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CompletedNCT04672421Updated Sep 29, 2021

The Efficacy and Safety of Medicurtain® in Patients With Total Laparoscopic Hysterectomy (Pivotal Study)

An interventional study of Medicurtain® and Placebo in Laparoscopy, Tissue Adhesion, Surgery-Induced and Leiomyoma of the Uterine Body, sponsored by Shin Poong Pharmaceutical Co. Ltd.. Completed at 1 site in Korea, Republic of. Open to female participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-09-29.

Sponsored by Shin Poong Pharmaceutical Co. Ltd. · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 9 years 7 months after the study started (first participant enrolled Apr 2011, registered Nov 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
107
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
Female
01

Study summary

This study was designed to assess the safety and efficacy of MEDICURTAIN. Patients who underwent total laparoscopic hysterectomy were randomly assigned either into Medicurtain® treatment group or non-treatment control group. Adhesion formations at 8 weeks after the index surgery were compared between the two groups by using the well-defined grade scale and image recording.

Read the detailed description

This study was designed as multi-center, randomized, evaluator-blinded, comparative study. Subjects were woman between 20\~80 years of age reserved with total laparoscopic hysterectomy. Subject screening was conducted for the subject who signed an informed consent form. Subjects who met the inclusion criteria were randomly assigned into either treatment (Medicurtain®) or control group.

Each subject visit clinic for follow-up examination 1week (Visit 2) and 8 weeks (Visit 3) after the index surgery and before the visit subjects were received phone calls. Since the target population was the patient who scheduled elective total laparoscopic hysterectomy, subjects who met the inclusion/exclusion criteria after the examination for the surgery signed on the informed consent at Visit 1 (Baseline: 0 day) and randomly assigned either into the treatment and control group.

At visit 2 (1week±2days), 1week after the index surgery adverse events and general health were examined. At visit 3 (8week±5days), 8 weeks after the index surgery, the investigator inserted endoscope into abdominal cavity and took video clip and still images. If it was necessary, adhesion was removed surgically. An independent evaluator evaluated the records and graded the adhesion rate and its severity according to the grading system. If it was difficult to collect images with endoscope, the investigators recorded his observation for statistical analysis.

The investigator inserted endoscope into abdominal cavity and took video clip and still images at 8weeks after total laparoscopic hysterectomy to evaluate the adhesion formation and its grade. An independent evaluator evaluated the records and graded the adhesion rate and its severity according to the grading system. If it was difficult to collect images with endoscope, the investigators recorded his observation for statistical analysis. The adhesion grading system was proposed by American Fertility Society (AFS) in 1988, grades adhesion with Grade 0, Grade 1, Grade2 and Grade 3. Grade 0 means there is no adhesion formation, Grade 1\~Grade 3 means there is adhesion formed, severity increases with the grade. Adhesion rate and grade were evaluated between the treatment and control groups suing Grade 0\~3 scales.

General safety of the study device was evaluated based on the adverse event rate, laboratory tests, ECG test. The laboratory tests were conducted before and after the index surgery to evaluate whether the device cause toxicity such as hepatic and renal toxicity for safety evaluation.

02

Conditions studied

  • Laparoscopy
  • Tissue Adhesion, Surgery-Induced
  • Leiomyoma of the Uterine Body

Keywords

  • Medicurtain®
  • Sodium hyaluronate
  • Hydroxyethylstarch
  • Anti-adhesion barrier
03

In context

Leiomyoma

490 studies on the registry are indexed under Leiomyoma; 81 are open to participants now.

This study's enrollment of 107 is above the median of 62 across 345 interventional studies indexed under Leiomyoma.

