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NCT03767881

AXIOS™ for Gallbladder Drainage as an Alternative to Percutaneous Drainage IDE

Completed NA Results posted Last updated 17 February 2023
What this trial tests

NA trial testing AXIOS(TM) Stent and Electrocautery Enhanced Delivery System in Cholecystitis, Acute in 30 participants. Completed in 2 December 2021.

Timeline
10 September 2019
Primary endpoint
2 December 2021
2 December 2021

Quick facts

Lead sponsorBoston Scientific Corporation
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date10 September 2019
Primary completion2 December 2021
Estimated completion2 December 2021
Sites7 locations across Belgium, United States

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

18 and older, any sex, with Cholecystitis, Acute. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Days to Resolution of Acute Cholecystitis Primary · Up to 15 weeks

Time to resolution of acute cholecystitis measured in days. Resolution is defined as either a fever of less than 100.5°F, or at least a 4-point decrease in the pain score, or WBC count less than 12,000/cc, with improvement in at least two of these categories without the deterioration of the third category.

GroupValue95% CI
AXIOS(TM) Stent and Electrocautery Enhanced Delivery System5.30± 14.90
Rate of Re-interventions Secondary · Through study completion, Up to 15 weeks

Rate of re-interventions including but not limited to stent migration, stent occlusion by GB stones, and luminal debridement.

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System5
Stent Patency Secondary · Stent placement through stent removal, approximately 60 days

Stent patency (ability to facilitate gallbladder drainage) defined indirectly as resolution of acute cholecystitis or, in the absence of resolution of acute cholecystitis, endoscopic observation of unobstructed AXIOSTM stent lumen

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System22
Number of Participants With Successful Technical Stent Placement. Secondary · Intraoperative (stent placement)

Technical AXIOS stent placement success, defined as transmural placement of the AXIOSTM stent with confirmed stent patency via (i) drainage visualized through the stent or fluoroscopically, or (ii) ability to endoscopically observe the inner walls of the gallbladder through the AXIOSTM stent

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System28
Number of Participants With Successful Technical Stent Removal. Secondary · Intraoperative (stent removal)

Technical stent removal success, defined as the ability to remove the AXIOS stent endoscopically without stent removal related serious adverse events

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System19
Acute Cholecystitis Recurrence Secondary · Through study completion, up to 15 weeks

Recurrence of acute cholecystitis and its management post AXIOS stent removal

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System3
Number of Cumulative Hospital and ICU Days Secondary · Through study completion, up to 15 weeks

Number of cumulative hospital and ICU days from initial stent placement to resolution of symptoms of acute cholecystitis

GroupValue95% CI
AXIOS Stent and Electrocautery Enhanced Delivery System8.30± 7.14

Adverse events — posted to ClinicalTrials.gov

Time frame: 16 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AXIOS Stent and Electrocautery Enhanced Delivery System
Serious: 16/30 (53%)
Deaths: 5/30

Serious adverse events (32 terms)

ReactionSystemAXIOS Stent and Electrocau…
Acute kidney injuryRenal and urinary disorders
Cardiac failureCardiac disorders
SyncopeNervous system disorders
Enterococcal infectionInfections and infestations
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
Haemoglobin decreasedInvestigations
CholecystitisHepatobiliary disorders
DehydrationMetabolism and nutrition disorders
Abdominal pain upperGastrointestinal disorders
Urinary retentionRenal and urinary disorders
PyelonephritisInfections and infestations
Deep vein thrombosisVascular disorders
Traumatic liver injuryInjury, poisoning and procedural complications
CholangitisHepatobiliary disorders
C-reactive protein increasedInvestigations
Abdominal painGastrointestinal disorders
Troponin T increasedInvestigations
CystitisInfections and infestations
Cerebrovascular accidentNervous system disorders
Splenic infarctionBlood and lymphatic system disorders
Mental status changesPsychiatric disorders
PneumoniaInfections and infestations
ConstipationGastrointestinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
Other adverse events (9 terms — click to expand)

ReactionSystemAXIOS Stent and Electrocau…
DiarrhoeaGastrointestinal disorders
C-reactive protein increasedInvestigations
Urinary tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
FatigueGeneral disorders
Abdominal pain upperGastrointestinal disorders
HaematuriaRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders

Most-reported serious reactions: Acute kidney injury, Cardiac failure, Syncope, Enterococcal infection, Acute respiratory failure, Haemoglobin decreased, Cholecystitis, Dehydration.

Data from ClinicalTrials.gov NCT03767881 adverse events section.

Sponsor's own description

To evaluate the safety and effectiveness of the AXIOS™ Stent with Electrocautery Enhanced Delivery System in the management of symptoms of acute cholecystitis as an alternative to percutaneous gallbladder drainage.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Endoscopic Ultrasound-guided Transluminal Gallbladder Drainage in Patients With Acute Cholecystitis: A Prospective Multicenter Trial.
    Irani SS, Sharma NR, Storm AC, Shah RJ, et al · · 2023 · cited 25× · PMID 36537290 · DOI 10.1097/sla.0000000000005784

Verify or expand the search:

Other recruiting trials for Cholecystitis, Acute

Currently open trials in the same condition.

Other Boston Scientific Corporation trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing