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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01543256
Registration number
NCT01543256
Ethics application status
Date submitted
14/02/2012
Date registered
2/03/2012
Date last updated
9/01/2023
Titles & IDs
Public title
WallFlex Biliary Fully Covered (FC) Chronic Pancreatitis Study
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Scientific title
A Multi-Center, Prospective, Randomized Study Comparing Removable, Self-Expanding Metal Stents to Plastic Stents for the Treatment of Benign Biliary Strictures Secondary to Chronic Pancreatitis
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Secondary ID [1]
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CDM00047682
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Biliary Stricture
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - WallFlex™ Biliary RX Fully Covered Stent System RMV
Treatment: Devices - Commercially available Plastic Stent Per Investigator preference
Active comparator: Metal stents - The WallFlex Biliary Fully Covered Stent System is being evaluated for treatment of benign biliary strictures secondary to chronic pancreatitis.
Active comparator: Plastic Stents - Plastic stents per Investigator preference are being evaluated for treatment of benign biliary strictures secondary to chronic pancreatitis.
Treatment: Devices: WallFlex™ Biliary RX Fully Covered Stent System RMV
Temporary placement of the WallFlex Biliary RX Fully Covered Stent for treatment of benign biliary strictures secondary to chronic pancreatitis. The stent will be removed after 12 months indwell. ("RMV" in intervention name indicates "removable")
Treatment: Devices: Commercially available Plastic Stent Per Investigator preference
Temporary placement/exchange of multiple biliary plastic stents for treatment of benign biliary strictures secondary to chronic pancreatitis. Stents will be removed after cumulative indwell of 12 months.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants With Stricture Resolution
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Assessment method [1]
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Stricture resolution defined as absence of re-stenting after the 12-month stenting period, and 24 months serum alkaline phosphatase level not exceeding twice the level at the end of stenting period.
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Timepoint [1]
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After 12-month stenting period through 24 month follow-up (approximately 12 months)
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Secondary outcome [1]
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Serious Adverse Events Related to the Device or Procedure
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Assessment method [1]
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Device or procedure related serious adverse events from the initial stent placement procedure to the 24 month follow-up.
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Timepoint [1]
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Initial stent placement procedure to 24 month follow-up
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Secondary outcome [2]
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Number of ERCP Procedures Through 24 Months After Initial Stent Placement.
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Assessment method [2]
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The number of endoscopic retrograde cholangiopancreatography (ERCP) procedures through 24 months, after initial stent placement.
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Timepoint [2]
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Initial stent placement procedure to 24 month follow-up
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Secondary outcome [3]
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Ability to Deploy Stent(s) in Satisfactory Position (Technical Success)
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Assessment method [3]
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Technical success defined as the ability to deploy the stent(s) in satisfactory position during initial stent placement procedure.
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Timepoint [3]
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Initial stent placement procedure
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Secondary outcome [4]
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Length of Stent Placement and Removal Procedures
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Assessment method [4]
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Length of stent placement procedures and stent removal procedures.
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Timepoint [4]
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Initial stent placement procedure to 24 month follow-up
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Secondary outcome [5]
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Number of Stents Placed
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Assessment method [5]
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Number of stents placed throughout study to 24 month follow-up
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Timepoint [5]
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Initial stent placement procedure to 24 month follow-up
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Eligibility
Key inclusion criteria
* Age 18 or older
* Willing and able to comply with the study procedures and provide written informed consent to participate in the study
* Chronic pancreatitis
* Symptomatic bile duct stricture (defined by cholangitis or persistent jaundice for at least one month or cholestasis associated with at least 3 times normal alkaline phosphatase levels) documented at time of enrollment for naïve stricture or at the time of prior plastic stent placement in strictures that had one prior plastic stent inserted.12
* Common bile duct stricture based on imaging assessment of dilatation of the common and/or intrahepatic bile ducts
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Biliary stricture of benign etiology other than chronic pancreatitis
* Prior biliary metal stent or any plastic stenting other than one plastic stent of 10 Fr or less for 6 months or fewer
* Developing obstructive biliary symptoms associated with an attack of acute pancreatitis
* Biliary stricture of malignant etiology
* Stricture within 2 cm of common bile duct bifurcation
* Known bile duct fistula or leak
* Subjects for whom endoscopic techniques are contraindicated
* Known sensitivity to any components of the stent or delivery system
* Symptomatic duodenal stenosis (with gastric stasis)
* Participation in another investigational study within 90 days prior to consent
* Investigator Discretion
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/09/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
21/09/2020
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Sample size
Target
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Accrual to date
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Final
172
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal Prince Alfred Medical Center - Newtown
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Recruitment hospital [2]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2042 - Newtown
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Vienna
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Belgium
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State/province [2]
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Brussels
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Belgium
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Leuven
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Canada
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State/province [4]
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Quebec
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France
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Lyon
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Germany
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Dusseldorf
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Country [7]
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Hong Kong
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State/province [7]
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New Territories
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Country [8]
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India
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State/province [8]
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Hyderabad
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Country [9]
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Italy
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State/province [9]
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VR
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Country [10]
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Italy
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State/province [10]
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Rome
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Country [11]
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Netherlands
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State/province [11]
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CE
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Country [12]
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Sweden
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State/province [12]
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Stockholm
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boston Scientific Corporation
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this of this study is to compare the use of Self Expanding Metal Stents (SEMS) to plastic stents for the treatment of benign biliary strictures secondary to chronic pancreatitis as it pertains to stricture resolution rates, complication rates and number of endoscopic retrograde cholangiopancreatography (ERCP) procedures during 24 months. Statistical testing will be performed to determine if the rate of stricture resolution for the metal stent is non-inferior to the plastic stent group.
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Trial website
https://clinicaltrials.gov/study/NCT01543256
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Trial related presentations / publications
Ramchandani M, Lakhtakia S, Costamagna G, Tringali A, Puspoek A, Tribl B, Dolak W, Deviere J, Arvanitakis M, van der Merwe S, Laleman W, Ponchon T, Lepilliez V, Gabbrielli A, Bernardoni L, Bruno MJ, Poley JW, Arnelo U, Lau J, Roy A, Bourke M, Kaffes A, Neuhaus H, Peetermans J, Rousseau M, Reddy DN. Fully Covered Self-Expanding Metal Stent vs Multiple Plastic Stents to Treat Benign Biliary Strictures Secondary to Chronic Pancreatitis: A Multicenter Randomized Trial. Gastroenterology. 2021 Jul;161(1):185-195. doi: 10.1053/j.gastro.2021.03.015. Epub 2021 Mar 17.
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Public notes
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Contacts
Principal investigator
Name
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D.Nageshwar Reddy, MD
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Address
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Asian Institute of Gastroenterology
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/56/NCT01543256/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/56/NCT01543256/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01543256
Download to PDF