Could your own fat heal Crohn's fistulas and prevent a colostomy bag?
NCT ID NCT05594862
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether injecting a person's own processed fat tissue can heal complex anal fistulas caused by Crohn's disease that have not responded to standard treatments. About 80 adults with Crohn's and active fistulas will receive either the fat injection plus standard care or standard care alone. The main goal is to see if the fistulas close completely by 24 weeks, which could improve quality of life and reduce the need for a permanent colostomy.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Jun 2026
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The patient's age is over 18 at the time of surgery. * The patient suffers from Crohn's disease confirmed by instrumental and histological methods. * The patient presents with complex perianal fistulising disease refractory to standard treatment (combination of surgical drainage of sepsis and local / systemic administration of anti-TNF-α for at least 1 year) * The patient received, understood and signed informed consent for active participation in the study. * The patient is able to understand the conditions of the study and to participate throughout the duration. Exclusion Criteria: * Patients with more than 1 internal and 3 external openings. * Patients with ileus / colo ostomy. * Patients with anus / rectum-vaginal fistulas. * Patients with active HIV infections, hepatitis C (HCV), hepatitis B (HBV), tuberculosis. * Patients with abdominal localization of Crohn's disease who may require general surgery during the study. * Patients with active oncological or lymphoproliferative diseases from which it was not possible to safely withdraw an adequate quantity of lipoaspirate (at least 60 cc). * Patients with clinical conditions that may compromise the success of the surgery or the follow-up. * Pregnant or breastfeeding women.
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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.
Contacts and locations
Locations
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IRCCS S Orsola Malpighi
Bologna, Bologna, Italy
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Other studies related to the condition(s) this trial covers.
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