UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000062694
Receipt number R000071782
Scientific Title A Phase I Study of a Novel Linkage Technique for Multisegmental Biliary Drainage Through a Single EUS-HGS or EUS-HDS Fistula in Unresectable Malignant Hilar Biliary Obstruction
Date of disclosure of the study information 2026/08/26
Last modified on 2026/08/26 11:27:41

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A Phase I Study of a Novel Linkage Technique for Multisegmental Biliary Drainage Through a Single EUS-HGS or EUS-HDS Fistula in Unresectable Malignant Hilar Biliary Obstruction

Acronym

Linkage technique of EUS-BD for MHBO

Scientific Title

A Phase I Study of a Novel Linkage Technique for Multisegmental Biliary Drainage Through a Single EUS-HGS or EUS-HDS Fistula in Unresectable Malignant Hilar Biliary Obstruction

Scientific Title:Acronym

Linkage technique of EUS-BD for MHBO

Region

Japan


Condition

Condition

Unresectable malignant hilar biliary obstruction

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of a novel linkage biliary drainage technique connecting two ipsilateral intrahepatic bile duct branches through a single EUS-HGS or EUS-HDS fistula in patients with unresectable malignant hilar biliary obstruction.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Safety

Key secondary outcomes

Technical success rate, clinical success rate, procedure time, stent patency duration, and the incidence and details of re-interventions.


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

As biliary drainage for malignant hilar biliary obstruction, EUS-guided biliary drainage of two ipsilateral intrahepatic bile duct branches (e.g., B2 and B3 or B6 and B7) is performed in a single session through a single fistula using EUS-HGS or EUS-HDS.

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.Patients with unresectable malignant hilar biliary obstruction classified as Bismuth type III or higher who require biliary drainage of multiple intrahepatic bile duct branches within the same
hepatic lobe.
2.Patients aged 20 years of age or older at the time informed consent is obtained.
3.Patients who have provided written informed consent to participate in the study.
4.Patients whose general condition is considered adequate to safely undergo endoscopic procedures.
5.Patients with adequate major organ function, including bone marrow, cardiac, hepatic, pulmonary, and renal function.
6.Patients with an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0, 1, or 2.

Key exclusion criteria

1.Patients with marked ascites in whom a safe puncture route cannot be secured.
2.Patients considered to be at high risk of bleeding or with any of the following coagulation abnormalities:
Platelet count <50,000
PT-INR >=1.5
APTT >1.5 times the upper limit of normal
3.Patients with obvious disseminated tumor nodules or other findings on imaging that make safe puncture difficult.
4.Patients who are considered unsuitable for participation in this study by the investigator.

Target sample size

9


Research contact person

Name of lead principal investigator

1st name Kazuo
Middle name
Last name Hara

Organization

Aichi Cancer Center

Division name

Department of Gastroenterology

Zip code

464-8681

Address

1-1, Kanokoden, Chikusa-ku, Nagoya, Aichi, Japan

TEL

0527626111

Email

khara@aichi-cc.jp


Public contact

Name of contact person

1st name Nozomi
Middle name
Last name Okuno

Organization

Aichi Cancer Center

Division name

Department of Gastroenterology

Zip code

464-8681

Address

1-1, Kanokoden, Chikusa-ku, Nagoya, Aichi, Japan

TEL

0527626111

Homepage URL

https://cancer-c.pref.aichi.jp/department/clinical-research/

Email

nokuno@aichi-cc.jp


Sponsor or person

Institute

Aichi Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Self-procurement

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB, Aichi Cancer Center Hospital

Address

1-1, Kanokoden, Chikusa-ku, Nacoya, Aichi, Japan

Tel

0527626111

Email

irb@aichi-cc.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

2026-0-148

Org. issuing International ID_1

Aichi Cancer Center

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 26 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

Open public recruiting

Date of protocol fixation

2026 Year 05 Month 12 Day

Date of IRB

2026 Year 08 Month 10 Day

Anticipated trial start date

2026 Year 08 Month 26 Day

Last follow-up date

2030 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

2026 Year 08 Month 26 Day

Last modified on

2026 Year 08 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071782