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Brief Title: Efficacy and Safety of LifeSeal™ Kit for Colorectal Staple Line Sealing
Official Title: Efficacy and Safety of LifeSeal™ Kit for Staple Line Sealing in Colorectal and Coloanal Anastomoses: A Prospective Randomized Study
Study ID: NCT02907385
Brief Summary: LifeSeal™ Kit, surgical sealant designed for staple-line reinforcement that is applied over the anastomotic line to prevent bowel content leakage until full physiological function is restored. RATIONALE : Postoperative anastomotic leakage is one of the most devastating and feared complications in colorectal surgery. The risk of postoperative anastomotic leakage varies widely depending on the level of anastomosis while the risk is higher in low anastomosis. In order to best demonstrate the benefits of LifeSeal™ in providing staple line reinforcement and helping to reduce leaks, the study includes high risk anastomoses, defined as colorectal and coloanal anastomoses performed within 10 cm from the anal verge. STUDY DESIGN: This study is designed as a prospective, multi-center, multinational randomized, single-blind, double armed study PRIMARY OBJECTIVE: The primary objective of this study is to assess the efficacy and safety of LifeSeal™ Kit as measured by the change in overall anastomotic leak rates in subjects undergoing low anterior resection with an anastomosis below 10 cm from the anal verge, over the first 17 weeks after surgery. SECONDARY OBJECTIVES: The secondary objective of this study is to assess the incidence of post-operative leaks and additional benefits that could be related to the use of LifeSeal™ Kit such as reducing the severity and improving the outcome of a leak once it has occurred. In addition, the study will allow for collection and analysis of additional safety data and usability assessment of the device, medical resource utilization, and health related quality of life measures.
Detailed Description:
Minimum Age: 21 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Southern CA, Los Angeles, California, United States
Stanford University, Stanford, California, United States
Florida Hospital, Florida City, Florida, United States
Tampa General Hospital, Tampa, Florida, United States
Cleveland Clinic Florida, Weston, Florida, United States
University of Chicago, Chicago, Illinois, United States
Franciscan, Indianapolis, Indiana, United States
Indiana University, Indianapolis, Indiana, United States
Ochsner Clinic Foundation, Jefferson, Louisiana, United States
Johns Hopkins Hospital, Baltimore, Maryland, United States
Medical University SC (MUSC), Worcester, Massachusetts, United States
University of Massachusetts, Worcester, Massachusetts, United States
Spectrum Health, Grand Rapids, Michigan, United States
Washington University, Saint Louis, Missouri, United States
Albany medical center, Albany, New York, United States
New York University, New York, New York, United States
Cleveland Clinic, Cleveland, Ohio, United States
University Hospital Cleveland Medical Center, Cleveland, Ohio, United States
Penn state university, State College, Pennsylvania, United States
Duke University, Durham, South Carolina, United States
University of Vermont, Burlington, Vermont, United States
University of Virginia, Charlottesville, Virginia, United States
Medical College of Wisconsin, Milwaukee, Wisconsin, United States
OLV Ziekenhuis Aalst, Aalst, , Belgium
Ziekenhuis Oost-Limburg, Genk, , Belgium
Gent University Hospital, Gent, , Belgium
University Hospital Leuven, Leuven, , Belgium
Bispebjerg Hospital, Copenhagen, , Denmark
Zealand University Hospital, Roskilde, , Denmark
Beilinson Rabin Medical Center, Petah Tikva, , Israel
Sourasky Medical Center, Tel Aviv, , Israel
Assaf Harofeh Medical Center, Tzrifin, , Israel
Policlinico S.Orsola Malpighi, Bologna, , Italy
Humanitas Research Hospital, Milano, , Italy
University of Padova, Padova, , Italy
Catharina Hospital Eindhoven, Eindhoven, , Netherlands
Lund University Hospital, Malmö, , Sweden
Karolinska University Hospital, Stockholm, , Sweden
Uppsala University Hospital, Uppsala, , Sweden