Browse Leiomyoma studies →

Lead sponsor

Shin Poong Pharmaceutical Co. Ltd. is the lead sponsor of 27 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Woman who is between 20\~80 years of age.
  • Woman who is reserved with total laparoscopic hysterectomy like:

    • Malignant neoplasm of cervix
    • Malignant neoplasm of uterine body
    • Unspecified malignant neoplasm of cervical region
    • Other and unspecified malignant neoplasm of the female reproductive system
    • Carcinoma in situ of the cervix
    • Other and unspecified carcinoma in situ of the reproductive system Leiomyoma of the uterus
    • Other benign neoplasms of uterus
    • Neoplasm of uncertain behavior of uterus
    • Endometriosis
    • Polyp of corpus uteri
    • Other noninflammatory disorders of uterus, except cervix
    • Cervical dysplasia
    • Congenital malformations of uterus and cervix
    • Injury of uterus
  • Woman who signed and informed consent.

Exclusion criteria

Exclusion Criteria:

  • Presence of tumor or inflammatory disease in other organs after the laparoscopy or laparoscopic surgery
  • Subjects with a history of open surgery or laparoscopic surgery
  • Subject who is not eligible for anesthesia or re-operation due to other disease confirmed by investigator
  • Subject who is not eligible for re-operation or laparoscopy after laparoscopic surgery
  • Subjects using coagulant and subjects with lymphoid disease
  • Diabetic subjects administrating oral or parenteral glucose-lowering drugs
  • Patients with autoimmune diseases or immune disorders
  • Liver disease or kidney disease, surgical subjects including open surgery of gastrointestinal or urinary system
  • Subjects judged as inadequate by investigator
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
107 participants (actual)

Study arms

  • Experimental
    Medicurtain®

    Treat Medicurtain® 5ml prefilled syringe after laparoscopic surgery

    Device: Medicurtain®

  • Sham comparator
    Placebo

    laparoscopic surgery

    Device: Placebo

Interventions

  • DeviceMedicurtain®

    Anti-adhesion barrier (Medicurtain® 5ml prefilled syringe after laparoscopic surgery)

  • DevicePlacebo

    No device after laparoscopic surgery

06

What researchers measure

Primary outcomes

  1. Comparison of the adhesion rate between the groups

    Adhesion rate = (number of subjects who developed adhesion in a group)/ (Total number of subjects for each group)

    Time frame: 8 weeks after surgery

Secondary outcomes

  1. Comparison of adhesion grade based on the severity between the groups

    Adhesive grade evaluation standards are classified into Grade 0(None), Grade 1(Mild), Grade 2(Moderate), Grade 3(Severe).

    Time frame: 8 weeks after surgery

Other outcomes

  1. The incidence rate of adverse events

    Safety and tolerability by collecting adverse events (AEs)

    Time frame: follow up to 8 weeks

  2. The incidence rate of adverse device event

    Safety and tolerability by collecting adverse device event (ADEs)

    Time frame: follow up to 8 weeks

  3. The incidence rate of serious adverse events

    Safety and tolerability by collecting serious adverse events (SAEs)

    Time frame: follow up to 8 weeks

  4. QT interval on a 12-lead electrocardiogram (ECG) tracing

    Change From baseline in QT Interval

    Time frame: follow up to 8 weeks

07

Study locations

1 site
  • Asan Medical Center
    Seoul, Seoul Asan Medical Center Gil, Songpa-gu, Korea, Republic of
08

References and documents

Individual participant data

Plan to share: No

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 Sep 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04672421
Lead sponsor
Shin Poong Pharmaceutical Co. Ltd.
Responsible party
Sponsor
First posted
Dec 17, 2020
Start date
Apr 18, 2011
Primary completion
May 9, 2012
Completion
May 9, 2012
Last update
Sep 29, 2021

Study contacts

Young-Tak Kim, MD, PhD
principal investigator · Asan Medical Center, Seoul Asan Medical Center Gil, Songpa-gu, Seoul, Korea
Tae Jin Kim, MD, PhD
principal investigator · Cheil General Hospital & Women's Healthcare Center, 1-19 Mukjeong-dong, Jung-gu, Seoul, Korea
Yong-Il Kwon, MD, PhD
principal investigator · Kangdong Sacred Heart Hospital, (Gil 1dong445) 150, Seongnae-gil, Gwangsan-gu, Gwangju, Korea

Oversight

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

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