RECRUITING

Trial to Evaluate Fecobionics in Fecal Incontinence (FI) (NORMAL and ABNORMAL-FI)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The objective is to determine the length-tension properties of the anal sphincters using Fecobionics in normal subjects and FI patients during anal distension and during simulated evacuation. Fecobionics has the consistency and shape of normal stool and can record pressures, cross-sectional area, orientation and viscoelastic properties of the anorectum and can map the geometric profiles during evacuation, and thereby provides multi-dimensional measurements of pressures, deformability, and topographic changes. Fecobionics combines several existing tests to provide novel insight into anorectal function. The purpose for the development was to overcome the technological controversies and disagreement between various tests and unphysiological test conditions. The aim was to imitate defecation as much as possible to the natural process. Fecobionics was developed to simulate stool and to provide the driving pressure and resulting deformations of stool along with a measure of an objective anorectal angle during defecation in a single examination. Fecobionics makes it possible to describe objectively, without disturbing the defecation process, the opening characteristics and pressure signatures during initial entry into the relaxing anal canal. The overall goal is to provide mechanistic understanding of defecation in health and defecatory disorders. It exceeds previous attempts to make artificial stool for evaluation of defecation (BET and FECOM) and integrates other technologies as well. It was designed to have a consistency and deformability of Type 4 (range type 3-5) on the Bristol stool form scale. The range from types 3-5 is found in 70% of normal subjects. A major novelty is that Fecobionics measures pressures in axial direction; i.e., in the flow direction.

Official Title

A Multicenter, Prospective, Non-randomized Study on Pathophysiology, Diagnosis, and Biofeedback Therapy in Fecal Incontinence (FI) Using Fecobionics (NORMAL and ABNORMAL-FI)

Quick Facts

Study Start:2023-02-15
Study Completion:2024-12-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05412069

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Subject must provide written informed consent;
  2. 2. Willing and able to undergo required study tests, surveys, and procedures;
  3. 3. Age \> 18 years of age.
  1. 1. Female who is pregnant;
  2. 2. Prior anorectal surgery;
  3. 3. Prior bowel resection;
  4. 4. History of chronic constipation;
  5. 5. In the opinion of the investigator, the subject is not a suitable candidate for the study.

Contacts and Locations

Study Contact

Hans Gregersen, MD, PhD
CONTACT
8582497400
hag@giome.org
Satish Rao, MD, PhD
CONTACT
7067212238
srao@augusta.edu

Principal Investigator

Hans Gregersen, MD, PhD
PRINCIPAL_INVESTIGATOR
California Medical Innovations Institute

Study Locations (Sites)

California Medical Innovations Institute
San Diego, California, 92121
United States
Augusta University Medical Center
Augusta, Georgia, 30912
United States

Collaborators and Investigators

Sponsor: The California Medical Innovations Institute, Inc.

  • Hans Gregersen, MD, PhD, PRINCIPAL_INVESTIGATOR, California Medical Innovations Institute

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-02-15
Study Completion Date2024-12-31

Study Record Updates

Study Start Date2023-02-15
Study Completion Date2024-12-31

Terms related to this study

Keywords Provided by Researchers

  • anorectal
  • Fecobionics
  • defecation

Additional Relevant MeSH Terms

  • Normal Subjects
  • Fecal Incontinence