CClinicalTrials.gg
CompletedNCT02443792Unicirc004Updated Oct 3, 2018Results posted

Unicirc vs Open Surgical Circumcision

A Phase 4 interventional study of Unicirc with tissue adhesive and Open Surgical in Circumcision, Male, sponsored by Simunye Primary Health Care. Completed at 1 site in South Africa. Open to male participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-10-03.

Sponsored by Simunye Primary Health Care · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Male
01

Study summary

RCT of Unicirc under topical anesthetic w/ cyanoacrylate wound sealing vs. open surgical circumcision under local anesthetic with suturing.

02

Conditions studied

  • Circumcision, Male
03

In context

Lead sponsor

Simunye Primary Health Care is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy male
  • Uncircumcised
  • With normal penile anatomy

Exclusion criteria

Exclusion Criteria:

  • Concurrent illness
  • History of bleeding disorder
  • Past reaction to local anesthetic
  • Infection
  • Penile abnormality which could complicate circumcision
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Unicirc with tissue adhesive

    Unicirc under topical anesthetic w/ cyanoacrylate wound sealing

    Procedure: Unicirc with tissue adhesive

  • Active comparator
    Open Surgical

    Open surgical circumcision under local anesthetic with suturing

    Procedure: Open Surgical

Interventions

  • ProcedureUnicirc with tissue adhesive

    As above

  • ProcedureOpen Surgical

    As above

06

What researchers measure

Primary outcomes

  1. Time Elapsed From First Clamp (Surgical) or Start of Insertion of Bell (Unicirc) to Beginning of Wound Dressing

    Time elapsed from first clamp (surgical) or start of insertion of bell (Unicirc) to beginning of wound dressing

    Time frame: Up to 30 minutes

Secondary outcomes

  1. Surgical Pain 0=no Pain; 10=Worst Pain Ever

    Self-described pain severity during procedure (scale 1 to 10). 0=no pain, 5=moderate pain, 10=worst pain ever

    Time frame: Up to 30 minutes

  2. Completely Healed at 4 Weeks

    Number of participants who were completely healed at 4 weeks

    Time frame: At the 4-week followup visit

  3. Wound Dehiscence

    Proportion experiencing wound dehiscence (\< 2 cm vs \> 2 cm)

    Time frame: Up to 4 weeks

  4. Infection

    Proportion experiencing post-op infection, determined clinically (treated with antibiotics)

    Time frame: Up to 4 weeks

07

Results

Posted Jan 20, 2016

Participant flow

Participant flow — Overall Study
MilestoneUnicirc With Tissue AdhesiveOpen Surgical
Started5025
Completed4323
Not completed72

Outcome measures

PrimaryTime Elapsed From First Clamp (Surgical) or Start of Insertion of Bell (Unicirc) to Beginning of Wound Dressing

Time elapsed from first clamp (surgical) or start of insertion of bell (Unicirc) to beginning of wound dressing

Time frame:
Up to 30 minutes
Reported as:
Median · Minutes
Time Elapsed From First Clamp (Surgical) or Start of Insertion of Bell (Unicirc) to Beginning of Wound Dressing
MinutesUnicirc With Tissue AdhesiveOpen Surgical
Time Elapsed From First Clamp (Surgical) or Start of Insertion of Bell (Unicirc) to Beginning of Wound Dressing12 (11 to 17)25 (21 to 35)
SecondarySurgical Pain 0=no Pain; 10=Worst Pain Ever

Self-described pain severity during procedure (scale 1 to 10). 0=no pain, 5=moderate pain, 10=worst pain ever

Time frame:
Up to 30 minutes
Reported as:
Mean · units on a scale
Surgical Pain 0=no Pain; 10=Worst Pain Ever
units on a scaleUnicirc With Tissue AdhesiveOpen Surgical
Surgical Pain 0=no Pain; 10=Worst Pain Ever1.7 ± 1.31.9 ± 2.4
SecondaryCompletely Healed at 4 Weeks

Number of participants who were completely healed at 4 weeks

Time frame:
At the 4-week followup visit
Reported as:
Number · participants
Completely Healed at 4 Weeks
participantsUnicirc With Tissue AdhesiveOpen Surgical
Completely Healed at 4 Weeks3916
SecondaryWound Dehiscence

Proportion experiencing wound dehiscence (\< 2 cm vs \> 2 cm)

Time frame:
Up to 4 weeks
Reported as:
Number · participants
Wound Dehiscence
participantsUnicirc With Tissue AdhesiveOpen Surgical
Dehiscence > 2 cm longitudinally00
Dehiscence < 2 cm longitudinally144
SecondaryInfection

Proportion experiencing post-op infection, determined clinically (treated with antibiotics)

Time frame:
Up to 4 weeks
Reported as:
Number · participants
Infection
participantsUnicirc With Tissue AdhesiveOpen Surgical
Infection00

Adverse events

Collected over Any any time during study (4-6 weeks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Unicirc With Tissue Adhesive—0/50 (0%)3/50 (6%)
Open Surgical—0/25 (0%)0/25 (0%)
Most frequent other events
Most frequent other events
EventUnicirc With Tissue AdhesiveOpen Surgical
Intraoperative bleeding requiring suturesSurgical and medical procedures2/500/25
Post-op bleedingSurgical and medical procedures1/500/25

Baseline characteristics

Age, Customized
Age, Customized(participants)Unicirc With Tissue AdhesiveOpen SurgicalTotal
Age 18-25325
Age 26-35191231
Age 36+281139
Sex: Female, Male
Sex: Female, Male(Participants)Unicirc With Tissue AdhesiveOpen SurgicalTotal
Female000
Male502575
Region of Enrollment
Region of Enrollment(participants)Unicirc With Tissue AdhesiveOpen SurgicalTotal
South Africa502575
08

Study locations

1 site
  • Lonmin Hospital
    Marikana, Northwest, South Africa
09

References and documents

Publications

  • Millard PS, Goldstuck ND. No-needle, single-visit adult male circumcision with Unicirc: a multi-centre field trial. PLoS One. 2015 Mar 30;10(3):e0121686. doi: 10.1371/journal.pone.0121686. eCollection 2015. PubMed 25822727 ↗
  • Shenje J, Millard PS. Sutureless Adult Voluntary Male Circumcision with Topical Anesthetic: A Randomized Field Trial of Unicirc, a Single-Use Surgical Instrument. PLoS One. 2016 Jun 14;11(6):e0157065. doi: 10.1371/journal.pone.0157065. eCollection 2016. PubMed 27299735 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02443792
Lead sponsor
Simunye Primary Health Care
Responsible party
Justin Shenje, MB ChB (PI, University of Cape Town) — Principal investigator
First posted
May 14, 2015
Start date
Apr 2015
Primary completion
Sep 2015
Completion
Sep 2015
Results posted
Jan 20, 2016
Last update
Oct 3, 2018

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion