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Anal Sphincter Prosthesis in Treating Patients Who Are Undergoing Surgery for Anal or Rectal Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), July 2009
First Received: May 6, 2003   Last Updated: July 22, 2009   History of Changes
Sponsor: Memorial Sloan-Kettering Cancer Center
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00059891
  Purpose

RATIONALE: An anal sphincter prosthesis may replace the need for a permanent colostomy and may improve the quality of life of patients who are undergoing surgery for anal or rectal cancer.

PURPOSE: Clinical trial to study the effectiveness of an anal sphincter prosthesis in treating patients who have anal or rectal cancer and are undergoing surgery to remove the anus and rectum.


Condition Intervention
Anal Cancer
Colorectal Cancer
Perioperative/Postoperative Complications
Procedure: conventional surgery
Procedure: management of therapy complications

Study Type: Interventional
Study Design: Supportive Care
Official Title: Total Anorectal Reconstruction With The American Medical Systems, Inc. Acticon Neosphincter Prosthesis After Abdominoperineal Resection

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 20
Study Start Date: January 2003
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the risk of complications and feasibility of total anorectal reconstruction using the Acticon Neosphincter prosthesis after abdominoperineal resection in patients with anal or rectal cancer.
  • Determine continence, bowel function, and quality of life of patients treated with this surgery.

OUTLINE: Patients undergo abdominoperineal resection (APR) with perineal colostomy and diverting loop ileostomy. At least 3 months after APR, patients undergo placement of the Acticon Neosphincter prosthesis. At least 6 weeks after prosthesis placement, the prosthesis is activated. When the patient demonstrates the ability to operate the prosthesis, the ileostomy is reversed.

Quality of life is assessed at 6 and 12 months and then annually thereafter.

Patients are followed at 6 and 12 months and then annually thereafter.

PROJECTED ACCRUAL: At least 20 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed distal rectal or anal cancer

    • No recurrent or metastatic disease
    • Not at high risk for local recurrence
  • Not a candidate for sphincter-preserving surgery

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • No active pelvic sepsis
  • Acceptable risk for surgery and general anesthesia
  • Sufficient dexterity and mental capacity to operate the Acticon Neosphincter prosthesis

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • See Disease Characteristics

Other

  • Not other concurrent investigational products
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00059891

Locations
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10065
Contact: W. Douglas Wong, MD     212-639-5117        
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: W. Douglas Wong, MD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000298984, MSKCC-02124
Study First Received: May 6, 2003
Last Updated: July 22, 2009
ClinicalTrials.gov Identifier: NCT00059891     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
perioperative/postoperative complications
stage II anal cancer
stage I anal cancer
stage III anal cancer
stage I rectal cancer
stage II rectal cancer
stage III rectal cancer

Additional relevant MeSH terms:
Digestive System Neoplasms
Rectal Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Neoplasms
Pathologic Processes
Neoplasms by Site
Digestive System Diseases
Postoperative Complications
Gastrointestinal Neoplasms
Anus Neoplasms
Anus Diseases
Colorectal Neoplasms

ClinicalTrials.gov processed this record on November 09, 2009