Colon Cancer, Gastrointestinal Cancer
Conditions
Brief summary
A prospective, multi-center, open label, study to evaluate safety and performance of Seal-G and Seal-G MIST in reinforcing colonic anastomosis, in subjects undergoing Colon Resection surgery
Detailed description
Seal-G and Seal-G MIST Surgical Sealants are intended for the reinforcement and protection of gastrointestinal anastomosis. The Seal-G and Seal-G MIST devices share the same Alginate based sealant technology and intended purpose. The devices only differ in their method of application, The Seal-G device is designed for spread application by extra-corporal approach, and the Seal-G MIST device is designed for spray application by intra-corporal approach. The proposed Clinical Investigation aims to collect clinical evidence on the devices' usage, including safety, performance and usability.
Interventions
DEVICESeal-G Surgical Sealant
Seal-G is a surgical sealant intended for use as an adjunct to standard closure techniques for reinforcement and protection of gastrointestinal anastomoses. Device is an adjunct device and will be applied following standard colon resection surgery and creation of primary anastomosis
DEVICESeal-G MIST System
Seal-G MIST is a surgical sealant intended for use as an adjunct to standard closure techniques for reinforcement and protection of gastrointestinal anastomoses. Device is an adjunct device and will be applied following standard colon resection surgery and creation of primary anastomosis
Sponsors
ClinSearch
Advanced Medical Solutions Israel (Sealantis) Ltd.
Advanced Medical Solutions Ltd.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Seal-G Product Family variants will be used as the study device (Treatment) according to the following scheme: 1. Seal-G Surgical Sealant \[Seal-G\]- will be applied on colonic anastomosis created by extra-corporal approach. 2. Seal-G MIST System \[Seal-G MIST\]- will be applied on colonic anastomosis created by intra-corporal approach. Intended Use: Seal-G/Seal-G MIST are surgical sealants intended for use as an adjunct to standard closure techniques for reinforcement and protection of gastrointestinal anastomoses. Device is an adjunct device and will be applied following standard colon resection surgery and creation of primary anastomosis
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Subject signs and dates a written ICF, indicates an understanding of the study procedures and follow-up requirements and is willing to comply with them. 2. Subject is aged 18 years to 80 years 3. Subject is scheduled for elective open or laparoscopic (including robotic) colon cancer resection surgery with primary anastomosis (excluding low anterior resection)
Exclusion criteria
1. Anastomosis is expected to be ≤ 10cm from anal verge 2. Surgery involves stoma creation 3. Subject who underwent a prior pelvic radiation therapy 4. Subject with a BMI \> 40 or \<19 5. Subject with ASA status higher than 3 6. Albumin level \< 3 gr/dl 7. Total bilirubin \>1.5 mg/dL 8. Hemoglobin level \< 8mg/dl on day of surgery 9. Subject has a diagnosis of bowel strangulation, peritonitis, bowel perforation, local or systemic infection, ischemic bowel, and carcinomatosis 10. Subject treated with immunosuppressive agents within 28 days prior to study enrollment (including corticosteroids) 11. Serious or uncontrolled co-existent diseases (e.g. severe cardiovascular disease, congestive heart failure, recent myocardial infarction within 6 months from surgery, significant vascular disease, active or uncontrolled autoimmune disease, active or uncontrolled infection, uncontrolled DM with episodes of hospitalization due to hypo or hyperglycemia within 6 months of surgery) 12. Subject known to have distant metastases, such as liver, lung, bone etc. metastases (not including local and regional lymph nodes) 13. Subject with known sensitivity to Indigo carmine dye (FD&C 2/ E132) 14. Subject who according to the investigator clinical judgement is not suitable for participation in the study or is at risk 15. Subject requires more than one anastomosis during the surgery 16. Subject is scheduled for another surgery during the follow up period of this study 17. Subjects who cannot comply with study visits/ procedures or have poor compliance (e.g. mentally handicapped, prisoners, etc.) Intraoperative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of surgeries with full sealant coverage - successful application | At time of surgery | 1- The surgeon applied the sealant over the full circumference of the anastomosis (successful application). 0 - The surgeon did not fully cover the anastomosis circumference |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of subjects with clinical anastomotic leaks | Up to 30 days post-surgery | 1 - The subject had a clinical anastomotic leak 0 - The subject did not have a clinical anastomotic leak |
| Proportion of subjects with subclinical / radiological leaks | Up to 30 days post-surgery | 1 - The subject had a Subclinical /radiological anastomotic leak 0 - The subject did not have a Subclinical /radiological anastomotic leak |
| Proportion of subjects with at least one Serious Adverse Event | Up to 30 days post-surgery | 1 - The subject had any Serious adverse event 0 - The subject did not have Serious adverse event |
| Proportion of subjects that had a reoperation | Up to 30 days post-surgery | 1 - The subject had any event of reoperation 0 - The subject did not have reoperation |
| Hospital length of stay | Up to 30 days post-surgery | Measured by the time for Ready to be discharged (in days) |
Countries
Israel
Outcome results
None listed