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Long-term Safety and Efficacy of Adipose-derived Stem Cells to Treat Complex Perianal Fistulas in Patients Participating in the FATT-1 Randomized Controlled Trial

Completed
Conditions
Complex Perianal Fistula
Interventions
Registration Number
NCT01020825
Lead Sponsor
Tigenix S.A.U.
Brief Summary

The purpose of this extension is to investigate and confirm the long-term (6 months) safety and efficacy of the preceding FATT-1 trial \[ClinicalTrials.gov identifier: NTC00475410\], which studied patients with perianal fistula treated having received adipose-derived adult stem cell (ASC)and/or fibrin glue.

Detailed Description

Complex perianal fistulas are a source of great distress for suffers. Treatment options are limited and surgery is often associated with incontinence and recurrence.

The biological properties of stem cells derived from adult tissues make them candidates for the treatment of pathologies requiring tissue regeneration or in diseases where the healing process is altered.

This study aims to evaluate the safety and efficacy of patients having participated within a preceding multicenter, placebo-controlled, phase 3 study \[ClinicalTrials.gov identifier: NTC00475410\]. The present extension aims to collect safety and efficacy data for up to 12 month from initial administration.

Fistula closure is defined as absence of suppuration through the external orifice with complete re-epithelization of the external orifice and absence of collections \>2cm directly related to the fistula tract treated, as measured by MRI.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
148
Inclusion Criteria
  • At least 1 dose of the treatment assigned in the FATT-1 trial
  • Informed consent
Exclusion Criteria
  • Other experimental drugs other than Cx401 during the follow-up period

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Fibrin glueFibrin gluePatients randomized to the control treatment (application of fibrin glue) in the FATT-1 randomized controlled trial \[ClinicalTrials.gov identifier: NTC00475410\]
ASCs + Fibrin GlueASCsPatients randomized to the control treatment (application of fibrin glue) + intralesional injection of ASCs in the FATT-1 randomized controlled trial \[ClinicalTrials.gov identifier: NTC00475410\]
ASCsASCsPatients randomized to experimental treatment (ASC transplantation) in the FATT-1 randomized controlled trial \[ClinicalTrials.gov identifier: NTC00475410\]
Primary Outcome Measures
NameTimeMethod
Cumulative incidence of adverse events (clinical or laboratory) attributed to the study therapy in the preceding FATT-1 randomized trial (CX401 or fibrin glue)6 months (since last visit in FATT-1 trial)
Secondary Outcome Measures
NameTimeMethod
Closure of the fistula (defined as suppuration through the external opening of the fistula spontaneously and on pressure, complete re-epithelization of the external opening in the clinical evaluation and absence of collections >2 cm in MRI)6 months (since last visit of FATT-1 trial)

Trial Locations

Locations (15)

Hospital General Univeritario de Valencia

🇪🇸

Valencia, Spain

Hospital Universitario Nuestra Señora de Valme

🇪🇸

Seville, Spain

Hospital de Sagunto

🇪🇸

Sagunto, Valencia, Spain

Hospital Clínico San Carlos

🇪🇸

Madrid, Spain

Hospital 12 de Octubre

🇪🇸

Madrid, Spain

Clínica Universitaria Navarra

🇪🇸

Pamplona, Spain

Hospital Universitario de Salamanca

🇪🇸

Salamanca, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Universitario Marqués de Valdecilla

🇪🇸

Santander, Cantabria, Spain

Hospital Doctor Josep Trueta

🇪🇸

Girona, Spain

Hospital Mutua de Terrasa

🇪🇸

Terrasa, Barcelona, Spain

Hospital Gregorio Marañón

🇪🇸

Madrid, Spain

Hospital de Fuenlabrada

🇪🇸

Fuenlabrada, Madrid, Spain

Hospital Universitari Joan XXIII

🇪🇸

Tarragona, Spain

Hospital Clínico Universitario "Lozano Blesa"

🇪🇸

Zaragoza, Spain

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