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Completed

NCT Number: NCT03833076

A New Class IIb MD in Proctological Disorders

The aim of this study is primarily to investigate the performance of a new medical device not yet CE marked in comparison with placebo, in relieving proctological symptomatology in adult patients reporting symptoms of hemorrhoids (grade 1-3), anal fissures and proctitides.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Isituto Clinico Humanitas

Rozzano, Milano, 20089, Italy

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients of both sexes aged between 18 and 75 years.
  • Patients reporting symptoms of haemorrhoids (grade 1-3*), anal fissures and proctitides or already diagnosed with haemorrhoids (grade 1-3), anal fissures and proctitides; diagnosis confirmed by proctological examination at Screening Visit.

*Grade 1 - Haemorrhoid protrudes into the anal canal but does not prolapse outside the anus.

Grade 2 - Haemorrhoid protrudes through the anus during straining or evacuation but returns spontaneously.

Grade 3 - Haemorrhoid protrudes through the anus during straining or evacuation but needs to be manually returned to position.

Grade 4 - Haemorrhoid remains prolapsed outside of the anus.

  • Patients agreeing not to use any other systemic or topic medicinal / product to treat haemorrhoids, anal fissures and proctitides during the study and not to modify their personal hygiene products.
  • Female patients of childbearing potential following a reliable contraceptive method (according to Investigator's opinion).
  • Willingness to participate in the study and to sign an informed consent form.

Exclusion criteria

  • Patients presenting infective anal or rectal pathologies (in particular bacterial infections associated with proctitides or proctitides caused by viral infections).
  • Patients presenting complicated haemorrhoids.
  • Patients with Crohn's disease or malignancy.
  • Patients presenting undiagnosed abnormal rectal bleeding.
  • Patients with known or suspected rectal hypersensitivity.
  • Patients presenting coagulation disorders or on anticoagulant drug therapy (except clopidogrel or acetylsalicylic acid).
  • Patients in treatment with topic or systemic medications / products to treat haemorrhoids, fissures and proctitides, currently or in the 2 weeks prior to Screening Visit.
  • Patients using laxatives or stool softener currently or in the 2 weeks prior to Screening Visit.
  • Patients pregnant or breastfeeding.
  • Patients reporting past or present narcotic addiction or alcoholism.
  • Patients that participated in any other clinical trial during the last month or participating in any clinical trial while participating in this trial.
  • Patients reporting allergy or intolerance to any component of test product, placebo or rescue product.
  • Patients who in the opinion of the principal Investigator are at risk of non-compliance to the study procedures or who are otherwise not appropriate to include in this clinical trial.
  • Patients presenting contraindications to Proktis-M (rescue product), according to concerning leaflet.

Treatment and study plan

Medical device Procto

Device

Medical device Procto presents itself as a translucent green gel with a typical smell.

Matching placebo

Device

IP placebo presents itself as a translucent green gel with a typical smell.

Primary outcomes

  1. Assessment of symptoms according to the Proctological Symptom Scale (PSS)

    Time frame: from Day 0 to Day 14

    Assessment of symptoms according to the Proctological Symptom Scale - PSS (according to 100 mm Visual Analogue Scales; from "no symptoms" to "overwhelming symptoms); comparison between groups, from Day 0 to Day 14

Secondary outcomes

  1. Investigator's assessment of signs

    Time frame: from Day 0 to Day 14

    Investigator's assessment of signs: anal pain, inflammation and visible bleeding, categorized as none, mild, moderate, or severe (corresponding to a score of 0, 1, 2 or 3, respectively); comparison between groups, from Day 0 to Day 14.

  2. Assessments done by Investigator of overall improvement

    Time frame: from Day 0 to Day 14

    Assessments done by Investigator of overall improvement by means of Global Assessment of Improvement (GAI - according to a 7-grade scoring system, 0-6); comparison between groups, at Day 14.

  3. Self-assessment of subjective symptoms

    Time frame: from Day 0 to Day 14

    Self-assessment of subjective symptoms (anal pain, pain or discomfort during evacuation, itching, irritation or inflammation, bleeding) by means of 100 mm Visual Analogue Scales (from "no symptoms" to "overwhelming symptoms"); comparison between groups, from Day 0 to Day 14.

  4. Self-assessment of overall treatment

    Time frame: from Day 0 to Day 14

    Self-assessment of overall treatment by means of Overall Treatment Evaluation (OTE - according to a 15-point scale; from -7 to -1 = worse; 0 = no change; from +1 to +7 = better); comparison between groups, at Day 14.

  5. Patient willingness

    Time frame: from Day 0 to Day 14

    Patient willingness to use the product in the future, assessed on 1 - 4 points scale (strongly disagree=1, disagree=2, agree=3, strongly agree=4); comparison between groups, at Day 14.

  6. Assessment of rescue product

    Time frame: from Day 0 to Day 14

    Assessment of rescue product use (starting date the rescue product was used); comparison among groups, at Day 14.

  7. Assessment of rescue product

    Time frame: from Day 0 to Day 14

    Assessment of rescue product use (number of times the rescue product was used); comparison among groups, at Day 14.

Sponsors and collaborators

Lead sponsor

Nathura S.p.A

Industry

Collaborators

  • Evidilya S.r.l.

Registry information

Official study title

Evaluation of Performance and Safety of a New Medical Device Class IIb Not Yet CE Marked in Proctological Disorders: a Randomised, Double-blind, Parallel-groups, Multicentric, Placebo-controlled, Prospective Clinical Study.

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Feb 6, 2019
Registry last updated
Dec 23, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.