The purpose of this study is to determine if endothelial cells derived from human umbilical vein are safe for use in conjunction with fistulotomy for the treatment of simple anal fistulas. Endothelial cells are a special kind of cell in the body that line the inside surface of blood vessels. The goal of the study is to evaluate the preliminary safety of human umbilical vein cells in anal fistula healing.
The purpose of this study is to test the safety of E-CEL UVEC® cells and see what effects (good and bad) it has on your anal fistula. It is hoped, that the E-CEL UVEC® cells may help to improve healing of your fistula after surgery. E-CEL UVEC® cells are genetically engineered human endothelial cells that are taken from the umbilical cords of newborn babies. The endothelial cells are cells that line the inside of blood vessels including the umbilical cord. Human umbilical endothelial cells are collected from the umbilical cord of a healthy newborn baby. The cells are obtained under strict United States (U.S.) Food and Drug Administration (FDA) regulations. The endothelial cells are engineered in the laboratory, meaning an extra gene is added. A gene is taken from a virus (just a single gene, not the entire virus) and inserted into the endothelial cells.This causes the endothelial cells to be more stable and improves their growth capabilities. In animal studies, the endothelial cells were cleared from the body within a month. No negative side effects related to the endothelial cells were seen in animal studies. A higher than normal healing response was seen in animal studies. This research study is being done because, in animal studies, E-CEL UVEC® cells have been shown to speed up healing in various tissues and organs. This study will test if it is safe to use E-CEL UVEC® cells and if they help to improve healing of your fistula after surgery.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
39
Injection of E-CEL UVEC
Weill Cornell Medical College - NewYork-Presbyterian Hospital
New York, New York, United States
RECRUITINGSafety of dose escalation, as measured by incidence rate of treatment emergent adverse events following the administration of E-CEL UVEC
The short term safety of escalating dose of E-CEL UVEC cells in subjects with anal fistulas will be assessed by monitoring and recording all adverse events for 2 weeks following the administration of E-CEL UVEC. (Applicable to all arms)
Time frame: 2 weeks
Efficacy of E-CEL UVEC, as measured the rate of subjects presenting with relapse in treated fistula
Efficacy of E-CEL UVEC, as measured the rate of subjects presenting with relapse in treated fistula at week 6 and 24 (Applicable to all arms)
Time frame: 6, 24 weeks after surgery
E-CEL UVEC Treatment Success, as measured by the combination of cessation and absence of fistula leakage
The success of E-CEL UVEC cells in subjects with anal fistulas will be assessed via digital pressure after completion of all treatments. (Applicable to all arms)
Time frame: 24 weeks after surgery
Efficacy of E-CEL UVEC, as measured by time to complete healing of each side
Efficacy of E-CEL UVEC, as measured by time to complete healing of each side of injection site (Applicable to all arms)
Time frame: 24 weeks after surgery
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