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Hologic made business decision to no longer sell or manufacture Adiana device.
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The Adiana Post-Approval Clinical Study (APACS) has been designed to compile information on the efficacy and safety of the Adiana Permanent Contraception System in the post market setting. Specifically, data will be collected that is relevant to the evaluation of the safety and efficacy of the Adiana System for women who desire permanent birth control by occlusion of the fallopian tubes. This study is an observational study that is not intended to test specific hypotheses.
Adiana Post-Approval Clinical Study is a prospective, single armed, multi-center, observational study that is designed to provide additional efficacy and safety data regarding the FDA-approved Adiana Permanent Contraception System. This study will be conducted at 8-10 clinical sites and enroll 1000 subjects. Enrolled subjects will have baseline data collected at the time of their Adiana procedure and will then be followed for a period of 2 years with visits occurring at 3 months following the Adiana procedure, 6 months following Adiana procedure (as applicable), 12 and 24 months post relying date.
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| Measure | Description | Time Frame |
|---|---|---|
| Pregnancy Rate - for Women Informed They May Rely on the Adiana System for Contraception. | The primary efficacy endpoints are the one and two year pregnancy rates among women who have hysterosalpingogram (HSG)-proven bilateral occlusion and are informed that they may rely on the Adiana System for contraception. | At one and two years |
| Measure | Description | Time Frame |
|---|---|---|
| Safety Endpoints | The Adiana System will be evaluated for safety on the basis of the occurrence of adverse events which are related to the study device, unanticipated or serious. | At one and two years |
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Inclusion Criteria:
Exclusion Criteria:
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Women, 18 - 45 years old, at risk for pregnancy, that are seeking permanent contraception using the Adiana Permanent Contraception System.
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| Name | Affiliation | Role |
|---|---|---|
| Edward Evantash, MD | Hologic, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sutter Medical Group | Elk Grove | California | 95758 | United States | ||
| WomenCare, P.C. |
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This study was designed to be conducted at 8-10 clinical sites and enroll 1000 subjects.Enrolled subjects were to have baseline data collected at the time of their procedure and then be followed for 2 years with visits occurring at 3 months following the procedure, 6 months following the procedure, 12 and 24 months post relying date.
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| ID | Title | Description |
|---|---|---|
| FG000 | Enrolled | All subjects who met enrollment inclusion/exclusion criteria, signed informed consent form, had baseline data collected and Adiana procedure performed or attempted. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
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| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Enrolled | All subjects who met enrollment inclusion/exclusion criteria, signed informed consent form, had baseline data collected and Adiana procedure performed or attempted. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pregnancy Rate - for Women Informed They May Rely on the Adiana System for Contraception. | The primary efficacy endpoints are the one and two year pregnancy rates among women who have hysterosalpingogram (HSG)-proven bilateral occlusion and are informed that they may rely on the Adiana System for contraception. | Efficacy results were not tabulated due to the early termination of the study. Only 169 of the planned 1,000 subjects (16.9%) were enrolled therefore the study is defined as incomplete, as fewer than one-third of the intended patients were enrolled. | Posted | At one and two years |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Enrolled | All subjects who met enrollment inclusion/exclusion criteria, signed informed consent form, had baseline data collected and Adiana procedure performed or attempted. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hepatitis C | Infections and infestations | The serious adverse event was a diagnosis of hepatitis C that was moderate in severity, not related to the device, required outpatient treatment, and was ongoing at the termination of the study. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pain or Cramping | General disorders | 56: abdominal cramping, abdominal pain, cramping, left lower quadrant pain, moderate pain, pelvic cramping, pelvic cramps, pelvic pain, pelvic pain and strain, post op abdominal pain, post op pain and/or post procedure-mild pelvic pain |
After determining Adiana was not financially viable and would not become so, Hologic decided to discontinue manufacturing & sales. Hologic decided to terminate the study. All subjects were notified of termination and withdrawn by April 30, 2012.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Edward Evantash, MD | Hologic, Inc. | 508-263-8475 | edward.evantash@hologic.com |
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| Arlington Heights |
| Illinois |
| 60004 |
| United States |
| University of Missouri Health Care | Columbia | Missouri | 65203 | United States |
| Valaoras & Lewis Obstetrics and Gynecology | Winston-Salem | North Carolina | 27103 | United States |
| Complete Healthcare for Women | Columbus | Ohio | 43231 | United States |
| The Women's Center of Central Oregon | Redmond | Oregon | 97756 | United States |
| Salem Women's Clinic | Salem | Oregon | 97302 | United States |
| Western Pennsylvania Hospital | Pittsburgh | Pennsylvania | 15224 | United States |
| Ob/Gyn Associates of Danville | Danville | Virginia | 24541 | United States |
| Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
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| Secondary | Safety Endpoints | The Adiana System will be evaluated for safety on the basis of the occurrence of adverse events which are related to the study device, unanticipated or serious. | Intent to treat | Posted | Number | participants | At one and two years |
|
|
|
| 1 |
| 169 |
| 80 |
| 169 |
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| Bleeding | Vascular disorders | There were 33 subjects experiencing bleeding-related adverse events (abnormal vaginal bleeding, light bleeding, moderate bleeding, scant bleeding, scant blood, scant vaginal bleeding, spotting, and/or vaginal bleeding). |
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| Pregnancy | Reproductive system and breast disorders | 5 subjects reporting pregnancy. 1 occurred prior to confirmation the subject could rely on Adiana. |
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| Nausea | Gastrointestinal disorders | 4 subjects reporting nausea (nausea and post op nausea) |
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| Title | Measurements |
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