Comparison Bile Duct Brushings, Cholangioscopy-Directed Biopsies and Pediatric Forceps Biopsies in Biliary Strictures

NCT ID: NCT03211169

Last Updated: 2019-11-08

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

TERMINATED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-29

Study Completion Date

2019-09-01

Brief Summary

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Prospective, randomized, multi-center study. Investigators will compare diagnostic yield of bile duct brushings, pediatric biopsy forceps biopsies and cholangioscopy-directed biopsies for obtaining diagnostic tissue from biliary strictures.

Detailed Description

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Conditions

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Cholangiocarcinoma Stricture; Bile Duct

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized prospective study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Pediatric Biopsy Forceps directed biopsies

Biopsies of the stricture will be taken with Pediatric Biopsy Forceps after bile duct brushings have been obtained.

Group Type EXPERIMENTAL

Biopsies of bile duct stricture with pediatric biopsy forceps

Intervention Type PROCEDURE

Biopsies of the stricture will be taken to evaluate diagnostic yield of Pediatric Biopsy Forceps

Cholangioscopy-directed biopsies

Biopsies of the stricture will be taken under cholangioscopic guidance after bile duct brushings have been obtained.

Group Type ACTIVE_COMPARATOR

Biopsies of bile duct stricture with cholangioscopy-directed biopsies

Intervention Type PROCEDURE

Biopsies of the stricture will be taken to evaluate diagnostic yield of cholangioscopy-directed biopsies

Interventions

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Biopsies of bile duct stricture with pediatric biopsy forceps

Biopsies of the stricture will be taken to evaluate diagnostic yield of Pediatric Biopsy Forceps

Intervention Type PROCEDURE

Biopsies of bile duct stricture with cholangioscopy-directed biopsies

Biopsies of the stricture will be taken to evaluate diagnostic yield of cholangioscopy-directed biopsies

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. All patients with obstructive jaundice, and imaging (CT or MRI) suggestive of biliary stricture, without obvious pancreatic mass
2. All patients with obstructive jaundice, and index ERCP suggestive of biliary stricture, without obvious pancreatic mass
3. All patients with obstructive jaundice, and prior ERCP suggestive of biliary stricture
4. Expected patient survival of at least 90 days
5. High likelihood of patient follow-up
6. Patient is able to give a written informed consent
7. Patient is willing and able to comply with the study procedures

Exclusion Criteria

1. Patients with imaging suggestive of pancreatic tumor
2. Children \< 18 years of age
3. Pregnant women
4. Patients with impaired decision-making
5. Healthy volunteers
6. Primary Sclerosing Cholangitis (PSC)
7. Patients with untreated coagulopathy at the time of procedure or ongoing need for anti-coagulation
8. Patients with any contraindication to endoscopic procedure
9. Participation in another investigational study that may directly or indirectly affect the results of this study within 30 days prior to the initial visit
10. Patients unable to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Rochester

OTHER

Sponsor Role collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Subhas Banerjee

Associate Professor of Medicine, Division of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Stanford University Medical Center

Stanford, California, United States

Site Status

Countries

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United States

Other Identifiers

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40988

Identifier Type: -

Identifier Source: org_study_id

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