A Randomized, Blinded, Multicenter Study to Evaluate NASHA/Dx for the Treatment of Fecal Incontinence

NCT ID: NCT00605826

Last Updated: 2020-08-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

206 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-07

Study Completion Date

2009-11-23

Brief Summary

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The purpose of this study is to determine the effectiveness and safety of NASHA/Dx when used as an injectable bulking agent in the treatment of fecal incontinence. The study includes a 6-month blinded sham-controlled phase, followed by an open-label phase.

Detailed Description

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Subjects will be given up to 2 treatments of NASHA/Dx or sham and followed for 6 months from last treatment (ie, one retreatment is permitted at 1 month after the first injection) in the blinded phase of the study. At Month 6, the open phase of the study will begin and subjects on sham will be offered open-label treatment with NASHA/Dx.

Subjects who receive NASHA/Dx at the start of the blinded phase will be followed for up to 36 months from last treatment in the blinded phase. Subjects who receive sham at the start of the blinded phase and then receive open-label NASHA/Dx at Month 6 (start of the open phase) will be followed for another 24 months (equivalent to approximately 30 months from randomization) from last treatment in the open phase of the study.

Conditions

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Fecal Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Blinded injection of NASHA/Dx gel at randomization.

Blinded injection of NASHA/Dx (Solesta) Gel. For each treatment, a series of 4 equally spaced injections with 1 mL of Solesta into the anal canal. Subjects will be followed for 6 months during the blinded phase. During a subsequent open phase, these subjects will be followed to Month 36 (ie, for an additional 30 months).

Group Type EXPERIMENTAL

NASHA/Dx (Solesta) Gel

Intervention Type DEVICE

Injection of 4 x 1ml of NASHA/Dx Gel at the start of the blinded phase.

Blinded sham inject. at randomization

Blinded sham injection (needle stick with empty syringes). For each treatment, a series of 4 equally spaced Sham injections (needle sticks) into the anal canal. Subjects will be followed for 6 months during the blinded phase.

Sham-treated subjects have the option to receive open-label injection of NASHA/Dx (Solesta) Gel at the 6-month time point following completion of the blinded phase (ie, blinded sham injection at randomization + NASHA/Dx Gel at 6 months). Following injection of NASHA/Dx gel at the start of the open phase, these subjects will be followed to Month 30 (ie, for an additional 24 months).

Group Type SHAM_COMPARATOR

Sham Injection

Intervention Type DEVICE

Sham injection at the start of the blinded phase.

Blinded Sham Inject. at Randomization + NASHA/Dx Gel at 6 mo.

Blinded sham injection at randomization. Subjects will be followed for 6 months during the blinded phase.

Sham-treated subjects have the option to receive open-label injection of NASHA/Dx (Solesta) Gel at the 6-month time point following completion of the blinded phase (ie, blinded sham injection at randomization + NASHA/Dx Gel at 6 months). Following injection of NASHA/Dx gel at the start of the open phase, these subjects will be followed to Month 30 (ie, for an additional 24 months).

Group Type OTHER

NASHA/Dx (Solesta) Gel

Intervention Type DEVICE

Injection of 4 x 1ml of NASHA/Dx Gel at the start of the blinded phase.

Sham Injection

Intervention Type DEVICE

Sham injection at the start of the blinded phase.

Interventions

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NASHA/Dx (Solesta) Gel

Injection of 4 x 1ml of NASHA/Dx Gel at the start of the blinded phase.

Intervention Type DEVICE

Sham Injection

Sham injection at the start of the blinded phase.

Intervention Type DEVICE

Other Intervention Names

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Solesta

Eligibility Criteria

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Inclusion Criteria

* 18-75 years of age, male or female.
* Screening fecal incontinence severity score (CCFIS).
* Fecal incontinence episodes over a 14-day period.
* Failed conservative treatment for fecal incontinence.

Exclusion Criteria

* Complete external sphincter disruption.
* Significant anorectal disease.
* Anorectal surgery within the last 12 months prior to the study.
* Active Inflammatory Bowel Disease (IBD).
* Immunodeficiency or receiving immunosuppressive therapy.
* Malignancies in remission for less than 2 years prior to the study.
* Bleeding disorders or receiving anticoagulant therapy.
* Chemotherapy within the last 12 months prior to the study.
* Prior Pelvic radiotherapy.
* Women who are pregnant or breast-feeding, or women of childbearing potential not practicing adequate contraception or planning to stop such contraception within the first year of the study.
* Women within one year post partum.
* Participation in any other clinical study within 3 month prior to the study.
* Hypersensitivity to hyaluronic acid containing products.
* Other severe conditions or in other ways unsuitable to participate according to investigator judgement.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oceana Therapeutics, Inc.

INDUSTRY

Sponsor Role collaborator

Galderma R&D

INDUSTRY

Sponsor Role collaborator

Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California, San Francisco, Center for Pelvic Physiology, Dept. of Surgery

San Francisco, California, United States

Site Status

University of South Florida College of Medicine, Tampa General Hospital

Tampa, Florida, United States

Site Status

Lahey Clinic, Department of Colon & Rectal Surgery

Burlington, Massachusetts, United States

Site Status

Colon & Rectal Surgery Associates

Minneapolis, Minnesota, United States

Site Status

St. Luke's/Roosevelt Hospital

New York, New York, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Colorectal Surgical Associates

Houston, Texas, United States

Site Status

Salt Lake Research/Center for Colon Rectal Disease

Salt Lake City, Utah, United States

Site Status

Chirurgische Klinik Mit Poliklinik, FAU Erlangen-Nurnberg

Erlangen, , Germany

Site Status

Kirurgmottagningen Universitetssjukhuset MAS

Malmo, , Sweden

Site Status

Kirurgmottagningen, Danderyds Sjukhus

Stockholm, , Sweden

Site Status

Kirurgkliniken, Uppsala Akademiska Sjukhus

Uppsala, , Sweden

Site Status

Castle Hill Hospital, Department of Academic Surgery

Cottingham, East Yorkshire, United Kingdom

Site Status

Countries

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United States Germany Sweden United Kingdom

References

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Graf W, Mellgren A, Matzel KE, Hull T, Johansson C, Bernstein M; NASHA Dx Study Group. Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet. 2011 Mar 19;377(9770):997-1003. doi: 10.1016/S0140-6736(10)62297-0.

Reference Type DERIVED
PMID: 21420555 (View on PubMed)

Other Identifiers

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33DA0404

Identifier Type: -

Identifier Source: org_study_id

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