UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000054052
Receipt number R000061713
Scientific Title A non-inferiority randomized controlled trial of balloon dilatation alone versus balloon dilatation with stenting for stricture of choledochojejunostomy
Date of disclosure of the study information 2024/04/03
Last modified on 2024/04/03 16:50:00

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Basic information

Public title

A non-inferiority randomized controlled trial of balloon dilatation alone versus balloon dilatation with stenting for stricture of choledochojejunostomy

Acronym

CJ stricture trial

Scientific Title

A non-inferiority randomized controlled trial of balloon dilatation alone versus balloon dilatation with stenting for stricture of choledochojejunostomy

Scientific Title:Acronym

CJ stricture trial

Region

Japan


Condition

Condition

CholedochojeJunostomy stricture

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Endoscopic retrograde cholangiopancreatography (ERCP) using double-balloon enteroscopy (DBE) to evaluate cholangitis recurrence-free survival in patients with biliary jejunostomy stricture. ) Verify that manual balloon dilation alone is non-inferior to balloon dilation combined with stent placement.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cholangitis recurrence-free survival

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

For cholangiojejunostomy stenosis, the test treatment group will be treated with balloon dilation alone, and the control treatment group will be treated with a combination of balloon dilation and stent placement.

Interventions/Control_2

For cholangiojejunostomy stenosis, the test treatment group will be treated with balloon dilation alone, and the control treatment group will be treated with a combination of balloon dilation and stent placement.

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Have a history of treatment for bile duct jejunostomy.
2) Elevated hepatobiliary enzymes within 90 days before enrollment. The above was approved.
3) Intrahepatic bile duct dilatation is found on imaging tests.
4) No serious renal disorder (latest serum creatinine value less than 2.0 mg/dl and eGFR 30 ml/min/1.73 m2 or more within 28 days before registration).
5) Do not have severe diabetes (no concurrent diabetes or latest HbA1c less than 10% within 28 days before registration).
6) Be at least 18 years old at the time of consent.
7) Written consent has been obtained from the individual to participate in the research.

Key exclusion criteria

1) Have a history of hypersensitivity to iodine or iodine contrast media.
2) Have poorly controlled hyperthyroidism (thyroid function is not stable despite untreated status or treatment).
3) Have a serious heart disorder (acute myocardial infarction, intractable arrhythmia, or other severe heart disease)
4) Have serious lung disease (with symptoms such as hypoxemia and difficulty breathing).
5) Have active multiple cancers (synchronous multiple cancers and metachronous multiple cancers with a disease-free period of 5 years or less). However, this does not include carcinoma in situ, which is considered to be curable with treatment.
6) Concomitant disseminated intravascular coagulation (meeting the diagnostic criteria of the Japanese Society of Thrombosis and Haemostasis DIC diagnostic criteria 2017 edition [12]).
7) Having biliary stricture due to malignant tumor.
8) I am pregnant.
9) A bile duct jejunostomy other than an anastomosis is confirmed by imaging test (ultrasound, CT, or MRI) or ERCP.

Target sample size

112


Research contact person

Name of lead principal investigator

1st name Nobuhiko
Middle name
Last name Fukuba

Organization

Shimane University

Division name

Internal medicine II

Zip code

6938501

Address

89-1,Enya-cho, Izumo, Shimane,Japan

TEL

0853-23-2111

Email

nfukuba@med.shimane-u.ac.jp


Public contact

Name of contact person

1st name NOBUHIKO
Middle name
Last name FUKUBA

Organization

Shimane University

Division name

Internal medicine II

Zip code

693-8501

Address

89-1,Enya-cho, Izumo, Shimane,Japan

TEL

0853-23-2111

Homepage URL


Email

nfukuba@med.shimane-u.ac.jp


Sponsor or person

Institute

Shimane University

Institute

Department

Personal name



Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Medical Research Ethics Committee,Shimane University Faculty of Medicine

Address

89-1,Enya-cho, Izumo, Shimane,Japan

Tel

0853-23-2111

Email

kenkyu@med.shimane-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

2024 Year 04 Month 03 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

Preinitiation

Date of protocol fixation

2024 Year 03 Month 25 Day

Date of IRB


Anticipated trial start date

2024 Year 04 Month 05 Day

Last follow-up date

2026 Year 07 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

2024 Year 04 Month 03 Day

Last modified on

2024 Year 04 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061713


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name