Own muscle cells injected into sphincter may curb fecal incontinence
NCT ID NCT04976153
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This Phase 3 trial tests whether injecting a patient's own muscle cells into the anal sphincter can reduce episodes of fecal incontinence. The study enrolls adults with urge incontinence due to a weak or damaged sphincter who have not improved with standard treatments. Participants receive either the cell injection or a placebo, and researchers track changes in incontinence frequency over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Autologous muscle-derived cells
- What this could lead to
- If successful, this could offer a new treatment option for people with fecal incontinence who haven't improved with standard care.
- What could go wrong
- This is an advanced trial, but the treatment involves a surgical procedure and may not work for everyone. Risks include injection site reactions or lack of benefit.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 290 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients must be at least 18 years old * Patients who are mentally competent and able to understand all study requirements * Female patients of childbearing potential willing to use appropriate methods of contraception * Patient has symptoms of urge fecal incontinence with a disease duration of at least 6 months and did not improve sufficiently by conservative treatment performed for at least 3 months * Urge fecal incontinence episodes that occur more than twice a week * Maximal incremental voluntary squeeze pressure (increase to resting pressure) on anal manometry is 100mmHg or less in women and 150mmHg or less in men * 9\. Ultrasound of the anal canal showing intact external anal sphincter or a maximal overall extent of external anal sphincter injury and tear of 180 degrees Exclusion Criteria: * Patients for whom the investigator determines that FI has a different cause than external anal sphincter dysfunction. * Patients with global fragmentation of the external anal sphincter as assessed by anal canal ultrasound * Patients who underwent any anorectal surgery within 6 months before screening visit * Patients who underwent a total of two or more external anal sphincter-related surgeries * Patients who currently have anal fistulas or fissures or have recurrent anal fistulas or fissures * Patients with poorly controlled chronic constipation including obstructed defecation syndrome * Patients with indications against a surgery under anesthesia * Patients with a malignant disease not in remission for 5 years or more * Patients who have undergone radiation therapy of the bowel and pelvis * Patients who have undergone chemotherapy within last 5 years prior to study enrolment and/or chemotherapy related neuropathy of the bowel and pelvis * Patients with compromised immune system and/or rheumatic disease, and patients under immunosuppressive therapy * Patients with a diagnosis of chronic inflammatory bowel disease (e.g Crohn's disease, Colitis Ulcerosa) * Patients suffering from a disease which has not been resolved within 4 weeks prior to screening including fever and/or diarrhea of unknown reasons (4 weeks) * Patients diagnosed with human immunodeficiency virus (HIV), acute or chronic viral hepatitis HCV, acute or chronic viral hepatitis HBV, active Syphilis or HTLV (tested upon risk assessment by investigator) * Patients diagnosed with any kind of skeletal muscle disease and/or neuronal disorders * Patients with severe myocardial disorders, irregular pulse or a pacemaker * Patients with implantations of metal components in the electrical stimulation treatment area * Patients with uncontrolled diabetes mellitus type I or II, or suffering from diabetic peripheral neuropathic pain * Patients with clinically relevant abnormal laboratory values judged by the responsible investigator as relevant for the study treatment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
34 sites in 12 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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CHU Rennes - Hospital Pontchaillou
RECRUITINGRennes, France
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CHU de Rouen
RECRUITINGRouen, France
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Coloproctology Center Takano Hospital
RECRUITINGKumamoto, Japan
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Corporacio Sanitaria Parc Tauli
RECRUITINGBarcelona, Spain
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Danderyd Sjukhus
RECRUITINGDanderyd, Sweden
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Deaconess Hospital Group Croix Saint - Simon
RECRUITINGParis, France, 75020, France
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Fakultni nem. u sv. Anny v Brne
RECRUITINGBrno, Brno, Czechia
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Heidelberg University, Medical Faculty Mannheim, Department of surgery
RECRUITINGMannheim, Germany
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Hiroshima Memorial Hospital
RECRUITINGHiroshima, Japan
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Hokkaido Railway Company JR Sapporo Hospital
RECRUITINGSapporo, Hokkaido, 060-0033, Japan
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Hosp. General Universitario Morales Meseguer
RECRUITINGMurcia, Spain
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Hospital Bichat - Claude Bernard
RECRUITINGParis, France, 75877, France
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Hospital de Mataro
RECRUITINGMataró, Spain
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I.R.C.C.S. Policlinico San Donato
RECRUITINGSan Donato Milanese, Milano, Italy
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IATROS Medicinski Center
RECRUITINGLjubljana, Osrednjeslovenska, 1000, Slovenia
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IRCCS Ospedale San Raffaele
RECRUITINGMilan, Italy
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Japan Post Kyoto Teishin Hospital
RECRUITINGKyoto, 604-8798, Japan
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Jichi Medical University Hospital
NOT_YET_RECRUITINGTochigi, Japan
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Juntendo University Hospital
RECRUITINGTokyo, Japan
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Kurume Hospital
RECRUITINGFukuoka, 839-0865, Japan
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Landeskrankenhaus Hall in Tirol
RECRUITINGHall in Tirol, 6060, Austria
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Luis Garcia Florez
RECRUITINGOviedo, Spain
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Magen Darm Zentrum Wiener Platz
RECRUITINGCologne, North Rhine-Westphalia, 51065, Germany
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Matsushima Hospital
RECRUITINGKanagawa, Japan
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Medical Center Unimed EOOD
RECRUITINGSevlievo, Bulgaria
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Medical University Graz
RECRUITINGGraz, Austria
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Meiwa Hospital
RECRUITINGHyōgo, 663-8186, Japan
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Skånes Universitetssjukhus, Malmo
RECRUITINGMalmö, Sweden, Sweden
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St. Mary's Hospital
RECRUITINGLondon, United Kingdom
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Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie
RECRUITINGKrakow, Poland
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Teikyo University Chiba Medical Center
RECRUITINGChiba, Japan
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The Institute for the Care of Mother and Child
RECRUITINGPrague, Czechia
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Tsujinaka Hospital, Coloproctological Surgery
RECRUITINGChiba, 227-08771, Japan
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Östersund sjukhus, Kirurgiska kliniken
RECRUITINGÖstersund, Sweden, Sweden
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