ClinicalTrials.gg
CompletedNCT03436979Updated Aug 7, 2025

The NeuGuide™ System for Vaginal Colpopexy in the Treatment of Uterine Prolapse

An observational study in Uterine Prolapse Without Vaginal Wall Prolapse, sponsored by Pop Medical Solutions. Completed at 15 sites in 3 countries. Open to female participants aged 36 Years to 84 Years. Per ClinicalTrials.gov, last updated 2025-08-07.

Sponsored by Pop Medical Solutions · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
36 Years to 84 Years
Sex
Female
01

Study summary

The objective of the study is to assess the long term safety, durability of clinical effectiveness and cost effectiveness of the NeuGuide™ system when used for vaginal colpopexy in the treatment of uterine prolapse.

02

Conditions studied

  • Uterine Prolapse Without Vaginal Wall Prolapse

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Keywords

  • prolapse
  • sacrospinous fixation
  • minimally invasive
03

In context

Prolapse

93 studies on the registry are indexed under Prolapse; 9 are open to participants now.

This study's enrollment of 60 is below the median of 150 across 27 observational studies indexed under Prolapse.

Browse Prolapse studies →

Lead sponsor

Pop Medical Solutions is the lead sponsor of 3 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
36 Years to 84 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects who are undergoing surgical treatment for uterine prolapse.

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

  1. Patient with POP-Q C point greater than (-) 1 cm.
  2. Patients who have previously had a partial hysterectomy in which the cervix is intact may be included in this study.
  3. Non-pregnant female (female of child bearing potential must have a negative pregnancy test).
  4. Patient understands the nature and potential hazards of the procedure and provides written prior to any study specific assessments.
  5. Patient is able to complete written questionnaires.
  6. Patient is willing and able to comply with the specified study requirements and follow-up assessments, and can be contacted by telephone.

Exclusion criteria

Exclusion Criteria:

  1. Known diagnosis of reproductive tract abnormalities.
  2. Prior pelvic radiation therapy, any or active pelvic inflammatory disease.
  3. Known history of severe Pelvic Inflammatory Disease (PID).
  4. Prior total hysterectomy.
  5. Prior pelvic prolapse surgery using synthetic mesh.
  6. Pathological PAP in the past year.
  7. Moderate or severe bacterial cervicitis.
  8. Moderate or severe pelvic pain (> 3 on VAS).
  9. Severe morbid obesity ( >45).
  10. Temperature > 38°C (oral or equivalent), sepsis, or active infection requiring IV anti-microbial treatment.
  11. Significant cognitive impairment.
  12. Active malignancy other than non-melanoma skin cancer.
  13. Planned surgery (more than a minor one) in the next 30 days.
  14. Patient has a known to device materials (Nickel, suture material).
  15. Moribund patient or patient with severe or deteriorating damage in critical body systems.
  16. Any condition that in the judgment of the investigators would interfere with the subject's ability to provide , comply with study instructions, place the subject at increased risk, or which might confound interpretation of study results.
  17. Concurrent enrollment in another device or drug trial that has not completed the primary endpoint or clinically interferes with the current study endpoints.
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (actual)
Patient registry
No

Groups and cohorts

  • Subjects

    Subjects who are undergoing surgical treatment for uterine prolapse will be included in the study and will be treated using the NeuGuide™ System.

    Device: NeuGuide™ System

Interventions

  • DeviceNeuGuide™ System

    The NeuGuide™ device is indicated for anchoring sutures to ligaments of the pelvic floor.

    Also known as: transvaginal sacrospinous ligament fixation

06

What researchers measure

Primary outcomes

  1. A composite of the Pelvic Organ Prolapse Quantification (POP-Q) C point score, patient-rated symptom of vaginal bulging after vaginal colpopexy performed using the NeuGuide™ and the absence of further surgical therapy for uterine prolapse.

