ClinicalTrials.gg
CompletedNCT02228889Updated Jun 6, 2025Results posted

RCT of Two Noncrosslinked Porcine Acellular Dermal Matrices in Ab Wall Reconstruction

An interventional study of Abdominal wall reconstruction with Strattice and Assess pain intensity at last office visit preoperatively in Hernia, Ventral, Intestinal Fistula and Fibromatosis, Abdominal, sponsored by Jeffrey Janis. Completed at 1 site in United States. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2025-06-06.

Sponsored by Jeffrey Janis · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 94 studies in Hernia, Ventral with a site in United States — 14 open to participants now, 25 under way, none of them phase 3. Hernia, Ventral · United States.

Enrollment
47th of 70
46 · median 100
Started
2015
with 7 others
No phase
57 of 94
11 open now
Registered
25th of 94
by date

Among the 94 studies in Hernia, Ventral with a site in United States, this one is the 47th largest by enrollment of the 70 interventional ones, is one of 8 that started in 2015, is one of 57 with no phase, and was the 25th registered.

By phase

94 studies; the count open now beside each. This study's row is marked.

No phasethis study57 · 11 open
Observational24 · 0 open
Phase 48 · 2 open
Phase 23 · 1 open
Phase 11 · 0 open
Phase 31 · 0 open

By the year they started

First in 2004; this study’s year is marked. 8 started in 2015.

Size and results

Median enrollment 100 across the 70 interventional studies, 63 across the 24 observational. Of the 58 that completed or were terminated, 31 (53%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 94 studies in Hernia, Ventral with a site in United States, or all of them as a file.
02

Study summary

The purpose of the study is to compare the clinical outcomes of two commonly used, FDA-approved biologic meshes in hernia repair and abdominal wall reconstruction (Strattice and XenMatrix). The two meshes are derived from pig skin from which cells have been removed and which have been sterilized. The two meshes are made by two different companies using different processes.

Read the detailed description

This is a prospective, randomized-controlled trial comparing two porcine acellular matrices in abdominal wall reconstruction. It is single-blind (patients are blinded to the type of mesh used while surgeons are not).

Our goals in this study are:

  1. PRIMARY OUTCOME: To compare the overall complication rates between two non-cross-linked porcine dermal matrices (XenMatrix and Strattice) at 30 days and 1 year postoperatively
  2. SECONDARY OUTCOMES

i. To compare the rate of Surgical Site Occurrences (SSOs) between XenMatrix and Strattice in abdominal wall reconstruction at 30 days and 1 year postoperatively

  1. Infection
  2. Seroma
  3. Hematoma
  4. Wound dehiscence
  5. Skin necrosis
  6. Formation of enterocutaneous fistula
  7. Mesh infection ii. To compare the hernia recurrence rate between XenMatrix and Strattice at 30 days and 1 year postoperatively iii. To compare the bulge rate between XenMatrix and Strattice at 30 days and 1 year postoperatively iv. To compare to changes in patient pain, physical functioning and quality of life after hernia repair between XenMatrix and Strattice, preoperatively, and at 1 year postoperatively A. Pain assessment: Patient Reported Outcomes Measurement Information System (PROMIS) Pain Intensity survey, PROMIS Pain Interference survey B. Physical functioning assessment: PROMIS Physical Function C. Quality of life assessment: Hernia-Related Quality-of-Life (HerQLes) survey
03

Conditions studied

  • Hernia, Ventral
  • Intestinal Fistula
  • Fibromatosis, Abdominal

Keywords

  • Hernia
  • Abdominal wall reconstruction
  • Abdominal wall defect
  • Porcine mesh
  • Component separation
  • Abdominal wall tumor
  • Desmoid
04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18
  • Patients presenting for elective hernia repair, with Ventral Hernia Working Group (VHWG) grade 2 or above (Patients with a hernia who need hernia repair due to hernia size, discomfort, risk of bowel incarceration, effect on physical function), and who have comorbidities or contamination making the use of synthetic mesh )
  • Patients deemed to be good surgical candidates, with no active life-threatening cardiac disease, pulmonary disease, renal disease, hematologic disease (patients who can have a major surgical procedure without an exceedingly high risk of medical complications such as pulmonary edema, myocardial infarction, pulmonary embolism, renal failure, life-threatening bleeding, stroke).
  • Patients presenting for resection of large abdominal wall tumors who are expected to undergo have tumor extirpative defect that would require biologic mesh for closure (patients with a large tumor of the abdominal wall who will have a large defect in their fascia after resection, who need biologic mesh for reinforcement).

