Comparative Sedation Study of the MyoSure Hysteroscopic Tissue Removal System

Uterine Fibroids Clinical Trial

Official title:

Interlace Medical Comparative Sedation Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00979342
• Other study ID #: TMP 200902
• Status: Completed
• Phase: N/A
• First received: September 17, 2009
• Last updated: July 22, 2010
• Start date: November 2009
• Est. completion date: July 2010

Study information

• Verified date: July 2010
• Source: Hologic, Inc.
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to develop a recommended local anesthetic protocol and post-treatment pain management regimen, in order to assure patient comfort during office-based treatment with the MyoSure Hysteroscopic Tissue Removal Device. Subject self-reported pain scores (as rated on an 11 point scale) will be compared at multiple time intervals between all treatment groups.

Description:

Forty subjects will be enrolled in a randomized, controlled study conducted at four physician offices or day surgery settings. Subjects will be randomized 1:1 to a local anesthetic group (Group #1 or Group #2). Subjects will undergo a hysteroscopic tissue removal procedure to remove intrauterine polyps, type 0 fibroids, or type I fibroids. Subsequent to the procedure, subjects will be randomized 1:1 within the local anesthetic group to a post procedure pain management group (Group A or Group B). Subject self-reported pain scores (as rated on an 11 point scale)will be compared at three time points: Immediately post procedure, prior to discharge from the treatment facility, and at 48 hours post procedure.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: July 2010
• Est. primary completion date: July 2010
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Healthy female between the ages of 18 and 65

• Subject must be able to understand, read and sign the study specific informed consent forms after the nature of the study has been fully explained to her

• Subject is a pre-menopausal or peri-menopausal female, either nulliparous or parous

• Subject is indicated for myomectomy or polypectomy for benign pathology, based on hysteroscopic, ultrasound, or saline infused sonogram assessment within 60 days

• Subject exhibits intrauterine polyps and/or submucous myomas which meet one of the following criteria. In cases of subjects with multiple intrauterine pathology, classification is based as follows:

• All polyps

• A single Type 0 or Type 1 myoma = 3 cm

• Polyps plus a single Type 0 or Type 1 myoma = 3 cm

• Negative pregnancy test within 48 hours prior to planned index procedure and willing to use reliable birth control for the next 30 days. Reliable birth control is defined as a chemical or barrier method, including an oral contraceptive, injectable contraceptive, or the combination of a spermicide and condoms

Exclusion Criteria:

• Known or suspected cancer, including breast, endometrial, and ovarian

• Subject has Type 2 myoma

• Contraindication and/or allergy to local anesthetic, or oral medications specified in the treatment protocol

• Subject has a history of chronic narcotic use

• Previous uterine artery embolization or other uterine artery occlusion procedure (Doppler or laparoscopic)

• Subject with blood borne pathogens-HIV, hepatitis B, CJD, etc.

• Subject plans to become pregnant within the study period

• Subject has an IUD at the time of the procedure. A subject may be enrolled in the study if the IUD is removed prior to the treatment procedure

• Subject is taking an anticoagulant or antiplatelet medication other than low dose aspirin

• Active pelvic inflammatory disease or pelvic/vaginal infection

• Subject has a known or suspected coagulopathy or bleeding disorder

• Subject has a history of unmanaged endocrine disease

• Subject has current or past, acute or chronic psychiatric disorder which, in the opinion of the Investigator, may preclude proper evaluation and follow-up

• Subject has history of auto-immune, inflammatory, or connective tissue disease

• Subject has a history of disease which increases the risk for fluid overload (i.e. significant cardiac, hepatic, or renal dysfunction)

• Uncontrolled hypertension lasting two years or more

• Use of any experimental drug or device within 30 days prior to the screening visit

• The subject has a terminal illness that may prevent the completion of any follow-up assessments

• Any employee or relative of an employee of the Sponsor company or any Investigator site employee or relative of employees working on the study

• Subject has other co-morbid condition(s) that, in the opinion of the Investigator, could limit the subject's ability to participate in the study or impact the scientific integrity of the study

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Leiomyoma
• Polyps
• Uterine Fibroids

Intervention

Device:
• Hysteroscopic Morcellator
The MyoSure Tissue Removal Device consists of a hand-held tissue removal device comprising a mechanical drive assembly connected to a drive cable and associated control box on one end, and a 3 mm shaft on the other end of the device. The shaft is approximately 12 cm long and equipped with an open channel that houses an oscillating blade.When the side channel is exposed to target tissue and the motor is activated, the oscillating blade will cut the tissue within the channel. Once cut, the tissue travels down the center of the 3mm shaft via suction coupled to the proximal end of the tissue removal device, and is trapped in a vacutainer bottle.

Locations

Country	Name	City	State
United States	Florida Woman Care	Boca Raton	Florida
United States	Wayne State University	Detroit	Michigan
United States	Carolina Women's Research and Wellness Center	Durham	North Carolina
United States	Minnesota Gynecology and Surgery	Edina	Minnesota
United States	Phoenix Gynecology Consultants	Phoenix	Arizona

Sponsors (1)

Lead Sponsor	Collaborator
Hologic, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Subject tolerance of procedure-related pain rated on an 11 point scale (0-10)		Immediately post treatment	No
Secondary	Subject assessment of most severe post-procedural pain rated on an 11 point scale		Prior to subject discharge from office/day surgery unit	No
Secondary	Subject assessment of most severe pain experienced during 48 hours post procedure, rated on an 11 point scale		48 hours (+ 24 hours) post procedure	No