Status:

COMPLETED

Endoscopically-delivered Purastat to Treat Bleeding Caused by Radiation Proctopathy

Lead Sponsor:

Manchester University NHS Foundation Trust

Collaborating Sponsors:

National Institute for Health Research, United Kingdom

Conditions:

Radiation Proctopathy

Eligibility:

All Genders

16+ years

Phase:

NA

Brief Summary

30,000 people in the UK are treated with pelvic radiotherapy each year. Rectal bleeding is a common symptom side effect caused by radiation proctopathy (RP). RP is due to the effect of radiation on th...

Detailed Description

Purastat is a new haemostatic agent (treatment that stops bleeding) which is licensed to treat bleeding from blood vessels in the gut. It is a liquid containing four peptides (protein building-blocks)...

Eligibility Criteria

Inclusion

  • Inclusion criteria
  • Age \>16 years old
  • Pelvic radiotherapy completed \>6 months previously
  • Endoscopically confirmed diagnosis of radiation proctopathy on lower GI endoscopy (sigmoidoscopy or colonoscopy) as characterised by the typical endoscopic appearances of superficial friable serpiginous telangiectasia, mucosal pallor and oedema
  • Significant rectal bleeding (\>weekly passage of blood into toilet bowl +/- anaemia which is ongoing for at least 3 months)
  • Full colonic evaluation (colonoscopy or CT colonogram) to exclude other causes for rectal bleeding
  • Capable of providing informed consent to a participant information sheet written in English
  • Exclusion criteria
  • Age \<16 years
  • Unable to have full colonic evaluation to exclude other causes of rectal bleeding
  • Other untreated cause for rectal bleeding
  • Previous Purastat treatment for RP
  • Previous Sucralfate treatment for RP

Exclusion

    Key Trial Info

    Start Date :

    July 22 2021

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 31 2024

    Estimated Enrollment :

    26 Patients enrolled

    Trial Details

    Trial ID

    NCT04918758

    Start Date

    July 22 2021

    End Date

    December 31 2024

    Last Update

    March 19 2025

    Active Locations (1)

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    1

    Manchester University NHS Foundation Trust

    Manchester, United Kingdom, M13 9WU