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| ID | Type | Description | Link |
|---|---|---|---|
| E7009 |
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The overall objective of this study is to assess the functionality of the WallFlexâ„¢ Biliary Fully-covered stent as a palliative treatment for malignant bile duct obstruction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WallFlex Biliary Fully Covered stent | Experimental | Single arm, biliary stenting, using WallFlex Biliary Fully Covered stent |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WallFlexâ„¢ Biliary Fully Covered Metal Stent placement | Device | Implantable metal biliary stent intended for use in the palliative treatment of biliary strictures produced by malignant neoplasms. The stent is fully covered with a polymer to reduce the potential for tumor ingrowth into the stent. |
| Measure | Description | Time Frame |
|---|---|---|
| Adequate Clinical Palliation of the Biliary Obstruction | Adequate clinical palliation of the biliary obstruction as demonstrated by the absence of stent occlusion within 6 month follow up or prior to death, whichever comes first in the evaluable subject cohort of 55 patients. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Technical Success | Technical success is defined as the ability to deploy the stent in satisfactory position across the stricture. It was assessed in the intent-to-treat cohort. | At treatment |
| Ability to Successfully Remove a Stent Upon Removal Attempt |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bret Petersen, MD | Mayo Clinic, Rochester, MN | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| California Pacific Medical Center | San Francisco | California | 94115 | United States | ||
| Univ. of Colorado Health Sciences |
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Enrollment complete
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| ID | Title | Description |
|---|---|---|
| FG000 | WallFlex Biliary Fully Covered Stent | Single arm, biliary stenting, using WallFlex Biliary Fully Covered stent |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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The ability to successfully remove a stent upon a removal attempt was defined as removal without any clinically-significant complications or technical difficulties. |
| 6 months |
| Re-interventions | Per the study protocol, re-intervention was defined as any type of endoscopic, percutaneous, or surgical procedure to improve biliary drainage after insertion of the initial stent. | Until 6 months or death |
| Clinical Success at 1 Month After Stent Procedure as Defined by Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 1 month after stent treatment. | 1 Month |
| Clinical Success at 3 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 3 months after stent treatment. | 3 months |
| Clinical Success at 6 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 6 months after stent treatment. | 6 months |
| Bilirubin Level Reduction | Total bilirubin levels at 1 month follow-up were compared to initial bilirubin levels. Bilirubin level reduction was defined as total bilirubin levels being below 3mg/dl, or reduced by >30% if the initial baseline value was greater than 3mg/dl. | 1 month |
| Stent Patency at 1 Month | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a total bilirubin level of less than 3mg/dl. Patency evaluations at the Month 1 visit were done on those patients with both a total bilirubin level and assessment of biliary obstructive symptoms. | 1 month |
| Stent Patency at 3 Months | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a normal total bilirubin level. Patency evaluations at Month 3 were done on those patients with an assessment of biliary obstructive symptoms (bilirubin levels were not measured at Month 3). | 3 Months |
| Stent Patency at 6 Months | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a normal total bilirubin level. Patency evaluations at Month 6 were done on those patients with an assessment of biliary obstructive symptoms (bilirubin levels were not measured at Month 6). | 6 Months |
| Time to Stent Occlusion | Time to stent occlusion(measured in days since stent placement) was recorded for any subjects who experienced occlusion. | Until 6 Months or death |
| Number of Device-Related Adverse Events | Adverse Events reported during the trial were evaluated for their device-and procedure-relatedness and severity in order to assess device safety. An adverse event was defined as any untoward medical occurance in a study participant. | Until 6 months or death |
| Aurora |
| Colorado |
| 80010 |
| United States |
| Hennepin County Medical Center | Minneapolis | Minnesota | 55415 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Duke University Med Center | Durham | North Carolina | 27710 | United States |
| Thomas Jefferson University | Philadelphia | Pennsylvania | 19107 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Univ. of VA Medical Center | Charlottesville | Virginia | 800708 | United States |
| Virginia Mason Seattle Main Clinic | Seattle | Washington | 98101 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | WallFlex Biliary Fully Covered Stent | Single arm, biliary stenting, using WallFlex Biliary Fully Covered stent |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Adequate Clinical Palliation of the Biliary Obstruction | Adequate clinical palliation of the biliary obstruction as demonstrated by the absence of stent occlusion within 6 month follow up or prior to death, whichever comes first in the evaluable subject cohort of 55 patients. | Per protocol, assessment of the primary endpoint was performed on the evaluable cohort, defined as group of patients who signed the Informed Consent Form, met eligibility criteria, received a stent and had at least one week of follow up. | Posted | Number | participants | 6 months |
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| Secondary | Technical Success | Technical success is defined as the ability to deploy the stent in satisfactory position across the stricture. It was assessed in the intent-to-treat cohort. | Device Safety and Technical Success were evaluated for the 58 intent-to-treat patients | Posted | Number | participants | At treatment |
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| Secondary | Ability to Successfully Remove a Stent Upon Removal Attempt | The ability to successfully remove a stent upon a removal attempt was defined as removal without any clinically-significant complications or technical difficulties. | 2 patients of the evaluable cohort (n=55) were assessed for success of stent removal without any complications/technical difficulties. | Posted | Number | Participants | 6 months |
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| Secondary | Re-interventions | Per the study protocol, re-intervention was defined as any type of endoscopic, percutaneous, or surgical procedure to improve biliary drainage after insertion of the initial stent. | The re-intervention rate was assessed in the evaluable cohort of 55 patients. | Posted | Number | Participant | Until 6 months or death |
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| Secondary | Clinical Success at 1 Month After Stent Procedure as Defined by Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 1 month after stent treatment. | 49 out of 55 evaluable subjects reached the 1-Month Follow Up visit and were evaluated for reduction of biliary obstruction symptoms. | Posted | Number | Participants | 1 Month |
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| Secondary | Clinical Success at 3 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 3 months after stent treatment. | 34 out of 55 evaluable subjects reached the 3-Month Follow Up visit and were evaluated for reduction of biliary obstruction symptoms compared to baseline. | Posted | Number | Participants | 3 months |
