NCT06331637

Brief Summary

This study aims to compare the functional and surgical outcomes of Ulcerative Colitis (UC) patients undergoing Transanal Transection and Singl-Stapled (TTSS) versus Double-stapled Ileal Pouch-Anal Anastomosis (IPAA)

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
174

participants targeted

Target at P50-P75 for all trials

Timeline
6mo left

Started Jul 2024

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Study Progress78%
Jul 2024Dec 2026

First Submitted

Initial submission to the registry

March 19, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 26, 2024

Completed
4 months until next milestone

Study Start

First participant enrolled

July 31, 2024

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2026

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

March 26, 2024

Status Verified

March 1, 2024

Enrollment Period

2 years

First QC Date

March 19, 2024

Last Update Submit

March 19, 2024

Conditions

Keywords

Ileal Pouch-Anal AnastomosisIntestinal Function

Outcome Measures

Primary Outcomes (1)

  • Pouch Function Score (PFS)

    Median difference of the Pouch Function Score (PFS) \[score ranging from 0 (no pouch symptoms) to 30 (severe pouch symptoms)\] between the study cohorts

    6 months after surgery or stoma closure

Secondary Outcomes (8)

  • Pouch Function Score (PFS)

    12 months after surgery or stoma closure

  • Pouch Function Score (PFS)

    24 months after surgery or stoma closure

  • Postoperative complications

    90 days after surgery

  • Anastomotic leak

    90 days after surgery

  • Patients fit for stoma closure

    12 months after surgery

  • +3 more secondary outcomes

Study Arms (2)

Transanal Transection and Single-Stapled anastomosis (TTSS)

Patients will undergo restorative proctectomy with Transanal Transection and Single-Stapled (TTSS) Ileal Pouch-Anal anastomosis (IPAA)

Procedure: Transanal Transection and Single-Stapled anastomosis (TTSS)

Double-stapled anastomosis

Patients will undergo restorative proctectomy with double-stapled Ileal Pouch-Anal anastomosis (IPAA)

Procedure: Double-stapled anastomosis

Interventions

Restorative proctectomy with Transanal Transection and Single-Stapled (TTSS) Ileal Pouch-Anal Anastomosis (IPAA)

Transanal Transection and Single-Stapled anastomosis (TTSS)

Restorative proctectomy with Tdouble-stapled Ileal Pouch-Anal Anastomosis (IPAA)

Double-stapled anastomosis

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study population will include adult patients diagnosed with drug-refractory and/or steroid-dependent Ulcerative Colitis (UC), scheduled for pouch surgery with double-stapled or Transanal Transection and Single-Stapled (TTSS) approach.

You may qualify if:

  • Adult (≥ 18 years old) patients diagnosed with drug-refractory and/or steroid-dependent UC scheduled for elective restorative proctectomy.
  • Patients scheduled for robotic or laparoscopic surgery

You may not qualify if:

  • Planned open surgery.
  • Concomitant colorectal cancer or dysplasia. Patients with an incidental intraoperative diagnosis of colorectal cancer will be withdrawn from the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

IRCCS Humanitas Research Hospital

Rozzano, MI, 20089, Italy

Location

MeSH Terms

Conditions

Colitis, Ulcerative

Condition Hierarchy (Ancestors)

ColitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesInflammatory Bowel DiseasesColonic DiseasesIntestinal Diseases

Study Officials

  • Antonino Spinelli, MD, PhD

    Humanitas Research Hospital IRCCS, Rozzano-Milan

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Annalisa Maroli, PhD

CONTACT

Stefano De Zanet, MS

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 19, 2024

First Posted

March 26, 2024

Study Start

July 31, 2024

Primary Completion (Estimated)

July 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

March 26, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations