Status:
ACTIVE_NOT_RECRUITING
SafeHeal Diverting Ileostomy Pivotal Study
Lead Sponsor:
SafeHeal Inc
Conditions:
Colorectal Cancer
Stoma Ileostomy
Eligibility:
All Genders
18+ years
Brief Summary
This SafeHeal study is designed to assess the overall safety of the low anterior resection (LAR) standard of care cancer treatment by establishing a definition of major complications. The current lite...
Detailed Description
This SafeHeal study is designed to assess the overall safety of the low anterior resection (LAR) standard of care cancer treatment by establishing a definition of major complications. The current lite...
Eligibility Criteria
Inclusion
- Adult patients (18 years of age or older)
- Eligible to undergo open or minimally invasive sphincter-sparing low anterior resection with planned diverting loop ileostomy for malignancy, based on multidisciplinary team recommendations.
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2
- Willingness to comply with protocol-specific treatment and study visits and to sign a written Informed Consent Form
Exclusion
- Preoperative
- History of left colitis
- Known allergy to nickel or other components of the Colovac System (not applicable for control cohort)
- Pregnant or nursing female subject
- Concomitant major surgical procedure in combination with Colorectal resection (i.e., hepatectomy)
- Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study participation, impair the ability of the participant to undergo protocol described procedures or interfere with the interpretation of study results including, but not limited to:
- Stage IV colorectal cancer unless curative intent R0 resection is planned AND there is no associated peritoneal disease
- Immunodeficiency (CD4+ count \< 500 CU MM)
- Systemic steroid therapy within the past 6 months
- Systemic infection at the time of surgery or requiring systemic antimicrobial therapy up to 1 week before surgery
- Major surgical or interventional procedures within 30 days prior to this study or planned surgical or interventional procedures within 30 days of entry into this study
- Diagnosis of bowel obstruction, bowel strangulation, peritonitis, bowel perforation, intraabdominal infection, ischemic bowel, or carcinomatosis
- Fecal incontinence, involvement of sphincter by the neoplastic disease or evidence of extensive local disease in the pelvis seen on pre-operative imaging
- Severe malnutrition defined as 10% weight loss within 3 months prior to enrollment.
- The subject is currently participating in another investigational drug or device study
- Intraoperatively:
- Occurrence of any of the following during the colorectal surgery:
- Blood loss (\>750 cc)
- Blood transfusion
- Any new sign of bowel ischemia
- Positive air leak test
- Inadequate bowel preparation
- Anastomosis location greater than 10 cm from the anal verge
- Any other surgical complications or intra-operative risks that may place the patient at greater risk from study procedures
Key Trial Info
Start Date :
January 1 2024
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
December 1 2025
Estimated Enrollment :
196 Patients enrolled
Trial Details
Trial ID
NCT06152276
Start Date
January 1 2024
End Date
December 1 2025
Last Update
May 23 2025
Active Locations (3)
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1
UMass Memorial Medical Center
Worcester, Massachusetts, United States, 01605
2
Maimonides Medical Center
Brooklyn, New York, United States, 11219
3
Lenox Hill Hospital
New York, New York, United States, 10075