Human Placenta Mesenchymal Stem Cells Derived Exosomes Injection for Treatment of Complex Anal Fistula

NCT ID: NCT06568653

Last Updated: 2024-08-23

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-15

Study Completion Date

2025-02-15

Brief Summary

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The goal of this clinical trial is to learn if human placenta mesenchymal stem cells (MSC)-derived exosomes work to treat complex perianal fistula in adults without Crohn's disease. The safety of this treatment will also be learned. The main questions it aims to answer are:

* Does treatment with MSC-derived exosomes lower the number of fistula recurrences in participants?
* Is treatment with MSC-derived exosomes safe? We will compare treatment with MSC-derived exosomes to the routine treatment which is fistulotomy (surgery to close the fistula) alone to see if MSC-derived exosomes work better to treat complex fistula.

Participants will:

* Undergo fistulotomy plus MSC-derived exosome injections or fistulotomy alone.
* Visit the clinic the week after surgery and then every 4 weeks for checkups and tests

Detailed Description

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Conditions

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Fistula Perianal

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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intervention

Group Type EXPERIMENTAL

exosome

Intervention Type PROCEDURE

human placenta mesenchymal stem cell-derived exosome

control

Group Type ACTIVE_COMPARATOR

routine conventional fistulotomy

Intervention Type PROCEDURE

routine conventional fistulotomy

Interventions

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exosome

human placenta mesenchymal stem cell-derived exosome

Intervention Type PROCEDURE

routine conventional fistulotomy

routine conventional fistulotomy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* participants with complex perianal fistula
* provided written informed consent

Exclusion Criteria

* participants with any inflammatory bowel diseases
* pregnant or lactating participants
* participants with contraindications for surgery
* participants with hepatitis
* participants with uncontrolled diabetes
* participants with alcohol or substance abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Other Identifiers

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IR.TUMS.IKHC.REC.1403.113

Identifier Type: -

Identifier Source: org_study_id

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