About this trial
The purpose of this study is to determine if experimental therapy (E-CEL UVEC Cells), a very minimally invasive procedure, can treat patients with perianal fistulas.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 or older
Willing and able to provide informed consent and medically eligible
Diagnosis documented by physical/clinical examination and imaging specifically performed to assess the number and course of the perianal fistula tract---i.e., magnetic resonance imaging (MRI) and/or ultrasound
Single tract without residual abscess cavity
Disqualifiers
Concomitant rectovaginal fistulas
Patients with an active abscess or suspicion of an active, untreated microabscess
Presence of signs and symptoms suggestive or suspicious of an acute active infection or flare-up.
Fistula-related pain measured as NRS ≥ 3 (NRS Scale 0-10) in the last 7 days.
Trial design
Crossover
Treatments tested in this trial
E-CEL UVEC Cells
Biological/VaccineIP treatment involves percutaneous injections along the entire fistula tract and submucosal injections into the internal tract opening using anoscopic visualization
Treatment groups
Trial outcomes
Primary outcomes
Clinical response (CR) rate at Week 12, comparing Arm A to Arm B in parallel.
CR is defined as achieving all the following four criteria: 1. Closure of internal opening, plus 2. Closure of external tract, plus 3. No discharge upon digital pressure, plus 4. No clinically meaningful pain
Secondary outcomes
Changes in the anal fistula quality of life (AF-QoL) scale
To assess changes in the quality of life * Pre-treatment (just prior to 1st treatment) versus 12 weeks after the 1st treatment * Pre-treatment (just prior to 1st treatment) versus 24 weeks after the 1st treatment * Pre-treatment (just prior to 1st treatment) versus 36 weeks after the 1st treatment
Other outcomes
Cumulative incidence of Clinical Response from visit Day 0 to visit Week 12 over time between Arm A and Arm B [key 2° endpoint]
Sponsors and contacts
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