ClinicalTrials.gg
RecruitingNCT05974280CHAZAMUpdated Jun 24, 2026

Study on the Treatment of Anal Fistulas Using Alofisel Versus Fat Autologous Stem Cells

An observational study in Crohn Disease and Anal Fistula, sponsored by Nantes University Hospital. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-24.

Sponsored by Nantes University Hospital · Observational

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 316 studies in Crohn Disease with a site in France — 80 open to participants now, 104 under way, 29 of them phase 3. Crohn Disease · France.

Planned enrollment
83rd of 87
20 · median 240
Started
2024
with 22 others
Observational
88 of 316
22 open now
Primary completion
2025-01
later than 7 of 103 live
Registered
250th of 316
by date

Among the 316 studies in Crohn Disease with a site in France, this one is the 83rd largest by planned enrollment of the 87 observational ones, is one of 23 that started in 2024, is one of 88 observational ones, reaches primary completion later than 7 of the 103 other live ones, and was the 250th registered.

By phase

316 studies; the count open now beside each. This study's row is marked.

Observationalthis study88 · 22 open
Phase 381 · 17 open
No phase62 · 25 open
Phase 256 · 8 open
Phase 416 · 4 open
Phase 15 · 0 open
Phase 2/35 · 2 open
Phase 1/23 · 2 open

By the year they started

First in 1990; this study’s year is marked. 23 started in 2024.

Size and results

Median enrollment 147 across the 228 interventional studies, 240 across the 87 observational. Of the 194 that completed or were terminated, 78 (40%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 316 studies in Crohn Disease with a site in France, or all of them as a file.
02

Study summary

One of the newest and most innovative medicinal approaches is cell therapy. Several clinical trials and experimental investigations have looked into the feasibility of treating CD-related fistulas with stem cells.

The current indication for ALOFISEL® (active ingredient: Darvadstrocel) is the treatment of difficult perianal Crohn's fistulas that have not responded well to at least one conventional therapy or biotherapy.

This brand-new cell therapy medication is created using amplified allogeneic human adult mesenchymal stem cells from adipose tissue (ADSC). The supplier mandates that two patients be booked for a single dose of ALOFISEL® due to the medication's expensive price-roughly €54,000 for a single dose of 120 million-which cannot be stored once thawed.

Only one of the two patients receives therapy; the other serves as the backup patient. By doing this, another "back-up" patient who might receive no care at all is avoided.

An developing alternate approach to allogeneic ADSC injection for the treatment of complicated anal fistulas in CD is autologous fat injection. In recent years, autologous fat grafts have been the subject of in-depth research. They are popular because it is simple to get clinical samples (lipoaspirate, adipose tissue), and because there are a lot of ADSCs in adipose tissue. Additionally, ADSCs show strong immunomodulatory and regenerative capacities.

We would wish to compare the effectiveness of these two injection kinds on perianal fistulas as part of our care of CD.

Read the detailed description

The trial will be made available to patients who are scheduled for perianal surgery with ALOFISEL® or backup (fat injection). The history and signs of perianal fistula will be noted if the patient doesn't object.

Two visits that correspond to typical follow-up visits for patients will be noted:

Visit following surgery: fistula clinical evaluation, analgesic use, etc. and six months after : clinical assessment, MRI

03

Conditions studied

  • Crohn Disease
  • Anal Fistula
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Population with Crohn's disease coming to the digestive surgery department of the CHU in Nantes for perianal surgery

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

  • Complex anal fistula with the following criteria: - Inactive/slightly active luminal Crohn's disease under conventional treatment or biotherapy MRI has demonstrated effective drainage. Maximum of two internal orifices and three external orifices; persists despite internal orifice(s) closing.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breast-feeding women
  • Patients hypersensitive to the product, bovine serum or any of the of Alofisel
  • Vulnerable persons: deprived of liberty, under guardianship, under curatorship, etc.
Terms in these criteria, in plain language(1)

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Alofisel group (routine care)

    The patient receives Alofisel injection as in routine care

    Drug: Alofisel

  • Autologous fat injection (routine care)

    The back-up patient receives autologous fat stem cells injection as in routine care

    Drug: Fat stem cell

Interventions

  • Alofisel is made up of 'mesenchymal stem cells' from the fat tissue of a donor. Alofisel is a medicine that is used to treat complex anal fistulas in adults with Crohn's disease

    Also known as: mesenchymal stem cells

  • DrugFat stem cell

    mesenchymal stem cells from adipose (fat) tissue injection

    Also known as: Fat graft

06

What researchers measure

Primary outcomes

  1. Comparing the efficacy of Alofisel treatment versus fat grafting in Crohn's disease complex perianal fistulae

    At 1 month, the percentage of healing is defined as the clinical closure of the orifice and the lack of pus draining by pressure on the borders of the fistula scar.

    Time frame: 1 month after the surgery

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2024 to primary completion in Jan 2025, 12 months.

Of 231 non-industry observational studies under Crohn Disease, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 101. This study's 12 months is below that.

Counting every sponsor, half of 304 studies reached it within 42 months; a quarter within 29 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 26, 2023
First posted
Aug 3, 2023
StartActual
Jan 2, 2024
Primary completionActual
Jan 2, 2025
CompletionEst.
Jun 2, 2027
Last update
Jun 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05974280
Responsible party
Sponsor
First posted
Aug 3, 2023
Start date
Jan 2, 2024
Primary completion
Jan 2, 2025
Completion
Jun 2, 2027 (estimated)
Last update
Jun 24, 2026

Oversight

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

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