ClinicalTrials.gg
Active, not recruitingNCT05776277DigniFIUpdated Oct 20, 2026

Iltamiocel Compared to Placebo for Chronic Fecal Incontinence in Females With Obstetric Injury

A Phase 3 interventional study of Iltamiocel and Placebo in Fecal Incontinence, sponsored by Cook MyoSite. Active, not recruiting at 25 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Cook MyoSite (part of Cook Group Incorporated) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This study evaluates the efficacy and safety of a single injection of iltamiocel (300 x 10\^6 cells) compared to a placebo in the reduction of fecal incontinence episode frequency in adult female participants with chronic fecal incontinence and a history of obstetric anal sphincter injury. Half of the participants will receive iltamiocel (injections with cells) and the other half will receive placebo.

Read the detailed description

Chronic fecal incontinence (FI) is the recurrent unintended passage of mucus and/or liquid or solid stool for at least 6 months. Iltamiocel is an investigational cell therapy product that involves a medical procedure in which a participant's own muscle cells are collected, processed, and then injected into the tissues of the external anal sphincter.

This is a double-blind randomized study, which means neither the participant, nor the study doctor will know which treatment group the participant will be in. Participants who are randomly chosen to receive injection with placebo will have the option to receive an injection with their cells after completion of the blinded portion of their study participation (12 months).

02

Conditions studied

  • Fecal Incontinence

Keywords

  • Obstetric Trauma
  • Obstetric Injury
  • Cell Therapy
  • Anal Incontinence
  • Rectal Diseases
  • Intestinal Diseases
  • Gastrointestinal Diseases
  • Bowel Incontinence
03

In context

Fecal Incontinence

283 studies on the registry are indexed under Fecal Incontinence; 52 are open to participants now.

This study's planned enrollment of 200 is above the median of 50 across 203 interventional studies indexed under Fecal Incontinence.

Browse Fecal Incontinence studies →

Lead sponsor

Cook MyoSite is the lead sponsor of 12 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult female ≥ 18 years of age who has primary symptoms of fecal incontinence (FI) for at least 12 months.
  • History of obstetric anal sphincter injury (e.g., episiotomy, perineal tear).
  • Failed conservative treatment (e.g., dietary modification, antidiarrheal medications, pelvic floor muscle training, biofeedback) for at least 6 months prior to enrollment.
  • Must be willing and able to comply with the study procedures, be mentally competent and able to understand all study requirements, and must agree to read and sign the form prior to any study-related procedures.

Exclusion criteria

Exclusion Criteria:

  • Has an implanted stimulation neuromodulation system (sacral or tibial) and symptoms are unstable as determined by the physician.
  • Is pregnant or planning to become pregnant within the next 2 years.
  • Has known rectal sensory dysfunction (e.g., or hyposensitivity).
  • Has an obstetric anal sphincter injury (e.g., episiotomy, perineal tear) within 1 year previous to study enrollment.
  • Patient ≥ 38.
  • Has a history of cancer in the colorectal or pelvic organs within 5 years prior to study enrollment.
  • Any cancer that has undergone treatment within the past 12 months.
  • Has an established diagnosis of inflammatory bowel disease (Crohn's disease, ulcerative colitis) or current intestinal stoma.
  • Has grade III/IV hemorrhoids.
  • Has chronic diarrhea at the time of Screening.
  • Has chronic constipation at the time of Screening.
  • Has significant pelvic floor prolapse, significant genitourinary prolapse beyond the introitus, significant symptomatic rectocele, or evidence of significant rectal evacuation disorder leading to post-defecatory leakage.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Iltamiocel

    Biological: Iltamiocel

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • BiologicalIltamiocel

    Single external anal sphincter (EAS) injection of 300 x 10\^6 cells.

  • OtherPlacebo

    Placebo control is the vehicle solution used for the study product.

06

What researchers measure

Primary outcomes

  1. Changes in frequency of fecal incontinence episodes.

    Time frame: 12 Months

07

Study locations

25 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05776277
Lead sponsor
Cook MyoSite
Responsible party
Sponsor
First posted
Mar 20, 2023
Start date
Mar 21, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Ron Jankowski, PhD
study director · Cook Myosite, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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