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Compression Anastomosis For Low Anterior Resection in Previously Radiated Patients Using the CAR™ 27

Primary Purpose

Colorectal Cancer

Status
Unknown status
Phase
Phase 2
Locations
Belgium
Study Type
Interventional
Intervention
CAR™ 27
Sponsored by
Niti Medical Technologies Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring compression anastomosis, Colorectal cancer, Low anterior resection, Radiated to the pelvic area, Radiotherapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is ≥ 18 years old.
  • Patient is scheduled for a non-emergency TME and low anterior resection (< 10cm from the anal verge).
  • Patient has been radiated to the pelvic area 6-8 weeks prior to the study.
  • Subject signs and dates a written informed consent form (ICF) and indicates an understanding of the study procedures.

Exclusion Criteria:

  • Patient has known allergy to nickel.
  • Patient undergoing an emergency procedure or has a diagnosis of bowel obstruction, bowel strangulation, peritonitis, bowel perforation, local or systemic infection, ischemic bowel, carcinomatosis or inflammatory bowel disease.
  • Patients are participating in another clinical trial which may affect this study's outcomes.
  • Patient has been taking regular steroid medication.
  • Patient has contraindications to general anesthesia.
  • Patient has preexisting sphincter problems or evidence of extensive local disease in the pelvis.

Sites / Locations

  • University Hospital, GasthuisbergRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CAR™ 27

Arm Description

Any patient with a diagnosis of colorectal cancer that has been previously radiated to the pelvic area (6-8 weeks prior to surgery) and that is electively scheduled for an open or laparoscopic total mesorectal excision (TME) and low anterior resection surgery (< 10cm from the anal verge) which requires the creation of an anastomosis, will be offered participation in this study.

Outcomes

Primary Outcome Measures

To evaluate for the occurrence of adverse events related to the use of the CAR™ 27 device, include anastomotic leak, bleeding, ring evacuation and strictures at 6 months.

Secondary Outcome Measures

Evaluation of the creation of a functioning CAR™ 27 anastomosis in radiated patients

Full Information

First Posted
January 25, 2010
Last Updated
June 29, 2011
Sponsor
Niti Medical Technologies Ltd.
Collaborators
University Hospital, Gasthuisberg
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1. Study Identification

Unique Protocol Identification Number
NCT01056796
Brief Title
Compression Anastomosis For Low Anterior Resection in Previously Radiated Patients Using the CAR™ 27
Official Title
Compression Anastomosis For Low Anterior Resection in Previously Radiated Patients Using the CAR™ 27
Study Type
Interventional

2. Study Status

Record Verification Date
January 2010
Overall Recruitment Status
Unknown status
Study Start Date
January 2010 (undefined)
Primary Completion Date
May 2012 (Anticipated)
Study Completion Date
May 2012 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Niti Medical Technologies Ltd.
Collaborators
University Hospital, Gasthuisberg

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is: Evaluation of the safety and effectiveness of the Compression Anastomosis Ring (CAR™ 27) device for creation of circular, colorectal anastomoses in previously radiated patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
compression anastomosis, Colorectal cancer, Low anterior resection, Radiated to the pelvic area, Radiotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CAR™ 27
Arm Type
Experimental
Arm Description
Any patient with a diagnosis of colorectal cancer that has been previously radiated to the pelvic area (6-8 weeks prior to surgery) and that is electively scheduled for an open or laparoscopic total mesorectal excision (TME) and low anterior resection surgery (< 10cm from the anal verge) which requires the creation of an anastomosis, will be offered participation in this study.
Intervention Type
Device
Intervention Name(s)
CAR™ 27
Other Intervention Name(s)
Compression Anastomosis Ring
Intervention Description
Creation of a low colorectal (side or pouch low rectal) compression anastomosis in previously radiated patients
Primary Outcome Measure Information:
Title
To evaluate for the occurrence of adverse events related to the use of the CAR™ 27 device, include anastomotic leak, bleeding, ring evacuation and strictures at 6 months.
Time Frame
Approx. 1 year
Secondary Outcome Measure Information:
Title
Evaluation of the creation of a functioning CAR™ 27 anastomosis in radiated patients
Time Frame
Approx. 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is ≥ 18 years old. Patient is scheduled for a non-emergency TME and low anterior resection (< 10cm from the anal verge). Patient has been radiated to the pelvic area 6-8 weeks prior to the study. Subject signs and dates a written informed consent form (ICF) and indicates an understanding of the study procedures. Exclusion Criteria: Patient has known allergy to nickel. Patient undergoing an emergency procedure or has a diagnosis of bowel obstruction, bowel strangulation, peritonitis, bowel perforation, local or systemic infection, ischemic bowel, carcinomatosis or inflammatory bowel disease. Patients are participating in another clinical trial which may affect this study's outcomes. Patient has been taking regular steroid medication. Patient has contraindications to general anesthesia. Patient has preexisting sphincter problems or evidence of extensive local disease in the pelvis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Andre D'Hoore, Professor
Phone
+32 (16) 344265
Email
andre.dhoore@uz.kuleuven.ac.be
First Name & Middle Initial & Last Name or Official Title & Degree
Yael Nir, MD
Phone
+972 (9) 8603000
Ext
3014
Email
yael@nitisurgical.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andre D'Hoore, Professor
Organizational Affiliation
Gasthuisberg University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital, Gasthuisberg
City
Leuven
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andre D'Hoore, Professor
Phone
+32 (16) 344265
Email
andre.dhoore@uz.kuleuven.ac.be
First Name & Middle Initial & Last Name & Degree
Guido Van Ermen, Mr.
Phone
+32 (16) 344265
Email
guido.vanermen@uz.kuleuven.ac.be
First Name & Middle Initial & Last Name & Degree
Andre D'Hoore, Professor

12. IPD Sharing Statement

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Compression Anastomosis For Low Anterior Resection in Previously Radiated Patients Using the CAR™ 27

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