ClinicalTrials.gg
RecruitingNCT04718168ENF 18-06Updated Oct 27, 2026

GORE® ENFORM Biomaterial Product Study

An interventional study of Gore ENFORM Biomaterial (Preperitoneal) and Gore ENFORM Biomaterial (Intraperitoneal) in Hernia, Ventral, Hernia, Hiatal and Hernia, Diaphragmatic, sponsored by W.L.Gore & Associates. Recruiting at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by W.L.Gore & Associates · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started May 2021; still recruiting 5 years 5 months later.
Updated Oct 27, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
245
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A prospective, retrospective, non-randomized, multicenter study with two independent hernia study cohorts (Ventral / Incisional Hernia Repair and Diaphragmatic / Hiatal Hernia Repair). The primary objective of this study is to collect GORE® ENFORM Biomaterial product commercial-use data on device functional performance and short-term patient experience.

Read the detailed description

A prospective, retrospective, non-randomized, multicenter study with two independent hernia study cohorts (Ventral / Incisional Hernia Repair and Diaphragmatic / Hiatal Hernia Repair). The primary objective of this study is to collect GORE® ENFORM Biomaterial product commercial-use data on device functional performance and long-term follow up.

02

Conditions studied

  • Hernia, Ventral
  • Hernia, Hiatal
  • Hernia, Diaphragmatic
  • Incisional Hernia

Keywords

  • hernia
  • ventral
  • hiatal
  • diaphragmatic
  • incisional
  • mesh
  • Gore
  • W.L. Gore
  • Enform
03

In context

Hernia, Ventral

230 studies on the registry are indexed under Hernia, Ventral; 45 are open to participants now.

This study's planned enrollment of 245 is above the median of 90 across 153 interventional studies indexed under Hernia, Ventral.

Browse Hernia, Ventral studies →

Lead sponsor

W.L.Gore & Associates is the lead sponsor of 96 studies on the registry; 20 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Pre-procedure Inclusion Criteria:

The subject is / has:

  1. At least 18 years old at the time of . Minimum age required by state regulations (as applicable).
  2. An expected scored Class I (Clean) surgical wound using CDC Surgical Wound Classification system.
  3. A planned implant with GORE® ENFORM Biomaterial for a single site ventral or hiatal hernia repair as suture line reinforcement.
  4. An expected scored Grade 1 or Grade 2 using the Ventral Hernia Working Group Grading system.
  5. Willing to provide informed consent and comply with follow-up requirements.

Pre-procedure Exclusion Criteria:

The subject is / has:

  1. Treated in another drug or medical device study within 1 year of study enrollment.
  2. Implanted with GORE® ENFORM Biomaterial in the reconstruction of cardiovascular defects.
  3. Hernia repair expected to be performed as part of a bridged procedure (i.e., expected inability to perform primary closure of fascia or crura, patients requiring permanent support from the device).
  4. A >40.
  5. Evidence of a systemic infection.
  6. Cirrhosis or undergoing dialysis.
  7. A wound-healing disorder.
  8. such as, with or transplant, or receiving chemo or radiation therapy.
  9. Expected to undergo mesh implantation in conjunction with any bariatric procedure and / or panniculectomy procedure.
  10. A stoma.
  11. Co-morbid conditions that may limit their ability to comply with study and follow-up requirements.
  12. Positive pregnancy or lactation status as confirmed by site standard of care.
  13. Hernias requiring treatment within multiple body regions or expected use of multiple hernia mesh devices.

Post-procedure Inclusion Criteria

At the time of index procedure, the subject is / has:

  1. At least 18 years old. Minimum age required by state regulations (as applicable).
  2. Implanted with GORE® ENFORM Biomaterial for a single site ventral or hiatal hernia repair as suture-line reinforcement on or before 365 days prior to site protocol amendment 3 approval date.
  3. Unless there is an Informed Consent waiver issued by the Institutional Review Board (IRB), an Informed Consent Form (ICF) signed by subject.

Post-procedure Exclusion Criteria

At the time of index procedure, the subject is / has:

  1. Treated in another drug or medical device study within 1 year of study enrollment.
  2. Implanted with GORE® ENFORM Biomaterial in the reconstruction of cardiovascular defects.
  3. Hernia repair that was performed as part of a bridged procedure (i.e., inability to perform primary closure of fascia or crura, patients requiring permanent support from the device).
  4. A BMI >40.
  5. Evidence of a systemic infection.
  6. Cirrhosis or undergoing dialysis.
  7. A wound-healing disorder.
  8. Immunocompromised such as, with HIV or transplant, or receiving chemo or radiation therapy.
  9. Underwent mesh implantation in conjunction with any bariatric procedure and / or panniculectomy procedure.
  10. A stoma.
  11. Co-morbid conditions that may limit their ability to comply with study and follow-up requirements.
  12. Positive pregnancy or lactation status as confirmed by site standard of care.
  13. Hernias requiring treatment within multiple body regions or expected use of multiple hernia mesh devices.
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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
245 participants (estimated)

Study arms

  • Experimental
    Ventral/Incisional Hernia - Preperitoneal ENFORM Biomaterial

    Device: Gore ENFORM Biomaterial (Preperitoneal)

