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Phase 3 N=74 Treatment

A Study of the WallFlex™ Biliary Fully-covered Stent for the Palliative Treatment of Malignant Bile Duct Obstruction

Cholestasis, Extrahepatic

Enrolled (actual)
74
Serious AEs
77.6%
Results posted
Feb 2010
Primary outcome: Primary: Adequate Clinical Palliation of the Biliary Obstruction — 54 participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
WallFlex™ Biliary Fully Covered Metal Stent placement (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Boston Scientific Corporation
Primary completion
May 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Adequate Clinical Palliation of the Biliary Obstruction
54
SECONDARY
Technical Success
57
SECONDARY
Ability to Successfully Remove a Stent Upon Removal Attempt
2
SECONDARY
Re-interventions
1
SECONDARY
Clinical Success at 1 Month After Stent Procedure as Defined by Reduction of Biliary Obstruction Symptoms
45
SECONDARY
Clinical Success at 3 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms
33
SECONDARY
Clinical Success at 6 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms
23
SECONDARY
Bilirubin Level Reduction
44
SECONDARY
Stent Patency at 1 Month
44
SECONDARY
Stent Patency at 3 Months
31
SECONDARY
Stent Patency at 6 Months
21
SECONDARY
Time to Stent Occlusion
142
SECONDARY
Number of Device-Related Adverse Events
6

Summary

The overall objective of this study is to assess the functionality of the WallFlex™ Biliary Fully-covered stent as a palliative treatment for malignant bile duct obstruction.

Eligibility Criteria

Inclusion Criteria

  • Age 18 or older
  • Clinical symptoms of biliary obstruction
  • Inoperable extrahepatic biliary obstruction by any malignant process
  • Willing and able to comply with the study procedures and provide written informed consent to participate in the study.

Exclusion Criteria

  • Participation in an Investigational Study within 90 days prior to date of patient consent
  • Strictures that cannot be dilated enough to pass the delivery system
  • Perforation of any duct within the biliary tree
  • Presence of a metal biliary stent
  • Presence of any esophageal or duodenal stent
  • Patients for whom endoscopic procedures are contraindicated
  • Patients with known sensitivity to any components of the stent or delivery system
  • Patients with active hepatitis or intrahepatic metastases that extensively involves both lobes of the liver
  • Patients with an anticipated life expectancy of < 3 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00433771). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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