| 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 |
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
Linkage technique of EUS-BD for MHBO
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
Linkage technique of EUS-BD for MHBO
| Japan |
Unresectable malignant hilar biliary obstruction
| Gastroenterology |
Malignancy
NO
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.
Safety
Safety
Technical success rate, clinical success rate, procedure time, stent patency duration, and the incidence and details of re-interventions.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Maneuver |
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.
| 20 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
9
| 1st name | Kazuo |
| Middle name | |
| Last name | Hara |
Aichi Cancer Center
Department of Gastroenterology
464-8681
1-1, Kanokoden, Chikusa-ku, Nagoya, Aichi, Japan
0527626111
khara@aichi-cc.jp
| 1st name | Nozomi |
| Middle name | |
| Last name | Okuno |
Aichi Cancer Center
Department of Gastroenterology
464-8681
1-1, Kanokoden, Chikusa-ku, Nagoya, Aichi, Japan
0527626111
https://cancer-c.pref.aichi.jp/department/clinical-research/
nokuno@aichi-cc.jp
Aichi Cancer Center
Self-procurement
Self funding
IRB, Aichi Cancer Center Hospital
1-1, Kanokoden, Chikusa-ku, Nacoya, Aichi, Japan
0527626111
irb@aichi-cc.jp
YES
2026-0-148
Aichi Cancer Center
| 2026 | Year | 08 | Month | 26 | Day |
Unpublished
Open public recruiting
| 2026 | Year | 05 | Month | 12 | Day |
| 2026 | Year | 08 | Month | 10 | Day |
| 2026 | Year | 08 | Month | 26 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 08 | Month | 26 | Day |
| 2026 | Year | 08 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071782