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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), March 2008

Sponsors and Collaborators: Memorial Sloan-Kettering Cancer Center
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

MedlinePlus related topics:   Anal Cancer    Cancer    Colorectal Cancer   

U.S. FDA Resources

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

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

Estimated Enrollment:   20
Study Start Date:   January 2003
Estimated Primary Completion Date:   January 2009 (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, 10021
      Contact: W. Douglas Wong, MD     212-639-5117        

Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)

Investigators
Study Chair:     W. Douglas Wong, MD     Memorial Sloan-Kettering Cancer Center    
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000298984, MSKCC-02124
First Received:   May 6, 2003
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00059891
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

Study placed in the following topic categories:
Digestive System Neoplasms
Rectal Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Rectal neoplasm
Digestive System Diseases
Postoperative Complications
Gastrointestinal Neoplasms
Anal cancer
Anus Neoplasms
Rectal cancer
Colorectal Neoplasms

Additional relevant MeSH terms:
Neoplasms
Pathologic Processes
Neoplasms by Site
Anus Diseases

ClinicalTrials.gov processed this record on September 05, 2008




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