Long-term results of adipose-derived stem cell therapy for the treatment of Crohn's fistula
- PMID: 25829404
- PMCID: PMC4414218
- DOI: 10.5966/sctm.2014-0199
Long-term results of adipose-derived stem cell therapy for the treatment of Crohn's fistula
Abstract
A previous phase II clinical trial of adipose-derived stem cell (ASC) therapy for fistulae associated with Crohn's disease, a devastating condition with a high recurrence rate, demonstrated safety and therapeutic potential with a 1-year sustained response. In the present study, 41 of the 43 phase II trial patients were followed for an additional year, regardless of response in the initial year. At 24 months, complete healing was observed in 21 of 26 patients (80.8%) in modified per protocol analysis and 27 of 36 patients (75.0%) in modified intention-to-treat analysis. No adverse events related to ASC administration were observed. Furthermore, complete closure after initial treatment was well-sustained. These results strongly suggest that autologous ASCs may be a novel treatment option for Crohn's fistulae.
Keywords: Adipose-derived stem cells; Autologous stem cells; Complete closure of fistula; Crohn’s fistula; Sustained response.
©AlphaMed Press.
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References
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- Maconi G, Bolzoni E, Giussani A, et al. Accuracy and cost of diagnostic strategies for patients with suspected Crohn’s disease. J Crohn’s Colitis. 2014;8:1684–1692. - PubMed
-
- Sangwan YP, Schoetz DJ, Jr, Murray JJ, et al. Perianal Crohn’s disease: Results of local surgical treatment. Dis Colon Rectum. 1996;39:529–535. - PubMed
-
- Sandborn WJ, Fazio VW, Feagan BG, et al. AGA technical review on perianal Crohn’s disease. Gastroenterology. 2003;125:1508–1530. - PubMed
-
- Hwang SH, Bang MJ. Surgery for a complex anal fistula. J Korean Soc Coloproctol. 2008;24:77–82.
-
- Gecse KB, Bemelman W, Kamm MA, et al. A global consensus on the classification, diagnosis and multidisciplinary treatment of perianal fistulising Crohn’s disease. Gut. 2014;63:1381–1392. - PubMed
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