AzTrials
AzTrials

Hernia, VentralNCT02228889

RCT of Two Noncrosslinked Porcine Acellular Dermal Matrices in Ab Wall Reconstruction

A study testing Abdominal wall reconstruction with Strattice, Assess pain intensity at last office visit preoperatively and Assess pain interference at last office visit preoperatively in people with Hernia, Ventral and Intestinal Fistula, run by Jeffrey Janis at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of the study is to compare the clinical outcomes of two commonly used, FDA-approved biologic meshes in hernia repair and abdominal wall reconstruction (Strattice and XenMatrix). The two meshes are derived from pig skin from which cells have been removed and which have been sterilized. Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
Abdominal wall reconstruction with Strattice, Assess pain intensity at last office visit preoperatively and Assess pain interference at last office visit preoperatively
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
1 siteUnited States
Study dates
Jan 2015to 27 Mar 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age > 18
  • Patients presenting for elective hernia repair, with Ventral Hernia Working Group (VHWG) grade 2 or above (Patients with a hernia who need hernia repair due to hernia size, discomfort, risk of bowel incarceration, effect on physical function), and who have comorbidities or contamination making the use of synthetic mesh contraindicated)
  • Patients deemed to be good surgical candidates, with no active life-threatening cardiac disease, pulmonary disease, renal disease, hematologic disease (patients who can have a major surgical procedure without an exceedingly high risk of medical complications such as pulmonary edema, myocardial infarction, pulmonary embolism, renal failure, life-threatening bleeding, stroke).
  • Patients presenting for resection of large abdominal wall tumors who are expected to undergo have tumor extirpative defect that would require biologic mesh for closure (patients with a large tumor of the abdominal wall who will have a large defect in their fascia after resection, who need biologic mesh for reinforcement).

Who cannot join

  • Known allergy to porcine products
  • Active smokers (within the past 4 weeks) presenting for elective hernia repair
  • Patients with active life-threatening cardiac disease, pulmonary disease, renal disease, hematologic disease presenting for elective hernia repair
  • Patients presenting for emergent hernia repair (in the setting of bowel strangulation, necrosis, penetrating trauma) as it will be difficult to consent those patients for the study preoperatively
  • Patients with severe systemic sepsis
  • Patients with frank purulence in the wound

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

Other trials in United States

About this study

Official title: Prospective Trial Comparing the Performance Profiles of Two Non-Cross-Linked Porcine Dermal Matrices in Abdominal Wall Reconstruction

The purpose of the study is to compare the clinical outcomes of two commonly used, FDA-approved biologic meshes in hernia repair and abdominal wall reconstruction (Strattice and XenMatrix). The two meshes are derived from pig skin from which cells have been removed and which have been sterilized. The two meshes are made by two different companies using different processes.

Read the detailed description

This is a prospective, randomized-controlled trial comparing two porcine acellular matrices in abdominal wall reconstruction. It is single-blind (patients are blinded to the type of mesh used while surgeons are not).

Our goals in this study are:

  1. PRIMARY OUTCOME: To compare the overall complication rates between two non-cross-linked porcine dermal matrices (XenMatrix and Strattice) at 30 days and 1 year postoperatively
  2. SECONDARY OUTCOMES
  3. To compare the rate of Surgical Site Occurrences (SSOs) between XenMatrix and Strattice in abdominal wall reconstruction at 30 days and 1 year postoperatively
  4. Infection
  5. Seroma
  6. Hematoma
  7. Wound dehiscence
  8. Skin necrosis
  9. Formation of enterocutaneous fistula
  10. Mesh infection ii. To compare the hernia recurrence rate between XenMatrix and Strattice at 30 days and 1 year postoperatively iii. To compare the bulge rate between XenMatrix and Strattice at 30 days and 1 year postoperatively iv. To compare to changes in patient pain, physical functioning and quality of life after hernia repair between XenMatrix and Strattice, preoperatively, and at 1 year postoperatively A. Pain assessment: Patient Reported Outcomes Measurement Information System (PROMIS) Pain Intensity survey, PROMIS Pain Interference survey B. Physical functioning assessment: PROMIS Physical Function C. Quality of life assessment: Hernia-Related Quality-of-Life (HerQLes) survey
Being tested
Abdominal wall reconstruction with Strattice, Assess pain intensity at last office visit preoperatively, Assess pain interference at last office visit preoperatively, Assess physical functioning at last office visit preoperatively, Assess patient quality of life at last office visit preoperatively
Keywords
Hernia, Abdominal wall reconstruction, Abdominal wall defect, Porcine mesh, Component separation, Abdominal wall tumor, Desmoid
Medical subject headings
Hernia, Ventral, Intestinal Fistula, Fibromatosis, Abdominal, Hernia, Peritoneal Neoplasms, Desmoid Tumors

