Carcinomas/Neoplasms
Conditions
Keywords
Bile Duct Obstructions, Biliary Stases, Biliary Tract, Stents
Brief summary
The Evolution® Biliary Stent System-Fully Covered study is a clinical trial approved by the US FDA to evaluate the effectiveness of the Evolution® Biliary Stent System-Fully Covered when used in palliation of malignant neoplasms in the biliary tree.
Interventions
Implantation of the Evolution® Biliary Stent-Fully Covered in the common bile duct utilizing ERCP
Sponsors
Study design
Eligibility
Inclusion criteria
* Inoperable malignant neoplasm causing biliary obstruction or stricture that requires a fully covered metal stent
Exclusion criteria
* \< 18 years of age * Unwilling or unable to sign and date the informed consent * Unwilling or unable to comply with the follow-up schedule * Undergone or is planning to undergo brachytherapy with transpapillary or percutaneous implantation of intracavitary radiation sources * Participating in another investigational drug or device study in which patient has not completed the follow-up phase for the primary endpoint at least 30 days prior to enrollment * Endoscopic procedures are contraindicated * Current anatomy upstream of intended stent placement compromising the flow of bile from the liver such that stent placement may not alleviate the biliary obstruction symptoms * Presence of a metal biliary stent * Presence of an esophageal or duodenal stent * Hypersensitivity/allergy or contraindication to any component of the stent, delivery system, or medication required to complete the procedure,which in the investigator's opinion cannot be adequately premedicated * Coagulopathy * Diffuse intrahepatic metastases that involves \> 10 % of the liver * Life expectancy of \< 3 months * Pregnant * Active alcohol or substance abuse issue * Jaundice secondary to a cause other than biliary duct obstruction * Additional endoscopic restrictions as specified in the Clinical Investigation Plan
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients free from symptomatic recurrent of biliary obstruction requiring reintervention | 6 months |
| Total Serum Bilirubin ≤ 3.0 mg/dL | 1 month |
Countries
Canada, France, Netherlands, United States