Skeletal Muscle-derived Cell Implantation for Treatment of Fecal Incontinence

NCT ID: NCT04976153

Last Updated: 2025-03-12

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-11

Study Completion Date

2027-07-31

Brief Summary

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The objective of this study is the final assessment of clinical safety and efficacy of autologous autologous skeletal muscle derived cells for patients with urge fecal incontinence due to external anal sphincter dysfunction caused by its disruption and/or weakness.

Detailed Description

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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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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aSMDC

Autologous skeletal muscle derived cells for the treatment of urge fecal incontinence

Group Type EXPERIMENTAL

aSMDC

Intervention Type BIOLOGICAL

Autologous Muscle Derived Cells for injection into the external anal sphincter

Placebo

Placebo control is the vehicle solution used for the study product

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo control is the vehicle solution used for the study product

Interventions

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aSMDC

Autologous Muscle Derived Cells for injection into the external anal sphincter

Intervention Type BIOLOGICAL

Placebo

Placebo control is the vehicle solution used for the study product

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients must be at least 18 years old
* Patients who are mentally competent and able to understand all study requirements
* Female patients of childbearing potential willing to use appropriate methods of contraception
* Patient has symptoms of urge fecal incontinence with a disease duration of at least 6 months and did not improve sufficiently by conservative treatment performed for at least 3 months
* Urge fecal incontinence episodes that occur more than twice a week
* Maximal incremental voluntary squeeze pressure (increase to resting pressure) on anal manometry is 100mmHg or less in women and 150mmHg or less in men
* 9\. Ultrasound of the anal canal showing intact external anal sphincter or a maximal overall extent of external anal sphincter injury and tear of 180 degrees

Exclusion Criteria

* Patients for whom the investigator determines that FI has a different cause than external anal sphincter dysfunction.
* Patients with global fragmentation of the external anal sphincter as assessed by anal canal ultrasound
* Patients who underwent any anorectal surgery within 6 months before screening visit
* Patients who underwent a total of two or more external anal sphincter-related surgeries
* Patients who currently have anal fistulas or fissures or have recurrent anal fistulas or fissures
* Patients with poorly controlled chronic constipation including obstructed defecation syndrome
* Patients with indications against a surgery under anesthesia
* Patients with a malignant disease not in remission for 5 years or more
* Patients who have undergone radiation therapy of the bowel and pelvis
* Patients who have undergone chemotherapy within last 5 years prior to study enrolment and/or chemotherapy related neuropathy of the bowel and pelvis
* Patients with compromised immune system and/or rheumatic disease, and patients under immunosuppressive therapy
* Patients with a diagnosis of chronic inflammatory bowel disease (e.g Crohn's disease, Colitis Ulcerosa)
* Patients suffering from a disease which has not been resolved within 4 weeks prior to screening including fever and/or diarrhea of unknown reasons (4 weeks)
* Patients diagnosed with human immunodeficiency virus (HIV), acute or chronic viral hepatitis HCV, acute or chronic viral hepatitis HBV, active Syphilis or HTLV (tested upon risk assessment by investigator)
* Patients diagnosed with any kind of skeletal muscle disease and/or neuronal disorders
* Patients with severe myocardial disorders, irregular pulse or a pacemaker
* Patients with implantations of metal components in the electrical stimulation treatment area
* Patients with uncontrolled diabetes mellitus type I or II, or suffering from diabetic peripheral neuropathic pain
* Patients with clinically relevant abnormal laboratory values judged by the responsible investigator as relevant for the study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Innovacell GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Landeskrankenhaus Feldkirch

Feldkirch, , Austria

Site Status RECRUITING

Medical University Graz

Graz, , Austria

Site Status RECRUITING

Medical Center Unimed EOOD

Sevlievo, , Bulgaria

Site Status RECRUITING

Fakultni nem. u sv. Anny v Brne

Brno, Brno, Czechia

Site Status RECRUITING

The Institute for the Care of Mother and Child

Prague, , Czechia

Site Status RECRUITING

Deaconess Hospital Group Croix Saint - Simon

Paris, France, France

Site Status RECRUITING

Hospital Bichat - Claude Bernard

Paris, France, France

Site Status RECRUITING

CHU Rennes - Hospital Pontchaillou

Rennes, , France

Site Status RECRUITING

CHU de Rouen

Rouen, , France

Site Status RECRUITING

Heidelberg University, Medical Faculty Mannheim, Department of surgery

Mannheim, , Germany

Site Status RECRUITING

IRCCS Ospedale San Raffaele

San Donato Milanese, , Italy

Site Status RECRUITING

Hokkaido Railway Company JR Sapporo Hospital

Sapporo, Hokkaido, Japan

Site Status RECRUITING

Tsujinaka Hospital, Coloproctological Surgery

Chiba, , Japan

Site Status RECRUITING

Teikyo University Chiba Medical Center

Chiba, , Japan

Site Status RECRUITING

Kurume Hospital

Fukuoka, , Japan

Site Status RECRUITING

Hiroshima Memorial Hospital

Hiroshima, , Japan

Site Status RECRUITING

Meiwa Hospital

Hyōgo, , Japan

Site Status RECRUITING

Matsushima Hospital

Kanagawa, , Japan

Site Status RECRUITING

Coloproctology Center Takano Hospital

Kumamoto, , Japan

Site Status RECRUITING

Japan Post Kyoto Teishin Hospital

Kyoto, , Japan

Site Status RECRUITING

Jichi Medical University Hospital

Tochigi, , Japan

Site Status NOT_YET_RECRUITING

Juntendo University Hospital

Tokyo, , Japan

Site Status RECRUITING

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie

Krakow, , Poland

Site Status RECRUITING

Corporacio Sanitaria Parc Tauli

Barcelona, , Spain

Site Status RECRUITING

Hospital de Mataro

Mataró, , Spain

Site Status RECRUITING

Hosp. General Universitario Morales Meseguer

Murcia, , Spain

Site Status RECRUITING

Luis Garcia Florez

Oviedo, , Spain

Site Status RECRUITING

Skånes Universitetssjukhus, Malmo

Malmo, Sweden, Sweden

Site Status RECRUITING

Östersund sjukhus, Kirurgiska kliniken

Östersund, Sweden, Sweden

Site Status RECRUITING

Danderyd Sjukhus

Danderyd, , Sweden

Site Status RECRUITING

St. Mary's Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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Austria Bulgaria Czechia France Germany Italy Japan Poland Spain Sweden United Kingdom

Central Contacts

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Innovacell

Role: CONTACT

+43512573680

Facility Contacts

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Role: primary

Kiril Manolov

Role: primary

+359893397744

Role: primary

+496213832225

Pere Clave

Role: primary

Luis J Garcia Florez

Role: primary

+34985108000

Jan Lehmann

Role: primary

+4663153000

Other Identifiers

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IC-01-02-5-009

Identifier Type: -

Identifier Source: org_study_id

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