EUS-guided Choledochoduodenostomy for Primary Drainage of Malignant Distal Biliary Obstruction

NCT ID: NCT05595122

Last Updated: 2023-07-20

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

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-02

Study Completion Date

2024-03-01

Brief Summary

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A prospective single-centre pilot study investigating the feasibility and safety of EUS-guided choledochostomy as primary drainage strategy in patients with distal malignant biliary obstruction using a FCSEMS through LAMS to reduce stent dysfunction.

Detailed Description

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Conditions

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Biliary Obstruction Pancreas Neoplasm Distal Cholangiocarcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

EUS-CDS using FCSEMS through LAMS

Group Type EXPERIMENTAL

EUS-CDS

Intervention Type DEVICE

EUS-CDS with FCSEMS through LAMS

Interventions

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EUS-CDS

EUS-CDS with FCSEMS through LAMS

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Radiographically (CT or EUS) distal malignant bile duct obstruction
* Histology or cytology proven malignancy of the primary tumour or metastasis; onsite cytology evaluation after EUS guided fine-needle sampling that is highly suspected of a malignancy suffices
* Indication for biliary drainage; in case of a resectable tumour this should be discussed during a clinical multidisciplinary meeting
* Written informed consent

Exclusion Criteria

* Age \< 18 year
* Surgically altered anatomy after previous gastric, periampullary or duodenal resection
* Cancer extending into the antrum or proximal duodenum
* Extensive liver metastases
* WHO performance score of 4 (in bed 100% of time)
* Uncorrectable coagulopathy, defined by INR\>1.5 or platelets \< 50 x 10\^9/L\*
* Clinically relevant gastric-outlet obstruction
* Unable to complete sign informed consent

* Inclusion is allowed after corrective treatment measures are taken, according to local protocol and treating physician.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VU University of Amsterdam

OTHER

Sponsor Role collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role lead

Responsible Party

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Rogier P. Voermans

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Amsterdam UMC location VUmc

Amsterdam, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Jeska Fritzsche

Role: CONTACT

+3120440613

Facility Contacts

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Jeska Fritzsche, MD

Role: primary

References

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Fritzsche JA, Fockens P, Besselink MG, Busch OR, Daams F, Wielenga MCB, Wilmink JW, Voermans RP, Van Wanrooij RLJ. Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study. Gastrointest Endosc. 2025 May;101(5):1009-1016. doi: 10.1016/j.gie.2024.10.012. Epub 2024 Oct 16.

Reference Type DERIVED
PMID: 39424003 (View on PubMed)

Other Identifiers

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NL81840.029.22

Identifier Type: -

Identifier Source: org_study_id

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