UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025463
Receipt number R000029295
Scientific Title Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study
Date of disclosure of the study information 2017/01/30
Last modified on 2021/01/04 13:35:41

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Basic information

Public title

Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study

Acronym

Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study

Scientific Title

Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study

Scientific Title:Acronym

Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study

Region

Japan


Condition

Condition

Resectable malignant hilar biliary obstruction

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficancy and safety of plastic stent placement above the sphincter of Oddi for patients of resectable malignant hilar biliary obstruction.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Time to recurrent biliary obstruction of inside-sten

Key secondary outcomes

1. Overall number of re-intervention after initial biliary drainage
2. Success rate and complication rate of inside-stent placement
3. Recurrent biliary obstruction rate of inside-stent
4. Overall morbidity and infectious complication rate after surgery


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

In undrainage patients, the site of biliary structure was confirmed endoscopically and naso-biliary drainage (ENBD) was performed firstly. After relieve of jaundice, ENBD was exchanged for inside-stent. In patients who had undergone endoscopic biliary drainage in previous hospital, endoscopic examination is performed and the existing stent was exchanged for inside-stent.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Resectable biliary tract cancer (intrahepatic, perihilar, or distal cholangiocarcinoma, gallbladder carcinoma) with obstructive jaundice
2. Life expectancy > 3 months
3. Endoscopic preoperative biliary drainage or radical surgery can be performed safely.
4. Endoscopic cholangiography shows the distance from the stricture to the sphincter of Oddi is at least 3cm.
5. Patients of age >= 20 years
6. ECOG performance status of 0-2
7. ASA calassification of 0-2
8. Adequate organ function
9. Written informed consent is required from all patients.

Key exclusion criteria

1. History of radiotherapy, chemotherapy or immunotherapy for malignant disease before starting the study treatment
2. Preoperative biliary drainage is not needed.
3. PTBD has been performed at previous hospital.
4. Severe complications such as intestinal pneumonia, pulmonary fibrosis, and heart failure
5. Psychosis or severe mental disorder
6. Pregnant or lactating female and patients who is considering pregnancy
7. Inappropriate patients for entry on this study in the judgement of the investigator

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akio Saiura

Organization

Japanese foundation for cancer research, Cancer institute hospital

Division name

Department of Gastroenterological Surgery

Zip code


Address

3-8-31 Ariake, Koto-ku, Tokyo, Japan

TEL

+81-3-3520-0111

Email

akio.saiura@jfcr.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yu Takahashi

Organization

Japanese foundation for cancer research, Cancer institute hospital

Division name

Department of Gastroenterological Surgery

Zip code


Address

3-8-31 Ariake, Koto-ku, Tokyo, Japan

TEL

+81-3-3520-0111

Homepage URL


Email

yu.takahashi@jfcr.or.jp


Sponsor or person

Institute

Japanese foundation for cancer research, Cancer institute hospital

Institute

Department

Personal name



Funding Source

Organization

Japanese foundation for cancer research, Cancer institute hospital

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 01 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 12 Month 16 Day

Date of IRB

2016 Year 12 Month 08 Day

Anticipated trial start date

2017 Year 01 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 12 Month 28 Day

Last modified on

2021 Year 01 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029295