Study on ICEF15 for Treating Fecal Incontinence in Patients with Anal Sphincter Dysfunction

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What is this study about?

This clinical trial is focused on studying a condition known as fecal incontinence, which affects both men and women. Fecal incontinence is when a person has difficulty controlling their bowel movements, leading to unexpected leakage. The study is testing a new treatment called ICEF15, which involves using special cells taken from a patient’s own muscles, known as autologous Skeletal Derived Muscle Cells (aSDMC). These cells are injected into the muscles to help improve control over bowel movements.

The purpose of the study is to evaluate how effective and safe the ICEF15 treatment is for people with fecal incontinence caused by problems with the external anal sphincter, a muscle that helps control bowel movements. Participants in the study will receive either the ICEF15 treatment or a placebo, which is a solution that does not contain the active treatment. The study is designed to be double-blind, meaning neither the participants nor the researchers will know who is receiving the actual treatment or the placebo, to ensure unbiased results.

Throughout the study, participants will receive injections and will be monitored over a period of time to see if there is a reduction in the frequency of incontinence episodes. The study aims to determine if the treatment can reduce these episodes by at least 50% compared to before the treatment started. This research is important for finding new ways to help people manage fecal incontinence and improve their quality of life.

1 initial assessment

The study begins with an initial assessment to confirm eligibility. This includes a review of symptoms related to fecal incontinence and a medical history check.

Eligibility criteria include being 18 years or older, having symptoms of urge fecal incontinence for at least 6 months, and having tried conservative treatment for at least 3 months without sufficient improvement.

2 informed consent

Participants must read and sign an Informed Consent form to confirm understanding and agreement to participate in the study.

3 baseline period

Participants will maintain a bowel diary to record the frequency of incontinence episodes. This period helps establish a baseline for comparison with future results.

4 randomization and treatment

Participants are randomly assigned to receive either the ICEF15 injection or a placebo. Both are administered via intramuscular injection.

The purpose of this step is to evaluate the effectiveness and safety of the ICEF15 treatment compared to the placebo.

5 follow-up assessments

Regular follow-up visits are scheduled to monitor the participant’s condition and any changes in the frequency of incontinence episodes.

Participants continue to maintain a bowel diary to track the frequency of episodes, which will be compared to the baseline data.

6 final assessment

The study concludes with a final assessment to evaluate the overall effectiveness and safety of the treatment.

The primary measure of success is the change in frequency of incontinence episodes from the baseline period to the end of the study.

Who Can Join the Study?

  • Patients must be 18 years of age or older.
  • Patients must be willing and able to follow the study procedures.
  • Patients must be mentally competent and able to understand all study requirements.
  • Patients must agree to read and sign the Informed Consent (IC) form before any study-related procedures.
  • Female patients who can have children must be willing to use appropriate methods of contraception. They can only join the study after a confirmed menstrual period and a negative pregnancy test.
  • Patients must have symptoms of urge fecal incontinence for at least 6 months but not more than 10 years, and these symptoms must not have improved enough with conservative treatment done for at least 3 months.
  • Patients must have urge fecal incontinence episodes that are more than just “traces” and occur more than twice a week.
  • For women, the maximal incremental voluntary squeeze pressure on anal manometry must be 100 mmHg or less. For men, it must be 150 mmHg or less. Anal manometry is a test that measures the strength of the muscles in the anus.
  • An ultrasound of the anal canal must show an intact external anal sphincter or a maximum overall extent of external anal sphincter injury and tear of 180 degrees. The external anal sphincter is a muscle that helps control bowel movements.

Who Cannot Join the Study?

  • Patients who have a condition other than fecal incontinence caused by problems with the external anal sphincter. The external anal sphincter is a muscle that helps control bowel movements.
  • Patients who are not within the specified age range for the study.
  • Patients who are not able to give informed consent or understand the study requirements.
  • Patients who have other medical conditions that might interfere with the study or its results.
  • Patients who are currently participating in another clinical trial.
  • Patients who have had recent surgery or medical procedures that could affect the study.
  • Patients who are pregnant or breastfeeding.
  • Patients who have allergies or reactions to the study treatment or its components.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Centre Hospitalier Universitaire Rouen Rouen France
Danderyds Sjukhus AB Danderyd Sweden
Hospital General Universitario Morales Meseguer Murcia Spain
Consorci Sanitari Del Maresme Mataró Spain
Region Jaemtland Haerjedalen Ostersund Sweden
UNIMED Medical Center EOOD Plovdiv Bulgaria
Region Skane Skanes Universitetssjukhus Lund Sweden
Ospedale San Raffaele S.r.l. Milan Italy
IRCCS Policlinico San Donato San Donato Milanese Italy
Vorarlberger Krankenhaus-Betriebsgesellschaft mbH Feldkirch Austria
Fakultni Nemocnice U Sv Anny V Brne Brno-Stred Czechia
Centre Hospitalier Universitaire De Rennes Rennes France
Groupe Hospitalier Diaconesses Croix Saint Simon Paris France
Hopital Beaujon Clichy France
Stadt Wien Wiener Gesundheitsverbund Vienna Austria
The Institute For The Care Of Mother And Child Prague Czechia
Magen darm Zentrum Wiener Platz Cologne Germany
Hfbqqlor Uenaocjpfutel Df Lz Pnyabqac Madrid Spain
Chvj Dq Ccsb Afmfkocelcw Ipffxgtc Cyakermpod Oipbjorinc Tdolyigtqpploy Megzs Pcgtywfb Latina Italy
Tgbhl Kswuyujs Gkvh Hall in Tirol Austria
Imvgpl &tmrxsb Dig Kjlrurf drfvva Ljubljana Slovenia
Psvo Tzhsb Hiuxqdpv Uxazpdygxorf Sabadell Spain
Hhdetbbf Vony djsejufc Barcelona Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Recruiting
11.05.2022
Bulgaria Bulgaria
Recruiting
11.05.2022
Czechia Czechia
Recruiting
11.05.2022
France France
Recruiting
11.05.2022
Germany Germany
Recruiting
11.05.2022
Italy Italy
Recruiting
11.05.2022
Poland Poland
Recruiting
11.05.2022
Slovenia Slovenia
Recruiting
11.05.2022
Spain Spain
Recruiting
11.05.2022
Sweden Sweden
Recruiting
11.05.2022

Trial locations

Investigated drugs:

ICEF15 is a therapy involving the implantation of skeletal muscle-derived cells. This treatment is being studied for its potential to help patients who have fecal incontinence, which is a condition where there is difficulty controlling bowel movements. The therapy aims to improve the function of the external anal sphincter, which may be weakened or disrupted, leading to incontinence. The study is focused on evaluating how effective and safe this therapy is for patients experiencing these symptoms.

Fecal Incontinence – Fecal incontinence is a condition where an individual loses control over bowel movements, leading to the involuntary passage of stool. It can occur due to dysfunction or weakness of the external anal sphincter, often resulting from damage or disruption. This condition can affect both men and women and may vary in severity, from occasional leakage to a complete loss of bowel control. The progression of fecal incontinence can lead to increased frequency of incontinence episodes, impacting daily activities and quality of life. It is often associated with other conditions that affect the pelvic floor muscles or nerves.

Trial ID:
2024-518243-38-00
Protocol code:
IC-01-02-5-009
NCT ID:
NCT04976153
Trial Phase:
Therapeutic confirmatory (Phase III)

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