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Study, Double Blind, Randomized, Comparing Two Groups to Evaluate the Safety and Efficacy of Autologous Mesenchymal Stem Cells From Adipose Tissue (CMMAd) in the Treatment of the Faecal Incontinence

Primary Purpose

Faecal Incontinence

Status
Completed
Phase
Phase 1
Locations
Spain
Study Type
Interventional
Intervention
Infusion of mesenchymal stem cells from adipose tissue
Infusion of placebo
Sponsored by
Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Faecal Incontinence

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males or females in the age group of 18-80 yrs.
  2. A unique internal sphincter defect and / or external (no more than 100 º), at any level of the anal canal, of any cause (except those described in the exclusion criteria).
  3. Severity of faecal incontinence of 12 or more in the Wexner Score and / or at least six episodes of faecal incontinence for a period of 28 days.
  4. Duration of faecal incontinence of at least two years prior to inclusion.
  5. Patients who are able to understand the requirements of the study, and willing to provide voluntary written informed consent.

Exclusion Criteria:

  1. More of an external sphincter defect and / or at any level of internal anal canal.
  2. Have received treatment to faecal failure with bulking agents, neuromodulation or surgery.
  3. Current anorectal tumors.
  4. Current anal fissures.
  5. Anorectal stenosis
  6. Chronic pelvic or anorectal pain.
  7. Pregnant or 6 months postpartum.
  8. Medical history of infection with Human Immunodeficiency Virus (HIV) or any severe immunocompromised state or therapy immunosuppressive.
  9. Malignancies in remission for less than a year before the study. An exception to the basocellular carcinoma (BCC) in "remission" for less than a year.
  10. Bleeding diathesis or current anticoagulant therapy.
  11. Chemotherapy during the 6 months preceding the study.
  12. Previous radiation with evidence of radiation injury in the treated area.
  13. Participation in any other clinical study during the 3 months preceding the pre-study visit.
  14. Patients with other serious disorders.
  15. Patients with uncontrolled inflammatory disease or taking drugs prohibited in the protocol or active perianal disease.

Sites / Locations

  • H. Juan Ramón Jiménez
  • Fundación Jiménez Díaz
  • Hospital Regional U de Málaga
  • Hospital U Virgen del Rocio

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Mesenchymal stem cells

Ringer lactate solution

Arm Description

Autologous mesenchymal stem cells from the adipose tissue in an unique intralesional infusion with a dose of 40 million cells.

Ringer lactate solution

Outcomes

Primary Outcome Measures

Number of Serious Adverse Events

Secondary Outcome Measures

Changes in the faecal incontinence diary
Anorectal manometry
Jorge-Wexner Score
Faecal Incontinence Quality of Life

Full Information

First Posted
November 6, 2014
Last Updated
April 16, 2018
Sponsor
Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
Collaborators
Iniciativa Andaluza en Terapias Avanzadas
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1. Study Identification

Unique Protocol Identification Number
NCT02292628
Brief Title
Study, Double Blind, Randomized, Comparing Two Groups to Evaluate the Safety and Efficacy of Autologous Mesenchymal Stem Cells From Adipose Tissue (CMMAd) in the Treatment of the Faecal Incontinence
Official Title
Study Phase I/II, Double Blind, Randomized, Comparing Two Groups to Evaluate the Safety and Efficacy of Autologous Mesenchymal Stem Cells From Adipose Tissue (CMMAd) in the Treatment of the Faecal Incontinence
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
September 2017 (Actual)
Study Completion Date
September 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
Collaborators
Iniciativa Andaluza en Terapias Avanzadas

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a clinical trial phase I/II, double blind, randomized to compare in two groups of patients to evaluate the safety and efficacy of the autologous mesenchymal stem cells from the adipose tissue (CMMAd) in the treatment of the faecal incontinence.
Detailed Description
In the phase of recruitment, of 20 months of duration, there will be included 16 participants who will be randomized to one of the groups of intervention (8 patients group CMMAd / 8 patients group placebo). The phase of follow-up of every patient will be 12 months, though, provided that these patients are seen regularly in the study sites of the study, once concluded his follow-up will be continued to be able to obtain safety information and efficacy to 24 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Faecal Incontinence

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mesenchymal stem cells
Arm Type
Experimental
Arm Description
Autologous mesenchymal stem cells from the adipose tissue in an unique intralesional infusion with a dose of 40 million cells.
Arm Title
Ringer lactate solution
Arm Type
Placebo Comparator
Arm Description
Ringer lactate solution
Intervention Type
Drug
Intervention Name(s)
Infusion of mesenchymal stem cells from adipose tissue
Intervention Type
Other
Intervention Name(s)
Infusion of placebo
Primary Outcome Measure Information:
Title
Number of Serious Adverse Events
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Changes in the faecal incontinence diary
Time Frame
12 months
Title
Anorectal manometry
Time Frame
12 months
Title
Jorge-Wexner Score
Time Frame
12 months
Title
Faecal Incontinence Quality of Life
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females in the age group of 18-80 yrs. A unique internal sphincter defect and / or external (no more than 100 º), at any level of the anal canal, of any cause (except those described in the exclusion criteria). Severity of faecal incontinence of 12 or more in the Wexner Score and / or at least six episodes of faecal incontinence for a period of 28 days. Duration of faecal incontinence of at least two years prior to inclusion. Patients who are able to understand the requirements of the study, and willing to provide voluntary written informed consent. Exclusion Criteria: More of an external sphincter defect and / or at any level of internal anal canal. Have received treatment to faecal failure with bulking agents, neuromodulation or surgery. Current anorectal tumors. Current anal fissures. Anorectal stenosis Chronic pelvic or anorectal pain. Pregnant or 6 months postpartum. Medical history of infection with Human Immunodeficiency Virus (HIV) or any severe immunocompromised state or therapy immunosuppressive. Malignancies in remission for less than a year before the study. An exception to the basocellular carcinoma (BCC) in "remission" for less than a year. Bleeding diathesis or current anticoagulant therapy. Chemotherapy during the 6 months preceding the study. Previous radiation with evidence of radiation injury in the treated area. Participation in any other clinical study during the 3 months preceding the pre-study visit. Patients with other serious disorders. Patients with uncontrolled inflammatory disease or taking drugs prohibited in the protocol or active perianal disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fernando de la Portilla, Dr.
Organizational Affiliation
Hospital U. Virgen del Rocio
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Santiago Mera, Dr.
Organizational Affiliation
Hospital Regional U de Málaga
Official's Role
Principal Investigator
Facility Information:
Facility Name
H. Juan Ramón Jiménez
City
Huelva
ZIP/Postal Code
21005
Country
Spain
Facility Name
Fundación Jiménez Díaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Regional U de Málaga
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Hospital U Virgen del Rocio
City
Sevilla
ZIP/Postal Code
41013
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Study, Double Blind, Randomized, Comparing Two Groups to Evaluate the Safety and Efficacy of Autologous Mesenchymal Stem Cells From Adipose Tissue (CMMAd) in the Treatment of the Faecal Incontinence

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