NCT03660787

Brief Summary

This trial was a multi-center, double-blind, randomized, parallel group, placebo-controlled, phase II study in adult hospitalized female patients with the confirmed diagnosis of pelvic adhesive disease in Study centres in Russia.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
114

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started May 2017

Shorter than P25 for phase_2

Geographic Reach
1 country

14 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 4, 2017

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 23, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 23, 2018

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

August 31, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 7, 2018

Completed
10 months until next milestone

Results Posted

Study results publicly available

June 19, 2019

Completed
Last Updated

June 19, 2019

Status Verified

June 1, 2019

Enrollment Period

9 months

First QC Date

August 31, 2018

Results QC Date

October 31, 2018

Last Update Submit

June 17, 2019

Conditions

Keywords

AdhesionEfficacy

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Reduction of Adhesions Number by 3 or More

    The number of adhesions according to the first MRI data was compared to the number according to the data of second MRI

    30±4 days after surgical intervention

Secondary Outcomes (6)

  • Change in Thickness of Pelvic Adhesions

    30±4 days after surgery

  • Number of Participants With Detection of Pelvic Organs Limited Mobility

    30±4 days after surgery

  • Number of Participants With Detection of Hyperechoic Linear Lesions Post Surgery

    30±4 days after surgery

  • Change in Number of Participants in Detecting Pelvic Organs Limited Mobility

    30±4 days after surgery

  • Change Number of Participants in Detecting Hyperechoic Linear Lesions

    30±4 days after surgery

  • +1 more secondary outcomes

Study Arms (4)

Placebo, 1.5 mL/kg

PLACEBO COMPARATOR

each subject received the placebo at the dose of 1.5 mL/kg of body weight;

Drug: Placebo

Placebo, 2.4 mL/kg

PLACEBO COMPARATOR

each subject received the placebo at the dose of 2.4 mL/kg of body weight;

Drug: Placebo

Seroguard, 1.5 mL/kg

EXPERIMENTAL

each subject received the test drug at the dose of 1.5 mL/kg of body weight;

Drug: Seroguard

Seroguard, 2.4 mL/kg

EXPERIMENTAL

each subject received the test drug at the dose of 2.4 mL/kg of body weight.

Drug: Seroguard

Interventions

Seroguard 0.41 g/L solution

Seroguard, 1.5 mL/kgSeroguard, 2.4 mL/kg

Saline

Placebo, 1.5 mL/kgPlacebo, 2.4 mL/kg

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female patients aged from 18 to 45 years with the confirmed diagnosis of pelvic adhesions having indications for surgery (laparoscopic adhesiolysis).
  • Voluntarily and personally signed and dated Form of Informed Consent.
  • Female patients with pelvic adhesions confirmed by gynecological and ultrasound examination.

You may not qualify if:

  • Female patients having contraindications to surgical treatment (including acute or exacerbated chronical adnexal inflammation);
  • Body mass index of 30.0 kg/m2 and more;
  • Known hypersensitivity to the test drug components (Seroguard);
  • Pregnancy, breastfeeding or planning a pregnancy during the clinical trial;
  • Refusal to use effective contraception methods throughout the study;
  • Positive HIV, RW, HBV or HCV test result;
  • Alcohol abuse, drug addiction, and toxicomania (except smoking);
  • American Society of Anesthesiologists physical status category III and more (ASA);
  • Purulent process in the abdominal cavity;
  • Disseminated endometriosis;
  • WBC count more than 10\*109/L at the complete blood count;
  • Need of using any drugs during the surgery other than 0.02% chlorhexidine aqueous solution throughout the surgery, as well as the test drug or the placebo (0.9% sodium chloride) administered intraperitoneally in the end of surgery.
  • Concomitant diseases that may require conversion of the surgical intervention by other indications;
  • Type I or II diabetes mellitus;
  • Deep vein thrombosis and/or PATE at the screening or in the medical history;
  • +16 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Krai Government-Owned State Funded Healthcare Institution "Krai Clinical Hospital"

Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia

Location

State Educational Government-Financed Institution of Higher Professional Education "Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky" of the Ministry of Healthcare of the Russian Federation at the clinical site Publicly Funded

Krasnoyarsk, Krasnoyarsk Krai, 660074, Russia

Location

State Funded Healthcare Institution of Moscow of City Health Department "V.M. Buyanov Municipal Clinical Hospital"

Moscow, Moscow Oblast, 115516, Russia

Location

Federal State Institution "V.I. Kulakov Research Center for Obstetrics, Gynecology, and Perinatology" of the Ministry of Healthcare and Social Development of the Russian Federation.

