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Micronized purified Flavonoid-Fraction (MPFF) in the managementof radiation proctitis

Phase 1
Conditions
Patients with radiation proctitis
Therapeutic area: Diseases [C] - Digestive System Diseases [C06]
Registration Number
EUCTR2019-001916-44-AT
Lead Sponsor
Medical University Innsbruck, Department of Visceral, Transplant und Thoracic Surgery
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
200
Inclusion Criteria

signed informed consent form
male and female patients
age = 18 years
patients with diagnosis of radiation proctitis with macroscopic bleeding
end of radiotherapiy >= 3 month = 90 days
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 50
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 150

Exclusion Criteria

infectious proctitis
ulcerative proctitis (inflammatory bowel disease)
persons unable to understand the informed consent
persons, who are in dependent relationship with the study investigators
or Sponsor
pregnant or lactating women
participation in an interventional study

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The goal of the study is to compare the number of necessary interventions<br>required to stop radiation proctitis inducing rectal bleeding in patients receiving Daflon® in comparison to patients in the<br>control group receiving Placebo within 12 months of medical treatment.;Secondary Objective: The secondary objectives of this study are to evaluate the impact of<br>Daflon® on patients’ QoL, hemoglobin level and coagulation parameters,<br>calprotectin, cytokines and histological alterations. Furthermore, we want to assess if different types of radiation (organ focus, Gray) or grades of incontinence have an impact on the primary endpoint.;Primary end point(s): number of necessary interventions within 1 year;Timepoint(s) of evaluation of this end point: Day 360
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): - QoL (EORTC QLQ PRT20)<br>- serum hemoglobin level and coagulation parameters of patients<br>- calprotectin stool level<br>- presence of histological alterations (distortion of crypts,<br>- inflammation of crypts, fibrosis and ectasia of vessels, cytokines)<br>- if available (biopsy not mandatory)<br>- type of radiation (organ focus, Gray)<br>- St. Mark’s Incontinence Score<br>- Safety parameters<br>within groups:<br>-differences in outcomes regarding their age and sex;Timepoint(s) of evaluation of this end point: Day 30, 90, 180,360
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