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NCT04544865

Study of ECHELON ENDOPATH(TM) Staple Line Reinforcement

Completed NA Results posted Last updated 5 December 2023
What this trial tests

NA trial testing Staple Line Reinforcement in Gastric Procedures in 240 participants. Completed in 8 February 2023.

Timeline
29 September 2020
Primary endpoint
17 October 2022
8 February 2023

Quick facts

Lead sponsorEthicon Endo-Surgery
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment240
Start date29 September 2020
Primary completion17 October 2022
Estimated completion8 February 2023
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Ethicon Endo-Surgery — full company profile →

Who can join

18 and older, any sex, with Gastric Procedures or Lung Resection Procedures. 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.

Number of Participants Who Experienced Specific Device-related Adverse Events (AEs) Through 70 Days Post Gastric Resection Procedures Primary · From Day 0 (day of surgery) through 70 days post-surgery

Number of participants who experienced specific device-related AEs post gastric resection procedures was reported. Specific device-related AEs were bleeding (defined as occurrence of post-surgery blood transfusion deemed related to bleeding at the staple line or return to surgery room before 70-day post-surgery follow-up visit due to bleeding deemed related to the staple line), leak (defined as occurrence of intra-surgery or post-surgery gastrointestinal leak related to the staple line as documented intra-surgery, by clinical exam, or radiographically), and stricture (defined as occurrence of

Bleeding
GroupValue95% CI
Gastric Participants0
Leak
GroupValue95% CI
Gastric Participants1
Stricture
GroupValue95% CI
Gastric Participants0
Number of Participants Who Experienced Specific Device-related Adverse Events Through 70 Days Primary · From Day 0 (day of surgery) through 70 days post-surgery

Number of participants who experienced specific device-related AEs post lung resection procedures was reported. Specific device related AEs were prolonged air leak (occurrence of intra-surgery or post-surgery lung leak related to the staple line as documented intra-surgery, by clinical exam, or radiographically) deemed related to the staple line (greater than post-surgery Day 7), and empyema (defined as purulent fluid collection in the pleural space documented radiographically, excluding chronic empyema).

Prolonged air leak
GroupValue95% CI
Thoracic Participants0
Empyema
GroupValue95% CI
Thoracic Participants0
Number of Study Devices Replaced During Surgery Secondary · Day 0 (Intra-surgery)

Number of study devices replaced during surgery due to slipping or bunching or not properly loaded onto stapler cartridge, Other - preloaded wrong color cartridge, Other- SLR added before cartridge, Other- dropped on the ground was reported.

Slipping
GroupValue95% CI
Gastric Participants0
Thoracic Participants3
Bunching
GroupValue95% CI
Gastric Participants0
Thoracic Participants1
Not Loaded Properly
GroupValue95% CI
Gastric Participants7
Thoracic Participants3
Other - Preloaded Wrong Color Cartridge
GroupValue95% CI
Gastric Participants1
Thoracic Participants0
Other- SLR Added Before Cartridge
GroupValue95% CI
Gastric Participants1
Thoracic Participants0
Other- Dropped on the Ground
GroupValue95% CI
Gastric Participants1
Thoracic Participants0
Device Usability Evaluation by Surgeon Questionnaire: Investigator's Device Experience Feedback Secondary · Day 0 (Intra-surgery)

Investigators were asked to answer a non-validated device questionnaire related to his/her experience using the ECHELON SLR. Questionnaire included following questions "experienced less manipulation or movement compared to previous device, experienced greater confidence the device will deliver best result compared to previous device, experienced greater confidence in simplicity of set up compared to previous device, experienced less frustration with device compared to previous device, experienced less waste compared to previous device, Likely to recommend to a colleague. Each question response

Experienced less buttress manipulation and movement compared to previous buttress: Strongly disagree
GroupValue95% CI
Gastric Participants0
Thoracic Participants1
Experienced less buttress manipulation and movement compared to previous buttress: Slightly disagree
GroupValue95% CI
Gastric Participants0
Thoracic Participants1
Experienced less buttress manipulation and movement compared to previous buttress: Neutral
GroupValue95% CI
Gastric Participants3
Thoracic Participants1
Experienced less buttress manipulation and movement compared to previous buttress: Slightly agree
GroupValue95% CI
Gastric Participants6
Thoracic Participants2
Experienced less buttress manipulation and movement compared to previous buttress: Strongly agree
GroupValue95% CI
Gastric Participants3
Thoracic Participants13
Greater confidence that SLR buttress deliver best outcomes compared to previous: Strongly disagree
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Greater confidence that SLR buttress deliver best outcomes compared to previous:Slightly disagree
GroupValue95% CI
Gastric Participants3
Thoracic Participants0
Greater confidence that SLR buttress deliver best outcomes compared to previous: Neutral
GroupValue95% CI
Gastric Participants6
Thoracic Participants0
Device Usability Evaluation by Surgeon Questionnaire: Investigator's Device Satisfaction Feedback Secondary · Day 0 (Intra-surgery)

