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临床试验/NCT01788865
NCT01788865Unknown4 期

Efficacy and Safety of a Covered Self-expandable Dual-layered Metallic Mesh Stent (UVENTA™) in Ureteral Obstruction: Prospective, Multi-center, Open Label Study

Samsung Medical Center2 个研究点 分布在 1 个国家目标入组 92 人开始时间: 2012年6月最近更新:
适应症

试验速览

阶段
4 期
入组人数
92
试验地点
2
主要终点
Primary patency rate

研究概览

简要总结

The purpose of this study is to evaluate Efficacy and Safety of a covered self-expandable dual-layered metallic mesh stent (UVENTA) in ureteral obstruction.

详细描述

Prospective, Multi-center, open label, single arm Study

  1. Treatment
  • Covered self-expandable dual-layered metallic mesh Stents(cSEMS) are implanted in patents with malignant ureteral obstruction
  1. Follow up
  • Assessments including X-ray(KUB), are done 3, 6, 12, 18 and 24 months after the procedure.
  • Diuretic RI scan (DTPA, MAG-3) 3, 6, 12 months after the procedure
  • Imaging such as IVP(Intravenous Pyelogram), ultrasonogram, CT(Computed Tomogram) are performed at 6 and 12 months.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients who voluntarily agree to participation and submitted a written informed consent for this study, and 20~80 years
  • One out of following cases below apply to Patients who have malignant ureteral obstruction or have benign ureteral obstruction without improvement after previous treatment
  • Patients who doesn't want to have regular replacement of plastic stent
  • Patients who has no improvement of obstruction after plastic stent implant
  • Patients who want other Urinary diversion because of stimulatory sign or pain due to plastic stent
  • Patients with no previous ureteral metal stenting procedure experience.
  • Patients with more than 6 months of life expectancy
  • Patients understanding the objective of the study and who are willing to sign a consent

排除标准

  • Patients with Urothelial Carcinoma
  • Patients with bladder invasion of malignant tumor
  • Patients with bladder dysfunction or obstruction of lower urinary tract
  • one or more times Recurrent Urinary stone in the last 3 years
  • 2 or more times upper urinary tract infection without upper urinary tract obstruction
  • Karnofsky scores < 60
  • Patients with Bacteriuria
  • Inadequate Patient to participate in the study as judged by the investigator

结局指标

主要结局

Primary patency rate

时间窗: 12 months

Rate of Ureter units maintaining patency without interventions after technical success of the primary procedure(Diuretic RI scan: T½ \< 20 min)

次要结局

  • Technical success rate(1week, 1 month)
  • Final patency rate(12 months)
  • Adverse Event(1week, 1, 3, 6, 9, 12 months)
  • Predictive Risk Factors for Primary patency rate(12 months)
  • the primary patency rate among different location of distal stent(12 months)
  • Ureteral stent symptom questionnaire(USSQ)(1, 3, 6, 9, 12 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

HAN, DEOK HYUN

HAN, DEOK HYUN

Samsung Medical Center

研究点 (2)

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