Moscow, Moscow Oblast, 117997, Russia

Location

State Educational Government-Financed Institution of Higher Professional Education "Kazan State Medical University" of the Ministry of Health of the Russian at the clinical site of Kazan Maternity Hospital No. 3 named after V.S. Gruzdev

Kazan', Tatarstan Republic, 420012, Russia

Location

State Funded Health Care Institution "Bryansk Municipal Hospital No 1

Bryansk, The Bryansk Region, 241035, Russia

Location

Federal State Educational Government-Financed Institution of Higher Education "Kemerovo State Medical University" of the Ministry of Healthcare of the Russian Federation at the clinical site of Kemerovo Oblast Publicly Funded Healthcare Institution "L.A.

Kemerovo, The Kemerovo Region, 650000, Russia

Location

Federal State Funded Healthcare Institution "L.G. Sokolov Federal Biomedical Agency Clinical Hospital No 122".

Saint Petersburg, The Leningrad Region, 194291, Russia

Location

Federal State Funded Scientific Institution "Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott" of the Ministry of Healthcare of the Russian Federation

Saint Petersburg, The Leningrad Region, 199034, Russia

Location

Moscow Oblast State Funded Healthcare Institution "Moscow Oblast Research Institute of Obstetrics and Gynecology"

Moscow, The Moscow Region, 101000, Russia

Location

State Funded Healthcare Institution of Moscow of City Health Department "Moscow Municipal Clinical Hospital No 31"

Moscow, The Moscow Region, 119415, Russia

Location

State Educational Government-Financed Institution of Higher Professional Education "Rostov State Medical University" of the Ministry of Healthcare of the Russian Federation at the clinical site of Obstetrics and Pediatrics Research Institute

Rostov-on-Don, The Rostov Region, 344013, Russia

Location

Federal State Educational Government-Financed Institution of Higher Education "I.P. Pavlov Ryazan State Medical University" of the Ministry of Healthcare of the Russian Federation at the clinical site of State Funded Healthcare Institution "Municipal Clin

Ryazan, The Ryazan Region, Russia

Location

Federal State Funded Healthcare Institution "Ural Research Institute of Maternal and Infant Care" of the Ministry of Healthcare of the Russian Federation

Yekaterinburg, The Sverdlovsk Region, 620028, Russia

Location

Related Publications (35)

  • Miller JH, Weinberg RK, Canino NL, Klein NA, Soules MR. The pattern of infertility diagnoses in women of advanced reproductive age. Am J Obstet Gynecol. 1999 Oct;181(4):952-7. doi: 10.1016/s0002-9378(99)70331-5.

    PMID: 10521760BACKGROUND
  • Dun EC, Nezhat CH. Tubal factor infertility: diagnosis and management in the era of assisted reproductive technology. Obstet Gynecol Clin North Am. 2012 Dec;39(4):551-66. doi: 10.1016/j.ogc.2012.09.006.

    PMID: 23182560BACKGROUND
  • Westrom L. Effect of acute pelvic inflammatory disease on fertility. Am J Obstet Gynecol. 1975 Mar 1;121(5):707-13. doi: 10.1016/0002-9378(75)90477-9.

    PMID: 123123BACKGROUND
  • Westrom LV. Sexually transmitted diseases and infertility. Sex Transm Dis. 1994 Mar-Apr;21(2 Suppl):S32-7.

    PMID: 8042113BACKGROUND
  • Patil M. Assessing tubal damage. J Hum Reprod Sci. 2009 Jan;2(1):2-11. doi: 10.4103/0974-1208.51335.

    PMID: 19562067BACKGROUND
  • Sutherland AM. The changing pattern of tuberculosis of the female genital tract. A thirty year survey. Arch Gynecol. 1983;234(2):95-101. doi: 10.1007/BF00207681.

    PMID: 6667046BACKGROUND
  • Mueller BA, Daling JR, Moore DE, Weiss NS, Spadoni LR, Stadel BV, Soules MR. Appendectomy and the risk of tubal infertility. N Engl J Med. 1986 Dec 11;315(24):1506-8. doi: 10.1056/NEJM198612113152402.

    PMID: 3785307BACKGROUND
  • Schwartz L, Diamond M. Formation, Reduction, and Treatment of Adhesive Disease. Seminars in Reproductive Medicine. 1991; 9(02): p. 89-99.

    BACKGROUND
  • Vaid K, Mehra S, Verma M, Jain S, Sharma A, Bhaskaran S. Pan endoscopic approach "hysterolaparoscopy" as an initial procedure in selected infertile women. J Clin Diagn Res. 2014 Feb;8(2):95-8. doi: 10.7860/JCDR/2014/7271.4018. Epub 2014 Feb 3.

