Stromal Vascular Fraction (SVF) for Treatment of Recto-vaginal Fistula (HULPCIR)
Primary Purpose
Recto-vaginal Fistula
Status
Unknown status
Phase
Phase 1
Locations
Spain
Study Type
Interventional
Intervention
Adipose-derived stem cells without expanded
Sponsored by
About this trial
This is an interventional treatment trial for Recto-vaginal Fistula focused on measuring Recto-vaginal fistula, Adipose Derived Stem Cells
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent
- Recto-vaginal fistula
- Men and women over 18 years old. Good general state of health according to the findings of the clinical history and the physical examination
- Crohn's disease diagnosed at least 3 months before accepting the clinical criteria
Exclusion Criteria:
- Presence of severe proctitis or dominant active luminal disease requiring immediately therapy
- Patients with an abscess unless a complete toilet of the area with drainage of the collections and the absence of abscess and other collections is confirmed prior to treatment start
- Patients with a history of abuse of alcohol or other addictive substances in the 6 months prior to inclusion
- Patients with malignant tumor, except for basal cell or cutaneous squamous cell carcinoma, or patients with a prior history of malignant tumors, unless the neoplastic disease has been in remission for the previous 5 years
- Patients with cardiopulmonary disease which, in opinion of the investigator, in unstable or sufficiently serious to exclude the patient from the study.
- Patients with any type of medical or psychiatric disease which, in the opinion of the investigator, could be grounds for exclusion from study
- Patients with congenital or acquired immunodeficiencies. HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) or treponema infection, whether active or latent
- Patients who have suffering major surgery or severe trauma in the prior 6 months
- Pregnant or breastfeeding women
- Patients currently receiving, or having received within 1 month prior to enrollment into this clinical trial, any investigational drug.
- Crohns Disease Activity Index (CDAI) Index above 200
Sites / Locations
- Hospital Universitario La PazRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Autologous SVF
Arm Description
Intralesional application
Outcomes
Primary Outcome Measures
Safety of treatment of treated recto-vaginal fistulae. Percentage of treated enterocutaneous fistulae and percentage of subjects with closed fistulae
Safety by control the adverse effects associated with treatment Fistula close by 3D ultrasound
Secondary Outcome Measures
Quality of life assessment using the SF-12 Questionnaire
Test SF-12 of quality of life
Adverse events
Control by investigation team of CRD (data collections)
Full Information
NCT ID
NCT01548092
First Posted
February 26, 2012
Last Updated
March 5, 2012
Sponsor
Instituto de Investigación Hospital Universitario La Paz
1. Study Identification
Unique Protocol Identification Number
NCT01548092
Brief Title
Stromal Vascular Fraction (SVF) for Treatment of Recto-vaginal Fistula
Acronym
HULPCIR
Official Title
A Phase II Clinical Trial to Study the Feasibility and Safety of Stromal Vascular Derived From Adipose Tissue for the Treatment of Recto-vaginal Fistula
Study Type
Interventional
2. Study Status
Record Verification Date
March 2012
Overall Recruitment Status
Unknown status
Study Start Date
December 2011 (undefined)
Primary Completion Date
July 2012 (Anticipated)
Study Completion Date
December 2013 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Instituto de Investigación Hospital Universitario La Paz
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine safety of Stromal Vascular Fraction (SVF) for the treatment of recto-vaginal fistula.
Detailed Description
SF-12 Test
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recto-vaginal Fistula
Keywords
Recto-vaginal fistula, Adipose Derived Stem Cells
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Autologous SVF
Arm Type
Experimental
Arm Description
Intralesional application
Intervention Type
Drug
Intervention Name(s)
Adipose-derived stem cells without expanded
Other Intervention Name(s)
Adipose-Derived Mesenchymal Stem Cells
Intervention Description
Administration will be intralesional injection of cells suspension. They will be placed into fistula walls
Primary Outcome Measure Information:
Title
Safety of treatment of treated recto-vaginal fistulae. Percentage of treated enterocutaneous fistulae and percentage of subjects with closed fistulae
Description
Safety by control the adverse effects associated with treatment Fistula close by 3D ultrasound
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Quality of life assessment using the SF-12 Questionnaire
Description
Test SF-12 of quality of life
Time Frame
1, 4, 16, 24 weeks
Title
Adverse events
Description
Control by investigation team of CRD (data collections)
Time Frame
1, 4, 12, 24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed informed consent
Recto-vaginal fistula
Men and women over 18 years old. Good general state of health according to the findings of the clinical history and the physical examination
Crohn's disease diagnosed at least 3 months before accepting the clinical criteria
Exclusion Criteria:
Presence of severe proctitis or dominant active luminal disease requiring immediately therapy
Patients with an abscess unless a complete toilet of the area with drainage of the collections and the absence of abscess and other collections is confirmed prior to treatment start
Patients with a history of abuse of alcohol or other addictive substances in the 6 months prior to inclusion
Patients with malignant tumor, except for basal cell or cutaneous squamous cell carcinoma, or patients with a prior history of malignant tumors, unless the neoplastic disease has been in remission for the previous 5 years
Patients with cardiopulmonary disease which, in opinion of the investigator, in unstable or sufficiently serious to exclude the patient from the study.
