Regenerative Therapy With Autologous Stromal Vascular Fraction Derived Mesenchymal Stem Cells and Platelet-rich Plasma to Treat Complex Perianal Diseases
NCT05709717 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2023-02-02
Summary
Consecutive patients with complex anal fistula were prospectively followed for 12 months. Routine MRI was performed before and at 4 and 12 months after surgery. Continence was assessed likewise using a validated questionnaire. Fistula were drained with setons prior surgery. SVF was harvested from subcutaneous abdominal fat and PRP from peripheral blood. Distal fistulectomy to the sphincter was performed and the wound left open, while the internal orifice was closed. SVF-PRP was injected around the fistula. Patients showered their excision wound until dry. Outcomes were reported as median \& interquartile range (IQR)
Conditions
- Perianal Fistula
- Perianal Crohn Disease
- Anal Fissure
- Rectovaginal Fistula
- Perianal Fistula Due to Crohn's Disease
Interventions
- PROCEDURE
-
Regenerative therapy with SVF-PRP to supplement perianal surgery
Regenerative therapy with autologous stromal vascular fraction derived mesenchymal stem cells and platelet-rich plasma to supplement perianal surgery
Sponsors & Collaborators
-
Kantonsspital Winterthur KSW
lead OTHER
Principal Investigators
-
Michel Adamina, MD, PD, MSc, EMBA HSG · Chief of Colorectal Surgery
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-25
- Primary Completion
- 2023-12-31
- Completion
- 2024-01-31
Countries
- Switzerland
Study Locations
More Related Trials
-
Stem Cell Therapy: a Compassionate Use Program in Perianal Fistula
NCT03726255 ·Status: COMPLETED
-
Success Rate, Continence, and Quality of Life With a Bioprosthetic Plug for Treating Complex Anal Fistula
NCT01612195 ·Status: COMPLETED ·Phase: PHASE2
-
Is the Use of Blood Platelets Effective in the Treatment of Difficult Fistulas Related to the Anal Sphincter?
NCT01615302 ·Status: UNKNOWN ·Phase: NA
-
Clinical Trial to Evaluate the Efficacy and Safety of Stem Cells
NCT01803347 ·Status: COMPLETED ·Phase: PHASE3
-
Adipose Derived Mesenchymal Stem Cell Characteristics in Anal Fistulas
NCT04834609 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Injection of Autologous, Activated and Emulsified Fat in Chronic Fistulas of the Gastrointestinal Tract and Pelvic Organs
NCT06930079 ·Status: RECRUITING
-
Efficacy and Safety of Adipose Stem Cells to Treat Complex Perianal Fistulas Not Associated to Crohn´s Disease
NCT00475410 ·Status: COMPLETED ·Phase: PHASE3
-
Feasibility and Safety of Additional Injection of Autologous Platelet-rich Stroma to Surgical Treatment of Rectovaginal Fistulas
NCT06798935 ·Status: COMPLETED ·Phase: PHASE2
-
Short Term Results of Platelet-rich Plasma in the Treatment of Chronic Anal Fissure
NCT04320498 ·Status: COMPLETED ·Phase: PHASE4
-
Follow-up Study of Autologous Adipose-derived Stem Cells (ANTG-ASC) for the Complex Fistula (ANTG-ASC-211)
NCT01623453 ·Status: TERMINATED
-
The Use of Platelet-rich Plasma in the Treatment of Chronic Anal Fissure
NCT05837403 ·Status: COMPLETED ·Phase: PHASE3
-
Treatment of Complex Anal Fistulas Using Centrifuged Adipose Tissue Containing Progenitor Cells
NCT04326907 ·Status: COMPLETED ·Phase: NA
-
PRP Injection Into Anal Sphincters for Fecal Incontinence
NCT04063293 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Study Evaluating the Safety and Efficacy of an ECM Hydrogel for the Treatment of Anorectal Fistulas
NCT07035925 ·Status: RECRUITING ·Phase: NA
-
Stromal Vascular Fraction (SVF) for Treatment of Recto-vaginal Fistula
NCT01548092 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
The Efficacy of Human Acellular Dermal Matrix in the Treatment of Anal Fistula
NCT00951002 ·Status: UNKNOWN
-
Safety and Efficacy of Injection of Human Placenta Mesenchymal Stem Cells Derived Exosomes for Treatment of Complex Anal Fistula
NCT05402748 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Umbilical-Cord-Derived Mesenchymal Stem Cells Injection for Chronic Radiation Proctitis
NCT06438809 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Conservative Treatment of Gastrointestinal Fistulas by Endoscopic Injection of tSVFem
NCT04670276 ·Status: UNKNOWN ·Phase: NA
-
Human Placenta Mesenchymal Stem Cells Derived Exosomes Injection for Treatment of Complex Anal Fistula
NCT06568653 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Graft-Augmented Rectocele Repair-A Randomized Surgical Trial
NCT00321867 ·Status: COMPLETED ·Phase: NA
-
Ligation of Intersphincteric Fistula Tract (LIFT) Procedure Versus Use of an Anal Fistula Plug for Anal Fistula Repair
NCT00830661 ·Status: UNKNOWN ·Phase: NA
-
BIOlogic Augmented Repair of Complex Anal Fistula Using Acellular Matrix and/or Autologous Platelet-rich Plasma
NCT05805449 ·Status: RECRUITING ·Phase: NA
-
Stapled Trans Anal Rectal Resection (STARR) for Outlet Obstruction: Functional and Morphological Outcome
NCT00521872 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Platelet-Rich Plasma Injection on Wound Healing After Fistulotomy for Simple Anal Fistula Randomized Controlled Trial (RCT)
NCT07248007 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1