Development of a New Immunochemistry Method Using Antibodies of Proteins Related Bile Duct Cancer

NCT ID: NCT03708445

Last Updated: 2020-02-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-01

Study Completion Date

2020-01-22

Brief Summary

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The sensitivity of brushing cytology used to distinguish the cause of biliary strictures is low and clinical usefulness is not secured. The aim of this study was to develop a new differential staining method for cytology which is difficult to differentiate by the conventional staining method using biliary cancer related protein expressed only in bile duct cancer.

Detailed Description

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Hypothesis: The statistical significance of new staining method using aminoacyl-tRNA synthetases (ARSs) group in normal bile duct cells and the bile duct cancer cells collected by endoscopic retrograde pancreaticoduodenoscopy (ERCP) will be compared to prove the usefulness of the new staining method.

Clinical study design: The bile duct cytology will be obtained by brushing cytology using ERCP in patients with biliary stenosis. The expression of ARSs in the brushing cytology will be evaluated by new staining method and compare with the results of conventional cytology staining method including Papanicolaou staining. Immunofluorescence or immunohistochemistry staining will be performed to differentiate the presence of the tumor. The sensitivity and specificity of the new staining method will be compared with the conventional staining method and its usefulness be confirmed.

Conditions

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Bile Duct Obstruction, Extrahepatic

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The conventional staining method and new staining method will be performed in cytology specimens obtained from same patient.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Bile duct stenosis

This arm includes patients with bile duct stenosis. Endobiliary brushing cytology specimens will be obtained with endoscopic retrograde cholangiopancreatography (ERCP) of patients with bile duct stenosis. Cytology staining will be performed in the cytology specimens.

Group Type EXPERIMENTAL

Cytology staining

Intervention Type DIAGNOSTIC_TEST

Two staining will be performed in cytology specimens obtained from same patient. The cytology specimen will be obtained through brushing cytology using endoscopic retrograde cholangiopancreatography

1. conventional cytology staining method
2. new cytology staining method using antibody of aminoacyl-tRNA synthetases

Interventions

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Cytology staining

Two staining will be performed in cytology specimens obtained from same patient. The cytology specimen will be obtained through brushing cytology using endoscopic retrograde cholangiopancreatography

1. conventional cytology staining method
2. new cytology staining method using antibody of aminoacyl-tRNA synthetases

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients with biliary cancer confirmed by imaging (CT, MRI, positron emission tomography)
* Patients with bile duct cancer diagnosed using brushing cytology by endoscopic retrograde pancreaticoduodenoscopy
* Patients who underwent surgical treatment with biliary cancer
* Patients with bile duct stenosis

Exclusion Criteria

* Minors under the age of 19, vulnerable subjects such as illiteracy
* Necrotic specimens
* Samples with non-diagnostic cytology results and insufficient cells for further evaluation
* Samples classified as neoplastic (benign or other)
* Patient with cholangitis in the bile duct
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea Institute of Science and Technology

OTHER

Sponsor Role collaborator

Gangnam Severance Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sung III Jang

Assistant professor, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Institutional Review Board

Role: STUDY_CHAIR

Gangnam Severance Hospital, Yonsei University College of Medicine

Locations

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CHA Bundang Medical Center

Seongnam, Bundang-gu, South Korea

Site Status

Gangnam Severance Hospital

Seoul, Gangnam-gu, South Korea

Site Status

In Ha University Hospital

Incheon, Jung-gu, South Korea

Site Status

Soon Chun Hyang University Hospital, Cheonan

Cheonan, Namdong-gu, South Korea

Site Status

Gachon University Gil Medical Center

Incheon, Namdong-gu, South Korea

Site Status

Pusan National University Hospital

Busan, Seo-gu, South Korea

Site Status

Countries

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South Korea

References

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Jang SI, Nahm JH, Kwon NH, Jeong S, Lee TH, Cho JH, Kwon CI, Kim DU, Kim JM, Cho HD, Lee HS, Kim S, Lee DK. Clinical utility of methionyl-tRNA synthetase 1 immunostaining in cytologic brushings of indeterminate biliary strictures: a multicenter prospective study. Gastrointest Endosc. 2021 Oct;94(4):733-741.e4. doi: 10.1016/j.gie.2021.04.026. Epub 2021 May 6.

Reference Type DERIVED
PMID: 33965384 (View on PubMed)

Other Identifiers

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3-2016-0286

Identifier Type: -

Identifier Source: org_study_id

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