The aim of this clinical study is to investigate the safety and feasibility of Autologous Muscle Derived Cells (AMDC, generic name iltamiocel, preparation of a patient's own cells) injection into the anal sphincter for treatment of patients with fecal incontinence.
This study is designed to test the safety and feasibility of iltamiocel (Autologous Muscle Derived Cells, AMDC) as a treatment for fecal incontinence in men and women. Iltamiocel therapy seeks to allow remodeling of the external anal sphincter in patients with fecal incontinence from either defined structural defects or a generalized weakening of the external anal sphincter.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
53
Single intrasphincteric injection of iltamiocel at a dose of 250 x 10\^6 cells
St. Paul's Hospital
Vancouver, British Columbia, Canada
Royal London Hospital
London, United Kingdom
Number of Treatment-Related Adverse Events
Assessment of frequency and severity of adverse events related to study product and study procedures through 12 months following treatment of FI in adult male and female subjects.
Time frame: 12 months
Number of Fecal Incontinence (FI) Episodes (Median 28-day Fecal Incontinence Diary)
Median number of fecal incontinence (FI) episodes as assessed by 28-day FI diary.
Time frame: 3, 6, and 12 months post-treatment
Number of Days With FI Episodes (Median 28-day Fecal Incontinence Diary)
Median number of days with fecal incontinence (FI) episodes, as assessed by 28-day FI diary.
Time frame: 3, 6, and 12 months post-treatment
Number of Participants With Categorical ≥50% Reduction in 28-day Fecal Incontinence Episodes
Number of participants with categorical ≥50% reduction in fecal incontinence (FI) episodes as assessed by 28-day FI diary.
Time frame: 3, 6, and 12 months post-treatment
Number of Participants With Categorical ≥75% Reduction in 28-day Fecal Incontinence Episodes
Number of participants with categorical ≥75% reduction in fecal incontinence (FI) episodes as assessed by 28-day FI diary.
Time frame: 3, 6, and 12 months post-treatment
Number of Participants With 100% Reduction in 28-day Fecal Incontinence Episodes
Number of participants with 100% reduction in fecal incontinence (FI) episodes as assessed by 28-day FI diary.
Time frame: 3, 6, and 12 months post-treatment
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Change From Baseline in Patient-reported Quality of Life (Fecal Incontinence Quality of Life (FIQL) Questionnaire)
Mean change from baseline in patient-reported quality of life, as assessed by the Fecal Incontinence Quality of Life (FIQL) questionnaire. The FIQL is a validated, 29-item tool assessing the quality of life (QOL) of subjects with FI with four scales: Lifestyle (10 items, scored 0 to 4, with higher scores indicating a better QOL), Coping/Behavior (9 items, scored 0 to 4, with higher scores indicating a better QOL), Depression/Self-Perception (7 items, scored 0 to 4, with higher scores indicating a better QOL), and Embarrassment (3 items, scored 0 to 4, with higher scores indicating a better QOL).
Time frame: 3, 6, and 12 months post-treatment
Change From Baseline in Patient-reported Fecal Incontinence Symptom Severity (Cleveland Clinic Incontinence Score (CCIS))
Mean change from baseline in patient-reported fecal incontinence symptom severity, as assessed by the Cleveland Clinic Incontinence Score (CCIS) questionnaire. CCIS is a validated 5-questions tool assessing the frequency and the type of incontinence episodes (solid, liquid, gas), pad use, and lifestyle alteration. Scored from 0 to 20, with lower scores indicating less severe symptoms.
Time frame: 3, 6, and 12 months post-treatment