    PMID: 24701493BACKGROUND
  • Neerja, Jain K. Role of laporoscopy-hysteroscopy in cases of infertility with pregnancy outcome. J Indian Med Assoc. 2014 Feb;112(2):85-6, 88.

    PMID: 25935960BACKGROUND
  • Diamond MP, Daniell JF, Feste J, Surrey MW, McLaughlin DS, Friedman S, Vaughn WK, Martin DC. Adhesion reformation and de novo adhesion formation after reproductive pelvic surgery. Fertil Steril. 1987 May;47(5):864-6. doi: 10.1016/s0015-0282(16)59181-x.

    PMID: 2952528BACKGROUND
  • DeCherney AH, Mezer HC. The nature of posttuboplasty pelvic adhesions as determined by early and late laparoscopy. Fertil Steril. 1984 Apr;41(4):643-6. doi: 10.1016/s0015-0282(16)47793-9.

    PMID: 6231195BACKGROUND
  • Al-Jabri S, Tulandi T. Management and prevention of pelvic adhesions. Semin Reprod Med. 2011 Mar;29(2):130-7. doi: 10.1055/s-0031-1272475. Epub 2011 Mar 24.

    PMID: 21437827BACKGROUND
  • Brochhausen C, Schmitt VH, Planck CN, Rajab TK, Hollemann D, Tapprich C, Kramer B, Wallwiener C, Hierlemann H, Zehbe R, Planck H, Kirkpatrick CJ. Current strategies and future perspectives for intraperitoneal adhesion prevention. J Gastrointest Surg. 2012 Jun;16(6):1256-74. doi: 10.1007/s11605-011-1819-9.

    PMID: 22297658BACKGROUND
  • Coulthard LR, White DE, Jones DL, McDermott MF, Burchill SA. p38(MAPK): stress responses from molecular mechanisms to therapeutics. Trends Mol Med. 2009 Aug;15(8):369-79. doi: 10.1016/j.molmed.2009.06.005. Epub 2009 Aug 6.

    PMID: 19665431BACKGROUND
  • Ward BC, Kavalukas S, Brugnano J, Barbul A, Panitch A. Peptide inhibitors of MK2 show promise for inhibition of abdominal adhesions. J Surg Res. 2011 Jul;169(1):e27-36. doi: 10.1016/j.jss.2011.01.043. Epub 2011 Feb 23.

    PMID: 21492875BACKGROUND
  • Katada J, Saito H, Ohashi A. Significance of cyclooxygenase-2 induced via p38 mitogen-activated protein kinase in mechanical stimulus-induced peritoneal adhesion in mice. J Pharmacol Exp Ther. 2005 Apr;313(1):286-92. doi: 10.1124/jpet.104.078717. Epub 2004 Dec 2.

    PMID: 15576468BACKGROUND
  • U.S. Food and Drug Administration. U.S. Food and Drug Administration. [Online]. Northborough; 2006 [cited 2015 Dec 22. Available from: http://www.fda.gov/ohrms/dockets/ac/06/briefing/2006-4217b1_01_Executive%20Summary.pdf.

    BACKGROUND
  • Ghonge NP, Ghonge SD. Computed tomography and magnetic resonance imaging in the evaluation of pelvic peritoneal adhesions: What radiologists need to know? Indian J Radiol Imaging. 2014 Apr;24(2):149-55. doi: 10.4103/0971-3026.134400.

    PMID: 25024524BACKGROUND
  • diZerega GS. The peritoneum and its response to surgical injury. Prog Clin Biol Res. 1990;358:1-11. No abstract available.

    PMID: 2217485BACKGROUND
  • diZerega GS, Campeau JD. Peritoneal repair and post-surgical adhesion formation. Hum Reprod Update. 2001 Nov-Dec;7(6):547-55. doi: 10.1093/humupd/7.6.547.

    PMID: 11727863BACKGROUND
  • Lali FV, Hunt AE, Turner SJ, Foxwell BM. The pyridinyl imidazole inhibitor SB203580 blocks phosphoinositide-dependent protein kinase activity, protein kinase B phosphorylation, and retinoblastoma hyperphosphorylation in interleukin-2-stimulated T cells independently of p38 mitogen-activated protein kinase. J Biol Chem. 2000 Mar 10;275(10):7395-402. doi: 10.1074/jbc.275.10.7395.

    PMID: 10702313BACKGROUND
  • Kumar B, Koul S, Petersen J, Khandrika L, Hwa JS, Meacham RB, Wilson S, Koul HK. p38 mitogen-activated protein kinase-driven MAPKAPK2 regulates invasion of bladder cancer by modulation of MMP-2 and MMP-9 activity. Cancer Res. 2010 Jan 15;70(2):832-41. doi: 10.1158/0008-5472.CAN-09-2918. Epub 2010 Jan 12.

