A randomised controlled trial of Permacol® reinforcement of permanent stomas versus standard technique in reduction of parastomal hernia

ISRCTN ISRCTN31730807
DOI https://doi.org/10.1186/ISRCTN31730807
Secondary identifying numbers RL100
Submission date
12/07/2006
Registration date
11/08/2006
Last edited
25/09/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Tina Jane Adams
Scientific

Tissue Science Laboratories
Victoria House
Victoria Road
Aldershot
Hampshire
GU11 1EJ
United Kingdom

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymPROPHECI
Study objectivesOur hypothesis is that reinforcing the stoma trephine with Permacola® when the stoma is being formed is superior to the standard technique without reinforcement in terms of preventing herniation, and the use of Permacol® is associated with less morbidity, infection and pain.
Ethics approval(s)Approved by the Huntingdon Research Ethics Committee on 30/05/2006 (reference number: 06/Q0104/32).
Health condition(s) or problem(s) studiedParastomal herniation
InterventionWe intend to randomise a cohort of patients who are undergoing permanent stoma formation for a variety of elective procedures between collagen mesh reinforcement of the stoma versus no mesh as control.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Permacola®
Primary outcome measure1. To determine the efficacy of Permacol® in reducing the incidence of parastomal hernia
2. To test whether the use of collagen mesh reinforcement is associated with lower rates of clinical herniation than no reinforcement. This will be evaluated at discharge and one, six, 12, 18 and 24 months post-operatively.
Secondary outcome measuresThe secondary objectives of the study will be to determine differences in:
1. The radiological incidence of herniation as detected by Computerised Tomography (CT) scan and correlate this with the primary objective at 12 months
2. Complications associated with the technique used for the reinforcement. These will be evaluated at discharge and one, six, 12, 18 and 24 months post-operatively.
3. The handling characteristics, ease of insertion and suturing of the implant will be evaluated by the surgeon
4. Cost-benefit analysis comparing the cost of the reinforcement technique and the length of stay
5. Quality of life assessed using short-form-36 questionnaire (SF36) version two and EuroQol EQ-5D before and at one, six, 12, 18 and 24 months post-operatively
Overall study start date01/07/2006
Completion date01/08/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit100 Years
SexBoth
Target number of participants300
Key inclusion criteria1. Requirement of an elective permanent stoma due to bowel disease
2. Written informed consent
3. Must be aged 18 -100 years and agree to the randomised procedure
4. If of childbearing potential, must have given a negative pregnancy test
Key exclusion criteria1. If participant is taking part in another clinical study, which directly relates to this study
2. Suffering from an untreated metabolic or systemic illness (e.g. diabetes or rheumatoid arthritis or any immunological disease)
3. A diagnosis of mentally limiting conditions such as Alzheimer's or mental retardation or is unable to understand all study requirements
4. Is allergic to any porcine or collagen products
5. Has any indication of a Methicillin-Resistant Staphylococcus Aureus (MRSA) infection
6. Any indication of abdominal wall sepsis
Date of first enrolment01/07/2006
Date of final enrolment01/08/2009

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Tissue Science Laboratories
Hampshire
GU11 1EJ
United Kingdom

Sponsor information

Tissue Science Laboratories plc (UK)
Industry

Victoria House
Victoria Road
Aldershot
Hampshire
GU11 1EJ
United Kingdom

Website http://www.tissuescience.com/
ROR logo "ROR" https://ror.org/020hbh524

Funders

Funder type

Industry

Tissue Science Laboratories plc (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan