Saint Louis, Missouri 63110

  • Ventral Hernia

Purpose:

The objective of this study is to compare the effectiveness of Fortiva Porcine Dermis versus Strattice Reconstructive Tissue Matrix for the underlay reinforcement of complex ventral hernia repair and assess post-operative complication rates, long term hernia recurrence rates.


Study summary:

This is a randomized, prospective, double-blinded study evaluating the efficacy of Fortiva Porcine Dermis versus Strattice Reconstructive Tissue Matrix in 120 patients with large complex abdominal wall ventral hernias undergoing single stage repair. The patient will be blinded to treatment as well as an independent qualified evaluator to confirm evidence of reoccurrence. This post-market study compares two FDA cleared biologic hernia materials. Fortiva™ porcine dermis, processed by RTI Surgical, Inc., a non-cross linked porcine dermis will be compared to Strattice™ Reconstructive Tissue Matrix by Life Cell, a non-cross linked porcine dermis for reinforcement during the single stage open reconstruction of abdominal wall defects. The primary outcome will be hernia recurrence at 1 year. Outcomes will be evaluated at 6 weeks, 3 months, 6 months and 12 months and 24 months.


Criteria:

Inclusion Criteria: - 18 years of age or greater - Have a BMI < or equal to 40 - Have a pre-operative estimated hernia defect of 200 cm2 OR multiple hernia defects whose combined area is ≥ an estimated 200 cm2. Patients whose defects do NOT meet or exceed 200 cm2 intra-operatively will be withdrawn from the study and will be considered an intra-operative screen failure - Have no contraindications to the test material (s) - Have a life expectancy greater than 1 year in the opinion of the Investigator - Able to provide informed consent - Able and willing to return for scheduled study visits over 2 years post-operatively (following research related surgery) Exclusion Criteria: - < 18 years of age - Subject is determined to have an American Society of Anesthesiologists'(ASA) physical class of 4, 5, or 6 - Have a BMI >40 - Have a hernia estimated to be <200 cm2 - Have abdominal loss of domain such that the operation would be impractical or would adversely affect respiratory or cardiovascular function to an unacceptable degree in the opinion of the investigator - Inability to close the fascia primarily without abdominal wall mobilization or component separation - Participation in an investigational drug or device study that would impact the safety or scientific integrity of this study (in the opinion of the Investigator and with the approval of the Sponsor) within the past 6 weeks prior to enrollment into this trial - Have active necrotizing fasciitis or any other known active local or systemic infection - Have a known collagen metabolism disorder or any medical condition that could interfere with normal tissue healing process as determined by the Investigator - Have a known active malignancy present and/or had chemotherapy 12 weeks prior to screening or planned chemotherapy within 12 weeks of enrollment with exception of BCC or SCC - Have known moderate to severe cirrhosis which in the opinion of the Investigator would impact the outcome of this trial - Have a life expectancy less than 1 year - Be unable to participate in the informed consent process - Be unable or unwilling to return for scheduled study visits over the 2 year post-operative assessment period - Received high dose steroids (>/=100mg of prednisone) within the past 6 weeks - Known tobacco use within the past 6 weeks or positive serum cotinine test at time of admission - Uncontrolled diabetes (i.e. known HbA1C value > 7% within the last 6 weeks) - History of drug addiction (recreational drugs, prescription drugs or alcohol) that in the Investigator's opinion may interfere with protocol assessments and/or the subject's ability to complete the required follow up - Pregnancy and/or breastfeeding - Enterocutaneous fistula - Ventral hernia repairs involving active infection - Inability to obtain primary fascial closure (Intra-operatively) - Planned use of external VAC dressing intra-operatively


Study is Available At:


Original ID:

RTI-2015-02


NCT ID:

NCT02587403


Secondary ID:


Study Acronym:


Brief Title:

A Comparison of Fortiva and Strattice Tissue Matrices in Complex, Ventral Hernia Repair


Official Title:

A Randomized, Prospective Study Comparing Fortiva™ Porcine Dermis vs. Strattice™ Reconstructive Tissue Matrix in Patients Undergoing Complex Open Primary Ventral Hernia Repair


Overall Status:

Recruiting


Study Phase:

N/A


Genders:

N/A


Minimum Age:

18 Years


Maximum Age:

85 Years


Quick Facts

Healthy Volunteers
Oversight Has DMC
Study Is FDA Regulated
Study Is Section 801
Has Expanded Access

Study Source:

RTI Surgical


Oversight Authority:

United States: Institutional Review Board


Reasons Why Stopped:


Study Type:

Interventional


Study Design:


Number of Arms:

2


Number of Groups:

0


Total Enrollment:

120


Enrollment Type:

Anticipated


Overall Contact Information

Official Name:Grant Bochicchio, MD
Principal Investigator
RTI Surgical
Primary Contact:Robin Waite
386-418-8888
rwaite@rtix.com

Study Dates

Start Date:November 2015
Completion Date:June 2022
Completion Type:Anticipated
Primary Completion Date:June 2022
Primary Completion Type:Anticipated
Verification Date:January 2021
Last Changed Date:January 22, 2021
First Received Date:October 22, 2015

Study Outcomes

Outcome Type:Primary Outcome
Measure:The proportion of patients who experience a true hernia recurrence
Time Frame:12 months
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:Patient satisfaction (using the SF-36 questionnaire)
Time Frame:Baseline, 3 months, 6 months, 12, and 24 months
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:Pain measured using the Visual Analog Scale for Pain
Time Frame:Baseline, 3 months, 6 months, 12, and 24 months
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:Type of Adverse Events (volunteered and elicited)
Time Frame:3 months, 6 months, 12, and 24 months
Safety Issues:False

Study Interventions

Intervention Type:Device
Name:Strattice™ Reconstructive Tissue Matrix
Description:Strattice tissue matrix implanted during repair of complex ventral hernia
Arm Name:Strattice™ Reconstructive Tissue Matrix
Intervention Type:Device
Name:Fortiva™ Porcine Dermis
Description:Fortiva Porcine Dermis implantation during repair of complex ventral hernia
Arm Name:Fortiva™ Porcine Dermis

Study Arms

Study Arm Type:Active Comparator
Arm Name:Fortiva™ Porcine Dermis
Description:Fortiva Porcine Dermis implantation during repair of complex ventral hernia
Study Arm Type:Active Comparator
Arm Name:Strattice™ Reconstructive Tissue Matrix
Description:Strattice tissue matrix implanted during repair of complex ventral hernia

Study Agencies

Agency Class:Industry
Agency Type:Lead Sponsor
Agency Name:RTI Surgical

Sample and Retention Information

There are no available Sample and Retention Information

Study References

There are no available Study References

Data Source: ClinicalTrials.gov

Date Processed: September 24, 2021

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