    PMID: 20068172BACKGROUND
  • Louizos AA, Hadzilia SJ, Leandros E, Kouroukli IK, Georgiou LG, Bramis JP. Postoperative pain relief after laparoscopic cholecystectomy: a placebo-controlled double-blind randomized trial of preincisional infiltration and intraperitoneal instillation of levobupivacaine 0.25%. Surg Endosc. 2005 Nov;19(11):1503-6. doi: 10.1007/s00464-005-3002-4. Epub 2005 Oct 3.

    PMID: 16328673BACKGROUND
  • Innes A, Burden RP, Finch RG, Morgan AG. Treatment of resistant peritonitis in continuous ambulatory peritoneal dialysis with intraperitoneal urokinase: a double-blind clinical trial. Nephrol Dial Transplant. 1994;9(7):797-9.

    PMID: 7970121BACKGROUND
  • Szem JW, Hydo L, Barie PS. A double-blinded evaluation of intraperitoneal bupivacaine vs saline for the reduction of postoperative pain and nausea after laparoscopic cholecystectomy. Surg Endosc. 1996 Jan;10(1):44-8. doi: 10.1007/s004649910011.

    PMID: 8711605BACKGROUND
  • Labaille T, Mazoit JX, Paqueron X, Franco D, Benhamou D. The clinical efficacy and pharmacokinetics of intraperitoneal ropivacaine for laparoscopic cholecystectomy. Anesth Analg. 2002 Jan;94(1):100-5, table of contents. doi: 10.1097/00000539-200201000-00019.

    PMID: 11772809BACKGROUND
  • Ahmad G, Mackie FL, Iles DA, O'Flynn H, Dias S, Metwally M, Watson A. Fluid and pharmacological agents for adhesion prevention after gynaecological surgery. Cochrane Database Syst Rev. 2014 Jul 9;(7):CD001298. doi: 10.1002/14651858.CD001298.pub4.

    PMID: 25005450BACKGROUND
  • U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (CDER), Center for Biologics Evaluation and Research (CBER). Non-Inferiority Clinical Trials.; 2010 [cited 2015 Dec. Available from: http://www.fda.gov/downloads/Drugs/./Guidances/UCM202140.pdf.

    BACKGROUND
  • Chow S, Shao J, Wang H. Sample Size Calculations in Clinical Research. 2nd ed.: Chapman&Hall / CRC Biostatistics Series; 2008.

    BACKGROUND
  • Guerriero S, Ajossa S, Lai MP, Mais V, Paoletti AM, Melis GB. Transvaginal ultrasonography in the diagnosis of pelvic adhesions. Hum Reprod. 1997 Dec;12(12):2649-53. doi: 10.1093/humrep/12.12.2649.

    PMID: 9455829BACKGROUND
  • Guerriero S, Ajossa S, Garau N, Alcazar JL, Mais V, Melis GB. Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography. Fertil Steril. 2010 Jul;94(2):742-6. doi: 10.1016/j.fertnstert.2009.03.035. Epub 2009 Apr 14.

    PMID: 19368917BACKGROUND
  • Julious SA. Sample Sizes for Clinical Trials: CRC Press/Taylor & Francis; 2010.

    BACKGROUND
  • Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G. Definition and prevalence of subfertility and infertility. Hum Reprod. 2005 May;20(5):1144-7. doi: 10.1093/humrep/deh870. Epub 2005 Mar 31.

    PMID: 15802321BACKGROUND
  • Gnoth C, Godehardt D, Godehardt E, Frank-Herrmann P, Freundl G. Time to pregnancy: results of the German prospective study and impact on the management of infertility. Hum Reprod. 2003 Sep;18(9):1959-66. doi: 10.1093/humrep/deg366.

    PMID: 12923157BACKGROUND

MeSH Terms

Conditions

Tissue Adhesions

Condition Hierarchy (Ancestors)

CicatrixFibrosisPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Mikhail Shurygin
Organization
Pharmasyntez

Study Officials

  • Mikhail Shurygin, PhD,D.M.Sc.

    Pharmasyntez

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
The present study was conducted as a double blind trial. Neither a medical investigator, nor patients had access to the treatment assignment code in order to ensure the maximum objective evaluation of the primary endpoint. Blinding was performed in such a way that disclosing a randomization code of a certain subject excluded a disclosure of the code in general (i.e. the randomization code had no indication to the treatment group). However, there were no cases of the randomization code disclosure in the study
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 31, 2018

First Posted

September 7, 2018

Study Start

May 4, 2017

Primary Completion

January 23, 2018

Study Completion

January 23, 2018

Last Updated

June 19, 2019

Results First Posted

June 19, 2019

Record last verified: 2019-06

Locations