Exclusion criteria

Exclusion Criteria:

  • Known allergy to porcine products
  • Active smokers (within the past 4 weeks) presenting for elective hernia repair
  • Patients with active life-threatening cardiac disease, pulmonary disease, renal disease, hematologic disease presenting for elective hernia repair
  • Patients presenting for emergent hernia repair (in the setting of bowel strangulation, necrosis, penetrating trauma) as it will be difficult to consent those patients for the study preoperatively
  • Patients with severe systemic sepsis
  • Patients with frank purulence in the wound
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Strattice

    Abdominal wall reconstruction with Strattice Assess pain intensity at last office visit preoperatively Assess pain interference at last office visit preoperatively Assess physical functioning at last office visit preoperatively Assess patient quality of life at last office visit preoperatively Assess patient pain intensity postoperatively Assess pain interference postoperatively Assess physical functioning postoperatively Assess quality of life postoperatively Assess hernia recurrence at 30 days postoperatively Assess bulge at 30 days postoperatively Assess Surgical Site Occurrences at 30 days postoperatively Assess hernia recurrence at 1 year postoperatively Assess bulge at 1 year postoperatively Assess Surgical Site Occurrences at 1 year postoperatively Assess overall complications at 30 days postoperatively Assess overall complications at 1 year postoperatively

    Procedure: Abdominal wall reconstruction with Strattice · Other: Assess pain intensity at last office visit preoperatively · Other: Assess pain interference at last office visit preoperatively · Other: Assess physical functioning at last office visit preoperatively · Other: Assess patient quality of life at last office visit preoperatively · Other: Assess patient pain intensity postoperatively · Other: Assess pain interference postoperatively · Other: Assess physical functioning postoperatively · Other: Assess quality of life postoperatively · Other: Assess hernia recurrence at 30 days postoperatively · Other: Assess bulge at 30 days postoperatively · Other: Assess Surgical Site Occurrences at 30 days postoperatively · Other: Assess hernia recurrence at 1 year postoperatively · Other: Assess bulge at 1 year postoperatively · Other: Assess Surgical Site Occurrences at 1 year postoperatively · Other: Assess overall complications at 30 days postoperatively · Other: Assess overall complications at 1 year postoperatively · Device: Strattice

  • Experimental
    XenMatrix

    Abdominal wall reconstruction with XenMatrix Assess pain intensity at last office visit preoperatively Assess pain interference at last office visit preoperatively Assess physical functioning at last office visit preoperatively Assess patient quality of life at last office visit preoperatively Assess patient pain intensity postoperatively Assess pain interference postoperatively Assess physical functioning postoperatively Assess quality of life postoperatively Assess hernia recurrence at 30 days postoperatively Assess bulge at 30 days postoperatively Assess Surgical Site Occurrences at 30 days postoperatively Assess hernia recurrence at 1 year postoperatively Assess bulge at 1 year postoperatively Assess Surgical Site Occurrences at 1 year postoperatively Assess overall complications at 30 days postoperatively Assess overall complications at 1 year postoperatively

    Other: Assess pain intensity at last office visit preoperatively · Other: Assess pain interference at last office visit preoperatively · Other: Assess physical functioning at last office visit preoperatively · Other: Assess patient quality of life at last office visit preoperatively · Other: Assess patient pain intensity postoperatively · Other: Assess pain interference postoperatively · Other: Assess physical functioning postoperatively · Other: Assess quality of life postoperatively · Other: Assess hernia recurrence at 30 days postoperatively · Other: Assess bulge at 30 days postoperatively · Other: Assess Surgical Site Occurrences at 30 days postoperatively · Other: Assess hernia recurrence at 1 year postoperatively · Other: Assess bulge at 1 year postoperatively · Other: Assess Surgical Site Occurrences at 1 year postoperatively · Other: Assess overall complications at 30 days postoperatively · Other: Assess overall complications at 1 year postoperatively · Procedure: Abdominal wall reconstruction with XenMatrix · Device: XenMatrix

Interventions

  • ProcedureAbdominal wall reconstruction with Strattice

    Abdominal wall reconstruction using Strattice

  • OtherAssess pain intensity at last office visit preoperatively

    Assess patient pain intensity preoperatively using the PROMIS Pain Intensity survey (average of 1-3 weeks preoperatively)

  • OtherAssess pain interference at last office visit preoperatively

    Assess pain interference preoperatively using the PROMIS pain interference survey (average of 1-3 weeks preoperatively)

  • OtherAssess physical functioning at last office visit preoperatively

    Assess physical functioning preoperatively using the PROMIS physical functioning survey (average of 1-3 weeks preoperatively)

  • OtherAssess patient quality of life at last office visit preoperatively

    Assess patient quality of life preoperatively, using the HerQLes survey (average of 1-3 weeks preoperatively)

  • OtherAssess patient pain intensity postoperatively

    Assess patient pain intensity at 1 year postoperatively using the PROMIS Pain Intensity survey

  • OtherAssess pain interference postoperatively

    Assess pain interference at 1 year postoperatively using the PROMIS Pain Interference survey

  • OtherAssess physical functioning postoperatively

    Assess physical functioning at 1 year postoperatively using the PROMIS Physical Functioning Survey

