Multihole Fully Covered Metallic Stents in the Management of Malignant Biliary Obstruction

NCT ID: NCT05786326

Last Updated: 2024-07-24

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-28

Study Completion Date

2024-07-01

Brief Summary

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multiholes fully covered metallic stents in the management of malignant biliary obstruction

Detailed Description

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Malignant biliary obstruction is still a diagnostic and therapeutic challenge requiring a multidisciplinary approach. Most cases are inoperable at the time of diagnosis. Relieving the obstruction and normalizing the serum bilirubin level is usually the first step by biliary catheterization and stent placement.

Biliary stent placement has largely replaced surgical bypass for the palliation of malignant biliary obstruction. Rigid plastic stents, despite it is cheap and easily removed, but with limited duration of stent patency. Self-expandable metal stents (SEMS) have larger luminal diameters and provide longer patency time than rigid plastic stents. SEMS are composed of a variety of metals and can be uncovered, partially covered, or fully covered.

Uncovered stents are prone to obstruction by tumor growths; however, covered stents may block bile duct branches and are at risk of migration. A multihole self-expandable metallic stent was developed to prevent the obstruction of bile duct branches. In addition, the holes may prevent migration due to small ingrowths which reduce the tension of the membrane

Conditions

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Malignant Biliary Obstruction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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multiholes fully covered metaalic stents group

Insertion of multiholes fully covered self-expandable metallic stents in the biliary tree through Endoscopic retrogrades cholangiopancreatography (ERCP)patients with malignant biliary obstruction.

Group Type EXPERIMENTAL

group 1

Intervention Type DEVICE

Insertion of fully covered self-expanding metallic stents with multi-holes (FCSEMS- MH) Biliary stent HANAROSTENT® CCC (M.I.Tech Co., Ltd, pyeongtaek, Korea) in a biliary tree through endoscopic retrograde cholangiopancreatography (ERCP) under general anesthesia by expertise in patients with malignant biliary obstruction

parially covered metallic stents group

Insertion of partially covered metallic stents in patients with malignant biliary obstruction.

Group Type ACTIVE_COMPARATOR

group 2

Intervention Type DEVICE

Insertion of partially covered self-expanding metallic stents HANAROSTENT® Biliary (NCN) in the biliary tree through ERCP under general anesthesia by Expertise in patients with malignant biliary obstruction.

unocoered metaalic stents group

Insertion of uncovered metallic stents in patients with malignant biliary obstruction.

Group Type ACTIVE_COMPARATOR

group 3

Intervention Type DEVICE

Insertion of uncovered self-expanding metallic stents (Biliary stent HANAROSTENT® NNN) (M.I.Tech Co., Ltd. Pyeongtaek, Korea) in a biliary tree through ERCP under general anesthesia by Expertise in patients with malignant biliary obstruction.

Interventions

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group 1

Insertion of fully covered self-expanding metallic stents with multi-holes (FCSEMS- MH) Biliary stent HANAROSTENT® CCC (M.I.Tech Co., Ltd, pyeongtaek, Korea) in a biliary tree through endoscopic retrograde cholangiopancreatography (ERCP) under general anesthesia by expertise in patients with malignant biliary obstruction

Intervention Type DEVICE

group 2

Insertion of partially covered self-expanding metallic stents HANAROSTENT® Biliary (NCN) in the biliary tree through ERCP under general anesthesia by Expertise in patients with malignant biliary obstruction.

Intervention Type DEVICE

group 3

Insertion of uncovered self-expanding metallic stents (Biliary stent HANAROSTENT® NNN) (M.I.Tech Co., Ltd. Pyeongtaek, Korea) in a biliary tree through ERCP under general anesthesia by Expertise in patients with malignant biliary obstruction.

Intervention Type DEVICE

Other Intervention Names

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multiholes fully covered metallic stent partially covered metallic stents uncovered metallic stents

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of malignant obstructive jaundice.
* Patient not eligible for surgery.
* Age above 18 years, any gender.

Exclusion Criteria

* Benign obstructive jaundice.
* Patient eligible for surgery.
* Failure to stent insertion.
* Patient not fit for ERCP and/or anaesthesia.
* Surgical and anatomical abnormalities interfere with endoscopy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zagazig University

OTHER_GOV

Sponsor Role lead

Responsible Party

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H Abdelkader

lecturer at tropical medicine department, faculty of medicine,Zagazig

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed I Magdy, profeesor

Role: STUDY_DIRECTOR

Zagazig University

Locations

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Zagazig University

Zagazig, Sharkia Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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ZU-IRB #10426/1-3-2023

Identifier Type: -

Identifier Source: org_study_id

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