Investigators were asked to answer a non-validated device questionnaire related to his/her experience using the ECHELON SLR. Questionnaire included following questions "satisfaction of operative flow compared to previous device and satisfaction of manipulation and repositioning compared to previous device" and each question response was ranged from 1 to 5 where 1=very dissatisfied, 2=dissatisfied, 3=neither dissatisfied nor satisfied (NDNS), 4=satisfied, 5=very satisfied, where higher response signified good satisfaction with the device. In this outcome measure, device questionnaire responses

Satisfaction of operative flow compared to previous device: Very dissatisfied
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Satisfaction of operative flow compared to previous device: Dissatisfied
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Satisfaction of operative flow compared to previous device: Neither dissatisfied nor satisfied
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Satisfaction of operative flow compared to previous device: Satisfied
GroupValue95% CI
Gastric Participants3
Thoracic Participants2
Satisfaction of operative flow compared to previous device: Very satisfied
GroupValue95% CI
Gastric Participants9
Thoracic Participants16
Satisfaction of manipulation and repositioning compared to previous device:Very dissatisfied
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Satisfaction of manipulation and repositioning compared to previous device: Dissatisfied
GroupValue95% CI
Gastric Participants0
Thoracic Participants0
Satisfaction of manipulation and repositioning compared to previous device: NDNS
GroupValue95% CI
Gastric Participants0
Thoracic Participants0

Adverse events — posted to ClinicalTrials.gov

Time frame: From Day 0 (Day of surgery) up to end of the study (2 years 4 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Gastric Participants
Serious: 8/109 (7%)
Deaths: 0/109
Thoracic Participants
Serious: 18/131 (14%)
Deaths: 2/131

Serious adverse events (38 terms)

ReactionSystemGastric ParticipantsThoracic Participants
Pulmonary air leakageRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
PneumoniaInfections and infestations
Atrial fibrillationCardiac disorders
Portal vein thrombosisHepatobiliary disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
HaemothoraxRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
DysphagiaGastrointestinal disorders
Gastric FistulasGastrointestinal disorders
Gastric perforationGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Intra-abdominal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
BacteraemiaInfections and infestations
FungaemiaInfections and infestations
Lung infectionInfections and infestations
Pneumonia viralInfections and infestations
Postoperative wound infectionInfections and infestations
Cardiac failure acuteCardiac disorders
Cardio-respiratory arrestCardiac disorders
Other adverse events (168 terms — click to expand)

ReactionSystemGastric ParticipantsThoracic Participants
PneumothoraxRespiratory, thoracic and mediastinal disorders
Procedural painInjury, poisoning and procedural complications
Pulmonary air leakageRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Subcutaneous emphysemaSkin and subcutaneous tissue disorders
AtelectasisRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
DysphagiaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Abdominal PainGastrointestinal disorders
Incision site painInjury, poisoning and procedural complications
Chest painGeneral disorders
Atrial fibrillationCardiac disorders
Abdominal pain upperGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
PneumoniaInfections and infestations
DehydrationMetabolism and nutrition disorders
Urinary retentionRenal and urinary disorders
Short-bowel syndromeGastrointestinal disorders
HypophagiaMetabolism and nutrition disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
DizzinessNervous system disorders
HyperglycaemiaMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
HypotensionVascular disorders
HaemothoraxRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Abdominal distensionGastrointestinal disorders
EructationGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
DyspepsiaGastrointestinal disorders
HaematocheziaGastrointestinal disorders
Hiatus herniaGastrointestinal disorders

Most-reported serious reactions: Pulmonary air leakage, Respiratory failure, Nausea, Pneumonia, Atrial fibrillation, Portal vein thrombosis, Acute respiratory failure, Haemothorax.

Data from ClinicalTrials.gov NCT04544865 adverse events section.

Sponsor's own description

This prospective, single-arm, multi-center evaluation will collect clinical data in a post-market setting. The two types of procedures studied will be gastric and thoracic. Investigators will perform each procedure using the device in compliance with their standard surgical approach and the ECHELON ENDOPATH Staple Line Reinforcement instructions for use.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04544865.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing