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Efficacy Study of Dysport® in the Treatment of Anal Fissure.

Information source: Ipsen
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Anal Fissure

Intervention: Botulinum toxin type A (Dysport) (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Ipsen

Official(s) and/or principal investigator(s):
Stefan Lempereur, MD, Study Director, Affiliation: Ipsen

Summary

To evaluate the effect on healing rates of two different prognostic factors in patients treated with Dysport® for anal fissure: duration of fissure and dose of study drug

Clinical Details

Official title: A Phase II, Multicentre, Open, Randomised, Parallel Group, Dose Ranging Study to Define the Efficacy of Dysport® in the Treatment of Anal Fissure.

Study design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Healing of the anal fissure by complete re-epithelisation of the anal canal mucosa.

Secondary outcome: Improvement of anal pain measured by the patients on Analogue Visual Pain Scale.

Eligibility

Minimum age: 18 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patients having idiopathic anal fissure in the posterior anal midline

- Patients having anal fissure present for less than 6 months

- Patients having symptoms (pain) present for a minimum of 2 weeks and not responding

after 2 weeks of standard therapy (diet, laxatives, sitz-bathes)

Exclusion Criteria:

- Patients having anal fistulas or anal fissure of various causes such as Crohn disease,

Behcet infectious ulceration, anal suppuration, subfissural infiltration, abscesses, acute haemorrhoidal attacks or inflammatory bowel disease

- Patients having idiopathic anal fissure in the anterior anal midline

- Patients having lateral or multiple fissures

- Patients having anal or perianal cancer

- Patients who underwent previous anal surgery or have cicatricial alterations or

post-surgical cicatricial lesions

- Patients receiving drugs affecting neuromuscular transmission

- Patients who have received topical anaesthetic within 3 days of injection

- Patients receiving local treatment by myorelaxing agent

- Patients receiving prohibited analgesics

- Patients having bleeding disturbances or currently using coumarin derivates

- Patients having myasthenia or any genetic muscle disease

Locations and Contacts

Faculty Nemocnice, Hradec Kralove 500-05, Czech Republic

Thomayer's Memorial Hospital, Prague 140-59, Czech Republic

Faculty Nemocnice-III, Brno 639-01, Czech Republic

Medical University of Lodz, Lodz 90-447, Poland

Consulting Room of Proctology, Gdansk 80-371, Poland

Institute Clinique Fundeni, Bucharest Sector 2, Romania

CHU Hopital Charles Nicolle de Tunis, Tunis 1006, Tunisia

Additional Information

Starting date: June 2003
Ending date: December 2006
Last updated: September 12, 2007

Page last updated: June 20, 2008

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