UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024950
Receipt number R000028600
Scientific Title A prospective multicenter clinical research of transanal irrigation in patients with faecal incontinence or chronic constipation resistant to conservative bowel management
Date of disclosure of the study information 2016/11/24
Last modified on 2018/06/03 10:10:25

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Basic information

Public title

A prospective multicenter clinical research of transanal irrigation in patients with faecal incontinence or chronic constipation resistant to conservative bowel management

Acronym

A prospective multicenter clinical research of transanal irrigation in patients with faecal incontinence or chronic constipation resistant to conservative bowel management

Scientific Title

A prospective multicenter clinical research of transanal irrigation in patients with faecal incontinence or chronic constipation resistant to conservative bowel management

Scientific Title:Acronym

A prospective multicenter clinical research of transanal irrigation in patients with faecal incontinence or chronic constipation resistant to conservative bowel management

Region

Japan


Condition

Condition

chronic faecal incontinence and constipation

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

For Japanese patients suffering from faecal incontinence or chronic constipation resistant to conservative bowel care, Peristeen transanal irrigation system has been registered in Japan to support the use of transanal irrigation as an additional treatment modality. This clinical research is intended to evaluate the safety and efficacy of transanal irrigation using Peristeen in a Japanese setting.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Using a VAS (Visual Analogue Scale), patients are asked to evaluate their satisfaction with current bowel management

Key secondary outcomes

Number and ratio of patients who wish to continue using transanal irrigation after end of clinical research
Quality of Life improvement as measured by EQ-5D instrument
Need for and frequency of use of bowel medications
Need for digital evacuation
Daily time required for bowel management
Need for use if diapers/pads, number of diapers/pads used weekly
Number of new urinary tract infections(UTI)
Transanal irrigation-specific items
NBD Score
CCFIS Score
CSS Score
LARS Score


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Faecal incontinence and/or constipation resistant to conservative bowel management (medicinal treatment, suppositories, enemas, bio feedback etc.)
Transanal irrigation naive
Post-surgical patients: a valid endoscopy or barium enema must be available to exclude rectal conditions contraindicating irrigation
Be at least 20 years of age and have full legal capacity
Be willing and able to comply with investigation procedures
Have given written informed consent

Key exclusion criteria

Known anal or colorectal stenosis
Known colorectal cancer
Acute inflammatory bowel disease
Acute diverticulitis
Within 3 months of anal or colorectal surgery
Within 4 weeks of endoscopic polypectomy
Ischaemic colitis
Current or planned pregnancy or nursing women, in the investigational period
Currently performs transanal irrigation using a device other than Peristeen Anal Irrigation System
Depending on the condition each patient, the patient who the physician judged that it is not aplicable in this clinical research

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koutaro Maeda

Organization

Fujita Health University, School of Medicine

Division name

Department of Surgery

Zip code


Address

Dengakugakubo 1-98, Kutsukake-cho, Toyoake, Aichi, Japan

TEL

0562-93-2111

Email

kmaeda@fujita-hu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Koutaro Maeda

Organization

Fujita Health University, School of Medicine

Division name

Department of Surgery

Zip code


Address

Dengakugakubo 1-98, Kutsukake-cho, Toyoake, Aichi, Japan

TEL

0562-93-2111

Homepage URL


Email

kmaeda@fujita-hu.ac.jp


Sponsor or person

Institute

Department of Surgery, Fujita Health University, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Coloplast. K. K

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Denmark


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 11 Month 24 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/jcoloproctology/71/2/71_70/_pdf

Number of participants that the trial has enrolled


Results

TAI was performed in 32 patients. Out of the 25 patients who completed the 10 weeks TAI therapy, 23 patients wished to continue TAI after the study. The VAS of the satisfaction in the 23 success patients significantly improved from a median of 2.2 before TAI to 7.5 at the 10th week after its commencement. Colonic perforation occurred in 3 patients.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 11 Month 09 Day

Date of IRB


Anticipated trial start date

2017 Year 01 Month 20 Day

Last follow-up date

2017 Year 05 Month 25 Day

Date of closure to data entry

2017 Year 05 Month 25 Day

Date trial data considered complete

2017 Year 05 Month 25 Day

Date analysis concluded

2017 Year 07 Month 31 Day


Other

Other related information

"This clinical trial will include patients who fulfill the selection criteria and submit written informed consent.
Through patients evaluating Peristeen satisfaction of use and improvement of applicable scores related to bowel movements, this clinical research aims to confirm that Peristeen is also useful for Japanese patients with bowel dysfuntion. "


Management information

Registered date

2016 Year 11 Month 22 Day

Last modified on

2018 Year 06 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028600


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name