Prospective Evaluation of a New Covered Metal Stent for Malignant Lesions of the Esophagus
Study Details
Study Description
Brief Summary
In this study, a newly designed and FDA approved fully covered metal stents will be used to palliate 20 patients with malignant lesion of the esophagus. Dysphagia score will be assessed before and after treatment to confirm efficacy
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
The incidence of esophageal cancer is increasing, and despite advances in treatment, the prognosis is still very poor [1-4]. At presentation, between 50-60 % of patients have unresectable disease [5,6]. For these patients, palliation is the goal with a particular focus on the relief of dysphagia, which is the major etiology of morbidity [5,6]. Presently, Self expanding metal stent (SEMS) have become the treatment of choice for dysphagia associated with unresectable esophageal and GE junction malignancies.
In this study, a newly designed and FDA approved fully covered metal stents will be used to palliate 20 patients with malignant lesion of the esophagus. Dysphagia score will be assessed before and after treatment to confirm efficacy
The objectives are:
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To evaluate if the newly fully covered metal stent , HANAROSTENT can provide adequate palliation of cancerous lesions of the esophagus;
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To determine whether it is non-inferior in efficacy and safety to the esophageal stents currently available at UVa with minimal complications and improvement of symptoms
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: HANAROSTENT covered Esophageal Stent
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Device: HANAROSTENT TM covered Esophageal Stent
HANAROSTENT covered Esophageal Stent for maintaining esophageal luminal patency in esophageal strictures caused by intrinsic and or extrinsic malignant tumors only and occlusion of concurrent esophageal fistula
Other Names:
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Outcome Measures
Primary Outcome Measures
- Palliation assessment based on Dysphagia Scores [2 years]
To evaluate if the newly fully covered metal stent , HANAROSTENT can provide adequate palliation of cancerous lesions of the esophagus;
Secondary Outcome Measures
- Assessment of Complications and MD Anderson Dysphagia Score [2-4 years]
To determine whether it is non-inferior in efficacy and safety to the esophageal stents currently available at UVa with minimal complications and improvement of symptoms
Eligibility Criteria
Criteria
Inclusion Criteria:
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Inoperable malignant obstruction of the esophageal or gastric cardia
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Malignant fistula between the esophagus ans respiratory tree
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Recurrent cancer after prior radiation
Exclusion Criteria:
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Patient unstable for endoscopic procedure
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Previous esophageal stenting
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Tumor growth within 2 cm of the upper esophageal sphincter
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Pregnant women (self reported, no pregnancy test will be done per protocol)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Weill Medical College of Cornell University | New York | New York | United States | 10021 |
Sponsors and Collaborators
- Weill Medical College of Cornell University
- M.I.Tech Co., Ltd.
Investigators
- Principal Investigator: Michel Kahaleh, M.D., Weill Medical College of Cornell University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 14989