SuperSeton Pilot Studie

NCT03654482 | Completed

• 1 other identifier: 2016_018
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

Rationale: Perianal fistulas are a common incapacitating problem. Many patients are treated by seton drainage to prevent recurrent abscess formation. Nowadays, vessel loops or sutures are used for drainage. The knot of these seton drains can cause complaints of pain or tenderness if it presses against the external opening of the fistula or even slides in to the fistula tract. Medishield B.V. designed a knotless seton drain, the SuperSeton. This could decrease the pain complaints caused by the knot. Objective: The aim of this study is to determine the feasibility of SuperSeton placement in patients with perianal fistulas. Study design: The design of the study is a feasibility study. Study population: Patients (≥ 18 years) with perianal fistulas (ever) treated with a knotted seton are eligible. Intervention: The SuperSeton will be placed at the outpatient clinic in patients that already have a seton in situ. This seton will then be exchanged by the SuperSeton. In case patients do not have a seton in situ, the SuperSeton can be placed at the operating theatre in day care setting instead of a regular seton. Main study parameters/endpoints: The primary outcome is seton failure (loosening of the seton). Secondary outcomes are time of procedure, complications and quality of life measured by the PDAI ('Perianal Disease Activity Index'). Nature and extent of the burden and risks associated with participation: The SuperSeton will be placed in patients with perianal fistulas (ever) treated with a conventional knotted seton. There are no additional risks involved. The seton will be placed at the outpatient clinic in patients with a seton in situ, or at the operating theatre in day care setting in patients with a perianal abscess without a seton. The material that is used for the Setons is of medical grade polyurethane, this is the same material of catheters that are already used in clinical practice (instech BTPU 027). The Setons including the insert (BTPU) are supplied sterile (Synergy Health). Sample size calculation: A group of 60 patients will be included to determine feasibility of the SuperSeton. The proposed treatment protocol is considered feasible if at least 70% of the SuperSetons stay in place.

Conditions

Perianal Fistula; Perianal Crohn Disease

Keywords

Knotless seton; Quality of life; Perianal Disease Activity Index

Outcome Measures

Primary Outcomes (1)

• Seton failure

  Loosening of the seton

  3 months

Secondary Outcomes (4)

• Perianal Disease Activity Index score

  3 months

• Procedure time

  3 months

• Number of participants experiencing complications

  3 months

• Number of participants requiring surgical re-interventions

  3 months

Study Arms (1)

SuperSeton arm

EXPERIMENTAL

Device: SuperSeton

Interventions

SuperSeton DEVICE

The SuperSeton will be placed at the outpatient clinic in patients that already have a seton in situ. This seton will then be exchanged by the SuperSeton. In case patients do not have a seton in situ, the SuperSeton can be placed at the operating theatre in day care setting instead of a regular seton.

SuperSeton arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥ 18 years
• Written informed consent
• Perianal fistula with a seton in situ or a recurrent perianal fistula for which a new seton will be placed

You may not qualify if:

• Patients with a pacemaker or an ICD in situ
• Rectovaginal fistula
• Patients with a stoma
• Life expectancy \< 2 years
• The inability of reading/understanding and filling in the questionnaires
• Dementia or altered mental status that would prohibit the understanding and giving of informed consent
• Participation in another trial

Sponsors & Collaborators

• Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA): lead
• Proctos Kliniek: collaborator
• MediShield B.V.: collaborator
• Delft University of Technology: collaborator

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: August 15, 2018
• First Posted: August 31, 2018
• Study Start: August 10, 2016
• Primary Completion: July 4, 2018
• Study Completion: July 4, 2018
• Last Updated: August 31, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share