ClinicalTrials.gg
RecruitingNCT05042453SAXOUpdated Nov 22, 2024

Long-term Evaluation of the Efficacy and Safety of Splentis for the Treatment of Primary Apical Pelvic Organ Prolapse

An observational study in Pelvic Organ Prolapse, sponsored by Promedon. Recruiting at 7 sites in Germany. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-22.

Sponsored by Promedon · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Dec 2022; still recruiting 3 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
140
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 19 studies in Pelvic Organ Prolapse with a site in Germany — 4 open to participants now, 6 under way, none of them phase 3. Pelvic Organ Prolapse · Germany.

Planned enrollment
6th of 14
140 · median 113
Started
2022
with 2 others
Observational
14 of 19
2 open now
Registered
12th of 19
by date
Lead sponsor
2 of 19
Promedon

Among the 19 studies in Pelvic Organ Prolapse with a site in Germany, this one is the 6th largest by planned enrollment of the 14 observational ones that give a count, is one of 3 that started in 2022, is one of 14 observational ones, and was the 12th registered.

Pelvic Organ Prolapse

521 studies on the registry are indexed under Pelvic Organ Prolapse; 80 are open to participants now.

Browse Pelvic Organ Prolapse studies →

Open to participants now

4 of the 19 studies in Pelvic Organ Prolapse with a site in Germany are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 53 Pelvic Organ Prolapse studies recruiting now, 31 (58%) set no upper age limit and 10 (19%) stop at 75 or younger; 2 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Pelvic Organ Prolapse with a site in Germany, or all of them as a file.
02

Study summary

This prospective, multi center cohort trial aims to evaluate the efficacy and safety of hysteropexy using Splentis via the vaginal route in primary uterine prolapse

Read the detailed description

Women who undergo hysteropexy with Splentis via the vaginal route for primary uterine prolapse will be evaluated regarding efficacy and safety in a long term follow-up of 60 months. The primary endpoint is composed of anatomical, subjective and re-treatment components, whereas several secondary endpoints focusing on functional outcome including overactive bladder symptoms, urinary incontinence, quality of life and sexual life will be considered. Furthermore, a detailed report about adverse events will be included.

03

Conditions studied

  • Pelvic Organ Prolapse

Browse trials for

Keywords

  • Apical Pelvic Organ Prolapse
  • Transvaginal repair
  • Mesh augmented repair
  • Sacrouterine ligament fixation
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Non-fertile women ≥ 18 years with 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

  • non-fertile women
  • primary symptomatic uterine descent POP-Q≥2
  • Scheduled apical POP repair with Splentis
  • Willing and able to participate at study visits and to sign

Exclusion criteria

Exclusion Criteria:

  • Fertile women
  • Recurrent apical prolapse
  • Women with post hysterectomy vaginal vault prolapse
  • Patients with active or latent infection of the vagina, cervix or uterus
  • Patients with previous or current vaginal, cervical or uterine cancer
  • Previous, current or planned pelvic radiation therapy
  • Known allergy to polypropylene.
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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
140 participants (estimated)
Patient registry
No

Groups and cohorts

  • Hysteropexy using Splentis via vaginal route

    Non-fertile women ≥ 18 years with uterine descent (POP-Q ≥ 2) which are study-independently scheduled for hysteropexy with Splentis

    Device: Splentis® POP Tissue Anchoring System

Interventions

  • DeviceSplentis® POP Tissue Anchoring System

    Anterior cervicopexy with bilateral sacrospinous ligament fixation using Splentis

06

What researchers measure

Primary outcomes

  1. Cure of apical pelvic organ prolapse

    Cure of apical pelvic organ prolapse is defined according the current recommendations by Barber et al. and ICS/IUGA recommendations. Therefore, a combined endpoint using anatomical, subjective and necessity retreatment criteria are utilized. Primary endpoint is the number of patients achieving all criteria of the composite endpoint: 1. leading edge of the apical vaginal wall at or above the hymen (C≤ 0) 2. absence of a vaginal bulge symptom 3. no need for retreatment of the apical prolapse by either pessary use or surgical intervention

    Time frame: 12 months

Secondary outcomes

  1. Health-related quality of life

    Change of Quality of life and prolapse symptoms using the Prolapse-Quality of Life-Questionnaire in comparison between baseline and follow-up. The questionnaire is divided in nine domains which are analyzed separately. The results will be transformed into a scale between 0 - 100 according the questionnaires description. The higher the score, the higher the impact of prolapse symptoms and the lower the quality of life.

    Time frame: Baseline, 6 weeks 12, 24, 36, 60 months

  2. Quality of life

    Change of quality of life using the EQ-5L-5D in comparison between baseline and follow-up. It consists of a 5-item descriptive system as well as a visual analogue scale ranging from 0 to 100. It is conceptualized to assess deviation from health and hereby provide health related quality of life problems.

