Minerva Pivotal Study to Evaluate Safety and Efficacy of the Aurora Endometrial Ablation System Compared to Hysteroscopic Rollerball Ablation

Minerva Surgical

Status

Completed

Conditions

Menorrhagia

Treatments

Device: Rollerball Ablation/Resection

Device: Aurora Endometrial Ablation

Study type

Interventional

Funder types

Industry

Identifiers

NCT01569763

CIP0005

Details and patient eligibility

About

The primary objective of this study is to evaluate the safety and effectiveness of the Aurora Endometrial Ablation System as compared to hysteroscopic rollerball endometrial ablation in reducing menstrual blood loss at 12 months post-treatment.

Full description

Menorrhagia is defined as menstrual bleeding in the ovulatory woman exceeding 80 ml per month. Approximately 20-25% of healthy premenopausal women have abnormal uterine bleeding. Menorrhagia can have a negative impact on a woman's lifestyle and self-perception, often leading her to seek definitive treatment. Pharmacologic treatment for menorrhagia is not always successful, and dilatation and curettage typically provides relief for only a few menstrual cycles. Traditionally hysterectomy has been the definitive treatment for menorrhagia. This clinical study evaluates the safety and effectiveness of the Aurora Endometrial Ablation System to provide a therapeutic treatment for menorrhagia due to benign causes by ablating the endometrial lining of the uterus in pre-menopausal women for whom childbearing is complete. Subjects who are randomized to the control group will receive hysteroscopic rollerball/resection ablation. Subjects randomized to the test arm will be treated with the Aurora Endometrial Ablation System.

Enrollment

153 patients

Sex

Female

Ages

25 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Refractory menorrhagia with no definable organic cause
Female subject from (and including) age 25 to 50 years
Uterine sound measurement of no greater than10.0cm (external os to internal fundus) and a minimum uterine cavity length of 4.0cm
A minimum menstrual blood loss of ≥ 160 ml for two baseline cycles within three months prior to treatment as measured by alkaline hematin extraction; OR,
- A minimum menstrual blood loss of ≥ 160 ml for one baseline cycle for women who either
- had at least 3 prior months documented failed medical therapy; or
- had a contraindication to medical therapy
Premenopausal at enrollment as determined by FSH measurement ≤ 40 IU/L
Not pregnant and no desire to conceive at any time
Subject agrees to use a reliable form of contraception up to the 12-month follow-up visit. If a hormonal birth control method is used for contraception, the subject must have been on said method for ≥ 3 months prior to enrollment and agrees to remain on the same hormonal regimen through the initial 12-month follow-up
Able to provide written informed consent using a form that has been approved by the reviewing IRB/EC
Subject agrees to follow-up exams and data collection requirements
Subject who is literate or demonstrates an understanding on how to collect menstrual blood loss products for the alkaline hematin method of analysis

Exclusion criteria

Pregnancy or subject with a desire to conceive
Endometrial hyperplasia as confirmed by histology
Presence of active endometritis
Active pelvic inflammatory disease
Active sexually transmitted disease (STD)
Presence of bacteremia, sepsis, or other active systemic infection
Active infection of the genitals, vagina, cervix, uterus or urinary tract at the time of the procedure
Known/suspected abdominal pelvic or gynecological malignancy within the past 5 years
Known clotting defects or bleeding disorders
Untreated/unevaluated cervical dysplasia, except CIN I
Prior uterine surgery (except low segment cesarean section) that interrupts the integrity of the uterine wall (e.g., transmural myomectomy or classical cesarean section)
Previous endometrial ablation procedure
Presence of an implantable (intrauterine) contraceptive device (e.g. Essure™ or Adiana™)
Currently on medications that could thin the myometrial muscle, such as long-term steroid use (except inhaler or nasal therapy for asthma)
Currently on anticoagulants
Abnormal or obstructed cavity as confirmed by hysteroscopy, SIS or vaginal ultrasound
Presence of an intrauterine device (IUD) which the Subject is unwilling to have removed at the time of the operative visit
Subject currently on hormonal birth control therapy (including the Mirena device) for <3 months prior to enrollment
Subject who is unwilling to use birth control post-ablation whether non-hormonal birth control or the same hormonal birth control therapy as before the procedure
Subject who is within 6-weeks post partum
Any subject who is currently participating or considers future participation in a research study of an investigational drug or device during the course of this investigational study
Any general health condition which, in the opinion of the Investigator, could represent an increased risk for the subject