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Fistula clinical trials

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NCT ID: NCT05974280 Not yet recruiting - Crohn Disease Clinical Trials

Study on the Treatment of Anal Fistulas Using Alofisel Versus Fat Autologous Stem Cells

CHAZAM
Start date: January 2024
Phase:
Study type: Observational

One of the newest and most innovative medicinal approaches is cell therapy. Several clinical trials and experimental investigations have looked into the feasibility of treating CD-related fistulas with stem cells. The current indication for ALOFISEL® (active ingredient: Darvadstrocel) is the treatment of difficult perianal Crohn's fistulas that have not responded well to at least one conventional therapy or biotherapy. This brand-new cell therapy medication is created using amplified allogeneic human adult mesenchymal stem cells from adipose tissue (ADSC). The supplier mandates that two patients be booked for a single dose of ALOFISEL® due to the medication's expensive price-roughly €54,000 for a single dose of 120 million-which cannot be stored once thawed. Only one of the two patients receives therapy; the other serves as the backup patient. By doing this, another "back-up" patient who might receive no care at all is avoided. An developing alternate approach to allogeneic ADSC injection for the treatment of complicated anal fistulas in CD is autologous fat injection. In recent years, autologous fat grafts have been the subject of in-depth research. They are popular because it is simple to get clinical samples (lipoaspirate, adipose tissue), and because there are a lot of ADSCs in adipose tissue. Additionally, ADSCs show strong immunomodulatory and regenerative capacities. We would wish to compare the effectiveness of these two injection kinds on perianal fistulas as part of our care of CD.

NCT ID: NCT05971134 Completed - Clinical trials for Chronic Kidney Disease Stage 5 (Disorder)

Acupressure and Fistula Needle Insert Pain Management

Start date: October 1, 2022
Phase: N/A
Study type: Interventional

Introduction: This study was conducted to determine the effectiveness of acupressure application on Hegu (LI4) point on the severity of acute pain caused by fistula needle in patients with brescia-cimino, snuff-box and antecubital fistula. Methods: This study was randomized control study which was conducted with 66 intervention and 65 control participants. The participants in the intervention group were divided into 3 groups according to the fistula area. Data were collected using Descriptive Information Form and pain scale.

NCT ID: NCT05962268 Completed - Hemolysis Clinical Trials

The Effect Of Vıdeo-Based Fıstula Care Educatıon On Hemodıalysıs

Start date: October 1, 2022
Phase: N/A
Study type: Interventional

Objective: This study aimed to determine the effect of face-to-face and video-based education for fistula care on hemodialysis patients' self-care behaviors. Methods: The study was conducted as a randomized controlled experimental study. Fistula care training was given to the patients in the control group using face-to-face education technique. Fistula care training was given to the patients in the experimental group using a video based technique.

NCT ID: NCT05961852 Completed - Clinical trials for Arteriovenous Fistula Stenosis

COmbiNing Cutting and Drug-Eluting Balloon for Resistant Arteriovenous Fistula sTenOsis (CONCERTO)

CONCERTO
Start date: August 15, 2018
Phase: Phase 1
Study type: Interventional

To evaluate the preliminary efficacy of combination of cutting and drug-coated balloon for the treatment of resistant AVF stenosis.

NCT ID: NCT05960877 Not yet recruiting - Clinical trials for Arteriovenous Fistula Thrombosis

The Risk Factors of Thrombosis in Complicated Arteriovenous Fistula

Start date: December 1, 2023
Phase:
Study type: Observational

study the risk factors of thrombosis in thrombosed arteriovenous fistula in patients on regular hemodialysis

NCT ID: NCT05957562 Completed - Leak, Anastomotic Clinical Trials

Azygos Vein Preservation; Its Impact on Early Outcomes After Neonatal EA/TOF Repair

EArAzygousvp
Start date: April 10, 2020
Phase: N/A
Study type: Interventional

Azygos vein preservation revisited: impact on early outcomes after repair of Esophageal atresia/ Tracheo-Esophageal Fistula in newborns. A randomized controlled study.

NCT ID: NCT05933343 Not yet recruiting - Anal Fistula Clinical Trials

Ethibond Suture vs Vessel Loop as Draining Seton for Complex Anal Fistulas

Start date: July 10, 2023
Phase: N/A
Study type: Interventional

Drainage seton is usually placed for long-term control of symptoms, and hence it has to be effective in drainage of infection, durable, and comfortable to the patients. The present study assumes that different seton materials would attain different drainage capacities, variable durability and impact on QoL. Therefore, the study aims to compare two commonly used seton materials; Ethibond suture and vessel loop, in the management of CAF in terms of effectiveness in draining infection, percent of seton break and its timing, and change in patients' QoL as measured by a validated questionnaire.

NCT ID: NCT05927532 Recruiting - Clinical trials for End Stage Renal Failure on Dialysis

Argyle Safety Fistula Cannula With Anti-reflux Valve Clinical Study

Start date: March 10, 2024
Phase: N/A
Study type: Interventional

The purpose of the investigation is to confirm the safety and performance of the Argyle™ Safety Fistula Cannula with Anti-reflux Valve for hemodialysis treatment.

NCT ID: NCT05911451 Recruiting - Clinical trials for Arteriovenous Fistula

Optimizing Access Surgery In Senior Hemodialysis Patients

OASIS
Start date: December 1, 2019
Phase: N/A
Study type: Interventional

The number of elderly hemodialysis patients is growing. Vascular access complications are a major determinant of the quality of life and health care costs for these vulnerable patients. The three different types of vascular access, i.e. autologous arteriovenous fistulas, arteriovenous grafts, and central venous catheters, have never been compared in randomized controlled trials. This project will deliver the much-needed evidence to determine the optimal strategy for vascular access creation in elderly hemodialysis patients in order to deliver better health care at lower costs.

NCT ID: NCT05910073 Completed - Oroantral Fistula Clinical Trials

Efficacy Assessment of Lamina Curved Plate in Managing Oroantral Communication (OACs)

CBSL
Start date: May 16, 2023
Phase:
Study type: Observational

The aim of this study is to assess the success rate, of using a Lamina Curved plate (Osteobiol® Laboratory) in the treatment of persistent OACs over 5mm.