| Unique ID issued by UMIN | UMIN000062190 |
|---|---|
| Receipt number | R000071167 |
| Scientific Title | A multicentre randomized trial to evaluate the superiority of basket catheter over balloon catheter for endoscopic stone extraction in distal common bile duct stones |
| Date of disclosure of the study information | 2026/07/20 |
| Last modified on | 2026/07/09 17:25:30 |
Comparison of balloon catheter and spiral basket catheter for endoscopic stone extraction in distal common bile duct stones
Basket vs Balloon Trial
A multicentre randomized trial to evaluate the superiority of basket catheter over balloon catheter for endoscopic stone extraction in distal common bile duct stones
Basket vs Balloon Trial
| Japan |
Common bile duct stones
| Hepato-biliary-pancreatic medicine |
Others
NO
To compare the treatment outcomes of spiral basket catheter and balloon catheter for endoscopic extraction of common bile duct stones measuring 10 mm or smaller with distal location or impacted tendency, and to evaluate the superiority of the spiral basket-first strategy.
Efficacy
Confirmatory
Pragmatic
Not applicable
Textbook treatment success at the initial ERCP.
Textbook treatment success is defined as complete common bile duct stone extraction within 10 minutes from insertion of the assigned extraction device into the bile duct, using only the assigned device, with no residual stones on final cholangiography, no addition of or switch to another extraction device within 10 minutes, no unplanned re-ERCP or additional biliary intervention related to common bile duct stone treatment within 28 days after ERCP, and no ERCP-related adverse event within 28 days.
1. Stone extraction procedure time
2. Number of device strokes
3. Type and frequency of adverse events
4. Total procedure time
5. Total cost of treatment devices
6. Complete stone extraction rate within 10 minutes
7. Rate of unplanned re-ERCP or additional biliary intervention related to common bile duct stone treatment within 28 days
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
| Maneuver |
Balloon catheter group. After biliary cannulation and confirmation of stones by cholangiography, endoscopic sphincterotomy is performed, followed by stone extraction using the assigned balloon catheter. If complete stone extraction cannot be achieved within 10 minutes from insertion of the assigned device into the bile duct, switching to another extraction device or another treatment method is permitted.
Spiral basket catheter group. After biliary cannulation and confirmation of stones by cholangiography, endoscopic sphincterotomy is performed, followed by stone extraction using the assigned spiral basket catheter. If complete stone extraction cannot be achieved within 10 minutes from insertion of the assigned device into the bile duct, switching to another extraction device or another treatment method is permitted.
| 18 | years-old | <= |
| 99 | years-old | > |
Male and Female
1. Hospitalized patients with common bile duct stones at the participating institutions.
2. Stones located distally or showing impacted tendency.
3. Age 18 years or older and less than 99 years at enrollment.
4. Patients with normal anatomy or Billroth I reconstruction.
5. Written informed consent obtained from the patient.
1. Surgically altered anatomy other than Billroth I reconstruction.
2. ECOG performance status 4.
3. Patients with bleeding tendency.
4. Patients with concomitant intrahepatic bile duct stones.
5. Patients in whom stones are not confirmed by cholangiography.
390
| 1st name | Takeshi |
| Middle name | |
| Last name | Ogura |
Osaka Medical and Pharmaceutical University Hospital
Pancreatobiliary Advanced Medical Center
569-8686
2-7 Daigaku-machi, Takatsuki, Osaka, Japan
072-683-1221
oguratakeshi0411@yahoo.co.jp
| 1st name | Takeshi |
| Middle name | |
| Last name | Ogura |
Osaka Medical and Pharmaceutical University Hospital
Pancreatobiliary Advanced Medical Center
569-8686
2-7 Daigaku-machi, Takatsuki, Osaka, Japan
072-683-1221
oguratakeshi0411@yahoo.co.jp
Pancreatobiliary Advanced Medical Center, Osaka Medical and Pharmaceutical University Hospital
Self funding
Self funding
Kansai Medical University Medical Center, Department of Gastroenterology and Hepatology
Osaka Metropolitan University Hospital, Department of Gastroenterology
Osaka Rosai Hospital, Department of Gastroenterology
Sendai City Medical Center, Sendai Open Hospital, Department of Gastroenterology, Hepatology and Pancreatobiliary Medicine
Yokohama City University Medical Center, Gastroenterological Center
Nara Medical University, Department of Gastroenterology
Higashihiroshima Medical Center, Department of Gastroenterology
Osaka Medical and Pharmaceutical University Research Ethics Committee
2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
072-683-1221
rinri@ompu.ac.jp
NO
| 2026 | Year | 07 | Month | 20 | Day |
Unpublished
Preinitiation
| 2026 | Year | 03 | Month | 10 | Day |
| 2026 | Year | 07 | Month | 20 | Day |
| 2029 | Year | 07 | Month | 01 | Day |
| 2026 | Year | 07 | Month | 09 | Day |
| 2026 | Year | 07 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071167