Fibrin Glue for Perianal Fistulas in Crohn's Disease: a Randomized Controlled Trial

NCT ID: NCT00723047

Last Updated: 2011-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-11-30

Study Completion Date

2006-08-31

Brief Summary

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This multicenter, randomized, controlled trial was conducted by the Groupe d'Etude Thérapeutique des Affections Inflammatoires du tube Digestif (GETAID) to evaluate the efficacy and safety of the injection of fibrin glue in perianal fistulas tracts of patients with CD. The institutional Independent Ethics Committee of Marseille, France and of Liège, Belgium approved the protocol for each participating centers. Recruitment took place at 12 sites (11 in France and 1 in Belgium)

Detailed Description

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Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

Fibrin glue injection in fistula

Intervention Type PROCEDURE

Interventions

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Fibrin glue injection in fistula

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* at least 18 years old
* CD confirmed by endoscopy and histology.
* CDAI should be 250 or less
* at least one perianal fistula (between anus or low rectum and perineum, vulva or vagina) draining for more than 2 months duration

Exclusion Criteria

* treatment with an anti-TNF agent or with ciclosporin or tacrolimus within the last 3 months
* presence of a perianal abscess (\>1cm) assessed by magnetic resonance imaging (MRI) or endo-anal ultrasonography performed within the last month,
* presence of anal or rectal stenosis,
* surgery during the previous month (except seton removal),
* previous fibrin glue injection,
* pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nycomed

INDUSTRY

Sponsor Role collaborator

Société Nationale Française de Gastroentérologie

OTHER

Sponsor Role collaborator

Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sart Tilman University Hospital

Liège, , Belgium

Site Status

Beaujon Hospital

Clichy, , France

Site Status

Louis Mourrier Hospital

Colombes, , France

Site Status

CHRU Lille

Lille, , France

Site Status

Marseille North Hospital

Marseille, , France

Site Status

Nice University Hospital

Nice, , France

Site Status

Hopital St Louis

Paris, , France

Site Status

Lariboisiere Hospital

Paris, , France

Site Status

Georges Pompidou European Hospital

Paris, , France

Site Status

Bichat Hospital

Paris, , France

Site Status

Lyon Sud University Hospital

Pierre-Bénite, , France

Site Status

Pontchaillou University Hospital

Rennes, , France

Site Status

Rouen University Hospital

Rouen, , France

Site Status

Trousseau University Hospital

Tours, , France

Site Status

Countries

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Belgium France

References

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Hellers G, Bergstrand O, Ewerth S, Holmstrom B. Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease. Gut. 1980 Jun;21(6):525-7. doi: 10.1136/gut.21.6.525.

Reference Type BACKGROUND
PMID: 7429313 (View on PubMed)

Schwartz DA, Loftus EV Jr, Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ. The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota. Gastroenterology. 2002 Apr;122(4):875-80. doi: 10.1053/gast.2002.32362.

Reference Type BACKGROUND
PMID: 11910338 (View on PubMed)

Schwartz DA, Pemberton JH, Sandborn WJ. Diagnosis and treatment of perianal fistulas in Crohn disease. Ann Intern Med. 2001 Nov 20;135(10):906-18. doi: 10.7326/0003-4819-135-10-200111200-00011.

Reference Type BACKGROUND
PMID: 11712881 (View on PubMed)

Bernstein LH, Frank MS, Brandt LJ, Boley SJ. Healing of perineal Crohn's disease with metronidazole. Gastroenterology. 1980 Aug;79(2):357-65.

Reference Type BACKGROUND
PMID: 7399243 (View on PubMed)

Present DH, Korelitz BI, Wisch N, Glass JL, Sachar DB, Pasternack BS. Treatment of Crohn's disease with 6-mercaptopurine. A long-term, randomized, double-blind study. N Engl J Med. 1980 May 1;302(18):981-7. doi: 10.1056/NEJM198005013021801.

Reference Type BACKGROUND
PMID: 6102739 (View on PubMed)

Pearson DC, May GR, Fick GH, Sutherland LR. Azathioprine and 6-mercaptopurine in Crohn disease. A meta-analysis. Ann Intern Med. 1995 Jul 15;123(2):132-42. doi: 10.7326/0003-4819-123-2-199507150-00009.

Reference Type BACKGROUND
PMID: 7778826 (View on PubMed)

Grimaud JC, Munoz-Bongrand N, Siproudhis L, Abramowitz L, Senejoux A, Vitton V, Gambiez L, Flourie B, Hebuterne X, Louis E, Coffin B, De Parades V, Savoye G, Soule JC, Bouhnik Y, Colombel JF, Contou JF, Francois Y, Mary JY, Lemann M; Groupe d'Etude Therapeutique des Affections Inflammatoires du Tube Digestif. Fibrin glue is effective healing perianal fistulas in patients with Crohn's disease. Gastroenterology. 2010 Jun;138(7):2275-81, 2281.e1. doi: 10.1053/j.gastro.2010.02.013. Epub 2010 Feb 20.

Reference Type DERIVED
PMID: 20178792 (View on PubMed)

Related Links

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Other Identifiers

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GETAID 2003-1

Identifier Type: -

Identifier Source: org_study_id

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