UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055173
Receipt number R000063040
Scientific Title Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study
Date of disclosure of the study information 2024/08/13
Last modified on 2025/08/27 02:11:37

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Basic information

Public title

Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study

Acronym

Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study

Scientific Title

Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study

Scientific Title:Acronym

Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study

Region

Japan


Condition

Condition

Pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate the safety and efficacy of preoperative biliary drainage by endoscopic ultrasound-guided hepaticogastrostomy in patients with resectable/resectable borderline pancreatic cancer with biliary obstruction.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Clinical success rate

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) The patient is clinically judged to require biliary drainage due to biliary obstruction caused by pancreatic cancer.
2) The patient is scheduled for biliary drainage by EUS-HGS.
3) Biliary obstruction due to pancreatic cancer is 2 cm below the porta hepatis on the papillary side.
4) There is no history of endoscopic biliary drainage for biliary obstruction due to pancreatic cancer.
5) Invasive pancreatic ductal carcinoma is suspected based on contrast-enhanced CT scan.
If contrast-enhanced CT is not available, MRI or EUS is acceptable in addition to simple CT.
6) Pancreatic cancer is evaluated as resectable or borderline resectable by contrast-enhanced CT scan.
If contrast-enhanced CT is not available, MRI or EUS is acceptable in addition to simple CT.
7) One of the following (1), (2), or (3) is met.
(1) Total bilirubin greater than 1.5 mg/dl, (2) AST greater than 100 U/L, (3) ALT greater than 100 U/L
8) The patient does not have parenchymal jaundice.
9) If the patient is taking antithrombotic medication, it can be withdrawn according to our criteria.
10) No bleeding tendency.
11) ECOG Performance Status less than or equal to 2.
12) Patients must be at least 18 years of age at the time of consent.
13) Written consent for participation in the study has been obtained from the patient.

Key exclusion criteria

1) The patient is judged by a physician to be inappropriate for enrollment in this study.
2) The patient has a severe case of acute cholangitis according to the severity classification of acute cholangitis.
3) Patients with biliary obstruction due to pancreatic cancer within 2 cm just below the porta hepatis.
4) The patient has a reconstructed intestinal tract after upper gastrointestinal surgery and anatomy does not allow drainage of the biliary tract by EUS-HGS.
5) Patient is anatomically unable to puncture the bile duct in the outer left lobe of the liver, such as after hepatectomy.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Susumu
Middle name
Last name Hijioka

Organization

National Cancer Center Hospital

Division name

Department of Hepatobiliary and Pancreatic Oncology

Zip code

104-0045

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan

TEL

03-3542-2511

Email

shijoka@ncc.go.jp


Public contact

Name of contact person

1st name Shin
Middle name
Last name Yagi

Organization

National Cancer Center Hospital

Division name

Department of Hepatobiliary and Pancreatic Oncology

Zip code

104-0045

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan

TEL

03-3542-2511

Homepage URL


Email

shyag@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Hospital

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan

Tel

03-3542-2511

Email

shijoka@ncc.go.jp


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

2024 Year 08 Month 13 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

Deidentified individual participant data that support the findings of this study (including baseline characteristics, procedural details, and outcome measures) will be available from the corresponding author upon reasonable request. The study protocol and informed consent form will also be shared as supplementary materials. Data will be available beginning at the time of publication with no end date. Requestors will need to provide a methodologically sound proposal and obtain approval from the institutional review board.


Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 07 Month 25 Day

Date of IRB

2024 Year 07 Month 25 Day

Anticipated trial start date

2024 Year 07 Month 25 Day

Last follow-up date

2027 Year 01 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The purpose of this study is to evaluate the safety and efficacy of preoperative biliary drainage by endoscopic ultrasound-guided hepaticogastrostomy in patients with resectable/resectable borderline pancreatic cancer with biliary obstruction.


Management information

Registered date

2024 Year 08 Month 06 Day

Last modified on

2025 Year 08 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063040