An Open Label, Prospective, One Arm, Feasibility, Study for The Use of Halevy Kit for the Treatment of Perianal Fistulas in Patients With Crohn's Disease
Primary Purpose
Crohn Disease, Fistula
Status
Unknown status
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
Halevy kit
Sponsored by
About this trial
This is an interventional treatment trial for Crohn Disease focused on measuring crohn, fistula, surgery, fibrin glue, seton drainage
Eligibility Criteria
Inclusion Criteria:
- Male and Female age greater than 18
- Patients suffering from Crohn's disease
- Patients with any number of simple or complex fistulas who require surgical intervention, requiring the insertion of a drain (Seton) into the fistula tract, and/or injection of biologic adhesive, or an anal fistula plug
- Able and willing to sign an informed consent
- Patient will be available for follow up.
Exclusion Criteria:
- Pregnant or lactating woman. Woman of childbearing potential will undergo a pregnancy test at the beginning of the trial
- Known immunodeficiency.
Exclusion Criteria for injecting biologic adhesive:
- Known allergy to fibrin glue or one of its components.
- An undrained perianal abscess, diagnosed by a physical examination or imaging methods.
- Known Alcohol or drug abuse
Sites / Locations
- Hadassah medical center
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
A
Arm Description
Outcomes
Primary Outcome Measures
Success of cannulation of the perianal fistula using the Pathway Probe Catheter will be evaluated
Success in using the cleaning brush in preparing the fistula for biologic adhesive injection will be evaluated
Success in inserting a draining Seton into the fistula tract by the Halevy kit
Success of injecting biologic adhesive into the fistula tract using the designated catheter will be evaluated
Secondary Outcome Measures
Control of sphincter will be evaluated by -the Cleveland continence score
Discharge from fistula will be evaluated by a questionnaire comparing the situation before and after surgery.
Healing of the fistula will be evaluated by a physical examination
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00653094
Brief Title
An Open Label, Prospective, One Arm, Feasibility, Study for The Use of Halevy Kit for the Treatment of Perianal Fistulas in Patients With Crohn's Disease
Official Title
An Open Label, Prospective, One Arm, Feasibility, Study for The Use of Halevy Kit for the Treatment of Perianal Fistulas in Patients With Crohn's Disease
Study Type
Interventional
2. Study Status
Record Verification Date
April 2008
Overall Recruitment Status
Unknown status
Study Start Date
June 2008 (undefined)
Primary Completion Date
June 2009 (Anticipated)
Study Completion Date
August 2009 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
ResQ Medical Ltd
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Today, there is no available equipment specifically designed for the procedure of instillation of fibrin glue for the repair of perianal fistulae. The currently used equipment involves surgical tools generally used for fistula surgeries, and injection syringes designed for general use. The injection of biological adhesives is performed using standard adhesive syringes that are not specially designed for use in perianal fistulae. The use of the semi-flexible metal probes can cause trauma to tissue and injure the fistula tract, creating an additional path, and the injection syringe and catheter are often inconvenient for perianal use. This study was design to test the use of Halevy kit, by gastroenterology specialist, as a non traumatic probing, mechanical debridement and injecting or inserting device for treatment substances in perianal fistulas. In this study a gastroenterologist will perform the procedure, in each procedure a trained colorectal surgeon will be present during the surgery to oversee the procedure and to provide surgical help if required.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crohn Disease, Fistula
Keywords
crohn, fistula, surgery, fibrin glue, seton drainage
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Other
Intervention Type
Device
Intervention Name(s)
Halevy kit
Intervention Description
the use of Halevy kit in Crohn patients with Fistulas
Primary Outcome Measure Information:
Title
Success of cannulation of the perianal fistula using the Pathway Probe Catheter will be evaluated
Time Frame
after sugery
Title
Success in using the cleaning brush in preparing the fistula for biologic adhesive injection will be evaluated
Time Frame
after surgery
Title
Success in inserting a draining Seton into the fistula tract by the Halevy kit
Time Frame
after surgery
Title
Success of injecting biologic adhesive into the fistula tract using the designated catheter will be evaluated
Time Frame
after surgery
Secondary Outcome Measure Information:
Title
Control of sphincter will be evaluated by -the Cleveland continence score
Time Frame
after follow up
Title
Discharge from fistula will be evaluated by a questionnaire comparing the situation before and after surgery.
Time Frame
after follow up
Title
Healing of the fistula will be evaluated by a physical examination
Time Frame
after follow up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and Female age greater than 18
Patients suffering from Crohn's disease
Patients with any number of simple or complex fistulas who require surgical intervention, requiring the insertion of a drain (Seton) into the fistula tract, and/or injection of biologic adhesive, or an anal fistula plug
Able and willing to sign an informed consent
Patient will be available for follow up.
Exclusion Criteria:
Pregnant or lactating woman. Woman of childbearing potential will undergo a pregnancy test at the beginning of the trial
Known immunodeficiency.
Exclusion Criteria for injecting biologic adhesive:
Known allergy to fibrin glue or one of its components.
An undrained perianal abscess, diagnosed by a physical examination or imaging methods.
Known Alcohol or drug abuse
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Eran Mr Goldin, Prof
Phone
02-6776848
First Name & Middle Initial & Last Name or Official Title & Degree
Haim Mr Halevi, Dr.
Phone
052-2479211
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eran MR Goldin, Prof
Organizational Affiliation
Hadassah Medical Organization
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hadassah medical center
City
Jerusalem
Country
Israel
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eran Mr Goldin, Prof
First Name & Middle Initial & Last Name & Degree
Eran dr Goldin, Prof
First Name & Middle Initial & Last Name & Degree
Yossi Mr Lissi, Dr.
12. IPD Sharing Statement
Learn more about this trial
An Open Label, Prospective, One Arm, Feasibility, Study for The Use of Halevy Kit for the Treatment of Perianal Fistulas in Patients With Crohn's Disease
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