WallFlex Biliary Post Liver Transplant IDE Pilot

NCT ID: NCT01151280

Last Updated: 2013-12-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2012-12-31

Brief Summary

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The primary objective of this study is to demonstrate effectiveness of the WallFlex Biliary RX Fully Covered Stent for anastomotic biliary strictures in post-orthotopic liver transplant (OLT) patients.

Detailed Description

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Conditions

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Anastomotic Biliary Stricture Post Orthotopic Liver Transplant

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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WallFlex Biliary Fully Covered Stent

All eligible patients entered into the study will be treated with a WallFlex Biliary Fully Covered Stent

Group Type EXPERIMENTAL

WallFlex Biliary Fully Covered Stent

Intervention Type DEVICE

Investigational device evaluated for the treatment for benign biliary strictures

Interventions

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WallFlex Biliary Fully Covered Stent

Investigational device evaluated for the treatment for benign biliary strictures

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Age 18 or older
2. Post -OLT patients with symptoms of biliary obstruction secondary to anastomotic biliary stricture as assessed by:

* Clinical signs and symptoms including jaundice, abdominal pain, pruritis, and cholangitis
* Abnormal liver function tests (serum bilirubin \> 1.5 and/or elevated alkaline phosphatase levels)
* Abnormal imaging on ultrasound, CT scan, or MRCP suggestive of a biliary stricture
3. Willingness and ability to comply with the study procedures and provide written informed consent to participate in the study.

Exclusion Criteria

1. Roux-en-Y choledochojejunostomy
2. Suspected nonanastomotic biliary strictures based on imaging(i.e. multiple strictures, strictures that are longer than 8cm in length, strictures located in the intrahepatic ducts and/or in the donor duct proximal to the site of anastomosis)
3. Living donor transplants
4. Transplants performed within 30 days (fresh transplants)
5. Perforation of any duct within the biliary tree
6. Patients with known sensitivity to any components of the stent or delivery system
7. Patients with malignancy involving the biliary tree (including hepatocellular carcinoma)
8. Patients with poor Karnofsky score
9. Life expectancy of less than one year
10. Inability to pass a guidewire through the strictured area
11. Previous biliary metal or multiple plastic stent placement
12. Drug-induced or cholestatic hepatitis from an infective cause
13. Redundant bile duct that may be treated by temporary placement of stent or conversion to a RouxEnY hepaticojejunostomy
14. Choledocholithiasis/biliary "cast" syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Divyesh Sejpal, M.D.

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Mount Sinai Medical Center

New York, New York, United States

Site Status

Mansour Parsi, MD

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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E7055

Identifier Type: OTHER

Identifier Source: secondary_id

E7055

Identifier Type: -

Identifier Source: org_study_id