Comparison of Endoscopic Radiofrequency Ablation Versus Photodynamic Therapy for Inoperable Cholangiocarcinoma

NCT ID: NCT01739465

Last Updated: 2013-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Brief Summary

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The purpose of this study is to compare endoscopic radiofrequency ablation with photodynamic therapy for inoperable cholangiocarcinoma

Detailed Description

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Conditions

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Cholangiocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Self expanding metallic stent (SEMS )placement only

Endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) would be performed to confirm the position and length of the biliary malignant. A self expanding metallic stent (SEMS) would be placed to bypass the site of narrowing

Group Type ACTIVE_COMPARATOR

Self expanding metallic stent (SEMS)

Intervention Type PROCEDURE

Self expanding metallic stent

Endoscopic radiofrequency ablation plus SEMS

Endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) would be performed to confirm the position and length of the biliary malignant. The radiofrequency ablation (RFA) catheter (EMcision, London, United Kingdom) would be placed under fluoroscopic guidance across the biliary stricture. Radiofrequency energy will be delivered to the malignant site. After that,A self expanding metallic stent (SEMS) would be placed to bypass the site of narrowing

Group Type EXPERIMENTAL

Self expanding metallic stent (SEMS)

Intervention Type PROCEDURE

Self expanding metallic stent

Endoscopic radiofrequency ablation (ERFA)

Intervention Type PROCEDURE

Endoscopic radiofrequency ablation

Photodynamic therapy plus SEMS

Photofrin is injected 3 days prior to laser activation of the agent.Endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) will be carried out to determine the length and positon of the biliary malignant. Delivery Fiber used along with the laser system to activate the photosensitizing agent and induce tumor tissue necrosis. A self expanding metallic stent (SEMS) will be placed the site of biliary narrowing

Group Type EXPERIMENTAL

Self expanding metallic stent (SEMS)

Intervention Type PROCEDURE

Self expanding metallic stent

Photodynamic therapy (PDT)

Intervention Type PROCEDURE

Photodynamic therapy

Interventions

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Self expanding metallic stent (SEMS)

Self expanding metallic stent

Intervention Type PROCEDURE

Endoscopic radiofrequency ablation (ERFA)

Endoscopic radiofrequency ablation

Intervention Type PROCEDURE

Photodynamic therapy (PDT)

Photodynamic therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years old
* Pathologically or radiologically confirmed biliary malignant
* Inoperability by staging

Exclusion Criteria

* Cholangiocarcinoma with widespread metastasis
* Coagulopathy (INR \> 2.0 or prothrombin time \> 100 sec or platelet count \< 50,000)
* Prior SEMS placement
* Pregnancy
* Eastern Cooperative Oncology Group (ECOG) performance status ≥ 3 )
* Life expectancy \< 3months
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Medical University

OTHER

Sponsor Role lead

Responsible Party

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Huihong Liang

Associated Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Second Hospital of Guangzhou Medical College

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

The second hospital of Guangzhou Medical college

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Huihong Liang, MD

Role: CONTACT

+86-20-34153043

Facility Contacts

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Huihong Liang, MD

Role: primary

+86-188-2648-8232

Huihong Liang, Doctorial

Role: primary

+86-188-2648-8232

Other Identifiers

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RFA2012

Identifier Type: -

Identifier Source: org_study_id

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