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| Secondary | Clinical Success at 6 Months After Stent Procedure as Defined by the Reduction of Biliary Obstruction Symptoms | Clinical success was defined as the reduction of biliary obstruction symptoms after treatment with the device.Symptoms included jaundice,pruritis,right upper quadrant abdominal pain,nausea,vomiting,fever and dark urine.For each patient,a total number of symptoms at baseline and at all post-treatment visits were recorded.Reduction in obstruction symptoms was defined as having a lower total number of symptoms at a post-treatment follow up visit compared to baseline.Here we report the number of subjects with a reduced total number of biliary obstructive symptoms at 6 months after stent treatment. | 23 out of 55 evaluable subjects reached the 6-Month follow up visit and were assessed for reduction of biliary obstructive symptoms compared to baseline. | Posted | Number | Participants | 6 months |
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| Secondary | Bilirubin Level Reduction | Total bilirubin levels at 1 month follow-up were compared to initial bilirubin levels. Bilirubin level reduction was defined as total bilirubin levels being below 3mg/dl, or reduced by >30% if the initial baseline value was greater than 3mg/dl. | 45 out of 55 evaluable patients reported a baseline and a Month 1 total bilirubin level and were therefore analyzed for bilirubin levels reduction. | Posted | Number | Participants | 1 month |
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| Secondary | Stent Patency at 1 Month | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a total bilirubin level of less than 3mg/dl. Patency evaluations at the Month 1 visit were done on those patients with both a total bilirubin level and assessment of biliary obstructive symptoms. | 45 out of 55 evaluable patients had both bilirubin and obstructive symptom assessment at Month 1. | Posted | Number | Participants | 1 month |
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| Secondary | Stent Patency at 3 Months | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a normal total bilirubin level. Patency evaluations at Month 3 were done on those patients with an assessment of biliary obstructive symptoms (bilirubin levels were not measured at Month 3). | 34 patients reached the Month 3 follow up point and were evaluated for stent patency. | Posted | Number | Participants | 3 Months |
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| Secondary | Stent Patency at 6 Months | Per the protocol, stent patency was defined as lack of obstructive symptoms and/or a normal total bilirubin level. Patency evaluations at Month 6 were done on those patients with an assessment of biliary obstructive symptoms (bilirubin levels were not measured at Month 6). | 23 patients reached the Month 6 follow up point and were evaluated for stent patency. | Posted | Number | Participants | 6 Months |
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| Secondary | Time to Stent Occlusion | Time to stent occlusion(measured in days since stent placement) was recorded for any subjects who experienced occlusion. | Only 1 subject experienced stent occlusion during the study. | Posted | Number | Days | Until 6 Months or death |
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| Secondary | Number of Device-Related Adverse Events | Adverse Events reported during the trial were evaluated for their device-and procedure-relatedness and severity in order to assess device safety. An adverse event was defined as any untoward medical occurance in a study participant. | The intent-to-treat cohort of 58 patients was used for this analysis. Of all the events reported for this population, only 6 events were reported as device-related. | Posted | Number | Events | Until 6 months or death |
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11 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | WallFlex Biliary Fully Covered Stent | Single arm, biliary stenting, using WallFlex Biliary Fully Covered stent | 45 | 58 | 38 | 58 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Pain | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Abscess | Infections and infestations | MedDRA (10.1) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Bacteraemia | Infections and infestations | MedDRA (10.1) | Systematic Assessment |
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| Cardiac Failure Congestive | Cardiac disorders | MedDRA (10.1) | Systematic Assessment |
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| Cellulitis | Infections and infestations | MedDRA (10.1) | Systematic Assessment |
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| Chest pain | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Cholangitis | Hepatobiliary disorders | MedDRA (10.1) | Systematic Assessment |
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| Cholecystitis | Hepatobiliary disorders | MedDRA (10.1) | Systematic Assessment |
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| Colon cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Death | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Deep vein thrombosis | Vascular disorders | MedDRA (10.1) | Systematic Assessment |
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| Diverticular Perforation | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Enterovesical Fistula | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Gall bladder perforation | Hepatobiliary disorders | MedDRA (10.1) | Systematic Assessment |
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| Hepatic cirrhosis | Hepatobiliary disorders | MedDRA (10.1) | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA (10.1) | Systematic Assessment |
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| Lung cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Lymphadenopathy mediastinal | Blood and lymphatic system disorders | MedDRA (10.1) | Systematic Assessment |
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| Malignant ascites | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Metastatic neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Myocardial Infarction | Cardiac disorders | MedDRA (10.1) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Obstruction gastric | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Pain | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Pancreatic Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Pancreatic Carcinoma Metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.1) | Systematic Assessment |
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| Pancreatitis | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Posprocedural hemorrhage | Injury, poisoning and procedural complications | MedDRA (10.1) | Systematic Assessment |
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| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Rectal hemorrhage | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Upper gastrointestinal hemorrhage | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Vomitting | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Ascites | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (10.1) | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (10.1) | Systematic Assessment |
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| Vomitting | Gastrointestinal disorders | MedDRA (10.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jeremy Bolt | Boston Scientific Corporation | 508-683-4006 | boltj@bsci.com |
| ID | Term |
|---|---|
| D001651 | Cholestasis, Extrahepatic |
| ID | Term |
|---|---|
| D002779 | Cholestasis |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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