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Clinical Trials in the UK / NCT04976153
Recruiting Phase 3

Skeletal Muscle-derived Cell Implantation for Treatment of Fecal Incontinence

NCT04976153 · tracked via the Priya Life Science UK tracker
Sponsor
Innovacell GmbH
Phase
Phase 3
Started
2022-05-11
Last updated
2026-07-10

Condition(s) studied

Fecal Incontinence

Investigational drug(s) / intervention(s)

aSMDCPlacebo

aSMDC: Autologous Muscle Derived Cells for injection into the external anal sphincter

Placebo: Placebo control is the vehicle solution used for the study product

Study summary

The objective of this study is the final assessment of clinical safety and efficacy of autologous autologous skeletal muscle derived cells for patients with urge fecal incontinence due to external anal sphincter dysfunction caused by its disruption and/or weakness.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: * Patients must be at least 18 years old * Patients who are mentally competent and able to understand all study requirements * Female patients of childbearing potential willing to use appropriate methods of contraception * Patient has symptoms of urge fecal incontinence with a disease duration of at least 6 months and did not improve sufficiently by conservative treatment performed for at least 3 months * Urge fecal incontinence episodes that occur more than twice a week * Maximal incremental voluntary squeeze pressure (increase to resting pressure) on anal manometry is 100mmHg or less in women and 150mmHg or less in men * 9\. Ultrasound of the anal canal showing intact external anal sphincter or a maximal overall extent of external anal sphincter injury and tear of 180 degrees Exclusion Criteria: * Patients for whom the investigator determines that FI has a different cause than external anal sphincter dysfunction. * Patients with global fragmentation of the external anal sphincter as assessed by anal canal ultrasound * Patients who underwent any anorectal surgery within 6 months before screening visit * Patients who underwent a total of two or more external anal sphincter-related surgeries * Patients who currently have anal fistulas or fissures or have recurrent anal fistulas or fissures * Patients with poorly controlled chronic constipation including obstructed defecation syndrome * Patients with indications against a surgery under anesthesia * Patients with a malignant disease not in remission for 5 years or more * Patients who have undergone radiation therapy of the bowel and pelvis * Patients who have undergone chemotherapy within last 5 years prior to study enrolment and/or chemotherapy related neuropathy of the bowel and pelvis * Patients with compromised immune system and/or rheumatic disease, and patients under immunosuppressive therapy * Patients with a diagnosis of chronic inflammatory bowel disease (e.g Crohn's disease, Colitis Ulcerosa) * Patients suffering from a disease which has not been resolved within 4 weeks prior to screening including fever and/or diarrhea of unknown reasons (4 weeks) * Patients diagnosed with human immunodeficiency virus (HIV), acute or chronic viral hepatitis HCV, acute or chronic viral hepatitis HBV, active Syphilis or HTLV (tested upon risk assessment by investigator) * Patients diagnosed with any kind of skeletal muscle disease and/or neuronal disorders * Patients with severe myocardial disorders, irregular pulse or a pacemaker * Patients with implantations of metal components in the electrical stimulation treatment area * Patients with uncontrolled diabetes mellitus type I or II, or suffering from diabetic peripheral neuropathic pain * Patients with clinically relevant abnormal laboratory values judged by the responsible investigator as relevant for the study treatment

Primary outcome measure(s)

Trial sites (34)

FacilityCityRegionStatus
Medical University Graz Graz Austria Recruiting
Landeskrankenhaus Hall in Tirol Hall in Tirol Austria Recruiting
Medical Center Unimed EOOD Sevlievo Bulgaria Recruiting
Fakultni nem. u sv. Anny v Brne Brno Brno Recruiting
The Institute for the Care of Mother and Child Prague Czechia Recruiting
Deaconess Hospital Group Croix Saint - Simon Paris France Recruiting
Hospital Bichat - Claude Bernard Paris France Recruiting
CHU Rennes - Hospital Pontchaillou Rennes France Recruiting
CHU de Rouen Rouen France Recruiting
Magen Darm Zentrum Wiener Platz Cologne North Rhine-Westphalia Recruiting
Heidelberg University, Medical Faculty Mannheim, Department of surgery Mannheim Germany Recruiting
I.R.C.C.S. Policlinico San Donato San Donato Milanese Milano Recruiting
IRCCS Ospedale San Raffaele Milan Italy Recruiting
Hokkaido Railway Company JR Sapporo Hospital Sapporo Hokkaido Recruiting
Tsujinaka Hospital, Coloproctological Surgery Chiba Japan Recruiting
Teikyo University Chiba Medical Center Chiba Japan Recruiting
Kurume Hospital Fukuoka Japan Recruiting
Hiroshima Memorial Hospital Hiroshima Japan Recruiting
Meiwa Hospital Hyōgo Japan Recruiting
Matsushima Hospital Kanagawa Japan Recruiting
Coloproctology Center Takano Hospital Kumamoto Japan Recruiting
Japan Post Kyoto Teishin Hospital Kyoto Japan Recruiting
Jichi Medical University Hospital Tochigi Japan Not Yet Recruiting
Juntendo University Hospital Tokyo Japan Recruiting
Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Krakow Poland Recruiting
IATROS Medicinski Center Ljubljana Osrednjeslovenska Recruiting
Corporacio Sanitaria Parc Tauli Barcelona Spain Recruiting
Hospital de Mataro Mataró Spain Recruiting
Hosp. General Universitario Morales Meseguer Murcia Spain Recruiting
Luis Garcia Florez Oviedo Spain Recruiting
Skånes Universitetssjukhus, Malmo Malmö Sweden Recruiting
Östersund sjukhus, Kirurgiska kliniken Östersund Sweden Recruiting
Danderyd Sjukhus Danderyd Sweden Recruiting
St. Mary's Hospital London United Kingdom Recruiting

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04976153 on ClinicalTrials.gov ↗ ← All trials in the UK