National Project to Implement Mesenchymal Stem Cell for the Treatment of Perianal Crohn's Fistula (the PRIME Study)

NCT ID: NCT05210309

Last Updated: 2023-01-18

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

Total Enrollment

63 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2022-04-30

Brief Summary

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Darvadstrocel is an expanded allogeneic adipose-derived mesenchymal stem cell therapy for the treatment of complex perianal fistulas in patients with Crohn's disease. Safety and efficacy of the procedure has been sufficiently demonstrated and the Spanish Agency of Medication approved its application a few months ago. Being aware about the difficulties to a proper application and management of the stem cells the Spanish Stem Cell therapy group devised, in a joint activity with the Spanish Group GERM (Grupo Español de Rehabilitacion Multimodal) dedicated to expand the best surgical clinical practices, a national project for the application of the therapy. The objective is to get a homogeneous implementation in all hospitals in Spain that have being baked to use this biological therapy.

Detailed Description

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Conditions

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Safety Efficacy, Self

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Stem Cell Therapy

Application of Darvadstrocel locally, after fistula tract curettage and internal opening closure.

Intervention Type PROCEDURE

Other Intervention Names

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Darvadstrocel

Eligibility Criteria

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Inclusion Criteria

* Adults aged 18 years or older who have complex perianal Crohn fistula
* non-active or mildly active luminal Crohn's disease for at least 6 months.
* The fistula had to have been draining for at least 6 weeks before inclusion.

Exclusion Criteria

• Patient with recto-vaginal fistula; rectal or anal stenosis; or active severe proctitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario Fundación Jiménez Díaz

OTHER

Sponsor Role collaborator

Universidad de Zaragoza

OTHER

Sponsor Role lead

Responsible Party

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Jose-M Ramirez

Profesor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jose-M Ramirez, Prof

Role: PRINCIPAL_INVESTIGATOR

Catedra GERM Medicina Perioperatoria

Damian Garcia-Olmo, Prof

Role: STUDY_CHAIR

Fundación Jiménez Diaz. Madrid

Locations

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Hospital de Elche

Elche, Alicante, Spain

Site Status

HOSPITAL Meixoeiro Vigo

Vigo, Pontevedra, Spain

Site Status

Hospital Vall D´Hebron

Barcelona, , Spain

Site Status

Hospital La Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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Scott LJ. Darvadstrocel: A Review in Treatment-Refractory Complex Perianal Fistulas in Crohn's Disease. BioDrugs. 2018 Dec;32(6):627-634. doi: 10.1007/s40259-018-0311-4.

Reference Type BACKGROUND
PMID: 30298387 (View on PubMed)

Panes J, Rimola J. Perianal fistulizing Crohn's disease: pathogenesis, diagnosis and therapy. Nat Rev Gastroenterol Hepatol. 2017 Nov;14(11):652-664. doi: 10.1038/nrgastro.2017.104. Epub 2017 Aug 9.

Reference Type BACKGROUND
PMID: 28790453 (View on PubMed)

Panes J, Garcia-Olmo D, Van Assche G, Colombel JF, Reinisch W, Baumgart DC, Dignass A, Nachury M, Ferrante M, Kazemi-Shirazi L, Grimaud JC, de la Portilla F, Goldin E, Richard MP, Diez MC, Tagarro I, Leselbaum A, Danese S; ADMIRE CD Study Group Collaborators. Long-term Efficacy and Safety of Stem Cell Therapy (Cx601) for Complex Perianal Fistulas in Patients With Crohn's Disease. Gastroenterology. 2018 Apr;154(5):1334-1342.e4. doi: 10.1053/j.gastro.2017.12.020. Epub 2017 Dec 24.

Reference Type BACKGROUND
PMID: 29277560 (View on PubMed)

Garcia-Olmo D, Gilaberte I, Binek M, D Hoore AJL, Lindner D, Selvaggi F, Spinelli A, Panes J. Follow-up Study to Evaluate the Long-term Safety and Efficacy of Darvadstrocel (Mesenchymal Stem Cell Treatment) in Patients With Perianal Fistulizing Crohn's Disease: ADMIRE-CD Phase 3 Randomized Controlled Trial. Dis Colon Rectum. 2022 May 1;65(5):713-720. doi: 10.1097/DCR.0000000000002325.

Reference Type RESULT
PMID: 34890373 (View on PubMed)

Panes J, Garcia-Olmo D, Van Assche G, Colombel JF, Reinisch W, Baumgart DC, Dignass A, Nachury M, Ferrante M, Kazemi-Shirazi L, Grimaud JC, de la Portilla F, Goldin E, Richard MP, Leselbaum A, Danese S; ADMIRE CD Study Group Collaborators. Expanded allogeneic adipose-derived mesenchymal stem cells (Cx601) for complex perianal fistulas in Crohn's disease: a phase 3 randomised, double-blind controlled trial. Lancet. 2016 Sep 24;388(10051):1281-90. doi: 10.1016/S0140-6736(16)31203-X. Epub 2016 Jul 29.

Reference Type RESULT
PMID: 27477896 (View on PubMed)

Other Identifiers

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UZaragoza-1

Identifier Type: -

Identifier Source: org_study_id

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