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)
Changes in frequency of incontinence episodes — 12 Months Urge fecal incontinence
Trial sites (34)
Facility
City
Region
Status
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
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.
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