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NCT Number: NCT03792737

A Study of Two Types of Absorbable Surgical Sutures in the Suturing of Thyroid Surgery Incision

The primary objective of this study is to evaluate the efficacy and safety of two types of absorbable surgical sutures -- STRATAFIX Spiral PDS Knotless Plus Tissue Control Device and STRATAFIX Spiral MONOCRYL Plus Knotless Tissue Control Device (hereinafter referred to as Spiral PDS Plus and Spiral MONOCRYL Plus) used in thyroid surgery to suture surgical incision.

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Key information

Conditions

Age range

18 year–69 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fujian Medical University Union Hospital, Fuzhou, Fujian, China

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About this study

This study adopts a multicenter, prospective, randomized controlled design. The study population are subjects who undergo thyroid surgery.

Before the surgery, subjects are randomized in 1:1:1 ratio to the investigational group 1 (using Spiral PDS Plus), investigational group 2 (using Spiral MONOCRYL Plus) and control group. See the table below for the specific suture levels, materials and techniques of each group.

A blinded central imaging evaluation will be performed on the healing condition of surgical incision on Day 5-7 post-surgery. The subjects will be blinded to the type of suture used for wound closure.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The subject is ≥18, and <70 years old
  • Planned open thyroid surgery, adopting an anterior cervical curved incision (Kocher's incision);
  • Subject who volunteers to participate in this study, follows the study requirements and follow-up visit and signs the written Informed Consent Form voluntarily;
  • Subject who agrees to not schedule any elective surgical operation except the study surgery before the study is completed;
  • The investigator considers the subject's expected postoperative survival time is not less than 3 months.

Exclusion criteria

  • Female subjects who are pregnant or lactation at screening;
  • Preoperative clinical staging shows stage IV thyroid cancer, or cervical lymph nodes dissection is planned;
  • Suspected or confirmed anaplastic thyroid cancer;
  • Peripheral vascular disease affecting blood supply of the neck;
  • Active infectious collagenosis (e.g. scleroderma), or any other disease that would interfere with wound healing;
  • Fasting plasma glucose ≥7.7 mmol/L;
  • History of coagulation diseases;
  • Current oral or intravenous antibiotic therapy for existing disease or infection;
  • History of immunosuppressant use (e.g. steroids) within the last 6 months;
  • Chemotherapy or radiotherapy within the last 6 months, or planned chemotherapy or radiotherapy during the study;
  • Personal or family history of keloid formation or hyperplasia;
  • Current participation in any other drug (within 30 days or within 5 half-lives of the investigational drug) or device clinical study;
  • History of any thyroid surgery, except thyroid fine-needle aspiration biopsy;
  • Planned use of skin adhesive at the incision site;
  • The subject is not suitable for participating in this study for any other reasons, as judged by the investigator.

Treatment and study plan

Spiral PDS Plus

Device

The Spiral PDS Plus is an antibacterial monofilament, synthetic absorbable device. It contains triclosan, a broad spectrum antibacterial agent. The device consists of barbed suture material, armed with a surgical needle on one end and a fixation loop at the opposite end. The device is designed to anchor with a closed loop at one end and a unidirectional barbed section on the other end. Spiral PDS Plus barbs are oriented in one direction to allow tissue approximation without the need to tie surgical knots.

Spiral MONOCRYL Plus

Device

The Spiral MONOCRYL Plus is an antibacterial monofilament, synthetic absorbable device. It contains triclosan, a broad spectrum antibacterial agent. The device consists of barbed suture material, armed with a surgical needle on one end and a fixation loop at the opposite end. The device is designed to anchor with a closed loop at one end and a unidirectional barbed section on the other end. Spiral MONOCRYL Plus barbs are oriented in one direction to allow tissue approximation without the need to tie surgical knots.

PDS plus

Device

PDS Plus is a non-barbed antibacterial monofilament, synthetic absorbable suture. The suture contains triclosan, a broad spectrum antibacterial agent.

MONOCRYL Plus

Device

MONOCRYL Plus is a non-barbed antibacterial monofilament, synthetic absorbable suture. The suture contains triclosan, a broad spectrum antibacterial agent.

Vicryl plus

Device

VICRYL Plus antibacterial suture is a non-barbed synthetic absorbable sterile, surgical suture. The suture contains triclosan, a broad spectrum antibacterial agent.

Primary outcomes

  1. Wound Healing Grade

    Time frame: 5-7days

    Percentage of Participants with Grade A Healing of Surgical Incision

Secondary outcomes

  1. Incision Closure Time

    Time frame: during surgery, an average of around 12 Mins

    the time required from the first needle insertion for stitching ribbon muscles to the completion of intradermal suture (minutes)

  2. Postoperative Incisional Pain Score (Visual Analogue Scale, VAS)

    Time frame: 5-7 Days after Surgery and 28-35 Days after Surgery

    For the postoperative incisional pain score, a score of 0 means no pain, and a score of 10 means unbearable: severely affects sleep with other symptoms, or passive position.

  3. Modified Hollander Wound Evaluation Scale - FAS

    Time frame: 28-35 days

    Total cosmetic score. Assessed by Central Imaging evaluators using incision pictures to evaluate healing status. range is from 0 to 5, 0 is best and 5 is worst

  4. Health Related Quality of Life Scale (EQ-5D-5L)

    Time frame: 5-7 days after surgery

    Summary of European Quality of Life-5 Dimensions, 5 Levels Scale (EQ-5D-5L) Index Values by Follow-Up Visit - Full Analysis Set. it's to evaluate subjects Health related quality of life. rang is 0 to 1, 0 is better and 1 is worse

  5. Health Related Quality of Life Scale (EQ-5D-5L)

    Time frame: 28-35 days after surgery

    Summary of European Quality of Life-5 Dimensions, 5 Levels Scale (EQ-5D-5L) Index Values by Follow-Up Visit - Full Analysis Set. it's to evaluate subjects Health related quality of life. rang is 0 to 1. 0 is better and 1 is worse.

  6. Summary of EQ-5D VAS Score

    Time frame: 5-7 Days after surgery

    Summary of European Quality of Life-5 Dimensions, 5 Levels Scale (EQ-5D-5L) Index Values by Follow-Up Visit - Full Analysis Set. it's to evaluate subjects Health related quality of life. rang is 0 to 100. 100 is best and 0 is worst.

  7. Summary of EQ-5D VAS Score

    Time frame: 28-35 Days after surgery

    Summary of European Quality of Life-5 Dimensions, 5 Levels Scale (EQ-5D-5L) Index Values by Follow-Up Visit - Full Analysis Set. it's to evaluate subjects Health related quality of life. rang is 0 to 100.

Sponsors and collaborators

Lead sponsor

Ethicon, Inc.

Industry

Registry information

Official study title

A Prospective, Multi-center, Randomized Controlled Study Evaluating the Efficacy and Safety of Two Types of Absorbable Surgical Sutures in the Suturing of Thyroid Surgery Incision

Acronym: Nautilus

Important dates

Study start
2019
Primary completion
2019
Study completion
2020
First posted
Jan 3, 2019
Registry last updated
Apr 5, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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