Endo-SPONGE for Treatment of Anastomotic or Hartmann's Stump Leakages in Lower Pelvic Area
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Endo-SPONGE.
- Кому может быть актуально
- Состояния в реестре: Anastomotic Leaks, Hartmanns Stump Leakage. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Prospective Multicenter Trial Evaluating the Safety and Effectiveness of Endo-SPONGE for the Treatment of Anastomotic or Hartmann's Stump Leakages in the Lower Pelvic Area
Обзор
This study is intended to evaluate the safety and effectiveness of Sponge-based Endoscopic Vacuum Therapy (EVT) using Endo-SPONGE for the treatment of Anastomotic Leaks (AL) or Hartmann's stump leakages following colorectal surgery in a prospective multi-center study.
Вмешательства
- Устройство Endo-SPONGE
The intervention involves the placement of an Endo-SPONGE in the leakage cavity, and applying suction to facilitate drainage.
Первичные конечные точки
- Serious Adverse Events [Срок оценки: Day 0 Study Procedure to end of study; up to 6 months]
- Clinical Success [Срок оценки: Day 0 Study Procedure to the last study device removal; up to 3 months]
Вторичные конечные точки (8)
- Technical Success [Срок оценки: Day 0 Study Procedure to the last study device exchange; up to 3 months]
- Closure Time [Срок оценки: Day 0 Study Procedure to the last study device removal; up to 3 months]
- Rate of Reinterventions [Срок оценки: From last study device removal to end of study; 3 months]
- Time to Additional Intervention [Срок оценки: Day 0 Study Procedure to the last study device removal; up to 3 months]
- Leak Recurrence [Срок оценки: From last study device removal to end of study; 3 months]
- Endo-SPONGE Exchanges [Срок оценки: Day 0 Study Procedure to last study device removal; up to 3 months]
- Length of Hospitalization [Срок оценки: Day 0 Study Procedure to end of study; up to 6 months]
- Mortality Rate [Срок оценки: Day 0 Study Procedure to end of study; up to 6 months]
Критерии участия
Критерии включения
- Confirmed grade B anastomotic leak as per the ISGRC (International Study Group of Rectal Cancer) grading system after colorectal surgery.
- Subject is eligible for endoscopic intervention.
- Subject has a transmural defect of at least 2 cm in diameter following colorectal surgery in the lower pelvic area.
- Subject has an anastomotic or Hartmann's stump leak located within an extraperitoneal cavity.
- Subject has pre-existing diverting ostomy or an ostomy created prior to the first Endo-SPONGE placement.
- Subject understands the trial requirements and is willing and able to comply with the study procedures, all protocol-required follow up evaluations and provide written informed consent to participate in the study.
- Investigator decision that EVT is the most suitable treatment of the available treatment options.
Критерии исключения
- Subject is under 18 years of age.
- Potentially vulnerable subject, including, but not limited to pregnant women.
- Subject has undergone EVT or other similar interventions for the current colorectal indication.
- Subject had colorectal surgery more than 60 days prior to the planned study procedure.
- Subject has any necrotic tissue that would require endoscopic debridement prior to Endo-SPONGE placement.
- Subject has known contraindication for EVT as per the IB.
- Subject is currently enrolled in another investigational study that would directly interfere with the current study, without prior written approval from the sponsor.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
США · 9 центров
- Orlando Regional Medical Center — Orlando
- Cleveland Clinic Florida — Weston
- Lahey Medical Center — Burlington
- Mount Sinai — New York
- Cleveland Clinic Foundation — Cleveland
- Penn State Health — Hershey
- Thomas Jefferson University Hospital — Philadelphia
- University of Washington Medical Center — Seattle
- … и ещё 1 центр
Идентификаторы
NCT: NCT07035431 · E7212