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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 12 December 2020
Main ID:  NCT03220243
Date of registration: 14/07/2017
Prospective Registration: Yes
Primary sponsor: Mayo Clinic
Public title: Stem Cell Coated Fistula Plug in Patients With Crohn's RVF
Scientific title: A Phase I Study of Autologous Mesenchymal Stromal Cell Coated Fistula Plug in Patients With Rectovaginal Fistulizing Crohn's Disease
Date of first enrolment: October 19, 2017
Target sample size: 5
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT03220243
Study type:  Interventional
Study design:  Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 1
Countries of recruitment
United States
Contacts
Name:     Amy L Lightner
Address: 
Telephone:
Email:
Affiliation:  Mayo Clinic
Key inclusion & exclusion criteria

Inclusion Criteria

1. Females 18-65 years of age.

2. Residents of the United States.

3. Crohn's disease with single or multiple draining complex rectovaginal fistulae for at
least three months despite standard therapy

4. Concurrent therapies with corticosteroids, 5-ASA drugs, thiopurines, MTX, antibiotics,
and anti-TNF therapy are permitted.

5. All patients should have undergone a colonoscopy in last 12 months to rule out
malignant or premalignant condition

6. Have no contraindications to MR evaluations: e.g. pacemaker or magnetically active
metal fragments, claustrophobia

7. Ability to comply with protocol

8. Competent and able to provide written informed consent

9. Must have failed standard medical therapy including anti-TNF agents

10. Currently with diverting ileostomy or accepting of diverting ileostomy at time of stem
cell loaded plug placement.

Exclusion Criteria

1. Inability to give informed consent.

2. Clinically significant medical conditions within the six months before administration
of MSCs: e.g. myocardial infarction, active angina, congestive heart failure or other
conditions that would, in the opinion of the investigators, compromise the safety of
the patient.

3. Specific exclusions; Evidence of hepatitis B, C, or HIV

4. History of cancer including melanoma (with the exception of localized skin cancers)

5. Investigational drug within thirty (30) days of baseline

6. A resident outside the United States

7. Pregnant or breast feeding.

8. History of clinically significant auto-immunity (other than Crohn's disease) or any
previous example of fat-directed autoimmunity

9. Previous allergic reaction to a perianal fistula plug.

10. Allergic to local anesthetics

11. Pregnant patients or trying to become pregnant.

12. entero-vesicular or multiple concurrent perianal tracts



Age minimum: 18 Years
Age maximum: 65 Years
Gender: Female
Health Condition(s) or Problem(s) studied
Crohn Disease
Fistula Vagina
Intervention(s)
Drug: MSC-AFP
Primary Outcome(s)
Number of participants with treatment-related adverse events (safety and toxicity). [Time Frame: 0-24 months]
Secondary Outcome(s)
Number of participants with response to the treatment regarding potential cessation of drainage from their fistula. [Time Frame: 3-24 months]
Secondary ID(s)
17-002892
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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