Trial Outcomes & Findings for Observational Data Collection of Surgical Outcomes in the Treatment of Vaginal Prolapse With AMS Products (NCT NCT00388947)

NCT ID: NCT00388947

Last Updated: 2016-08-11

Results Overview

Recruitment status

COMPLETED

Target enrollment

1543 participants

Primary outcome timeframe

up to 2-years post-implant

Results posted on

2016-08-11

Participant Flow

The first patient was registered in September 2006, The last patient data were entered in May 2010.

Patients had to met all of the inclusion criteria and none of the exclusion criteria.

Participant milestones

Participant milestones
Measure
1 - Any AMS Prolapse Product
at least one AMS prolapse product was used
Overall Study
STARTED
1590
Overall Study
COMPLETED
1543
Overall Study
NOT COMPLETED
47

Reasons for withdrawal

Reasons for withdrawal
Measure
1 - Any AMS Prolapse Product
at least one AMS prolapse product was used
Overall Study
Protocol Violation
47

Baseline Characteristics

Observational Data Collection of Surgical Outcomes in the Treatment of Vaginal Prolapse With AMS Products

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 - Any AMS Prolapse Product
n=1590 Participants
at least one AMS prolapse product was used
Age, Continuous
Age <89 years
62 participants
STANDARD_DEVIATION 12 • n=99 Participants
Sex: Female, Male
Female
1590 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: up to 2-years post-implant

Population: All patients that met the inclusion/exclusion criteria.

Outcome measures

Outcome measures
Measure
1 - Any AMS Prolapse Product
n=1543 Participants
at least one AMS prolapse product was used
Count of Patients With at Least One Adverse Event Related to Any AMS Prolapse Device
194 participants

SECONDARY outcome

Timeframe: 24 months

Population: Patients returning for a visit between 19-24 months post-procedure.

Success was defined as either (1) Baden-Walker grade 0 or 1 or (2) (Pelvic Organ Prolapse Quantification System) POP-Q stage 0 or 1. If a site reported both measurements, then the POP-Q score was used.

Outcome measures

Outcome measures
Measure
1 - Any AMS Prolapse Product
n=332 Participants
at least one AMS prolapse product was used
Prolapse Efficacy Success Rate
81.6 percentage of participants
Interval 77.0 to 85.6

Adverse Events

1 - Any AMS Prolapse Product

Serious events: 71 serious events
Other events: 138 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1 - Any AMS Prolapse Product
n=1543 participants at risk
at least one AMS prolapse product was used
Musculoskeletal and connective tissue disorders
Adhesion
0.06%
1/1543 • Number of events 1 • 2 years
Gastrointestinal disorders
Constipation
0.13%
2/1543 • Number of events 2 • 2 years
Surgical and medical procedures
Dehiscence at vaginal suture line before healing occurs
0.13%
2/1543 • Number of events 2 • 2 years
General disorders
Extrusion
1.6%
24/1543 • Number of events 26 • 2 years
Skin and subcutaneous tissue disorders
Granuloma formation
0.13%
2/1543 • Number of events 2 • 2 years
Injury, poisoning and procedural complications
Hematoma
0.06%
1/1543 • Number of events 1 • 2 years
Renal and urinary disorders
Incontinence
0.39%
6/1543 • Number of events 6 • 2 years
Infections and infestations
Infection
0.06%
1/1543 • Number of events 1 • 2 years
General disorders
Other Genitourinary
0.13%
2/1543 • Number of events 2 • 2 years
General disorders
Pain - dyspareunia
0.13%
2/1543 • Number of events 2 • 2 years
General disorders
Pain - excluding dyspareunia
0.19%
3/1543 • Number of events 3 • 2 years
Injury, poisoning and procedural complications
Perforation - bladder
0.32%
5/1543 • Number of events 5 • 2 years
Reproductive system and breast disorders
Prolapse
0.91%
14/1543 • Number of events 14 • 2 years
Renal and urinary disorders
Urinary retention
0.06%
1/1543 • Number of events 1 • 2 years
Renal and urinary disorders
Urinary urge, frequency, or hesistancy
0.13%
2/1543 • Number of events 2 • 2 years
General disorders
Wound separation <3 months post-op
0.19%
3/1543 • Number of events 3 • 2 years

Other adverse events

Other adverse events
Measure
1 - Any AMS Prolapse Product
n=1543 participants at risk
at least one AMS prolapse product was used
General disorders
extrusion
1.9%
30/1543 • Number of events 32 • 2 years
Skin and subcutaneous tissue disorders
granuloma formation
0.71%
11/1543 • Number of events 11 • 2 years
Surgical and medical procedures
hematoma
0.65%
10/1543 • Number of events 10 • 2 years
Renal and urinary disorders
incontinence
0.78%
12/1543 • Number of events 12 • 2 years
Infections and infestations
infection
0.84%
13/1543 • Number of events 14 • 2 years
Skin and subcutaneous tissue disorders
other events below threshold
1.8%
28/1543 • Number of events 28 • 2 years
General disorders
pain (excluding dyspareunia)
0.97%
15/1543 • Number of events 15 • 2 years
Reproductive system and breast disorders
prolapse
2.6%
40/1543 • Number of events 41 • 2 years

Additional Information

Dr Samuel Zylstra

Whitinsville Medical Center

Phone: 508-243-6260

Results disclosure agreements

  • Principal investigator is a sponsor employee AMS (sponsor) is the sole owner of the conglomerate data inputted into the POWER database and has the right to publish such data at its sole discretion. Registry Physician will provide AMS with a copy of any data, finding, result, article, abstract, manuscripts, presentation, or other information intended for publication, at least thirty (30) days prior to submission of same for publication.
  • Publication restrictions are in place

Restriction type: OTHER