- Conditions
- Hernia, Ventral Hernia, Incisional Hernia, İnguinal Hernia, Abdominal Wall Hernia, Surgical Site Infection
- Keywords
- Hernia Repair, Ventral Hernia Repair, Incisional Hernia Repair, Inguinal Hernia Repair, Biological Mesh, Type I Collagen, Wound Healing, Postoperative Pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Adichunchanagiri Institute of Medical Sciences, B G NagaraUniversity, hospital or other
- Study start
- 5 Jan 2026 (actual)
- Primary completion
- 8 Mar 2026 (actual)
- Study completion
- 12 Mar 2026 (actual)
- First posted
- 22 Jan 2026 (actual)
- Results
- Posted 23 Apr 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective, single-arm clinical study evaluates the safety, feasibility, and early clinical outcomes of High-Purity Type I Collagen (HPTC; Surgicoll-Mesh®) when used as a biologic reinforcement in selected hernia repair scenarios where permanent synthetic mesh placement is undesirable. Outcomes focus on early postoperative safety, wound healing, and complication profiles over an 8-week follow-up period.
Detailed description
Synthetic mesh has reduced hernia recurrence but is associated with significant complications in contaminated fields and high-risk patients. Biologic meshes offer potential advantages including biocompatibility, resistance to infection, and tissue remodeling. High-Purity Type I Collagen (>97% purity) is an un-crosslinked, resorbable scaffold designed to support host tissue integration.
This prospective observational study systematically evaluates early clinical outcomes following HPTC-reinforced hernia repair, including surgical site infection, wound healing, postoperative pain, and early integrity of repair. The study is not designed to assess long-term recurrence.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HPTC-Reinforced Hernia Repair | Experimental | Device: High-Purity Type I Collagen MeshParticipants undergo standard hernia repair with primary fascial closure where feasible, reinforced using High-Purity Type I Collagen mesh (Surgicoll-Mesh®). The biologic mesh is used as an adjunct reinforcement and not as a routine replacement for permanent synthetic mesh. Mesh placement (onlay or sublay) and peri-operative management are performed according to surgeon discretion and institutional protocols. The arm evaluates early postoperative safety, wound healing, and short-term clinical outcomes over an 8-week follow-up period in selected high-risk or contaminated hernia repair scenarios. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age ≥18 years
- Ventral, incisional, umbilical, or para-umbilical hernia
- Contaminated or potentially contaminated surgical field
- Hernia repair following infected mesh explantation
- High-risk patients (diabetes, obesity, smoking, immunosuppression)
Key exclusion criteria (6 listed)
- Clean, low-risk primary hernia suitable for synthetic mesh
- Large defects requiring permanent load-bearing prosthesis
- Generalized peritonitis or uncontrolled sepsis
- Known collagen hypersensitivity
- Pregnancy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| High-Purity Type I Collagen MeshHigh-Purity Type I Collagen mesh (>97% purity), un-crosslinked and resorbable, designed to function as a temporary biologic scaffold facilitating host tissue integration and remodeling. The device is applied as a biologic reinforcement following anatomical hernia repair in selected high-risk or contaminated surgical fields where permanent synthetic mesh placement is associated with increased risk. | Device | HPTC-Reinforced Hernia Repair |
Primary outcome
Number of Participants With Early Postoperative Safety Events (Surgical Site Infection, Mesh-Related Adverse Events, or Reoperation)
Time frame: Up to 8 weeks post-operatively
Incidence (number of participants) of surgical site infection, mesh-related adverse events, and need for re-intervention or mesh removal within 8 weeks postoperatively.
6 secondary outcomes
Number of Participants With Early Wound Complications (Seroma, Hematoma, or Wound Dehiscence)
Time frame: Up to 8 weeks
Postoperative Change in Visual Analog Scale (VAS) Pain Scores
Time frame: Baseline (preoperatively) to 8 weeks postoperatively
Early Clinical Integrity of Repair
Time frame: Up to 8 weeks
Length of Hospital Stay
Time frame: From immediately after the surgery until hospital discharge
Patient Satisfaction With Hernia Repair
Time frame: 8 weeks post-operatively
Hernia-Specific Quality of Life
Time frame: Baseline and 8 weeks post-operatively
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 39891244Arturi K, Harris EJ, Gasser L, Escher BI, Braun G, Bosshard R, Hollender J. MLinvitroTox reloaded for high-throughput hazard-based prioritization of high-resolution mass spectrometry data. J Cheminform. 2025 Jan 31;17(1):14. doi: 10.1186/s13321-025-00950-4.
- Background: PubMed 39572811Ong JEX. How to restore lower complete edentulism with implant-supported overdentures: an evidence-based clinical management. Br Dent J. 2024 Nov;237(10):773-777. doi: 10.1038/s41415-024-7842-5. Epub 2024 Nov 22.
- Background: PubMed 22913337Cevasco M, Itani KM. Ventral hernia repair with synthetic, composite, and biologic mesh: characteristics, indications, and infection profile. Surg Infect (Larchmt). 2012 Aug;13(4):209-15. doi: 10.1089/sur.2012.123. Epub 2012 Aug 22.
- Background: PubMed 27528210Huntington CR, Cox TC, Blair LJ, Schell S, Randolph D, Prasad T, Lincourt A, Heniford BT, Augenstein VA. Biologic mesh in ventral hernia repair: Outcomes, recurrence, and charge analysis. Surgery. 2016 Dec;160(6):1517-1527. doi: 10.1016/j.surg.2016.07.008. Epub 2016 Aug 12.
- Background: PubMed 25264647Cheng AW, Abbas MA, Tejirian T. Outcome of abdominal wall hernia repair with biologic mesh: Permacol versus Strattice. Am Surg. 2014 Oct;80(10):999-1002.
- Background: PubMed 30138272Nahabedian MY, Sosin M, Bhanot P. A Current Review of Biologic Meshes in Abdominal Wall Reconstruction. Plast Reconstr Surg. 2018 Sep;142(3 Suppl):74S-81S. doi: 10.1097/PRS.0000000000004866.
- Background: PubMed 27163632Rhon-Calderon EA, Galarza RA, Lomniczi A, Faletti AG. The systemic and gonadal toxicity of 3-methylcholanthrene is prevented by daily administration of alpha-naphthoflavone. Toxicology. 2016 Apr 15;353-354:58-69. doi: 10.1016/j.tox.2016.05.005. Epub 2016 May 6.
- Individual participant dataSharing planned: Yes. De-identified individual participant data underlying the results reported in this clinical study will be made available upon reasonable request. Shared data will include baseline characteristics, peri-operative variables, postoperative outcomes, and patient-reported outcome measures collected during the 8-week follow-up period. All shared data will be fully anonymized, with no direct or indirect identifiers.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Prema Dhanraj, MS, MCh study chair
Rajarajeshwari Medical College and Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing High-Purity Type I Collagen Mesh in people with Hernia and Ventral Hernia, run by Adichunchanagiri Institute of Medical Sciences, B G Nagara at 1 site in India.
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 6 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 23 Apr 2026. 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 India. 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 23 Apr 2026). 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 Early Postoperative Safety Events (Surgical Site Infection, Mesh-Related Adverse Events, or Reoperation) (time frame: Up to 8 weeks post-operatively). 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 NCT07360691, which also lists 7 linked publications.
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 23 Apr 2026.