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ComVi and D-type Stent in Malignant GOO

A Newly Designed Conformable Uncovered Versus Covered Self-expandable Metallic Stent for Palliation of Malignant Gastric Outlet Obstruction: a Prospective, Randomized Multicenter Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01839292
Enrollment
89
Registered
2013-04-24
Start date
2010-04-30
Completion date
Unknown
Last updated
2013-04-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Outlet Obstruction

Keywords

gastric outlet obstruction, palliative treatment, stent

Brief summary

Covered self-expandable metallic stents (SEMS) have been used to prevent tumor ingrowth, a common complication of uncovered SEMSs. However, they have revealed a high incidence of stent migration in patients with unresectable malignant gastric outlet obstruction (GOO). A conformable covered SEMS was introduced to overcome both stent migration and tumor ingrowth. The aims of this study were to evaluate the clinical outcomes of newly designed conformable covered and uncovered SEMS for palliation of malignant GOO.

Interventions

DEVICEuncovered D-type stent insertion
DEVICEdouble-layered ComVi stent insertion

Sponsors

National Cancer Center, Korea
CollaboratorOTHER_GOV
Kyungpook National University Hospital
CollaboratorOTHER
Hallym University
CollaboratorOTHER
The Catholic University of Korea
CollaboratorOTHER
Seoul National University
CollaboratorOTHER
DongGuk University
CollaboratorOTHER
Ajou University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* adults 18 years of age or older * obstructive symptoms due to unresectable malignant GOO * a Karnofsky performance score of more than 30 (13)

Exclusion criteria

* history of a previous SEMS insertion * the presence of obstruction in the gastrointestinal tract excluding the gastric outlet * severe comorbidities precluding the endoscopic procedure, such as cardiopulmonary disease, sepsis, and bleeding disorders * a life expectancy of less than 1 month after SEMS insertion * history of gastric surgery

Design outcomes

Primary

MeasureTime frame
the stent patency time from stent insertion to restenosis due to stent malfunction or deathUp to 1 years

Secondary

MeasureTime frame
stent malfunction (e.g., stent migration or occlusion due to tumor ingrowth/overgrowth) and the reintervention rateup to 1 years

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026