Boston Scientific Corporation has announced that the first patient has been enrolled in a clinical trial to evaluate its WallFlex biliary RX fully covered stent for the treatment of benign bile duct strictures
This multicentre, prospective study plans to enroll 187 patients at 11 centres(1) worldwide over the next 18 months. The first patient was enrolled by Professor Horst Neuhaus at the Evangelisches Krankenhaus in Dusseldorf, Germany. Lead Investigators in the study are Professor Jacques Deviere of Hospital Erasme in Brussels, and Professor Guido Costamagna of Policlinico A Gemelli in Rome.
“We are pleased to have enrolled the first patient in this important trial to assess the WallFlex biliary RX fully covered stent as a potential option for the treatment of benign biliary strictures,” said Neuhaus. “The WallFlex Stent has proved to be effective in the management of malignant bile duct strictures, and the start of this trial represents a significant clinical milestone in determining optimal treatment strategies for patients with benign bile duct strictures.”
The trial will evaluate the removal of the stents from patients with benign bile duct strictures as well as the effectiveness of temporary stenting for long-term, benign biliary stricture resolution. The study will include patients with bile duct strictures associated with post liver transplant anastomosis, prior abdominal surgery such as cholecystectomy (gall bladder removal) and chronic pancreatitis (inflammation of the pancreas). The WallFlex Biliary RX Stent will remain in the patients four to 12 months depending on the nature of the stricture. Patients will be followed for five years after stent removal.
“We believe this trial is the most comprehensive of its kind and is critical to advancing our knowledge of fully covered, self-expanding metal stenting as an endoscopic treatment for benign biliary strictures,” said Professor Deviere. “Use of the WallFlex biliary RX fully covered Stents in these patients may provide significant benefits as a minimally invasive alternative to surgery.”
The WallFlex biliary RX stent is constructed of braided, platinum-cored Nitinol wire (Platinol Wire) and features three key components: radial force to help maintain duct patency and resist migration, flexibility to aid in conforming to tortuous anatomies and full-length radiopacity to enhance stent visibility under fluoroscopy. The WallFlex biliary RX family of stents is available in fully covered, partially covered and uncovered versions. The covered stents have a silicone polymer coating designed to reduce the potential for tumour ingrowth, and an integrated retrieval loop for removing or repositioning the stent during the initial procedure in the event of incorrect placement.
“The start of patient enrollment in the WallFlex study is an important achievement for Boston Scientific, and we look forward to continuing enrollment in additional countries in the near future,” said Michael Phalen, president, Boston Scientific endoscopy.
WallFlex Stents have received US Food and Drug Administration clearance and CE Mark approval and are indicated for the palliative treatment of biliary strictures produced by malignant neoplasms. The safety and effectiveness of the WallFlex Biliary RX Stenting System for use in the vascular system have not been established.