ClinicalTrials.gg
CompletedNCT01107249ESO-stentUpdated Mar 17, 2016

A Trial of Esophageal and Gastric Stenting for Leak or Perforation

A Phase 2 interventional study of Boston Scientific Ultraflex or Wallstent stents in Esophageal or Gastric Perforations and Esophageal or Gastric Leaks, sponsored by The Methodist Hospital Research Institute. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-03-17.

Sponsored by The Methodist Hospital Research Institute · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Long term follow-up of patients treated for esophageal fistulas with a newer occlusive self-expanding covered metal stents compared to traditional stents.

Read the detailed description

This study is written to evaluate our experience treating esophageal fistulas with occlusive self-expanding covered metal stents. The long-term outcomes of patients treated with this new type of stent are as yet unknown. The differences between these stents is also unknown, as well as the ease of removal, efficacy, and/or placement. The intent of this study is not to determine which stent is better, but to merely evaluate the use of both. With this in mind, there will be no randomization of stent use, nor will there be restrictions on which stent may be used in which setting. This will be left to the judgment of the clinical placing the stent.

02

Conditions studied

  • Esophageal or Gastric Perforations
  • Esophageal or Gastric Leaks

Keywords

  • esophageal
  • stenting
  • perforations
  • gastric
  • esophageal stenting
03

In context

Lead sponsor

The Methodist Hospital Research Institute is the lead sponsor of 160 studies on the registry; 60 are open to participants now.

Of its 26 completed or terminated interventional studies of FDA-regulated products, 16 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients must have radiographic or endoscopic proof of an esophageal leak or fistula.
  2. Patients will be required to undergo imaging with CT scan, endoscopy, or fluoroscopy to investigate the leak. Once the location of the leak is identified, then patients must be taken for stenting and any adjunctive treatment within 12 hours of diagnosis or within 12 hours of arrival to The Methodist Hospital.
  3. Patients must sign informed consent indicating that they are aware of the investigational nature of this study in keeping with the policies of the hospital.

Exclusion criteria

Exclusion Criteria:

  1. Patients who will not agree to return for routine follow-up and studies.
  2. Patients who will not tolerate an endobronchial ultrasound or endoscopic procedure (coagulopathy [INR>1.8, PTT>60, or platelet level \<50], hemodynamically unstable [MAP\<50 or SBP\<80], or other medical illness precluding safe endoscopy).
  3. Patients who have a perforation too high to stent (such as the back of the pharynx, where a stent is not able to be placed), the only unfavorable anatomic location is this one listed above; we believe all other locations are amenable to stent placement.
  4. Resectable carcinoma, megaesophagus, severe stricture, or caustic ingestion.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Other
    BS Ultraflex or Wallstent stents

    All subjects receive a stent of surgeons choice from selected stents.

    Device: Boston Scientific Ultraflex or Wallstent stents

Interventions

  • DeviceBoston Scientific Ultraflex or Wallstent stents

    Stent used to maintain luminal patency in esophageal strictures and occlude esophageal fistulas to reduce gastric leaks, perforations and/or fistulas.

    Also known as: Ultraflex, ULTRAFLEX ESOPHAGEAL NG STENT SYSTEM

06

What researchers measure

Primary outcomes

  1. Safety of esophageal stenting by conducting an Omnipaque swallow and by the success of leakage stops and fistula healing.

    By results from all procedures as reported by the surgeon conducting the stenting in relationship to difficulty and/or complications, as well as patient tolerability. When the esophagus can be sealed and any contamination drained, the stents have successfully provided coverage to allow healing of the esophageal wall.

    Time frame: 15 - 30 days

  2. Efficacy of esophageal stenting by the success of leakage stops and fistula healing.

    By results from all procedures as reported by the surgeon conducting the stenting in relationship to difficulty and/or complications, as well as patient tolerability. When the esophagus can be sealed and any contamination drained, the stents have successfully provided coverage to allow healing of the esophageal wall.

    Time frame: 15 - 30 days

  3. A 30 day duration of stent placement and the relation to the healing esophagus

    By results from all procedures as reported by the surgeon conducting the stenting in relationship to difficulty and/or complications, as well as patient tolerability. Evaluation of the healing process of the esophagus within first 30 days with the capability of its removal procedure. When the esophagus can be sealed and any contamination drained, the stents have successfully provided coverage to allow healing of the esophageal wall.

    Time frame: 30 days

Secondary outcomes

  1. An institutional protocol for stent management

    Results will be considered for assessing and instituting an institutional protocol to become the standard of care for future patient situations.

    Time frame: 1 year

07

Study locations

1 site
  • The Methodist Hospital
    Houston, Texas 77030, United States
08

References and documents

Individual participant data

Plan to share: No — No plan to share data at this time. The PI has relocated to another institution and closed the IDE.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2010, a primary completion of Oct 2014 and a completion of Oct 2014. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 9, 2010
First posted
Apr 20, 2010
Start
May 2010
Primary completionActual
Oct 2014
CompletionActual
Oct 2014
Last update
Mar 17, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 17, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01107249
Responsible party
Sponsor
First posted
Apr 20, 2010
Start date
May 2010
Primary completion
Oct 2014
Completion
Oct 2014
Last update
Mar 17, 2016

Study contacts

Shanda H Blackmon, MD
principal investigator · The Methodist Hospital Research Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion