UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041343
Receipt number R000047201
Scientific Title Comparison of endoscopic ultrasound-guided choledochoduodenostomy and endoscopic retrograde cholangiopancreatography in first-line biliary drainage for malignant distal bile duct obstruction: A multicenter randomized controlled trial
Date of disclosure of the study information 2020/09/01
Last modified on 2021/02/26 16:47:41

* 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

Comparison of endoscopic ultrasound-guided choledochoduodenostomy and endoscopic retrograde cholangiopancreatography in first-line biliary drainage for malignant distal bile duct obstruction: A multicenter randomized controlled trial

Acronym

Comparison of endoscopic ultrasound-guided choledochoduodenostomy and endoscopic retrograde cholangiopancreatography for malignant distal bile duct obstruction: A multicenter randomized controlled trial

Scientific Title

Comparison of endoscopic ultrasound-guided choledochoduodenostomy and endoscopic retrograde cholangiopancreatography in first-line biliary drainage for malignant distal bile duct obstruction: A multicenter randomized controlled trial

Scientific Title:Acronym

Comparison of endoscopic ultrasound-guided choledochoduodenostomy and endoscopic retrograde cholangiopancreatography for malignant distal bile duct obstruction : A multicenter randomized controlled trial

Region

Japan


Condition

Condition

A malignant distal biliary obstruction that is unresectable or presents a very high surgical risk

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare first-line biliary drainage for malignant distal bile duct obstrucion between ultrasonic endoscopic biliary drainage and transpapillary biliary drainage

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Stent patency rate at 180 days after treatment

Key secondary outcomes

Procedure success rate, clinical improvement rate, incident rate, procedure time, success rate of re-intervention, rate of successful stenting without dilatation (EUS-BD group only), survival time, and percentage of post-drainage chemotherapy


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Transpapillary biliary drainage (ERCP)

Interventions/Control_2

Endoscopic ultrasound biliary drainage (EUS-BD)

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) 20 years old or over
2) Radiological diagnosis (with or without pathological confirmation) of malignancy, and presence of a malignant distal biliary obstruction and dilation of the upstream bile duct that is unresectable or presents a very high surgical risk
3) Written consent obtained following adequate explanation of the study aims, design, and procedures.

Key exclusion criteria

1) Radiological evidence of gastric outlet obstruction on CT,
2) Hilar biliary obstruction,
3) Surgically altered anatomy
4) ECOG performance status of 4,
5) Poorly controlled ascites,
6) History of endoscopic sphincterotomy (EST),
7) Biliary stenting,
8) Serious complication involving another organ,
9) Uncorrectable coagulopathy and/or thrombocytopenia,
10) Any other condition or situation determined by a study investigator to represent a reason for ineligibility.

Target sample size

95


Research contact person

Name of lead principal investigator

1st name Masayuki
Middle name
Last name Kitano

Organization

Wakayama-Medical University

Division name

Second Department of Internal Medicine

Zip code

641-8509

Address

Kimiidera 811-1, Wakayama city

TEL

073-441-0627

Email

kitano@wakayama-med.ac.jp


Public contact

Name of contact person

1st name Masahiro
Middle name
Last name Itonaga

Organization

Wakayama-Medical University

Division name

Second Department of Internal Medicine

Zip code

641-8509

Address

Kimiidera 811-1, Wakayama city

TEL

073-441-0627

Homepage URL


Email

kitano@wakayama-med.ac.jp


Sponsor or person

Institute

Wakayama-Medical University

Institute

Department

Personal name



Funding Source

Organization

The Japanese Foundation for Research and Promotion of Endoscopy

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee, Wakayama Medical University

Address

Kimiidera 811-1, Wakayama city

Tel

0734472300

Email

wa-rinri@wakayama-med.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

2020 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Open public recruiting

Date of protocol fixation

2020 Year 08 Month 06 Day

Date of IRB

2020 Year 08 Month 17 Day

Anticipated trial start date

2020 Year 09 Month 01 Day

Last follow-up date

2022 Year 10 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

2020 Year 08 Month 06 Day

Last modified on

2021 Year 02 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047201


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name