    Primary composite performance outcome

    Time frame: 12 months

  2. The number of device / procedure related Serious Adverse Events (SAE).

    Primary safety of surgical implantation as reflected by adverse events

    Time frame: 30 days

  3. The number of Serious Adverse Events and Adverse Events.

    Primary safety of NeuGuide treatment as reflected by adverse events

    Time frame: 12 months

Secondary outcomes

  1. Change in mean POP-Q C point score from baseline (cm).

    Secondary anatomical performance of the NeuGuide treatment

    Time frame: one month

  2. Change in mean POP-Q C point score from baseline (cm).

    Secondary anatomical performance of the NeuGuide treatment

    Time frame: 6 months

  3. Change in mean POP-Q C point score from baseline (cm).

    Secondary anatomical of the NeuGuide treatment

    Time frame: 12 months

  4. Change in mean POP-Q C point score from baseline (cm).

    Secondary anatomical performance of the NeuGuide treatment outcome

    Time frame: 24 months

  5. Change in mean POP-Q C point score from baseline (cm).

    Secondary anatomical performance of the NeuGuide treatment

    Time frame: 36 months

  6. Number of subjects who require surgical therapy of uterine prolapse or urinary incontinence.

    Secondary performance: durability of the NeuGuide treatment

    Time frame: 36 months

  7. Number of subjects in whom the primary symptomatic reason for repair of prolapse persists.

    Secondary symptomatic performance of the NeuGuide treatment

    Time frame: 12 months

  8. The time utilization of staff performing the NeuGuide procedure.

    Secondary outcome: Cost performance of the procedure

    Time frame: one month

  9. The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen

    Secondary outcome: POP-Q Stage Score.

    Time frame: Baseline

  10. The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen

    Secondary outcome: POP-Q Stage Score.

    Time frame: one month

  11. The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen

    Secondary outcome: POP-Q Stage Score.

    Time frame: 12 months

  12. The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen

    Secondary outcome: POP-Q Stage Score.

    Time frame: 24 months

  13. The POP-Q Stage Score calculated from POP-Q measurements, where the Stages of POP-Q system measurement are as follows: Stage 0 no prolapse is demonstrated Stage 1 the most distal portion of the prolapse is more than 1 cm above the level of the hymen

    Secondary outcome: POP-Q Stage Score.

    Time frame: 36 months

07

Study locations

15 sites
  • MedStar Health Research Institute
    Washington D.C., District of Columbia 20010, United States
  • Holy Cross Hospital
    Fort Lauderdale, Florida 33364, United States
  • Cleveland Clinic Florida
    Weston, Florida 33331, United States
  • Mount Auburn Hospital
    Cambridge, Massachusetts 02138, United States
  • Maimonides Medical Center
    Brooklyn, New York 11220, United States
  • South Nassau Community Hospital Cancer Center
    Valley Stream, New York 11580, United States
  • Cleveland Clinic Cleveland
    Cleveland, Ohio 44195, United States
  • The Institute for Female Pelvic Medicine and Reconstructive Surgery
    Allentown, Pennsylvania 18103, United States
  • Female Pelvic Health Center
    Newtown, Pennsylvania 18940, United States
  • Walnut Hill OB/GYN Associates
    Dallas, Texas 75231, United States
  • INOVA Women's Hospital
    Falls Church, Virginia 22046, United States
  • Krankenhaus Waldfriede
    Berlin-Zehlendorf, 14163, Germany
  • Isar Kliniken GmbH
    München, Germany
  • St. Joseph Krankenhaus
    Tempelhof, Germany
  • Soroka Medical Center
    Beersheba, Israel
08

References and documents

Individual participant data

Plan to share: No — There is no plan to make individual participant data a available to other researchers.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03436979
Lead sponsor
Pop Medical Solutions
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Jan 1, 2018
Primary completion
Oct 31, 2023
Completion
Oct 31, 2023
Last update
Aug 7, 2025

Study contacts

James C Leiter, M.D.
study director · Avania

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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