Status:

RECRUITING

Comparison of Transanal Irrigation and Glycerol Suppositories in Treatment of Low Anterior Resection Syndrome

Lead Sponsor:

University of Aarhus

Conditions:

Low Anterior Resection Syndrome

Rectal Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The study is a multicentre randomized controlled trial with the objective to compare the effect of transanal irrigation with glycerol suppositories in patients suffering from major Low Anterior Resect...

Detailed Description

Transanal irrigation (TAI) is used as a second-line treatment following unsuccessful personalised conservative treatment (PCT) of LARS. However, it is unknown if scheduled, initiated defecation with t...

Eligibility Criteria

Inclusion

  • Patients electively treated for rectal cancer with a low anterior resection.
  • Unsuccessful PCT after at least 4 weeks of treatment for LARS (LARS score \>29 at evaluation).
  • At least 3 months after surgery (including reversal of a temporary loop-ileostomy).
  • Age \>= 18 years
  • Ability to understand written and spoken language actual for the including site (due to questionnaire validity).

Exclusion

  • Former use of TAI
  • Prior systematic use of rectal emptying aids
  • Anastomotic stenosis
  • History of anastomotic leakage
  • Current metastatic disease or local recurrence
  • Ongoing oncological treatment
  • Postoperative radiotherapy for rectal cancer
  • Previous or current cancer in other pelvic organs than the rectum
  • Underlying diarrhoeal disease
  • Inflammatory bowel disease
  • Dementia
  • Spinal cord injury, multiple sclerosis, Parkinson's disease or other significant neurologic disease assessed to be a contributory cause to LARS symptoms.
  • Inability of patient to use TAI
  • Inability and unwillingness to give informed consent
  • Pregnancy or intention to become pregnant during the trial period

Key Trial Info

Start Date :

September 17 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

114 Patients enrolled

Trial Details

Trial ID

NCT04087421

Start Date

September 17 2019

End Date

December 1 2026

Last Update

May 3 2023

Active Locations (1)

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1

Aarhus University Hospital, Department of Surgery

Aarhus, Denmark, 8200