RecruitingNot ApplicableNCT04184973

Efficacy and Safety of the CG-100 Intraluminal Bypass Device

Efficacy and Safety of the CG-100 Intraluminal Bypass Device in Colorectal and Coloanal Anastomoses: Prospective, Open Label, Randomized Trial


Sponsor

Colospan Ltd.

Enrollment

250 participants

Start Date

Jun 23, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

A randomized trial to assess the safety and efficacy of CG-100 for reducing stoma creation rate in subjects undergoing mesorectal excision.


Eligibility

Min Age: 22 YearsMax Age: 70 Years

Inclusion Criteria7

  • The patient is willing to comply with protocol-specified follow-up evaluations
  • Patient 22-65 years of age at screening, or patient 66-70 years of age at screening with up to one cardiovascular, metabolic or pulmonary comorbidity for which medication is prescribed.
  • Patient is diagnosed with colorectal cancer
  • Patient is scheduled for elective either open, laparoscopic or robotic with mesorectal excision (either abdominal or transanal approach) which will require the creation of an anastomosis, maximally 10 cm from the anal verge
  • Patients who are scheduled to receive a protective stoma under routine clinical practice during their primary planned operation.
  • Patient is scheduled to undergo mechanical bowel preparation
  • The patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent, approved by the appropriate Medical Ethics Committee (EC) or Institutional Review Board (IRB).

Exclusion Criteria16

  • Patient has local or systemic infection at the time of intervention (e.g., peritonitis)
  • Major surgical or interventional procedures within 45 days prior to this study or planned surgical or interventional procedures within 6 months of entry into this study (not including, placement of port for chemotherapy or ureter stent insertion).
  • Patients with ASA classification \> 3
  • Albumin \< 30 g/liter
  • Patient has a diagnosis of bowel obstruction, bowel strangulation, peritonitis, bowel perforation, ischemic bowel, carcinomatosis or extensively spread inflammatory bowel disease
  • Patients has a diagnosis of coagulopathy, thrombocytopenia, immune suppression
  • BMI ≥ 40
  • Patient is going through another surgical procedure (other than ileostomy, adhesiolysis) during the surgery.
  • The patient is currently participating in another investigational drug or device study unless pre-approved by the sponsor.
  • Patient has been taking regular systemic/ steroid medication in the last 6 months.
  • Patients is taking antimetabolites or antiplatelet agents.
  • Patient has preexisting sphincter problems
  • Patient has evidence of extensive local disease in the pelvis or has undergone a prior pelvic anastomosis.
  • Patients with massive diverticulosis at the sigmoid/descending colon (viewed on preoperative CT)
  • Any condition or abnormality which in the opinion of the investigator may jeopardize the patient's safe participation or the quality of the data
  • Pregnant or nursing female patients. Female patients of child-bearing potential must have a negative pregnancy test done within 7 days prior to surgical procedure per site standard test.

Interventions

DEVICECG-100 intraluminal bypass device

a removable, temporary intraluminal bypass device, developed by Colospan, is designed to safely postpone the creation of a protective stoma until 10 days after surgery only for patients who need it (i.e. have a defect in the anastomosis)

PROCEDUREStoma

Primary protective ileostomy


Locations(14)

University of California Irvine

Orange, California, United States

Kaiser Permanente San Diego medical Center

San Diego, California, United States

Colorado University Anschutz Medical Campus

Aurora, Colorado, United States

University of Louisville

Louisville, Kentucky, United States

Henry Ford Health System

Detroit, Michigan, United States

East Bank Hospital - M Health Fairview University of Minnesota Medical Center

Minneapolis, Minnesota, United States

New York-Presbyterian / Weill Cornell Medical Center

New York, New York, United States

Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Lifespan & Brown Surgical Associates

Providence, Rhode Island, United States

University of Utah Health

Salt Lake City, Utah, United States

Soroka University Medical Center

Beersheba, Israel

Carmel Medical Center

Haifa, Israel

Rabin Medical Center

Petah Tikva, Israel

Humanitas Research Hospital

Milan, Lombardy, Italy

View Full Details on ClinicalTrials.gov

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NCT04184973


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