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临床试验/EUCTR2021-000593-29-FR
EUCTR2021-000593-29-FR进行中(未招募)1 期

A Prospective Pilot Study to assess the efficacy of BOTOX-A in patients with Low Anterior Resection syndrome (LARS>20) and refractory medical treatment after rectal resection - BOTOX-TME

CHU DE BORDEAUX0 个研究点目标入组 20 人开始时间: 2021年3月3日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • - Patient: male and female, age =18 years
  • - Tumour: rectal cancer
  • - Surgery: anterior resection (high or low) with colorectal or coloanal anastomosis, or intersphincteric resection, or pull-through
  • - Symptoms: Low Anterior Resection Syndrome (LARS score >20) refractory to medical treatment at 3 months after rectal surgery (or after temporary stoma closed)
  • - Straight or pouch colonic reconstruction
  • - Surgery alone or with neoadjuvant therapy (chemoradiotherapy, short course radiotherapy, induction chemotherapy)
  • - Signed and dated informed consent
  • - Patient affiliated to a social security system or beneficiary of the same Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
  • 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 5
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 15

排除标准

  • - Anal cancer
  • - Anal surgery in the last 3 months
  • - Acute/painful perianal disease
  • - Without adjuvant treatment
  • - Contraindication for BOTOX-A (known hypersensitivity to botulinum toxin type A or to albumin, infection at the proposed injection site, severe myastenia)
  • - Have received BOTOX-A in perianal region in the previous 3 months
  • - General anesthesia performed less than a month
  • - Impossibility of performing a rectoscopy (eg: anal stenosis)
  • - Recent history (<12 months) of myocardial infarction and / or arrhythmias not reduced by appropriate treatment
  • - Subject with a significant deficit of clinical or subclinical neuromuscular transmission (myasthenia or Lambert-Eaton syndrome) or with peripheral motor neuropathy (such as amyotrophic lateral sclerosis or motor neuropathy)
  • - Treatment that directly or indirectly interferes with neuromuscular transmission (aminoglycosides, curare, anticholinesterase, aminoquinoline, cyclosporine, etc.)
  • - History of neuromuscular disorders
  • - Anal clinical examination suggesting the presence of an anorectal abscess
  • - Pregnant woman or breastfeeding woman
  • - Women of child-bearing potential not using effective contraception (oestrogen-progesteron combined contraceptives or intra uterine device) since at least 7 days and during all the duration of the study
  • - Persons deprived of their liberty or under measure of judicial protection (curatorship or guardianship) or unable to give their consent
  • - Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol or follow-up schedule, as assessed by investigator

研究者

发起方
CHU DE BORDEAUX

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