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Abdominal wall reconstruction with StratticeProcedure or surgery

    Abdominal wall reconstruction using Strattice

  • Assess pain intensity at last office visit preoperativelyOther

    Assess patient pain intensity preoperatively using the PROMIS Pain Intensity survey (average of 1-3 weeks preoperatively)

  • Assess pain interference at last office visit preoperativelyOther

    Assess pain interference preoperatively using the PROMIS pain interference survey (average of 1-3 weeks preoperatively)

  • Assess physical functioning at last office visit preoperativelyOther

    Assess physical functioning preoperatively using the PROMIS physical functioning survey (average of 1-3 weeks preoperatively)

  • Assess patient quality of life at last office visit preoperativelyOther

    Assess patient quality of life preoperatively, using the HerQLes survey (average of 1-3 weeks preoperatively)

  • Assess patient pain intensity postoperativelyOther

    Assess patient pain intensity at 1 year postoperatively using the PROMIS Pain Intensity survey

  • Assess pain interference postoperativelyOther

    Assess pain interference at 1 year postoperatively using the PROMIS Pain Interference survey

  • Assess physical functioning postoperativelyOther

    Assess physical functioning at 1 year postoperatively using the PROMIS Physical Functioning Survey

  • Assess quality of life postoperativelyOther

    Assess quality of life at 1 year postoperatively using the HerQLes survey

  • Assess hernia recurrence at 30 days postoperativelyOther

    Assess hernia recurrence at 30 days

  • Assess bulge at 30 days postoperativelyOther

    Assess bulge at 30 days

  • Assess Surgical Site Occurrences at 30 days postoperativelyOther

    Assess Surgical Site Occurrences at 30 days

  • Assess hernia recurrence at 1 year postoperativelyOther

    Assess hernia recurrence at 1 year postoperatively

  • Assess bulge at 1 year postoperativelyOther

    Assess bulge at 1 year postoperatively

  • Assess Surgical Site Occurrences at 1 year postoperativelyOther

    Assess Surgical Site Occurrences at 1 year postoperatively

  • Assess overall complications at 30 days postoperativelyOther

  • Assess overall complications at 1 year postoperativelyOther

  • Abdominal wall reconstruction with XenMatrixProcedure or surgery

    Abdominal wall reconstruction with XenMatrix

  • StratticeDevice

    Strattice mesh

  • XenMatrixDevice

    Xenmatrix mesh

Study groups in NCT02228889
Study groupRoleWhat they receive
StratticeExperimentalAbdominal wall reconstruction with Strattice Assess pain intensity at last office visit preoperatively Assess pain interference at last office visit preoperatively Assess physical functioning at last office visit preoperatively Assess patient quality of life at last office visit preoperatively Assess patient pain intensity postoperatively Assess pain interference postoperatively Assess physical functioning postoperatively Assess quality of life postoperatively Assess hernia recurrence at 30 days postoperatively Assess bulge at 30 days postoperatively Assess Surgical Site Occurrences at 30 days postoperatively Assess hernia recurrence at 1 year postoperatively Assess bulge at 1 year postoperatively Assess Surgical Site Occurrences at 1 year postoperatively Assess overall complications at 30 days postoperatively Assess overall complications at 1 year postoperatively
Receives: Procedure: Abdominal wall reconstruction with Strattice; Other: Assess pain intensity at last office visit preoperatively; Other: Assess pain interference at last office visit preoperatively; Other: Assess physical functioning at last office visit preoperatively; Other: Assess patient quality of life at last office visit preoperatively; Other: Assess patient pain intensity postoperatively; Other: Assess pain interference postoperatively; Other: Assess physical functioning postoperatively; Other: Assess quality of life postoperatively; Other: Assess hernia recurrence at 30 days postoperatively; Other: Assess bulge at 30 days postoperatively; Other: Assess Surgical Site Occurrences at 30 days postoperatively; Other: Assess hernia recurrence at 1 year postoperatively; Other: Assess bulge at 1 year postoperatively; Other: Assess Surgical Site Occurrences at 1 year postoperatively; Other: Assess overall complications at 30 days postoperatively; Other: Assess overall complications at 1 year postoperatively; Device: Strattice