Patients with any type of medical or psychiatric disease which, in the opinion of the investigator, could be grounds for exclusion from study
Patients with congenital or acquired immunodeficiencies. HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) or treponema infection, whether active or latent
Patients who have suffering major surgery or severe trauma in the prior 6 months
Pregnant or breastfeeding women
Patients currently receiving, or having received within 1 month prior to enrollment into this clinical trial, any investigational drug.
Crohns Disease Activity Index (CDAI) Index above 200
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mariano Garcia Arranz
Phone
+34912071022
Email
mgarciaa.hulp@salud.madrid.org
First Name & Middle Initial & Last Name or Official Title & Degree
Maria Dolores Herreos
Phone
+34912071022
Email
loles.herreros@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mariano García Arranz, PhD
Organizational Affiliation
Cell Therapy laboratory and general Surgery Department, Hospital Universitario La Paz
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28039
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mariano García Arranz
Phone
+34912071022
Email
mgarciaa.hulp@salud.madrid.org
First Name & Middle Initial & Last Name & Degree
Maria Dolores Herreros
First Name & Middle Initial & Last Name & Degree
Damián García Olmo
First Name & Middle Initial & Last Name & Degree
Tihomir Hirstov
First Name & Middle Initial & Last Name & Degree
Héctor Guadalajara
12. IPD Sharing Statement
Citations:
PubMed Identifier
12756590
Citation
Garcia-Olmo D, Garcia-Arranz M, Garcia LG, Cuellar ES, Blanco IF, Prianes LA, Montes JA, Pinto FL, Marcos DH, Garcia-Sancho L. Autologous stem cell transplantation for treatment of rectovaginal fistula in perianal Crohn's disease: a new cell-based therapy. Int J Colorectal Dis. 2003 Sep;18(5):451-4. doi: 10.1007/s00384-003-0490-3. Epub 2003 May 20.
Results Reference
background
PubMed Identifier
15933795
Citation
Garcia-Olmo D, Garcia-Arranz M, Herreros D, Pascual I, Peiro C, Rodriguez-Montes JA. A phase I clinical trial of the treatment of Crohn's fistula by adipose mesenchymal stem cell transplantation. Dis Colon Rectum. 2005 Jul;48(7):1416-23. doi: 10.1007/s10350-005-0052-6.
Results Reference
background
Citation
Herreros Marcos D, Garcia-Arranz M,Pascual Miguelañez I, Garcia-Olmo D. THE ROLE OF STEM CELLS IN SUPPURATIVE ENVIROMENTS. Experimental Dermatology 2006, 15 (6): 482
Results Reference
background
PubMed Identifier
18696086
Citation
Garcia-Olmo D, Herreros D, Pascual M, Pascual I, De-La-Quintana P, Trebol J, Garcia-Arranz M. Treatment of enterocutaneous fistula in Crohn's Disease with adipose-derived stem cells: a comparison of protocols with and without cell expansion. Int J Colorectal Dis. 2009 Jan;24(1):27-30. doi: 10.1007/s00384-008-0559-0. Epub 2008 Aug 12.
Results Reference
background
PubMed Identifier
18364447
Citation
Alvarez PD, Garcia-Arranz M, Georgiev-Hristov T, Garcia-Olmo D. A new bronchoscopic treatment of tracheomediastinal fistula using autologous adipose-derived stem cells. Thorax. 2008 Apr;63(4):374-6. doi: 10.1136/thx.2007.083857.
Results Reference
background
PubMed Identifier
18537463
Citation
Vilalta M, Degano IR, Bago J, Gould D, Santos M, Garcia-Arranz M, Ayats R, Fuster C, Chernajovsky Y, Garcia-Olmo D, Rubio N, Blanco J. Biodistribution, long-term survival, and safety of human adipose tissue-derived mesenchymal stem cells transplanted in nude mice by high sensitivity non-invasive bioluminescence imaging. Stem Cells Dev. 2008 Oct;17(5):993-1003. doi: 10.1089/scd.2007.0201.
Results Reference
background
PubMed Identifier
19273960
Citation
Garcia-Olmo D, Herreros D, Pascual I, Pascual JA, Del-Valle E, Zorrilla J, De-La-Quintana P, Garcia-Arranz M, Pascual M. Expanded adipose-derived stem cells for the treatment of complex perianal fistula: a phase II clinical trial. Dis Colon Rectum. 2009 Jan;52(1):79-86. doi: 10.1007/DCR.0b013e3181973487.
