Clinical Trial: AXIOS Stent With Electrocautery Enhanced Delivery System

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: AXIOS Stent With Electrocautery Enhanced Delivery System

Brief Summary: The purpose of this study is to demonstrate the safety and effectiveness of the AXIOS Stent with Electrocautery Enhanced Delivery System for endoscopic transenteric drainage of pancreatic pseudocysts.

Detailed Summary:
Sponsor: Xlumena, Inc.

Current Primary Outcome:

  • Safety/Adverse Event Outcome Measure 1 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from access site-related bleeding requiring transfusion
  • Safety/Adverse Event Outcome Measure 2 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from access site-related infection requiring intravenous or intramuscular antibiotics and/or extended hospitalization
  • Safety/Adverse Event Outcome Measure 3 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from surgery for access-site related perforation
  • Safety/Adverse Event Outcome 4 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from stent migration/dislodgement into the pseudocyst or enteral lumen
  • Safety/Adverse Event Outcome Measure 5 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from tissue injury, defined as ulceration at site of stent implant as observed to persist through 1-week post-stent removal
  • Safety/Adverse Event Outcome Measure 6 [ Time Frame: Index procedure through 1-week post-stent removal ]
    Freedom from serious adverse event associated with the AXIOS stent and/or (index) implant procedure


Original Primary Outcome: Safety/Adverse Event Outcome Measure [ Time Frame: Index procedure through 1-week post-stent removal ]

Freedom from major complications through the duration of the 1-week post-stent removal, defined as:

  • Access site-related bleeding requiring transfusion;
  • Access site-related infection requiring intravenous or intramuscular antibiotics and/or extended hospitalization;
  • Surgery for access-site related perforation;
  • Stent migration/dislodgement into the pseudocyst or enteral lumen;
  • Tissue injury, defined as ulceration at site of stent implant as observed to persist through 1-week post-stent removal;
  • Serious adverse event associated with the AXIOS stent and/or (index) implant procedure.


Current Secondary Outcome:

  • Stent Retention Outcome Measure [ Time Frame: 30 or 60 days post-procedure ]
    Stent Retention: The stent must remain in place for up to 60 days
  • Lumen Patency Outcome Measure [ Time Frame: 30 and/or 60 days post-procedure ]
    Lumen Patency: The stent lumen must be patent at 30 days and/or 60 days of implantation.
  • Technical Success Outcome Measure 1 [ Time Frame: Index Procedure ]
    Technical success: Successful placement of the AXIOS stent using the Electrocautery Enhanced AXIOS Delivery System
  • Clinical Success Outcome Measure [ Time Frame: 30 or 60 days post-procedure ]
    Clinical success: At least a 50% decrease in pseudocyst size at 30 days or 60 days
  • Technical Success Outcome Measure 2 [ Time Frame: 30 or 60 Day Post-procedure ]
    Technical Success: Successful removal of AXIOS stent using standard endoscopic snare or forceps


Original Secondary Outcome:

  • Stent Retention Outcome Measure [ Time Frame: 30 or 60 days post-procedure ]
    Stent Retention: The stent must remain in place for up to 60 days
  • Lumen Patency Outcome Measure [ Time Frame: 30 and/or 60 days post-procedure ]
    Lumen Patency: The stent lumen must be patent at 30 days and/or 60 days of implantation.
  • Technical Success Outcome Measure [ Time Frame: Index Procedure and at 30 or 60 days post-procedure ]
    Technical success: Successful placement of the AXIOS stent using the Electrocautery Enhanced AXIOS Delivery System and successful removal of the AXIOS stent using a standard endoscopic snare or forceps.
  • Clinical Success Outcome Measure [ Time Frame: 30 or 60 days post-procedure ]
    Clinical success: At least a 50% decrease in pseudocyst size, based on radiographic analysis, at 30 days or 60 days.


Information By: Xlumena, Inc.

Dates:
Date Received: May 13, 2014
Date Started: June 2014
Date Completion:
Last Updated: September 2, 2015
Last Verified: September 2015