Intrauterine Adhesion
Conditions
Keywords
Endometrium, Adhesion, Postoperative adhesion, Hysteroscopy, Biological Barrier, Adhesion prevention, Infertility, Hysteroscopic Adhesiolysis
Brief summary
To evaluate the safety and efficacy of Intrauterine Biological Barrier developed and produced by Chengdu TopRegMed Medical Technology Co., Ltd on postoperative adhesion after Hysteroscopic Adhesiolysis.
Detailed description
This study is a prospective, multicenter, randomized, parallel positive-control, non-inferior clinical trial, with the purpose to evaluate the efficacy and safety of Intrauterine Biological Barrier for the prevention or reduction of intrauterine adhesions after Hysteroscopic Adhesiolysis. The trial will be conducted at six clinical centers with 264 subjects who meet all the inclusion/ exclusion criteria. Subjects will be randomly assigned to the experimental group and the control group in a 1:1 ratio. Subjects in the test group were treated with Intrauterine Biological Barrier (IBB) made by Chengdu TopRegMed Medical Technology Co. , Ltd. , while the patients in the positive control group were treated with commercially approved Intrauterine Adhesion Barrier Gel for uterine cavity made by Changzhou Bioregen biopharmaceutical Co. , Ltd. . Subjects will be followed up for 12 months (360 days ± 30 days) after implantation. 73-days (± 12 days) after operation, the safety and effectiveness of IBB will be evaluated by demonstrating non-inferiority to commercially approved gel. If test group is non-inferiority, further study will be performed to explore whether the safety and effectiveness of the IBB is better than the control group in the aspect of the recurrence rate of intrauterine adhesion, types of intrauterine adhesion, postoperative endometrial repair, menstrual recovery and 1-year pregnancy rate.
Interventions
DEVICEIntrauterine Biological Barrier
after Hysteroscopic adhesiolysis，use of Intrauterine Biological Barrier to repair uterine cavity
DEVICEIntrauterine Adhesion Barrier Gel
after Hysteroscopic adhesiolysis，use of Intrauterine Adhesion Barrier Gel to repair uterine cavity
Sponsors
Zhangzhou Municipal Hospital of Fujian Province
Guangzhou First People's Hospital
Tang-Du Hospital
Suzhou Municipal Hospital
Anhui Provincial Hospital
Beijing Tiantan Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* （1）Age, yr20-40 (including boundary value), Female * （2）Normal ovarian reserve function (FSH\<10U/ml，AMH\>2ng/ml) * （3）Who suffered from moderate to severe intrauterine adhesions (AFS ≥ 5 points) diagnosed by hysteroscopy, and prepared to be treated by Hysteroscopic adhesiolysis * （4）Both husband and wife have fertility intention during treatment * （5）Accept to treatment and follow-up visits, Sign the ICF
Exclusion criteria
* （1）Severe systemic diseases, contraindications of surgical and cycle * （2）Inflammation of reproductive tract, genital tuberculosis, pelvic infection, tumor of reproductive organs * （3）Systemic diseases cause uterine bleeding * （4）Allergic to hyaluronic acid or components * （5）Allergic to swine sources medical device, or refuse to swine sources medical device for religious, ethnic and other reasons * （6）Insufficient uterine cavity volume after Hysteroscopic adhesiolysis to place Intrauterine Biological Barrier or inject Intrauterine Adhesion Barrier Gel * （7）Involved other clinical trial before Hysteroscopic adhesiolysis in 3 months or during the trail * （8）Unable to tolerate anesthesia * （9）Estrogen medicine was taken within 30 days of Hysteroscopic adhesiolysis * （10）Other inadequacy patient assessed by the researchers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effective rate | Day 73±12 | At second-look hysteroscopy after Hysteroscopic adhesiolysis, the effective rate (%) = (number of cured + number of apparent effect)/total number in the group × 100% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Extent of uterine adhesions | Day 73±12 | The degree of uterine adhesions was assessed intraoperatively and at the second-look hysteroscopy with reference to the ESGE (European Society for Gynecological Endoscopy) criteria |
| Endometrial improvement | Day -7 to day 1, Day 100±10 | Endometrial thickness in millimeter and change values in millimeter by Ultrasonic Diagnostic Equipment Transvaginal Ultrasonic Probe Head at screening and visit 4 |
| Time of menstrual recovery | Day 73±12 | Time to first menstruation after Hysteroscopic adhesiolysis |
| Recurrence rate of adhesions | Day 73±12 | The Presence of adhesions was determined at second-look hysteroscopy after Hysteroscopic adhesiolysis, and the recurrence rate of adhesions (%) = number of adhesion reoccurrence/total number in the group × 100% |
| Menstrual blood volume | Day 73±12, Day 100±10 , Day 180±30, Day 360±30 | Record and evaluate by Pictorial Blood Loss Assessment Chart (PBAC) |
| Pregnancy rate after operation 1year | Day 360±30 | Pregnancy rate (%) = number of pregnancies in the group/total number in the group × 100% |
| Duration of Menstrual recovery | Day 73±12, Day 100±10 , Day 180±30, Day 360±30 | Days of menstrual duration |
Countries
China
Contacts
Primary ContactLimin Feng
Outcome results
None listed