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临床试验/NCT04086550
NCT04086550已完成不适用

Randomized, Two-arm, Multicenter Study to Evaluate the Safety and Efficacy of Dura Sealant Patch in Reducing CSF Leakage Following Elective Cranial Surgery

Polyganics BV26 个研究点 分布在 7 个国家目标入组 228 人开始时间: 2021年5月20日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
228
试验地点
26
主要终点
Composite endpoint defined as successful dural repair without any of the following compared to the control group: intra-operative CSF leakage percutaneous CSF leak significant pseudomeningocele wound infection

研究概览

简要总结

The objective of the study is to clinically assess the safety and effectiveness of LIQOSEAL® as a means of reducing intra- as well as post-operative CSF leakage in patients undergoing elective cranial intradural surgery with a dural closure procedure to show noninferiority compared to a control group.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • pre-operative
  • Subjects who are able to provide written informed consent prior to participating in the clinical investigation.
  • Subjects who are ≥ 18 years old.
  • Subjects who are able to comply with the follow-up or other study requirements.
  • Subjects wo are planned for elective surgery including a trepanation to reach the subdural infratentorial space (with lower limit of incision defined as the lower edge of C2) in whom a dural incision will be closed.
  • Female subjects of child bearing potential must agree to use a form of contraception from the time of signing the informed consent form through 90 days post-surgery.
  • intra-operative
  • Subjects with surgical wound classification Class I/Clean.
  • Subjects with minimally 5 mm of dural space surrounding dural opening.

排除标准

  • pre-operative
  • Female subjects who are pregnant or breastfeeding.
  • Subjects with an assumed impaired coagulation due to medication or otherwise.
  • Subjects suspected of an infection requiring antibiotics.
  • Subjects with any type of dural diseases in planned dural closure area.
  • Subjects requiring re-opening of planned surgical area within 90 days after surgery.
  • Subjects with a known allergy to any of the components (Lactide-Caprolactone co-polyester; Butanediol-BDI co-polyurethane; Polyethylene glycol Succinimidyl Gluterate; Disodium hydrogen phosphate or D&C Green No 6) of LIQOSEAL®.
  • Subjects who previously received a LIQOSEAL®.
  • Subjects who previously participated in this study or any investigational drug or device study within 30 days of screening.
  • Subjects with a presence of hydrocephalus.
  • Subjects with contra-indication to MRI [cardiac pacemaker or defibrillator, severe claustrophobia, injured by a metallic object that was not removed, cochlear (ear) implants, metallic implants [e.g. knee replacement].
  • intra-operative
  • Subjects in whom elevation of PEEP has a potential detrimental effect.
  • Subjects who will require a CSF drain, electrodes or other devices passing the dural layer or extra to intracranial bypass surgery.
  • Subjects who have primary closure of the dura mater with synthetic, nonautologous or autologous material other than galea.
  • Subjects in whom no intra-operative CSF leakage is present after primary closure of the dura mater with elevation of PEEP.
  • Subjects who after primary closure (including galea, if applicable) of the dura mater have a gap > 3 mm.
  • Subjects whom dural opening size including 5 mm margin exceeds patch size (8 x 8 cm).

结局指标

主要结局

Composite endpoint defined as successful dural repair without any of the following compared to the control group: intra-operative CSF leakage percutaneous CSF leak significant pseudomeningocele wound infection

时间窗: 30 days

次要结局

未报告次要终点

研究者

发起方
Polyganics BV
申办方类型
Industry
责任方
Sponsor

研究点 (26)

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