September 3, 2021
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September 13, 2021
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December 27, 2022
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June 17, 2022
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March 2023 (Final data collection date for primary outcome measure)
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- Adverse Events [ Time Frame: 12 months ]
The number of device-related adverse events
- Performance [ Time Frame: 12 months ]
The number of subjects with abdominal wall integrity at 3-, 6-, and 12-months post-surgery. Abdominal wall integrity will be assessed via clinical examination of the abdomen to identify a fascial defect, bulge, reducible palpable mass, or discomfort with a cough impulse. Standard of care CT or MR imaging that is performed within 12 months of the surgery will be evaluated to confirm apposition of the medial border of the rectus abdominis muscles and integrity of the abdominal wall.
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Not Provided
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Not Provided
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Not Provided
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Not Provided
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Not Provided
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Abdominal Wall Closure After Laparotomy in Oncologic Surgery
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A Prospective, Multi-Center, Single Arm, Feasibility Study Using REBUILD Bioabsorbable™ for Closure of the Abdominal Wall After Oncologic Laparotomy
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The REBUILD Study is a first-in-human evaluation of the safety and performance of REBUILD Bioabsorbable.
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REBUILD is an investigational medical device designed to be used with third-party suture to distribute suture tension in abdominal wall closures. In this study, REBUILD will be used in oncology patients undergoing an open, elective, intent-to-cure, laparotomy procedure. The study is a prospective, non-randomized, multi-center study designed to generate descriptive data about the use of REBUILD. The primary safety outcome is reported device-related adverse events. The primary performance outcome is the integrity of the abdominal wall over one year assessed by clinical examination of the abdomen. If available, CT studies performed within 12 months post-procedure will be used to confirm apposition of the medial border of the rectus muscles and integrity of the abdominal wall.
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Interventional
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Not Applicable
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Allocation: N/A Intervention Model: Single Group Assignment Intervention Model Description: Prospective, multi-center, single-arm, feasibility study Masking: None (Open Label) Primary Purpose: Treatment
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Laparotomy
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Device: REBUILD Bioabsorbable
REBUILD is an investigational medical device designed to be used with third-party suture to distribute suture tension in abdominal wall closures.
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Experimental: REBUILD
Subjects who meet the inclusion criteria and agree to participate in the study will be enrolled and undergo oncologic laparotomy per the standard of care. The abdominal wall will be closed with REBUILD Bioabsorbable and suture of the surgeon's choice.
Intervention: Device: REBUILD Bioabsorbable
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- Jairam AP, Timmermans L, Eker HH, Pierik REGJM, van Klaveren D, Steyerberg EW, Timman R, van der Ham AC, Dawson I, Charbon JA, Schuhmacher C, Mihaljevic A, Izbicki JR, Fikatas P, Knebel P, Fortelny RH, Kleinrensink GJ, Lange JF, Jeekel HJ; PRIMA Trialist Group. Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. Lancet. 2017 Aug 5;390(10094):567-576. doi: 10.1016/S0140-6736(17)31332-6. Epub 2017 Jun 20. Erratum In: Lancet. 2017 Aug 5;390(10094):554.
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- Bali C, Papakostas J, Georgiou G, Kouvelos G, Avgos S, Arnaoutoglou E, Papadopoulos G, Matsagkas M. A comparative study of sutured versus bovine pericardium mesh abdominal closure after open abdominal aortic aneurysm repair. Hernia. 2015 Apr;19(2):267-71. doi: 10.1007/s10029-014-1262-4. Epub 2014 May 13.
- Deerenberg EB, Harlaar JJ, Steyerberg EW, Lont HE, van Doorn HC, Heisterkamp J, Wijnhoven BP, Schouten WR, Cense HA, Stockmann HB, Berends FJ, Dijkhuizen FPH, Dwarkasing RS, Jairam AP, van Ramshorst GH, Kleinrensink GJ, Jeekel J, Lange JF. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015 Sep 26;386(10000):1254-1260. doi: 10.1016/S0140-6736(15)60459-7. Epub 2015 Jul 15.
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- Pollock AV, Evans M. Early prediction of late incisional hernias. Br J Surg. 1989 Sep;76(9):953-4. doi: 10.1002/bjs.1800760926. No abstract available.
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Recruiting
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30
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Not Provided
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June 2023
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March 2023 (Final data collection date for primary outcome measure)
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Inclusion Criteria:
- Patient is 18-75 years of age
- Patient is scheduled for oncologic, open, elective, intent-to-cure laparotomy
- Patient is able to provide written informed consent
- Patient is able and willing to comply with all study requirements
Exclusion Criteria:
- Patient is scheduled for a palliative procedure
- Patient has had previous failed surgical repair of a ventral or incisional hernia
- Patient has a current infection at the intended surgical site
- Patient is participating in a concurrent investigational medical device study
- Patient is pregnant or planning on becoming pregnant during the study period
- Patient has a history of psychological condition, drug or alcohol misuse which may interfere with their ability to be compliant with post-operative visits.
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Sexes Eligible for Study: |
All |
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18 Years to 75 Years (Adult, Older Adult)
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No
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Colombia
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NCT05041530
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CTP-0001
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Yes
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Studies a U.S. FDA-regulated Drug Product: |
No |
Studies a U.S. FDA-regulated Device Product: |
Yes |
Device Product Not Approved or Cleared by U.S. FDA: |
Yes |
Product Manufactured in and Exported from the U.S.: |
Yes |
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AbSolutions Med Inc.
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[Redacted]
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AbSolutions Med Inc.
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[Redacted]
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Cogent Technologies Corporation
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Principal Investigator: |
Luis J Palacios Fuenmayor, MD |
Clinica Las Americas |
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AbSolutions Med Inc.
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December 2022
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