Anal Fistula
Conditions
Keywords
phase III, Adipose derived stem cells, Anal fistula, Cell therapy, Stem cell therapy
Brief summary
Efficacy of treatment of perianal fistula with mesenchymal stem cells and surgery
Detailed description
Study of efficacy of adipose derived mesenchimals stem cells and surgery to treat complex perianal fistula
Interventions
Experimental group
•Active Comparator: Fibrin glue Intervention: Drug: Fibrin adhesive
Sponsors
Study design
Eligibility
Inclusion criteria
1. Signature of informed consent. 2. Complex perianal fistula cryptoglandular. Understood as a fistula in which at least one of the following circumstances is present: * some degree of fecal incontinence associated * extrasphinterics fistulas, * fistulas supraresfinterianas * high transsphincteric fistulas. 3. Patients of both genders, with more that 18 years. 4. Good overall health, according to data from the clinical history and physical examination.
Exclusion criteria
1. Patient diagnosed with inflammatory bowel disease. 2. Subjects with abscess, except if a complete cleaning of the drainage area of collections is performed and the absence of abscess and other collections larger than 2 cm in maximum diameter before treatment is started is confirmed. 3. History of alcohol or substance abuse in the 6 months prior to inclusion. 4. Malignancy, except in the case of basal cell carcinoma or squamous cell skin or a history of malignancy, unless they have been found in remission during the previous 5 years. 5. medical or psychiatric illness of any kind which, in the opinion of the investigator, may be a reason for exclusion from the study. 6. Subjects with congenital or acquired immunodeficiencies. Treponema, Hepatitis B and / or C or tuberculosis diagnosed at the time of inclusion. 7. Major surgery or severe trauma of the subject in the previous semester. 8. Pregnant or lactating women. 9. Adult women of childbearing potential not using effective contraception during the trial. 10. Administration of any investigational drug at present to three months prior to enrollment for this trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety/efficacy | 2014, march | Closure of fistulas defined as absence of suppuration and re-epithelization of the external opening and absence of collections\>2 cm directly related to the fistula tract treated, as measured by MRI (healing) \[ Time Frame: weeks 1, 4, 12 and 16. Week 28 in patients with a second dose \] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety/efficacy | 2015, march | Clinical complexity of fistula (complexity of fistula score) • Safety: Cumulative incidence of adverse effects. • Quality of life (SF-36 score) • Degree of anal incontinence (Wexner incontinence score) \[ Time Frame: weeks 1, 4, 12 and 16. Week 28 in patients with a second dose \] |
Countries
Spain