Efficiency of Neurostimulation of Tibial Nerve in the Treatment of Low Anterior Resection Syndrome
Prospective and Randomized Study to Evaluate the Efficiency of Percutaneous Neurostimulation of Posterior Tibial Nerve in the Treatment of Low Anterior Resection Syndrome (LARS)
1 other identifier
interventional
41
1 country
2
Brief Summary
The aim of this study is to evaluate the efficiency of the Neuroestimulation of the Posterior Tibial Nerve for the treatment of this syndrome. A multicentric, prospective, randomized study will be performed in patients affected with severe LARS symptoms. Patients will be randomized in two groups:
- 1.Control group- placebo
- 2.Treatment group: neuroestimulation of the posterior tibial nerve
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2016
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 28, 2015
CompletedFirst Posted
Study publicly available on registry
August 7, 2015
CompletedStudy Start
First participant enrolled
February 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 6, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 7, 2019
CompletedNovember 29, 2019
November 1, 2019
2.5 years
July 28, 2015
November 27, 2019
Conditions
Outcome Measures
Primary Outcomes (4)
Tibial nerve stimulation efficacy measured by LARS score
1 month
Tibial nerve stimulation efficacy measured by LARS score
3 months
Tibial nerve stimulation efficacy measured by LARS score
6 months
Tibial nerve stimulation efficacy measured by LARS score
12 months
Study Arms (2)
Tibial nerve stimulation
EXPERIMENTALTibial nerve stimulation during 16 sessions
Sham comparator
SHAM COMPARATORSham tibial nerve stimulation during 16 sessions
Interventions
Eligibility Criteria
You may qualify if:
- Patients older than 18 and under 75 years who have been undergone anterior resection of the rectum with sphincter preservation for rectal cancer
- Patients with LARS score \> 29
You may not qualify if:
- Patient with intestinal inflammatory disease
- Patients with known irritable colon disease
- Pregnancy patients
- Patients with others intestinal resection segments different from the rectum
- Patients with metastatic disease
- Patient with previous history of posterior tibial neurostimulation or sacral nerve stimulation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
Hospital Vall d'Hebron
Barcelona, 08035, Spain
Related Publications (3)
Marinello F, Planellas P, Fraccalvieri D, Ortega-Torrecilla N, Gil J, Kreisler E, Pellino G, Espin-Basany E. Exploratory Analysis of Urinary and Sexual Dysfunction in Patients With Low Anterior Resection Syndrome Undergoing Sacral Neuromodulation: Insights From the SANLARS Trial. Dis Colon Rectum. 2026 Feb 1;69(2):226-234. doi: 10.1097/DCR.0000000000004050. Epub 2025 Nov 18.
PMID: 41538382DERIVEDMarinello F, Fraccalvieri D, Planellas P, Adell Trape M, Gil JM, Kreisler E, Pellino G, Espin-Basany E. Sacral Neuromodulation in Patients With Low Anterior Resection Syndrome: The SANLARS Randomized Clinical Trial. Dis Colon Rectum. 2024 Mar 1;67(3):435-447. doi: 10.1097/DCR.0000000000003143. Epub 2023 Dec 11.
PMID: 38084933DERIVEDMarinello FG, Jimenez LM, Talavera E, Fraccalvieri D, Alberti P, Ostiz F, Frago R, Blanco A, Pellino G, Espin-Basany E. Percutaneous tibial nerve stimulation in patients with severe low anterior resection syndrome: randomized clinical trial. Br J Surg. 2021 Apr 30;108(4):380-387. doi: 10.1093/bjs/znaa171.
PMID: 33793754DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 28, 2015
First Posted
August 7, 2015
Study Start
February 1, 2016
Primary Completion
August 6, 2018
Study Completion
August 7, 2019
Last Updated
November 29, 2019
Record last verified: 2019-11