Iltamiocel Compared to Placebo for Chronic Fecal Incontinence in Females With Obstetric Injury

NCT ID: NCT05776277

Last Updated: 2025-12-22

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-21

Study Completion Date

2027-12-31

Brief Summary

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This study evaluates the efficacy and safety of a single injection of iltamiocel (300 x 10\^6 cells) compared to a placebo in the reduction of fecal incontinence episode frequency in adult female participants with chronic fecal incontinence and a history of obstetric anal sphincter injury. Half of the participants will receive iltamiocel (injections with cells) and the other half will receive placebo.

Detailed Description

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Chronic fecal incontinence (FI) is the recurrent unintended passage of mucus and/or liquid or solid stool for at least 6 months. Iltamiocel is an investigational cell therapy product that involves a medical procedure in which a participant's own muscle cells are collected, processed, and then injected into the tissues of the external anal sphincter.

This is a double-blind randomized study, which means neither the participant, nor the study doctor will know which treatment group the participant will be in. Participants who are randomly chosen to receive injection with placebo will have the option to receive an injection with their cells after completion of the blinded portion of their study participation (12 months).

Conditions

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Fecal Incontinence

Keywords

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Obstetric Trauma Obstetric Injury Cell Therapy Anal Incontinence Rectal Diseases Intestinal Diseases Gastrointestinal Diseases Bowel 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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Iltamiocel

Group Type EXPERIMENTAL

Iltamiocel

Intervention Type BIOLOGICAL

Single external anal sphincter (EAS) injection of 300 x 10\^6 cells.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo control is the vehicle solution used for the study product.

Interventions

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Iltamiocel

Single external anal sphincter (EAS) injection of 300 x 10\^6 cells.

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

* Adult female ≥ 18 years of age who has primary symptoms of fecal incontinence (FI) for at least 12 months.
* History of obstetric anal sphincter injury (e.g., episiotomy, perineal tear).
* Failed conservative treatment (e.g., dietary modification, antidiarrheal medications, pelvic floor muscle training, biofeedback) for at least 6 months prior to enrollment.
* Must be willing and able to comply with the study procedures, be mentally competent and able to understand all study requirements, and must agree to read and sign the informed consent form prior to any study-related procedures.

Exclusion Criteria

* Has an implanted stimulation neuromodulation system (sacral or tibial) and symptoms are unstable as determined by the physician.
* Is pregnant or planning to become pregnant within the next 2 years.
* Has known rectal sensory dysfunction (e.g., hypersensitivity or hyposensitivity).
* Has an obstetric anal sphincter injury (e.g., episiotomy, perineal tear) within 1 year previous to study enrollment.
* Patient BMI ≥ 38.
* Has a history of cancer in the colorectal or pelvic organs within 5 years prior to study enrollment.
* Any cancer that has undergone treatment within the past 12 months.
* Has an established diagnosis of inflammatory bowel disease (Crohn's disease, ulcerative colitis) or current intestinal stoma.
* Has grade III/IV hemorrhoids.
* Has chronic diarrhea at the time of Screening.
* Has chronic constipation at the time of Screening.
* Has significant pelvic floor prolapse, significant genitourinary prolapse beyond the introitus, significant symptomatic rectocele, or evidence of significant rectal evacuation disorder leading to post-defecatory leakage.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cook MyoSite

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ron Jankowski, PhD

Role: STUDY_DIRECTOR

Cook Myosite, Inc.

Locations

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UC San Diego Health

La Jolla, California, United States

Site Status

UC Irvine Medical Center

Orange, California, United States

Site Status

University of California, San Francisco - Center for Colorectal Surgery

San Francisco, California, United States

Site Status

Prestige Medical Group

Tustin, California, United States

Site Status

American Association of Female Pelvic Medicine

Westlake Village, California, United States

Site Status

University of Florida Shands Hospital

Gainesville, Florida, United States

Site Status

Healthcare Clinical Data, Inc.

Miami, Florida, United States

Site Status

Orlando Health Colon & Rectal Institute

Orlando, Florida, United States

Site Status

USF Health South Tampa Center for Advanced Healthcare

Tampa, Florida, United States

Site Status

Colorectal Wellness Center

Fayetteville, Georgia, United States

Site Status

University of Illinois

Chicago, Illinois, United States

Site Status

Franciscan Health Indianapolis

Indianapolis, Indiana, United States

Site Status

Ochsner Health

New Orleans, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Bennett Institute of Urogynecology and Incontinence

Grand Rapids, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Rutgers, Robert Wood Johnson Medical School, Clinical Research Center

New Brunswick, New Jersey, United States

Site Status

Westchester Medical Center

Hawthorne, New York, United States

Site Status

The Mount Sinai Medical Center

New York, New York, United States

Site Status

Weill Cornell Medicine

New York, New York, United States

Site Status

Stony Brook University Hospital

Stony Brook, New York, United States

Site Status

Cleveland Clinic Main Campus Crile Building

Cleveland, Ohio, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Countries

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United States

Other Identifiers

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22-01

Identifier Type: -

Identifier Source: org_study_id