UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037640
Receipt number R000042910
Scientific Title Best Period to Replace or Change Plastic Stents with Self-Expandable Metallic Stents Using Multivariate Competing Risk Regression Analysis: A Single-Center Retrospective Cohort Study
Date of disclosure of the study information 2019/08/09
Last modified on 2020/08/05 12:02:22

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Best Period to Replace or Change Plastic Stents with Self-Expandable Metallic Stents Using Multivariate Competing Risk Regression Analysis: A Single-Center Retrospective Cohort Study

Acronym

The best period to replace or change plastic stent to SEMS

Scientific Title

Best Period to Replace or Change Plastic Stents with Self-Expandable Metallic Stents Using Multivariate Competing Risk Regression Analysis: A Single-Center Retrospective Cohort Study

Scientific Title:Acronym

The best period to replace or change plastic stent to SEMS

Region

Japan


Condition

Condition

Consecutive patients with suspected hepatobiliary-pancreatic disorders who underwent EBD attempts between January 1, 2012, and December 31, 2018, were retrospectively included in this study. Data on ERCP procedures were retrieved from the Jikei University ERCP database, with more than 6 months of follow up.

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The primary aim of this study was to determine the best period to replace or change a Plastic stent (PS) with a Self-expandable metallic stent (SEMS) in each disease, after resolving the risk factors for recurrent biliary obstruction.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The primary endpoint of the present study was the period to recurrent biliary obstruction(PRBO) in each disease.Consecutive patients with suspected hepatobiliary-pancreatic disorders who underwent EBD attempts between January 1, 2012, and December 31, 2018, were retrospectively included in this study.

Key secondary outcomes

(i) comparison of the RBO factors between the benign and malignant groups; (ii) resolution of the risk factors for RBO in the benign and malignant groups; and (iii) evaluation of the risk factors in each disease.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

100 years-old >

Gender

Male and Female

Key inclusion criteria

1. Consecutive patients with suspected hepatobiliary-pancreatic disorders who underwent EBD attempts were retrospectively included in this study.
2. Performance status; 0,1,2.
3. More than 20 years old.
4. All patients provided written informed consent to undergo EBD


Key exclusion criteria

Opt out method was adopted, and when the patients who underwent EBD reject to enrole in this study, the data will delete. The other drainage(i.e. pancreatic duct drainage, Duodenal stent) was also excleded.

Target sample size

2156


Research contact person

Name of lead principal investigator

1st name Masafumi
Middle name
Last name Chiba

Organization

The Jikei University School of Medicine

Division name

Department of Endoscopy

Zip code

105-8461

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

TEL

03-3433-1111(3181)

Email

ccl09720@gmail.com


Public contact

Name of contact person

1st name Masafumi
Middle name
Last name Chiba

Organization

The Jikei University School of Medicine

Division name

Department of Endoscopy

Zip code

105-8461

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

TEL

03-3433-1111(2134)

Homepage URL


Email

ccl09720@gmail.com


Sponsor or person

Institute

Department of Endoscopy, The Jikei University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Endoscopy, The Jikei University School of Medicine

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

The Ethics committee of The Jikei University School of Medicine for Biomedical Research

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

Tel

03-3433-1111(2134)

Email

rinri@jikei.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

31-099(9598)

Org. issuing International ID_1

The Ethics committee of The Jikei University School of Medicine for Biomedical Research

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2019 Year 08 Month 09 Day


Related information

URL releasing protocol

https://www.nature.com/articles/s41598-020-70081-3#citeas

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41598-020-70081-3#citeas

Number of participants that the trial has enrolled

2156

Results

Chiba, M., Kato, M., Kinoshita, Y. et al. Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis. Sci Rep 10, 13080 (2020). https://doi.org/10.1038/s41598-020-70081-3

Results date posted

2020 Year 08 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2020 Year 08 Month 04 Day

Baseline Characteristics

Chiba, M., Kato, M., Kinoshita, Y. et al. Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis. Sci Rep 10, 13080 (2020). https://doi.org/10.1038/s41598-020-70081-3

Participant flow

Chiba, M., Kato, M., Kinoshita, Y. et al. Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis. Sci Rep 10, 13080 (2020). https://doi.org/10.1038/s41598-020-70081-3

Adverse events

Chiba, M., Kato, M., Kinoshita, Y. et al. Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis. Sci Rep 10, 13080 (2020). https://doi.org/10.1038/s41598-020-70081-3

Outcome measures

Chiba, M., Kato, M., Kinoshita, Y. et al. Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis. Sci Rep 10, 13080 (2020). https://doi.org/10.1038/s41598-020-70081-3

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 01 Month 01 Day

Date of IRB

2019 Year 07 Month 08 Day

Anticipated trial start date

2012 Year 01 Month 01 Day

Last follow-up date

2019 Year 06 Month 30 Day

Date of closure to data entry

2020 Year 08 Month 04 Day

Date trial data considered complete


Date analysis concluded

2020 Year 08 Month 04 Day


Other

Other related information

The present retrospective cohort study was investigated the period to recurrent biliary obstruction after plastic stent placement. This study complied with the TOKYO criteria 2014 for a time to event analysis and with the other guidelines on survival analyses


Management information

Registered date

2019 Year 08 Month 08 Day

Last modified on

2020 Year 08 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042910


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name