- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05210309
National Project to Implement Mesenchymal Stem Cell for the Treatment of Perianal Crohn's Fistula (the PRIME Study) (PRIME)
January 17, 2023 updated by: Jose-M Ramirez, Universidad de Zaragoza
Darvadstrocel is an expanded allogeneic adipose-derived mesenchymal stem cell therapy for the treatment of complex perianal fistulas in patients with Crohn's disease.
Safety and efficacy of the procedure has been sufficiently demonstrated and the Spanish Agency of Medication approved its application a few months ago.
Being aware about the difficulties to a proper application and management of the stem cells the Spanish Stem Cell therapy group devised, in a joint activity with the Spanish Group GERM (Grupo Español de Rehabilitacion Multimodal) dedicated to expand the best surgical clinical practices, a national project for the application of the therapy.
The objective is to get a homogeneous implementation in all hospitals in Spain that have being baked to use this biological therapy.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Actual)
63
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jose-M Ramirez, Prof
- Phone Number: +34639776364
- Email: jramirez@unizar.es
Study Contact Backup
- Name: Damian Garcia-Olmo, Prof
- Phone Number: +34608767988
- Email: damian.garcia@uam.es
Study Locations
-
-
-
Barcelona, Spain
- Hospital Vall d´hebron
-
Valencia, Spain
- Hospital La Fe
-
-
Alicante
-
Elche, Alicante, Spain
- Hospital de Elche
-
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Pontevedra
-
Vigo, Pontevedra, Spain
- HOSPITAL Meixoeiro Vigo
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patiens with perianal Crohn´s Disease who do not respond to current therapies.
Description
Inclusion Criteria:
- Adults aged 18 years or older who have complex perianal Crohn fistula
- non-active or mildly active luminal Crohn's disease for at least 6 months.
- The fistula had to have been draining for at least 6 weeks before inclusion.
Exclusion Criteria:
• Patient with recto-vaginal fistula; rectal or anal stenosis; or active severe proctitis.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Therapeutic Efficacy of Darvadstrocel-Clinical
Time Frame: 6 moths
|
Clinical closure of the Fistula
|
6 moths
|
Therapeutic Efficacy of Darvadstrocel-MRI
Time Frame: 6 moths
|
MRI imaging closure of the Fistula
|
6 moths
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of Life (QoL)
Time Frame: 6 moths
|
QoL according to dedicated questionnaire (EuroQoL 5D-3L)
|
6 moths
|
PATIENT REPORTED OUTCOMES (PROs)
Time Frame: 6 moths
|
A Dedicated self complementary questionnaire (PROMs)
|
6 moths
|
Efficiency
Time Frame: 6 moths
|
Cost-Effectiveness of the procedure
|
6 moths
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jose-M Ramirez, Prof, Catedra GERM Medicina Perioperatoria
- Study Chair: Damian Garcia-Olmo, Prof, Fundación Jiménez Diaz. Madrid
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Panes J, Garcia-Olmo D, Van Assche G, Colombel JF, Reinisch W, Baumgart DC, Dignass A, Nachury M, Ferrante M, Kazemi-Shirazi L, Grimaud JC, de la Portilla F, Goldin E, Richard MP, Diez MC, Tagarro I, Leselbaum A, Danese S; ADMIRE CD Study Group Collaborators. Long-term Efficacy and Safety of Stem Cell Therapy (Cx601) for Complex Perianal Fistulas in Patients With Crohn's Disease. Gastroenterology. 2018 Apr;154(5):1334-1342.e4. doi: 10.1053/j.gastro.2017.12.020. Epub 2017 Dec 24.
- Garcia-Olmo D, Gilaberte I, Binek M, D Hoore AJL, Lindner D, Selvaggi F, Spinelli A, Panes J. Follow-up Study to Evaluate the Long-term Safety and Efficacy of Darvadstrocel (Mesenchymal Stem Cell Treatment) in Patients With Perianal Fistulizing Crohn's Disease: ADMIRE-CD Phase 3 Randomized Controlled Trial. Dis Colon Rectum. 2022 May 1;65(5):713-720. doi: 10.1097/DCR.0000000000002325.
- Panes J, Garcia-Olmo D, Van Assche G, Colombel JF, Reinisch W, Baumgart DC, Dignass A, Nachury M, Ferrante M, Kazemi-Shirazi L, Grimaud JC, de la Portilla F, Goldin E, Richard MP, Leselbaum A, Danese S; ADMIRE CD Study Group Collaborators. Expanded allogeneic adipose-derived mesenchymal stem cells (Cx601) for complex perianal fistulas in Crohn's disease: a phase 3 randomised, double-blind controlled trial. Lancet. 2016 Sep 24;388(10051):1281-90. doi: 10.1016/S0140-6736(16)31203-X. Epub 2016 Jul 29.
- Scott LJ. Darvadstrocel: A Review in Treatment-Refractory Complex Perianal Fistulas in Crohn's Disease. BioDrugs. 2018 Dec;32(6):627-634. doi: 10.1007/s40259-018-0311-4.
- Panes J, Rimola J. Perianal fistulizing Crohn's disease: pathogenesis, diagnosis and therapy. Nat Rev Gastroenterol Hepatol. 2017 Nov;14(11):652-664. doi: 10.1038/nrgastro.2017.104. Epub 2017 Aug 9.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2020
Primary Completion (Actual)
April 1, 2022
Study Completion (Actual)
April 30, 2022
Study Registration Dates
First Submitted
December 29, 2021
First Submitted That Met QC Criteria
January 13, 2022
First Posted (Actual)
January 27, 2022
Study Record Updates
Last Update Posted (Actual)
January 18, 2023
Last Update Submitted That Met QC Criteria
January 17, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UZaragoza-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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