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NCT03082391

Heavy Weight Versus Medium Weight Mesh in Ventral Hernia Repair

Completed NA Results posted Last updated 14 July 2022
What this trial tests

NA trial testing Heavy weight Mesh in Ventral Hernia in 350 participants. Completed in 28 May 2020.

Timeline
14 March 2017
Primary endpoint
28 May 2020
28 May 2020

Quick facts

Lead sponsorThe Cleveland Clinic
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment350
Start date14 March 2017
Primary completion28 May 2020
Estimated completion28 May 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

The Cleveland Clinic

Who can join

Adults 18 to 90, any sex, with Ventral Hernia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pain Scores Primary · One Year Postoperatively

Pain Scores will be measured using the NIH Promis 3A Pain Scale. PROMIS® Pain Intensity 3A is a three-question instrument developed to measure the range of pain experienced in the week prior to assessment. The raw score (3-15) is converted into a T-score where 50 (SD 10) represents the average of people with at least mild pain, higher numbers (maximum 71.8) represent higher than average pain, and the lowest score (30.7) represents no pain.

GroupValue95% CI
Heavy Weight Mesh30.730.7 – 43.5
Medium Weight Mesh30.730.7 – 40.2
Number of Subjects With Hernia Recurrence Secondary · One Year Postoperatively

Hernia recurrence will be determined using the Ventral Hernia Recurrence Inventory.

Physical Exam
GroupValue95% CI
Heavy Weight Mesh2
Medium Weight Mesh4
Hernia Recurrence Inventory (HRI)- assessed by subject answering "Yes" to bulge on questionnaire
GroupValue95% CI
Heavy Weight Mesh52
Medium Weight Mesh62
Radiographic- assessed using CT scan
GroupValue95% CI
Heavy Weight Mesh3
Medium Weight Mesh3
Composite Hernia Recurrence (Consensus)- Saying yes to bulge, or having a hernia on imaging or exam
GroupValue95% CI
Heavy Weight Mesh14
Medium Weight Mesh13
Composite Hernia Recurrence (max Sn) includes subjects answering bulge yes and no further follow up
GroupValue95% CI
Heavy Weight Mesh42
Medium Weight Mesh48
Composite Hernia Recurrence (max Sp) includes subjects with only imaging or clinical exam
GroupValue95% CI
Heavy Weight Mesh3
Medium Weight Mesh4
Deep Wound Infection Secondary · 30-Days Postoperatively

The occurrence of a deep wound infection will be determine based on physical examination and/or computed tomography scanning.

GroupValue95% CI
Heavy Weight Mesh3
Medium Weight Mesh5
Quality of Life Scores Secondary · One Year Postoperatively

Quality of life will be measured using the HerQLes quality of life questionnaire. HerQLes is a twelve-question instrument developed to evaluate quality of life and function as it pertains to the abdominal wall. It is converted into a 0-100 scale with 0 representing poor abdominal wall function, and 100 excellent function.

GroupValue95% CI
Heavy Weight Mesh9067.92 – 96.67
Medium Weight Mesh86.6765 – 93.33

Adverse events — posted to ClinicalTrials.gov

Time frame: 1 year following surgery for hernia repair. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Heavy Weight Mesh
Serious: 12/173 (7%)
Deaths: 0/173
Medium Weight Mesh
Serious: 17/177 (10%)
Deaths: 0/177

Serious adverse events (9 terms)

ReactionSystemHeavy Weight MeshMedium Weight Mesh
Pulmonary EmbolismVascular disorders
Respiratory InsufficiencyRespiratory, thoracic and mediastinal disorders
Bowel ObstructionGastrointestinal disorders
StrokeNervous system disorders
Excessive BleedingSurgical and medical procedures
Myocardial InfarctionCardiac disorders
Atrial FibrillationCardiac disorders
Renal FailureRenal and urinary disorders
PneumoniaInfections and infestations
Other adverse events (16 terms — click to expand)

ReactionSystemHeavy Weight MeshMedium Weight Mesh
IleusGastrointestinal disorders
Infection- not otherwise specifiedInfections and infestations
Bowel ObstructionGastrointestinal disorders
SeromaGeneral disorders
Urinary Tract InfectionInfections and infestations
Wound DehiscenceGeneral disorders
BleedingBlood and lymphatic system disorders
CellulitisInfections and infestations
Surgical Site InfectionInfections and infestations
Colon CancerGastrointestinal disorders
Deep Vein ThrombosisVascular disorders
DiarrheaGastrointestinal disorders
GastroenteritisInfections and infestations
HematomaBlood and lymphatic system disorders
Pulmonary EmbolismVascular disorders
Contact DermatitisSkin and subcutaneous tissue disorders

Most-reported serious reactions: Pulmonary Embolism, Respiratory Insufficiency, Bowel Obstruction, Stroke, Excessive Bleeding, Myocardial Infarction, Atrial Fibrillation, Renal Failure.

Data from ClinicalTrials.gov NCT03082391 adverse events section.

Sponsor's own description

The purpose of this study is to determine if mesh weight has an impact on postoperative pain, ventral hernia recurrence, incidence of deep wound infection, and overall quality of life following ventral hernia repair with mesh.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Effect of Hernia Mesh Weights on Postoperative Patient-Related and Clinical Outcomes After Open Ventral Hernia Repair: A Randomized Clinical Trial.
    Krpata DM, Petro CC, Prabhu AS, Tastaldi L, et al · · 2021 · cited 52× · PMID 34524395 · DOI 10.1001/jamasurg.2021.4309
  2. A Review of Abdominal Meshes for Hernia Repair-Current Status and Emerging Solutions.
    Najm A, Niculescu AG, Gaspar BS, Grumezescu AM, et al · · 2023 · cited 19× · PMID 38005054 · DOI 10.3390/ma16227124
  3. Analysis of retromuscular drain output and postoperative outcomes for heavyweight versus mediumweight polypropylene mesh following open ventral hernia repair.
    Essani V, Maskal SM, Ellis RC, Messer N, et al · · 2024 · cited 1× · PMID 38409571 · DOI 10.1007/s10029-024-02972-7
  4. [More pragmatic randomized studies with a focus on registry-based trials].
    Lange S, Lauterberg J. · · 2022 · PMID 40479242 · DOI 10.1007/s11553-022-00974-w

Verify or expand the search:

Other recruiting trials for Ventral Hernia

Currently open trials in the same condition.

Other The Cleveland Clinic trials

Trials by the same sponsor.

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Data sources for this page

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