    Time frame: Baseline, 6 weeks and 12, 24, 36, 60 months

  3. Urinary incontinence

    Change of urinary incontinence using the International Consultation on Incontinence Questionnaire- Urinary Incontinence Short From in comparison between baseline and follow-up The ICIQ-UI-SF includes four items with a sum score ranging between 0 and 21 points. The higher the score the higher the impact of symptoms.

    Time frame: Baseline, 6 weeks and 12, 24, 36, 60 months

  4. Overactive Bladder

    Change of urinary incontinence using the International Consultation on Incontinence Questionnaire- Overactive bladder in comparison between baseline and follow-up The score of the ICIQ-OAB ranges from 0 to 16 points. The higher the sum score the higher the impact of symptoms.

    Time frame: Baseline, 6 weeks and 12, 24, 36, 60 months

  5. Sexual life

    Change of sexual life using the Pelvic Organ Prolapse Incontinence Sexual Questionnaire- IUGA revised in comparison between baseline and follow-up. The result will be transformed into a scale between 0 - 100. The higher the score, the higher the impact of prolapse symptoms and the higher the impact on sexual life.

    Time frame: Baseline, 6 weeks and 12, 24, 36, 60 months

  6. Pain according Visual analogue scale of pain

    Change of pain using the visual analogue scale of pain in comparison between baseline and follow-up The Wong-Baker Faces Pain Scale is a visual analogue scale to assess subject pain.The answers will be transformed in a scale from 0 to 10 whereas 0 implicate no pain and 10 worst pain.

    Time frame: Baseline, 24-48 hours postoperatively, 6 weeks and 12, 24, 36, 60 months

  7. Patient global impression of improvement

    Number of Patients with improvement of prolapse symptoms according the validated question Patient Global Impression of improvement The PGI-I is a seven Likert scale from very much better to no change and very much worse.

    Time frame: 6 weeks and 12, 24, 36, 60 months

  8. Cure according composite endpoint

    Number of patients completing each component of the composite endpoint

    Time frame: 6 weeks and 24, 36, 60 months

  9. Adverse Events

    Number and severity of Adverse Events according guideline of AE reporting, Clavien Dindo and Terminology of IUGA/ICS

    Time frame: Intraoperatively, 24-48hours postoperatively, 6 weeks postoperatively and 12, 24, 36, 60 months, unscheduled visits

  10. Exposure and extrusion free survival

    Estimated exposure and extrusion free survival according Kaplan-Meier.

    Time frame: 6 weeks and 12, 24, 36, 60 months

07

Study locations

6 of 7 sites recruiting
  • DRK Hospital Chemnitz-Rabenstein
    Chemnitz, Germany
    Recruiting
    • Torsten Brosche, Dr. med. · Contact
  • Helios Hospital Erfurt, Department of gynaecology
    Erfurt, Germany
    Recruiting
    • Gert Naumann, PD Dr.habil. · Contact
  • University Hospital Freiburg
    Freiburg, Germany
    Recruiting
    • Markus Hübner, Prof. Dr. med. · Contact
  • Clinic Kassel
    Kassel, Germany
    Recruiting
    • Christiane Schiffner, Dr. med. · Contact
  • St. Elisabeth Hospital
    Leipzig, Germany
    Recruiting
    • Birgit Henne, Dr. med. · Contact
  • University Hospital
    Mannheim, Germany
    Not yet recruiting
    • Benjamin Tuschy, Prof. Dr. med. · Contact
  • Hospital Tettnang
    Tettnang, Germany
    Recruiting
    • Christian Fünfgeld, Dr.med. · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Dec 2022 (actual). Primary completion is estimated for Jul 2026, 43 months after the start.

Of 61 observational studies under Pelvic Organ Prolapse, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 63. This study's planned 43 months is above that.

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

Registered
Aug 12, 2021
First posted
Sep 13, 2021
StartActual
Dec 19, 2022
Primary completionEst.
Jul 2026
CompletionEst.
Jul 2030
Last update
Nov 22, 2024
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 Nov 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05042453
Lead sponsor
Promedon
Responsible party
Sponsor
First posted
Sep 13, 2021
Start date
Dec 19, 2022
Primary completion
Jul 2026 (estimated)
Completion
Jul 2030 (estimated)
Last update
Nov 22, 2024

Study contacts

Philipp Schelhorn
Contact
trials.de@promedon.com
00498031900400
Lorena López, Ph.D, Bioeng
Contact
lorena.lopez@promedon.com
005493514596072
Gert Naumann, MD
principal investigator · Helios Clinic Erfurt, Germany
Christian Fünfgeld, MD
principal investigator · Clinic Tettnang

Oversight

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

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