Results Reference
background
PubMed Identifier
18690635
Citation
Pascual I, de Miguel GF, Gomez-Pinedo UA, de Miguel F, Arranz MG, Garcia-Olmo D. Adipose-derived mesenchymal stem cells in biosutures do not improve healing of experimental colonic anastomoses. Br J Surg. 2008 Sep;95(9):1180-4. doi: 10.1002/bjs.6242.
Results Reference
background
Citation
García Olmo D, Trébol J, Herreros D, Garcia-Arranz M, Gonzalez M. TREATMENT OF FISTULAS USING ADIPOSE-DERIVED STEM CELLS. En: García Olmo D, García-Verdugo JM, Alemany J, Gonzalez M, Gutierrez-Fuentes JA. CELL THERAPHY . Ed. Mac Graw Hill. Madrid 2007)
Results Reference
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PubMed Identifier
18694359
Citation
Garcia-Olmo D, Garcia-Arranz M, Herreros D. Expanded adipose-derived stem cells for the treatment of complex perianal fistula including Crohn's disease. Expert Opin Biol Ther. 2008 Sep;8(9):1417-23. doi: 10.1517/14712598.8.9.1417.
Results Reference
background
Citation
Trebol, J; Garcia-Arranz, M; Georgiev-Hristov, T, et al. Cell Therapy for Enterocutaneous Fistula Associated with Crohn's Disease: A Clinical and Biological Comparison of Protocols With and Without Cell Expansion. HUMAN GENE THERAPY 2009. 20 (9): 1045-1045
Results Reference
background
Citation
Garcia-Gomez, I; Olmedillas, S; Garcia-Arranz, M, et al. Adipose-Derived Stem Cells Reduce Abdominal Adhesion Formation in a Rat Experimental Model. HUMAN GENE THERAPY 2009. 20 (9): 1047-1047
Results Reference
background
Citation
Georgiev-Hristov, T; Garcia-Olmo, D; Alvarez, PDA, et al. Use of Surgical Sutures Enriched with Adipose-Derived Stem Cells for Tracheal Anastomosis in Rats. HUMAN GENE THERAPY 2009. 20 (9): 1074-1075
Results Reference
background
Citation
Vicente, A; Vazquez, MN; Entrena, A, Gqarcía-Arranz M,et al. BMP-4 Regulates the Expansion and Survival of Human Adipose Mesenchymal Cells. HUMAN GENE THERAPY .2009. 20 (9):1080-1081
Results Reference
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PubMed Identifier
20068178
Citation
Garcia-Olmo DC, Dominguez C, Garcia-Arranz M, Anker P, Stroun M, Garcia-Verdugo JM, Garcia-Olmo D. Cell-free nucleic acids circulating in the plasma of colorectal cancer patients induce the oncogenic transformation of susceptible cultured cells. Cancer Res. 2010 Jan 15;70(2):560-7. doi: 10.1158/0008-5472.CAN-09-3513. Epub 2010 Jan 12.
Results Reference
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PubMed Identifier
20636801
Citation
Garcia-Arranz M, Gomez-Pinedo U, Hardisson D, Herreros D, Guadalajara H, Garcia-Gomez I, Garcia-Verdugo JM, Garcia-Olmo D. Histopathological analysis of human specimens removed from the injection area of expanded adipose-derived stem cells. Histopathology. 2010 Jun;56(7):979-82. doi: 10.1111/j.1365-2559.2010.03573.x. No abstract available.
Results Reference
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PubMed Identifier
22689184
Citation
Georgiev-Hristov T, Garcia-Arranz M, Garcia-Gomez I, Garcia-Cabezas MA, Trebol J, Vega-Clemente L, Diaz-Agero P, Garcia-Olmo D. Sutures enriched with adipose-derived stem cells decrease the local acute inflammation after tracheal anastomosis in a murine model. Eur J Cardiothorac Surg. 2012 Sep;42(3):e40-7. doi: 10.1093/ejcts/ezs357. Epub 2012 Jun 11.
Results Reference
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PubMed Identifier
20224798
Citation
Garcia-Olmo D, Herreros D, De-La-Quintana P, Guadalajara H, Trebol J, Georgiev-Hristov T, Garcia-Arranz M. Adipose-derived stem cells in Crohn's rectovaginal fistula. Case Rep Med. 2010;2010:961758. doi: 10.1155/2010/961758. Epub 2010 Mar 7.
Results Reference
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Citation
Pascual I, De Miguel Fernandez G, García-Arranz M, García-Olmo D.
Results Reference
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Stromal Vascular Fraction (SVF) for Treatment of Recto-vaginal Fistula
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