A Clinical Study Comparing Standard Anastomosis Closure Technique to Standard Closure Techniques Plus Sylys® Surgical Sealant

NCT ID: NCT02841891

Last Updated: 2018-08-16

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

TERMINATED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2018-08-13

Brief Summary

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The Cohera Sylys® Surgical Sealant study is a prospective, randomized, controlled, multicenter clinical study comparing standard anastomosis closure technique (Control) to standard closure technique plus Sylys® Surgical Sealant (Test) in patients undergoing a colectomy procedure with a stapled anastomosis.

Detailed Description

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Conditions

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Colorectal and Ileorectal Anastomosis Colocolic and Ileocolic Anastomosis Coloanal and Ileoanal Anastomosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Test

Test group will receive Sylys® Surgical Sealant as an adjunct to standard closure of stapled anastomosis in colectomy procedure.

Group Type EXPERIMENTAL

Sylys® Surgical Sealant

Intervention Type DEVICE

Standard Stapled Anastomosis Colectomy Procedure with the addition of Sylys® Surgical Sealant

Control

Control group will receive standard of care closure of stapled anastomosis in colectomy procedure without Sylys® Surgical Sealant.

Group Type ACTIVE_COMPARATOR

Stapled Anastomosis Colectomy Procedure

Intervention Type PROCEDURE

Standard Stapled Anastomosis Colectomy Procedure without the addition of Sylys® Surgical Sealant

Interventions

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Sylys® Surgical Sealant

Standard Stapled Anastomosis Colectomy Procedure with the addition of Sylys® Surgical Sealant

Intervention Type DEVICE

Stapled Anastomosis Colectomy Procedure

Standard Stapled Anastomosis Colectomy Procedure without the addition of Sylys® Surgical Sealant

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Be 22 years of age or older
* Be scheduled for a colectomy procedure with a stapled anastomosis
* At time of surgery, has a completed anastomosis that is able to be visualized and is accessible to allow for circumferential sealant application with minimal bowel manipulation (≥90%)
* Completed anastomosis must be at a location where a WCE can be performed to evaluate for a sub-clinical leak
* Agree to return for all follow-up evaluations and procedures specified in the protocol
* Understand and give informed consent

Exclusion Criteria

* Albumin \< 3 g/dL
* ASA score (American Society of Anesthesiologists) ≥ 4
* Neutropenia ≤ 800 cells/µl
* Pregnant at time of surgery
* Has AIDS (HIV positive not excluded)
* Has neutropenia (IBD and steroid use not excluded)
* Has a known blood clotting disorder requiring treatment
* Has any condition known to effect wound healing, such as collagen vascular disease
* Has known or suspected allergy or sensitivity to any test materials, reagents, or WCE contrast materials
* Has undergone chemotherapy within 4 weeks of the anastomosis procedure and/or radiation within 3 days of the anastomosis procedure
* Concurrently using fibrin sealants or other anastomosis care devices
* Emergency surgery for abdominal indications
* Has undergone a colectomy procedure in the previous two months
* Has an emergent infection related to a previous colectomy procedure
* Is scheduled to undergo a Hartmann's procedure
* Is scheduled to undergo trans-anal endoscopic microsurgery (TEM)
* Is scheduled to undergo procedure using omental wrapping
* Is participating in another medical device trial involving colectomy with anastomosis

First 20 subjects ONLY:

• Is diagnosed with high risk cancer as determined by preoperative clinical evidence or diagnostic imaging (if patient's cancer stage has been downstaged through treatment prior to baseline screening, subject is allowed to be included):

* Lymph Node Cancer Stage: N2
* Cancer Tumor Size: T4
* Circumferential resection margin: CRM+ (Positive)
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cohera Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

University of Southern Alabama

Mobile, Alabama, United States

Site Status

University of California Irvine

Orange, California, United States

Site Status

University of Colorado Denver

Denver, Colorado, United States

Site Status

Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Tulane

New Orleans, Louisiana, United States

Site Status

Ochsner Medical Center

New Orleans, Louisiana, United States

Site Status

Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status

Stony Brook University Hospital

Stony Brook, New York, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Baylor Scott & White Research Institute

Dallas, Texas, United States

Site Status

Houston Methodist

Houston, Texas, United States

Site Status

Intermountain Healthcare

Ogden, Utah, United States

Site Status

Univeristy of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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PRO-106-0129

Identifier Type: -

Identifier Source: org_study_id

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