UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060734
Receipt number R000069483
Scientific Title Cholangioscopy-guided lithotripsy Randomized comparison with the Use of mechanical lithotripsy for Stones with High-difficulty in patients with Roux-en-Y gastrectomy using balloon enteroscope: Japan multicenter trial
Date of disclosure of the study information 2026/04/01
Last modified on 2026/02/23 13:33:16

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Basic information

Public title

Cholangioscopy-guided lithotripsy Randomized comparison with the Use of mechanical lithotripsy for Stones with High-difficulty in patients with Roux-en-Y gastrectomy using balloon enteroscope:
Japan multicenter trial

Acronym

Cholangioscopy-guided lithotripsy Randomized comparison with the Use of mechanical lithotripsy for Stones with High-difficulty in patients with Roux-en-Y gastrectomy using balloon enteroscope:
Japan multicenter trial

Scientific Title

Cholangioscopy-guided lithotripsy Randomized comparison with the Use of mechanical lithotripsy for Stones with High-difficulty in patients with Roux-en-Y gastrectomy using balloon enteroscope:
Japan multicenter trial

Scientific Title:Acronym

Cholangioscopy-guided lithotripsy Randomized comparison with the Use of mechanical lithotripsy for Stones with High-difficulty in patients with Roux-en-Y gastrectomy using balloon enteroscope:
Japan multicenter trial

Region

Japan


Condition

Condition

bile duct stone

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the treatment outcomes of cholangioscopy-guided lithotripsy and mechanical lithotripsy using a mechanical lithotripter in patients with Roux-en-Y reconstruction after gastrectomy in a multicenter randomized controlled trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Stone clearance rate during the initial session

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Mechanical lithotripsy

Interventions/Control_2

Peroral cholangioscopy guided lithotriptsy

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 bile duct stones detected by imaging examinations such as abdominal ultrasonography, CT, MRI, or other modalities
2. Patients who have undergone Roux-en-Y reconstruction after gastrectomy and are scheduled to undergo endoscopic stone removal using balloon-assisted endoscopy
3. Patients with stones measuring 15 mm or more in maximum diameter, or with multiple stones (three or more) including at least one stone measuring 10 mm or more in maximum diameter (as measured on pre-procedural imaging)
4. Patients aged 20 years or older at the time of informed consent
5. Patients with an ECOG Performance Status score of 0-2
6. Patients from whom written informed consent for participation in this study has been obtained

Key exclusion criteria

1. Patients who have not undergone gastrointestinal reconstruction surgery, or who have undergone reconstruction procedures other than Roux-en-Y reconstruction after gastrectomy
2. Patients in whom discontinuation or substitution of antithrombotic agents is required but cannot be performed when conducting high bleeding-risk endoscopic procedures, as described in the guidelines for gastrointestinal endoscopy in patients receiving antithrombotic or anticoagulant therapy. In addition, patients with valvular atrial fibrillation receiving warfarin whose anticoagulation cannot be maintained within the therapeutic range
3. Patients with severe cholangitis (TG18 grade III) in whom cholangioscopic procedures are considered high risk
4. Patients with poor general condition (ECOG Performance Status score 3 or4)
5. Female patients who may be pregnant

Target sample size

66


Research contact person

Name of lead principal investigator

1st name Shomei
Middle name
Last name Ryozawa

Organization

Saitama Medical University International Medical Center

Division name

Gastroenterology

Zip code

350-1298

Address

1397-1, Yamane, Hidaka, Saitama 350-1298, Japan

TEL

0429844111

Email

tanisaka1205@gmail.com


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Tanisaka

Organization

Saitama Medical University International Medical Center

Division name

Gastroenterology

Zip code

3501114

Address

1397-1, Yamane, Hidaka, Saitama 350-1298, Japan

TEL

0429844111

Homepage URL


Email

tanisaka1205@gmail.com


Sponsor or person

Institute

Saitama Medical University International Medical Center

Institute

Department

Personal name



Funding Source

Organization

none

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

Saitama Medical University International Medical Center

Address

1397-1, Yamane, Hidaka, Saitama, JAPAN

Tel

0429844111

Email

tanisaka1205@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW

---選択---


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 01 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

Preinitiation

Date of protocol fixation

2026 Year 02 Month 04 Day

Date of IRB

2026 Year 02 Month 04 Day

Anticipated trial start date

2026 Year 04 Month 01 Day

Last follow-up date

2028 Year 09 Month 30 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 02 Month 23 Day

Last modified on

2026 Year 02 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069483