Peri-anal Fistula - Medical / Health Care - Clinical Services
Stempeucel® can reduce inflammation, which allows the tissues around the fistula tract to heal
Crohn`s disease (CD) is a chronic inflammatory disorder of gastrointestinal system with divergent clinical manifestations. Clinical manifestations depend of behaviour of disease such as inflammation of bowel, strictures and fistulas, among which fistulas are most difficult to treat. Fistulas can be enteroenteric, enterocutaneous, enterovesical, enterovaginal in females and perianal fistulae. Most common fistula associated with CD is perianal fistula.
Treatment of perianal Crohn`s disease has been a major problem till now. There are number of treatment modalities available including medical and surgical procedures such as:
- Antibiotics: Provide transient relioefe with 90% recurrence
- Immunosuppresents: Lack of robust clinical data and high side-effects
- Anti-TNF: Strong evidence, early and sustained remission but multiple injections required with higher cost
- Surgical drainage is the last resort with temporary improvement and high relapse rate
Success rates with any modality reach approximately 50% and 70% relapse on discontinuation of treatment. Surgical therapies associated with high recurrence rate and side effects like sphincter dysfunction.
To evaluate the safety of perianal administration of Stempeucel®
- The type of adverse events AE(s), number of AE(s) and proportion of patients with AE(s)
- Assessment of clinical laboratory parameters
- Physical examination findings and assessment of vital signs
- Assessment of electrocardiogram (ECG) parameters
To assess the efficacy of perianal administration of Stempeucel®
- Remission of draining fistula at week 24, defined as the clinical closure of all treated external openings that were draining at baseline, and the absence of collections larger than 2 cm in MRI
- Remission of draining fistula at week 104, defined as the clinical closure of all treated external openings that were draining at baseline, and the absence of collections larger than 2 cm in MRI
- Changes in the Perianal Disease Activity Index (PDAI).
- Change in IBD control quality of life questionnaire scores
- Change in Crohn`s Disease Activity Index (CDAI)
- Change in MRI scores (Van Assche index)
- Time to remission / Time to response / Time to relapse