Crohn’s Perianal Fistulas
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 60 years; 2. Refractory Crohns Perianal Fistulas with 1-2 internal orifices and 1-3 fistulas; 3. Crohns disease duration over 3 months; 4. Crohn's Disease Activity Index (CDAI) Score 4 weeks; immunomodulators and biologics > 8weeks).
Exclusion criteria
Exclusion criteria: 1. Patients with intestinal obstruction or stenosis or perianal abscess; 2. Pregnant or lactating patients; 3. Patients who need antibiotics treatment; 4. Patients with rectovaginal fistulas; 5. Patients with more than 2 internal openings of fistulas; 6. Patients with stenosis or perforate Crohns disease; 7. Patients with perianal infection; 8. Patients with rectal or anal stenosis so that unable to be injected locally; 9. Patients with acute colitis; 10. Patients with liver or kidney failure; 11. Patients enrolled in another clinical trial within 1 month; 12. Patients who reject MRI examination; 13. Patient who under medicine adjustment; 14. Co-infection with HIV; 15. Co infection with HBV or tuberculosis; 16. Patients with opportunistic infection within 6 months, or with severe infection within 3 months; 17. Patients with malignant neoplasm within 5 years; 18. Patients with lymphoproliferative disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| fistula clinical respone (classified as: healing, improvement, noneresponse); | — |
Secondary
| Measure | Time frame |
|---|---|
| fistula clinical respone (classified as: healing, improvement, noneresponse);perianal disease activity index;Vaizey Fecal incontinence score;Crohn's disease activity index;life quality;level of C-reactive protein;safety; | — |
Countries
China
Contacts
The Sixth Affiliated Hospital, Sun Yat-Sen University