Preoperative Evaluation of Lymph Nodes of Cholangiocarcinoma

NCT ID: NCT05678218

Last Updated: 2025-08-08

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

COMPLETED

Total Enrollment

245 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-05

Study Completion Date

2025-08-01

Brief Summary

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The goal of this observational cohort study is to assess the yield of preoperative endoscopic ultrasound focussed on lymph nodes in patients with presumed resectable perihilar (pCCA), intrahepatic (iCCA) or mid-common bile duct (CBD) cholangiocarcinoma. The main questions it aims to answer is:

1. The number of patients precluded from surgical work-up due to positive regional or extraregional lymph nodes identified by endoscopic ultrasound guided tissue acquisition
2. Characteristics during endoscopic ultrasound of lymph nodes associated with malignancy

Detailed Description

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Conditions

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Hilar Cholangiocarcinoma Intrahepatic Cholangiocarcinoma Common Bile Duct Neoplasms Cholangiocarcinoma Adenocarcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Presumed resectable perihilar, intrahepatic or mid-common bile duct (CBD) cholangiocarcinoma

Endoscopic Ultrasound registration

Intervention Type PROCEDURE

Registration of all findings during Endoscopic Ultrasound

Interventions

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Endoscopic Ultrasound registration

Registration of all findings during Endoscopic Ultrasound

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Presumed resectable pCCA OR
* Presumed resectable iCCA OR
* Presumed resectable mid-common bile duct CCA OR
* Presumed unresectable pCCA worked-up for Liver Transplantation AND
* Written informed consent must be given according to International Council on Harmonisation/Good Clinical Practice guidelines, and national/local regulations AND
* Age \> 18 years.

Exclusion Criteria

* Patients with a history of treated CCA
* Patients with CCA for which a pancreatoduodenectomy is indicated, based on cross-sectional imaging
* Patients with a history of treated liver malignancy
* Patients with a contra-indication for EUS-tissue acquisition (f.e. uncorrectable coagulopathy or platelet disorder), in line with current clinical practice
Minimum Eligible Age

18 Years

Maximum Eligible Age

110 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Dr. L.M.J.W. (Lydi) van Driel

Gastroenterologist, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Hospital of Ghent

Ghent, , Belgium

Site Status

Maastricht UMC+

Maastricht, Limburg, Netherlands

Site Status

Amsterdam University Medical Center

Amsterdam, North Holland, Netherlands

Site Status

University Medical Center Groningen

Groningen, Provincie Groningen, Netherlands

Site Status

Leiden University Medical Center

Leiden, South Holland, Netherlands

Site Status

Erasmus University Medical Center

Rotterdam, South Holland, Netherlands

Site Status

University Medical Center Utrecht

Utrecht, Utrecht, Netherlands

Site Status

Countries

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Belgium Netherlands

References

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de Jong DM, Lammers WJ, van Driel LMJW. Time to standardize preoperative EUS for lymph node staging in resectable extrahepatic cholangiocarcinoma. J Hepatol. 2025 Jul 9:S0168-8278(25)02332-3. doi: 10.1016/j.jhep.2025.06.031. Online ahead of print. No abstract available.

Reference Type BACKGROUND
PMID: 40645595 (View on PubMed)

de Jong DM, van de Vondervoort S, Dwarkasing RS, Thomeer MGJ, Doukas M, Voermans RP, Verdonk RC, Polak WG, de Jonge J, Bruno MJ, Van Driel LMJW, Groot Koerkamp B. Endoscopic ultrasound with tissue acquisition of lymph nodes in patients with potentially resectable intrahepatic cholangiocarcinoma. Endosc Int Open. 2024 Aug 23;12(8):E998-E1005. doi: 10.1055/a-2366-2592. eCollection 2024 Aug.

Reference Type BACKGROUND
PMID: 39184062 (View on PubMed)

Malikowski T, Levy MJ, Gleeson FC, Storm AC, Vargas EJ, Topazian MD, Abu Dayyeh BK, Iyer PG, Rajan E, Gores GJ, Roberts LR, Chandrasekhara V. Endoscopic Ultrasound/Fine Needle Aspiration Is Effective for Lymph Node Staging in Patients With Cholangiocarcinoma. Hepatology. 2020 Sep;72(3):940-948. doi: 10.1002/hep.31077. Epub 2020 Jul 9.

Reference Type BACKGROUND
PMID: 31860935 (View on PubMed)

Gleeson FC, Rajan E, Levy MJ, Clain JE, Topazian MD, Harewood GC, Papachristou GI, Takahashi N, Rosen CB, Gores GJ. EUS-guided FNA of regional lymph nodes in patients with unresectable hilar cholangiocarcinoma. Gastrointest Endosc. 2008 Mar;67(3):438-43. doi: 10.1016/j.gie.2007.07.018. Epub 2007 Dec 3.

Reference Type BACKGROUND
PMID: 18061597 (View on PubMed)

Larghi A, Rimbas M, Ardito F, Rizzatti G, Giuliante F. Letter to the Editor: EUS-FNA for Lymph Nodes Staging in Cholangiocarcinoma: Should It Become Standard of Care? Hepatology. 2020 Oct;72(4):1496. doi: 10.1002/hep.31266. No abstract available.

Reference Type BACKGROUND
PMID: 32277489 (View on PubMed)

de Jong DM, van de Vondervoort S, Dwarkasing RS, Doukas M, Voermans RP, Verdonk RC, Polak WG, de Jonge J, Koerkamp BG, Bruno MJ, van Driel LMJW. Endoscopic ultrasound in patients with resectable perihilar cholangiocarcinoma: impact on clinical decision-making. Endosc Int Open. 2023 Feb 2;11(2):E162-E168. doi: 10.1055/a-2005-3679. eCollection 2023 Feb.

Reference Type BACKGROUND
PMID: 36741342 (View on PubMed)

de Jong DM, den Hoed CM, Willemssen FEJA, Thomeer MGJ, Bruno MJ, Koerkamp BG, de Jonge J, Alwayn IPJ, van Hooft JE, Hoogwater F, van der Heide F, Inderson A, van Vilsteren FGI, van Driel LMJW. Impact of EUS in liver transplantation workup for patients with unresectable perihilar cholangiocarcinoma. Gastrointest Endosc. 2024 Apr;99(4):548-556. doi: 10.1016/j.gie.2023.10.047. Epub 2023 Oct 27.

Reference Type BACKGROUND
PMID: 37890597 (View on PubMed)

Related Links

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Other Identifiers

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MEC-2022-0402

Identifier Type: -

Identifier Source: org_study_id

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