Treatment of anal fistulas using stem cells
Official title: Pilot Study on the Treatment of Anal Fistulas in Crohn's Disease Patients Using Alofisel Versus Fat Autologous Stem Cells
Run by Nantes University Hospital · NCT05974280 · Data updated 2026-11-12
This study is testing if a new stem cell treatment can help people with complex anal fistulas caused by Crohn's disease feel better after surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Nantes University Hospital Academic / other |
| Locations | 1 site (Nantes, Nantes) |
| Status | Recruiting |
| Started | January 2, 2024 |
| Main results expected | January 2, 2025 |
| Study ends | June 2, 2027 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT05974280 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals with complex anal fistulas related to Crohn's disease who have not responded to conventional therapies.
✕Probably not a fit
Patients who are pregnant, breastfeeding, or have hypersensitivity to the treatment components will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the effectiveness of ALOFISEL®, a cell therapy using allogeneic human adult mesenchymal stem cells, in treating complex anal fistulas associated with Crohn's disease. Patients scheduled for perianal surgery will be enrolled, with one receiving the treatment and the other serving as a backup. The study will involve clinical evaluations immediately after surgery and six months later, including MRI assessments to monitor treatment outcomes.
Why it matters
Potential benefit: If successful, this treatment could provide a new effective option for patients suffering from difficult-to-treat anal fistulas.
How similar studies have gone: Other studies have explored stem cell therapies for similar conditions, showing promising results, but this specific approach is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Complex anal fistula with the following criteria: - Inactive/slightly active luminal Crohn's disease under conventional treatment or biotherapy MRI has demonstrated effective drainage. Maximum of two internal orifices and three external orifices; persists despite internal orifice(s) closing. Exclusion Criteria: * Pregnant or breast-feeding women * Patients hypersensitive to the product, bovine serum or any of the excipients of Alofisel * Vulnerable persons: deprived of liberty, under guardianship, under curatorship, etc.
Where it's running
-
CHU Nantes
Nantes, Nantes, France Recruiting
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Microencapsulated Propionate vs Butyrate for Crohn's Disease in Remission
This study tests whether microencapsulated sodium propionate can favorably alter the gut microbiota and inflammation in adults with Crohn’s disease, compared with sodium butyrate.
-
Electronic bidets after anal surgery vs water rinsing
A small study tests whether using an electronic bidet after anal fistula or hemorrhoid surgery helps patients more than standard water rinsing.
-
Risankizumab for Refractory Perianal Fistulizing Crohn's Disease
This study tests whether risankizumab can help people with Crohn’s disease who have draining perianal fistulas not responding to other treatments.
-
Intestinal ultrasound-guided management for inflammatory bowel disease
This study tests if adding point-of-care intestinal ultrasound at every visit changes treatment decisions for adults with Crohn’s disease or ulcerative colitis undergoing disease assessment.
-
Laser-based sizing of GI lesions during endoscopies
This study tests whether the AccuMeasure laser tool gives more accurate and reliable lesion size measurements during colonoscopies for adults with colon polyps or Crohn’s disease than traditional endoscopic estimates.
-
A Probiotic Approach to Modulating Gut Microbiota in Mild-to-Moderate Ulcerative Colitis
A specific probiotic given rectally will be tested in adults with mild-to-moderate ulcerative colitis to see if it can help manage symptoms.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.