  • OtherAssess quality of life postoperatively

    Assess quality of life at 1 year postoperatively using the HerQLes survey

  • OtherAssess hernia recurrence at 30 days postoperatively

    Assess hernia recurrence at 30 days

  • OtherAssess bulge at 30 days postoperatively

    Assess bulge at 30 days

  • OtherAssess Surgical Site Occurrences at 30 days postoperatively

    Assess Surgical Site Occurrences at 30 days

  • OtherAssess hernia recurrence at 1 year postoperatively

    Assess hernia recurrence at 1 year postoperatively

  • OtherAssess bulge at 1 year postoperatively

    Assess bulge at 1 year postoperatively

  • OtherAssess Surgical Site Occurrences at 1 year postoperatively

    Assess Surgical Site Occurrences at 1 year postoperatively

  • OtherAssess overall complications at 30 days postoperatively
  • OtherAssess overall complications at 1 year postoperatively
  • ProcedureAbdominal wall reconstruction with XenMatrix

    Abdominal wall reconstruction with XenMatrix

  • DeviceStrattice

    Strattice mesh

  • DeviceXenMatrix

    Xenmatrix mesh

06

What researchers measure

Primary outcomes

  1. Rate of Surgical Site Occurrences (SSOs) at 6 Week

    Compare the rate of Surgical Site Occurrences (SSOs) between XenMatrix and Strattice in abdominal wall reconstruction at 1 year postoperatively. These include: 1. Infection 2. Seroma 3. Hematoma 4. Wound dehiscence 5. Skin necrosis 6. Formation of enterocutaneous fistula 7. Mesh infection

    Time frame: 6 week postoperatively

07

Results

Posted Jun 6, 2025
Limitations and caveats
The study was completed prior to the anticipated 70 total participants, as new data and literature have shifted a national trend away from the use of biologic mesh and toward synthetic mesh, which significantly impeded recruitment.

Participant flow

Participant flow — Overall Study
MilestoneStratticeXenMatrix
Started1630
Completed1630
Not completed00

Outcome measures

PrimaryRate of Surgical Site Occurrences (SSOs) at 6 Week

Compare the rate of Surgical Site Occurrences (SSOs) between XenMatrix and Strattice in abdominal wall reconstruction at 1 year postoperatively. These include: 1. Infection 2. Seroma 3. Hematoma 4. Wound dehiscence 5. Skin necrosis 6. Formation of enterocutaneous fistula 7. Mesh infection

Time frame:
6 week postoperatively
Reported as:
Mean · event
Rate of Surgical Site Occurrences (SSOs) at 6 Week
eventStratticeXenMatrix
Rate of Surgical Site Occurrences (SSOs) at 6 Week1 ± 6.2511 ± 36.67

Adverse events

Collected over 1 year. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Strattice0/16 (0%)0/16 (0%)0/16 (0%)
XenMatrix0/30 (0%)0/30 (0%)0/30 (0%)

Baseline characteristics

Enrollment was stopped prior to the pre-determined 70 total participants, as a shift in practice and national trend toward the use of synthetic mesh over biologic mesh hindered participant recruitment.

Age, Continuous
Age, Continuous(years)StratticeXenMatrixTotal
Median60 (55.8 to 68.6)57 (43 to 62.1)60 (43 to 68)
Sex: Female, Male
Sex: Female, Male(Participants)StratticeXenMatrixTotal
Female101424
Male61622
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)StratticeXenMatrixTotal
Count of participants——0
Body Mass Index
Body Mass Index(kg/m^2)StratticeXenMatrixTotal
Median29.6 (26.8 to 33.5)33.1 (26.5 to 37.4)33.1 (26.4 to 37.3)
Number of prior Hernia Repairs
Number of prior Hernia Repairs(prior repairs)StratticeXenMatrixTotal
Median2.5 (0 to 9)1 (0 to 2)1 (0 to 4.5)
Hernia Width
Hernia Width(cm)StratticeXenMatrixTotal
Median15.8 (10 to 18.7)12.9 (9.5 to 18.7)12.9 (9.48 to 18.71)
Diabetes
Diabetes(Participants)StratticeXenMatrixTotal
Count of participants7714
Hypertension
Hypertension(Participants)StratticeXenMatrixTotal
Count of participants71421

10 further baseline measures are reported on the registry.

08

Study locations

1 site
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2015 to primary completion in Mar 2025, 122 months.

Results were first posted in Jun 2025, 2 months after primary completion.

Of 75 non-industry interventional studies with no phase under Hernia, Ventral, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 48. This study's 122 months is above that.

Counting every sponsor, half of 88 studies reached it within 37 months; a quarter within 19 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 18, 2014
First posted
Aug 29, 2014
StartActual
Jan 2015
Primary completionActual
Mar 27, 2025
CompletionActual
Mar 27, 2025
Results first posted
Jun 6, 2025
Last update
Jun 6, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02228889
Lead sponsor
Jeffrey Janis
Responsible party
Jeffrey Janis (Professor of Plastic Surgery, Vice-Chairman, Ohio State University) — Sponsor-investigator
First posted
Aug 29, 2014
Start date
Jan 2015
Primary completion
Mar 27, 2025
Completion
Mar 27, 2025
Results posted
Jun 6, 2025
Last update
Jun 6, 2025

Study contacts

Jeffrey E Janis, MD
principal investigator · Ohio State University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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