UMIN-ICDS Clinical Trial

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

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Basic information

Public title

Comparison of balloon catheter and spiral basket catheter for endoscopic stone extraction in distal common bile duct stones

Acronym

Basket vs Balloon Trial

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

Scientific Title:Acronym

Basket vs Balloon Trial

Region

Japan


Condition

Condition

Common bile duct stones

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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.

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

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.

Interventions/Control_2

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.

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

99 years-old >

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

390


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Ogura

Organization

Osaka Medical and Pharmaceutical University Hospital

Division name

Pancreatobiliary Advanced Medical Center

Zip code

569-8686

Address

2-7 Daigaku-machi, Takatsuki, Osaka, Japan

TEL

072-683-1221

Email

oguratakeshi0411@yahoo.co.jp


Public contact

Name of contact person

1st name Takeshi
Middle name
Last name Ogura

Organization

Osaka Medical and Pharmaceutical University Hospital

Division name

Pancreatobiliary Advanced Medical Center

Zip code

569-8686

Address

2-7 Daigaku-machi, Takatsuki, Osaka, Japan

TEL

072-683-1221

Homepage URL


Email

oguratakeshi0411@yahoo.co.jp


Sponsor or person

Institute

Pancreatobiliary Advanced Medical Center, Osaka Medical and Pharmaceutical University Hospital

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

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

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka Medical and Pharmaceutical University Research Ethics Committee

Address

2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan

Tel

072-683-1221

Email

rinri@ompu.ac.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

2026 Year 07 Month 20 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 03 Month 10 Day

Date of IRB


Anticipated trial start date

2026 Year 07 Month 20 Day

Last follow-up date

2029 Year 07 Month 01 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 07 Month 09 Day

Last modified on

2026 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071167