Effectiveness & Safety of Neofitoroid® in Hemorrhoidal Disease

Study Overview
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Brief Summary
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Evaluation of the effect and safety of NeoFitoroid® in reducing symptoms in patients with hemorrhoidal disease.

Detailed Description
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Evaluation of the effect and safety of NeoFitoroid® in relieving discomfort symptom after 10 days of treatment compared to baseline (pretreatment). The study duration per patient is 31 days (visit 1 + 10 days treatment + 20 days follow-up).

Official Title
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Prospective, Single Arm, Open Study to Evaluate the Effect of NeoFitoroid® in Reducing Symptoms in Patients With Hemorrhoidal Disease

Conditions
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Hemorrhoids

Intervention / Treatment
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* Device: Neofitoroid®


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of both sexes ≥ 18 years . Diagnosis of hemorrhoidal disease of grade I or II, non thrombosed, according to Goligher's classification performed by anoscopy/rectoscopy at screening. Patient is not expected to require non-pharmacological (as Sclerotherapy, Rubber band ligation, Infrared Coagulation, Radiofrequency Ablation, Cryotherapy) or surgical treatment in the 31 days post enrollment . Discomfort score related to the hemorrhoidal disease ≥ 30 measured through a 0-100 Visual Analog Scale VAS (from no symptoms to overwhelming symptoms) at screening. Women of childbearing potential undergone a negative pregnancy test. Informed consent documentation signed and dated confirming that the patient has been adequately informed of all aspects related to his/her participation in the clinical study and is willing to participate. Exclusion Criteria: Patients with gastrointestinal disease like inflammatory bowel disease, celiac disease, colo-rectal cancer, perianal/fistulizing disease). Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may interfere with the interpretation of study results and/or that, in the judgment of the investigator, would make the subject inappropriate for entry into this study. Patients with active cancer. Tubercolosis , mycosis, Herpes Symplex, virologic disease with anal or perianal skin localization. Presence of physical and/or mental disability that reduces the ability to take medicines as expected. Concomitant abuse of drugs or alcohol. No adequate reliability or presence of conditions that may result in non-compliance / adherence of the patient to the Protocol. Subjects with known or suspected allergy to plants of Helichrysum family, aloe vera, Ruscus, Hypericum, Jojoba Oil, Shea Butter, Essential oils of: Melaleuca, Cypress and Peppermint. Subjects with known or suspected allergy to ingredients such as: glicerilstearato, Caprylic / capric, sucrose distearate, sucrose stearate, cetearyl alcohol, vegetable glycerin, triidrossistearina, vegetable oils, hydrogenated vegetable oils, Candelilla wax, xanthan gum, citric acid, tocopherols, sodium silicate, benzyl alcohol, potassium sorbate, sodium dehydroacetate, Sunflower oil. Subjects with the presence of alarm symptoms (weight loss, lack of appetite). Prior use of other topical ointment for the treatment of haemorrhoid within 14 days before enrollment. Pregnant and/or breastfeeding patients. Participation in interventional research studies of investigational medicinal or device products (ongoing or terminated less than 30 days before screening).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Neofitoroid®<br>Treatment is made by the application of Neofitoroid® 2 times a day for 10 days. | Device: Neofitoroid®<br>* NeoFitoroid® forms a protective barrier mucosa and on perianal region that can aid the physiological process of healing.<br>* Other names: Rescue therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To evaluate the effect of Neofitoroid® in relieving discomfort symptoms after 10 days of treatment compared to baseline (pretreatment). | Reduction of discomfort symptoms measured through a 0-100 Visual Analog Scale related to hemorrhoidal discomfort (VAS, from no symptoms to overwhelming symptoms, 100-mm scale) after 10 days of treatment compared to baseline. The higher values represent a worse outcome. Primary endpoint will be evaluated only with the hemorrhoidal discomfort VAS | day 10 vs day 0 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Relief in discomfort symptom at 3 and 7 days of treatment compared to baseline (pretreatment). | To evaluate the Reduction of discomfort symptom measured through a 0-100 Visual Analog Scale related to hemorrhoidal discomfort (VAS, from no symptoms to overwhelming symptoms, 100-mm scale). The higher values represent a worse outcome. This secondary endpoint will be evaluated only with the hemorrhoidal discomfort VAS | day 3 and day 7 vs day 0 | 
| Relief in pain symptom at 3, 7 and 10 days of treatment compared to baseline (pretreatment). | To evaluate the Reduction of pain symptom measured through a 0-100 Visual Analog Scale related to hemorrhoidal pain symptom (VAS, from no symptoms to overwhelming symptoms, 100-mm scale). The higher values represent a worse outcome. This secondary endpoint will be evaluated only with the hemorrhoidal pain symptom VAS | day 3, day 7 and day 10 vs day 0 | 
| Relief in itching at 3, 7 and 10 days of treatment compared to baseline (pretreatment). | Reduction of itching symptoms measured through a 0-100 Visual Analog Scale related to hemorrhoidal itching (VAS, from no symptoms to overwhelming symptoms,100-mm scale). The higher values represent a worse outcome. This secondary endpoint will be evaluated only with the hemorrhoidal itching VAS | day 3, day 7 and day 10 vs day 0 | 
| Relief in burning at 3, 7 and 10 days of treatment compared to baseline (pretreatment). | Reduction of burning symptoms measured through a 0-100 Visual Analog Scale related to hemorrhoidal burning (VAS, from no symptoms to overwhelming symptoms, 100-mm scale). The higher values represent a worse outcome. This secondary endpoint will be evaluated only with the hemorrhoidal burning VAS | day 3, day 7 and day 10 vs day 0 | 
| Absolute reduction of discomfort pre and post defecation at 3, 7, and 10 days of treatment compared to baseline (pretreatment). | Absolute reduction of discomfort pre and post defecation measured through a 0-100 Visual Analog Scale related to hemorrhoidal discomfort (VAS, from no symptoms to overwhelming symptoms, 100-mm scale). The higher values represent a worse outcome. This secondary endpoint will be evaluated through a compiled VAS pre-defecation and a compiled VAS post-defecation. This secondary endpoint will be evaluated through mean of the differences (VAS score post-defecation - VAS score pre-defecation) at differents time of study compared to the mean measured at baseline. | day 3, day 7 and day 10 vs day 0 | 
| Reduction of bleeding at 3, 7 and 10 days of treatment compared to baseline (pretreatment). | To evaluate the Reduction of bleeding as measured by a 6 point scale (never, rarely, sometimes, often, very often, always) for bleeding. | day 3, day 7 and day 10 vs day 0 | 
| Reduction of anal leakage at 3, 7 and 10 days of treatment compared to baseline (pretreatment). | To evaluate the Reduction of anal leakage measured by a 6 point scale (never, rarely, sometimes, often, very often, always) for bleeding | day 3, day 7 and day 10 vs day 0 | 
| Evaluation of presence of prolapse and/or nodules after 10 days of treatment compared to baseline (if present) | To evaluate the Presence of prolapse and/or nodules after 10 days of treatment | day 10 vs day 0 | 
| Subject quality of life (EQ-5D-5L improvement after 10 days of treatment compared to baseline (pretreatment). | To evaluate the Quality of life improvement measured with Quality of Life Index (EQ-5D-5L, MOVEMENT CAPACITY, PERSONAL CARE, LIVING ACTIVITIES, PAIN OR DISCOMFORT, ANXIETY OR DEPRESSION). The higher values represent a worse outcome. | day 10 vs day 0 |