Review Article

Modern Treatments and Stem Cell Therapies for Perianal Crohn’s Fistulas

Table 2

Published and ongoing clinical trials using MSCs for the treatment of Crohn’s perianal fistula.

Authors/trial codeStudy designStatus and results

García-Olmo et al. 2005 [59] (phase I study)
Autologous adipose derived stem cells
Trial completed
75% of fistulas have complete closure at week 8
Garcia-Olmo et al. 2009 [60] (phase II study)
Autologous adipose derived stem cells + fibrin glue
Trial completed
Fistula healing: 71% versus 16%
Ciccocioppo et al. 2011 [58] (prospective study)
Autologous mesenchymal stem cells
Reduction in Crohn’s disease activity index and pain/discharge scores
Herreros et al. 2012 [61]
NCT00475410
(phase III study)
Autologous adipose derived stem cells + fibrin glue
Trial completed
At 1 year, the healing rates were 57.1% (stem cells alone), 52.4% (stem cells + fibrin glue), and 37.3% (fibrin glue alone)
Molendijk et al. 2015 [64]
NCT01144962
(phase II study)
Allogeneic adipose derived stem cells
Placebo-control
Trial completed
Healing up to 85%
Panés et al. 2016 [62]
NCT01541579
(Phase III study)
Allogeneic adipose derived stem cells versus placebo
Trial ongoing
50% versus 34% achieved combined remission
NCT01915927(Phase I study)
Autologous adipose derived stem cells coated fistula plug
Trial recruiting patients