  • Experimental
    Ventral/Incisional Hernia - Intraperitoneal ENFORM Biomaterial

    Device: Gore ENFORM Biomaterial (Intraperitoneal)

  • Experimental
    Hiatal/Diaphragmatic Hernia - Preperitoneal ENFORM Biomaterial

    Device: Gore ENFORM Biomaterial (Preperitoneal)

  • Experimental
    Hiatal/Diaphragmatic Hernia-Intraperitoneal ENFORM Biomaterial

    Device: Gore ENFORM Biomaterial (Intraperitoneal)

Interventions

  • DeviceGore ENFORM Biomaterial (Preperitoneal)

    ENFORM Biomaterial bioabsorbable hernia mesh

  • DeviceGore ENFORM Biomaterial (Intraperitoneal)

    ENFORM Biomaterial bioabsorbable hernia mesh

06

What researchers measure

Primary outcomes

  1. Hernia Recurrence - Primary Device Endpoint

    Clinical diagnosed hernia recurrence in the area of the initial hernia repair (within device overlap at time of index procedure).

    Time frame: Through 24 months

  2. Incidence of SSI - Primary Procedural Endpoint 1

    Incidence of SSI, reported as a composite and individually.

    Time frame: First Post-Procedural Visit (Days 1-45)

  3. Incidence of SSO - Primary Procedural Endpoint 2

    Incidence of SSO, reported as a composite and individually.

    Time frame: First Post-Procedural Visit (Days 1-45)

  4. Incidence of SSOPI - Primary Procedural Endpoint 3

    Incidence of SSOPI, reported as a composite and individually.

    Time frame: First Post-Procedural Visit (Days 1-45)

Secondary outcomes

  1. Freedom from potential device-related SAEs - Secondary endpoint 1

    Freedom from potential device-related Serious Adverse Events will be reported descriptively with no formal goals or hypothesis.

    Time frame: Through 24 months

  2. Re-intervention at study-treated location - Secondary Endpoint 2

    Surgical re-intervention in the area of the hernia repaired initially (e.g. drain insertion, infection, surface issues, second operation, etc.) will be reported descriptively with no formal goals or hypothesis.

    Time frame: Through 24 months

  3. Change in Quality of Life in Carolinas Comfort Scale - Secondary Endpoint 3

    For ventral hernia subjects; change in Quality of Life in Carolinas Comfort Scale as measured by a change in total score of the Carolinas Comfort Scale Quality of Life questionnaire given at follow-up visits. Minimum Total Score is 0 and maximum Total Score is 115. Lower score means better outcome.

    Time frame: Through 24 months

  4. Relief from GERD Symptoms - Secondary Endpoint 4

    For diaphragmatic hernia subjects; relief from GERD symptoms as measured by a decrease in the total score of the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) questionnaire given at follow-up visits. Total Score: Calculated by summing the individual scores to questions 1-15. Greatest possible score (worst symptoms) = 75 Lowest possible score (no symptoms) = 0 Heartburn Score: Calculated by summing the individual scores to questions 1-6. Worst heartburn symptoms = 30 No heartburn symptoms = 0 Scores of ≤ 12 with each individual question not exceeding 2 indicate heartburn elimination. Regurgitation Score: Calculated by summing the individual scores to questions 10-15. Worst regurgitation symptoms = 30 No regurgitation symptoms = 0 Scores of ≤ 12 with each individual question not exceeding 2 indicate regurgitation elimination.

    Time frame: Through 24 months

07

Study locations

7 of 9 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Primary completion
Sep 2026→Dec 2026
Oct 27, 2026
Study completion
Sep 2026→Dec 2026
Oct 27, 2026
Contact
Study contact changed: h•••@wlgore.com · •••3152→m•••@wlgore.com · •••6512. See the current contact
Oct 27, 2026
Site contacts
Changed at 3 sites. See the sites
Show 3 sites
  • University of California - San Diego · San Diego, United StatesContact g•••@health.ucsd.edu · •••8815→n•••@health.ucsd.edu · •••8815
  • Prisma Health - Upstate · Greenville, United StatesContact added m•••@prismahealth.org
  • University of Texas Health Science Center at Houson · Houston, United StatesContact person changed (no phone or email listed)
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Primary completion Sep 2026→Dec 2026
    Study completion Sep 2026→Dec 2026
    Contact Study contact changed: h•••@wlgore.com · •••3152→m•••@wlgore.com · •••6512. See the current contact
    Site contacts Changed at 3 sites. See the sites
    Show 3 sites
    • University of California - San Diego · San Diego, United StatesContact g•••@health.ucsd.edu · •••8815→n•••@health.ucsd.edu · •••8815
    • Prisma Health - Upstate · Greenville, United StatesContact added m•••@prismahealth.org
    • University of Texas Health Science Center at Houson · Houston, United StatesContact person changed (no phone or email listed)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04718168
Responsible party
Sponsor
First posted
Jan 22, 2021
Start date
May 17, 2021
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Oct 27, 2026

Study contacts

Mary Wexler
Contact
mwexler@wlgore.com
928-266-6512
Todd Heniford, MD
principal investigator · Endeavor Health

Oversight

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

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