XenMatrixExperimentalAbdominal wall reconstruction with XenMatrix Assess pain intensity at last office visit preoperatively Assess pain interference at last office visit preoperatively Assess physical functioning at last office visit preoperatively Assess patient quality of life at last office visit preoperatively Assess patient pain intensity postoperatively Assess pain interference postoperatively Assess physical functioning postoperatively Assess quality of life postoperatively Assess hernia recurrence at 30 days postoperatively Assess bulge at 30 days postoperatively Assess Surgical Site Occurrences at 30 days postoperatively Assess hernia recurrence at 1 year postoperatively Assess bulge at 1 year postoperatively Assess Surgical Site Occurrences at 1 year postoperatively Assess overall complications at 30 days postoperatively Assess overall complications at 1 year postoperatively
Receives: Other: Assess pain intensity at last office visit preoperatively; Other: Assess pain interference at last office visit preoperatively; Other: Assess physical functioning at last office visit preoperatively; Other: Assess patient quality of life at last office visit preoperatively; Other: Assess patient pain intensity postoperatively; Other: Assess pain interference postoperatively; Other: Assess physical functioning postoperatively; Other: Assess quality of life postoperatively; Other: Assess hernia recurrence at 30 days postoperatively; Other: Assess bulge at 30 days postoperatively; Other: Assess Surgical Site Occurrences at 30 days postoperatively; Other: Assess hernia recurrence at 1 year postoperatively; Other: Assess bulge at 1 year postoperatively; Other: Assess Surgical Site Occurrences at 1 year postoperatively; Other: Assess overall complications at 30 days postoperatively; Other: Assess overall complications at 1 year postoperatively; Procedure: Abdominal wall reconstruction with XenMatrix; Device: XenMatrix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Surgical Site Occurrences (SSOs) at 6 Week

    Compare the rate of Surgical Site Occurrences (SSOs) between XenMatrix and Strattice in abdominal wall reconstruction at 1 year postoperatively. These include:

    1. Infection
    2. Seroma
    3. Hematoma
    4. Wound dehiscence
    5. Skin necrosis
    6. Formation of enterocutaneous fistula
    7. Mesh infection

    Measured: 6 week postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Aug 2014 (estimated)
  2. Study startJan 2015
  3. Primary completion27 Mar 2025
  4. Study completion27 Mar 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Abdominal wall reconstruction using Strattice
Masking
Single blind
Who is masked
Participant
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02228889
Sponsor's protocol ID
2014H0041
Status last verified
May 2025
First submitted
18 Aug 2014
Last updated
6 Jun 2025
Data monitoring committee
No

Publications

  • Elemosho A, Sarac BA, Olson MA, Khansa I, Hackenberger PN, Narula V, Eiferman DS, Janis JE. Comparative Outcomes of Two Non-Crosslinked Porcine Acellular Dermal Matrices in Complex Abdominal Wall Reconstruction: A Randomized Controlled Trial and an Observational Cohort Study. World J Surg. 2026 Apr;50(4):848-859. doi: 10.1002/wjs.70271. Epub 2026 Feb 20.

    PubMed 41720620

Questions about this trial

What is this clinical trial studying?

A study testing Abdominal wall reconstruction with Strattice, Assess pain intensity at last office visit preoperatively and Assess pain interference at last office visit preoperatively in people with Hernia, Ventral and Intestinal Fistula, run by Jeffrey Janis at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jun 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of Surgical Site Occurrences (SSOs) at 6 Week (time frame: 6 week postoperatively). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02228889, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in