Crohn Disease Clinical Trial
Official title:
Treatment of Perianal Fistulas in Crohn´s Disease Patients With Autologous Adipose Tissue Injection: A Randomized and Placebocontrolled Study
This randomized and placebo controlled study investigates the efficacy of injections with freshly harvested autologous adipose tissue in CD patients with complex perianal fistulas refractory to standard surgical and/or medical treatment. 140 CD patients will be included and randomized to either treatment with freshly harvested autologous adipose tissue or placebo (saline). Primary outcome measures are clinical healing 6 months after treatment evaluated by clinical examination and pelvic MRI.
Injection with freshly harvested autologous adipose tissue has been reported to be an
efficient treatment of perianal fistulas in patients with Crohn´s Disease (CD). In a
prospective observational study 57 % of 21 patients with complex fistulas refractory to
combined surgical and/or medical treatment achieved complete clinical healing of the treated
fistulas from one to three injections.
This randomized and placebo controlled study aims to confirm the efficacy of injections with
freshly harvested autologous adipose tissue in CD patients with perianal fistulas. 140 CD
patients with complex perianal fistulas refractory to standard surgical and/or medical
treatment will be included and randomized to either treatment with freshly harvested
autologous adipose tissue or placebo (saline). Clinical evaluation of the treatment efficacy
will also be performed in a blinded manner.
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