UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027169
Receipt number R000031101
Scientific Title Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration
Date of disclosure of the study information 2017/05/01
Last modified on 2020/10/29 14:43:00

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Basic information

Public title

Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration

Acronym

Efficacy of a super-thin choledochoscope in laparoscopic common bile duct exploration

Scientific Title

Prospective study evaluating the efficacy of a super-thin choledochoscope in the laparoscopic transcystic common bile duct exploration

Scientific Title:Acronym

Efficacy of a super-thin choledochoscope in laparoscopic common bile duct exploration

Region

Japan


Condition

Condition

Patients who are diagnosed, or suspected, as harboring common bile duct (CBD) stones and scheduled to undergo elective laparoscopic cholecystectomy

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objectives of this study are as follows:
#1 To evaluate the feasibility of passing a super-thin choledochoscope into the CBD using a transcystic technique and establishing the area the scope can visualize.
#2 To compare the choledocholithiasis diagnostic accuracy using a super-thin choledochoscope with that of magnetic resonance cholangiopancreatography (MRCP) and intraoperative cholangiography (IOC).
#3 To confirm the safety and resuced invasiveness of the procedure.
The goal of our study is to assess the efficacy of transcystic CBD exploration, using a super-thin choledochoscope, for pre- and intra-operative diagnosis and in one-stage laparoscopic management of CBD stones

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcomes are successful insertion of the super-thin choledochoscope into the common bile duct (CBD) via transcystic route and successful CBD exploration of both the distal (to the papilla) and proximal (to the bifurcation) parts of the bile duct.

Key secondary outcomes

To evaluate whether the choledochoscope contributes to improvement in the detection and one-stage clearance of CBD stones


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Laparoscopic transcystic common bile duct exploration using a super-thin choledochoscope

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1 Patients diagnosed with CBD stones, confirmed or suspected as a result of clinical symptoms, serological tests, ultrasonography or MRCP, who are scheduled to undergo elective laparoscopic cholecystectomy (regardless of whether they underwent endoscopic sphincterotomy)
2 Patients older than 19 years of age at the time of surgery
3 Patients providing written informed consent

Key exclusion criteria

1 Large(9mm or more) or multiple (n=6 or more)CBD stones
2 Suspected primary CBD stones
3 Intrahepatic stones or biliary dilatation
4 Aberrant hepatic duct which joins the cystic duct or the bile duct close to the cystic duct
5 Anomalous arrangement of the pancreaticobiliary ducts
6 Suspected biliary malignancy
7 Allergic to radiopaque contrasts
8 Short cystic duct making the introduction of choledochoscope problematic
9 Acute cholecystitis
10 Presence of a biliary stent at the time of surgery

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shunichiro
Middle name
Last name Komatsu

Organization

Aichi Medical University

Division name

Gastroenterological Surgery

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute, Aichi Pref.

TEL

0561-62-3311

Email

skomat@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name Shunichiro
Middle name
Last name Komatsu

Organization

Aichi Medical University

Division name

Gastroenterological Surgery

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute, Aichi Pref.

TEL

0561-62-3311

Homepage URL


Email

skomat@aichi-med-u.ac.jp


Sponsor or person

Institute

Aichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Aichi Medical University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional review board of Aichi Medical University Hospital

Address

1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan

Tel

0561-62-3311

Email

amu_ethics@aichi-med-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 05 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://link.springer.com/article/10.1007/s00464-020-07779-y

Number of participants that the trial has enrolled

38

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 04 Month 19 Day

Date of IRB

2017 Year 04 Month 19 Day

Anticipated trial start date

2017 Year 05 Month 01 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 04 Month 27 Day

Last modified on

2020 Year 10 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031101


Research Plan
Registered date File name
2017/05/09 研究計画書(治療計画書)11.doc

Research case data specifications
Registered date File name

Research case data
Registered date File name