UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063556
Receipt number R000072732
Scientific Title Short- and long-term surgical results of extended resection for perihilar cholangiocarcinoma
Date of disclosure of the study information 2026/11/07
Last modified on 2026/11/07 16:40:18

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Basic information

Public title

Short- and long-term surgical results of extended resection for perihilar cholangiocarcinoma

Acronym

Short- and long-term surgical results of extended resection for perihilar cholangiocarcinoma

Scientific Title

Short- and long-term surgical results of extended resection for perihilar cholangiocarcinoma

Scientific Title:Acronym

Short- and long-term surgical results of extended resection for perihilar cholangiocarcinoma

Region

Japan


Condition

Condition

Perihilar cholangiocarcinoma

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aims of this study were to evaluate the short- and long-term outcomes of upfront VR and HPD compared with standard resection (SR),

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

5 year survival rate

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with perihilar cholangiocarcinoma who were either outpatients or inpatients at the Department of Gastrointestinal Surgery II, Hokkaido University Hospital, between January 1, 2004, and June 30, 2025, and who did not refuse to participate in this study

Key exclusion criteria

1. Probe laparotomy
2. Previous surgery (extrahepatic bile duct resection or pancreaticoduodenectomy)
3. Preoperative chemotherapy
4. Any other individuals whom the principal investigator deems unsuitable to participate in the study

Target sample size

348


Research contact person

Name of lead principal investigator

1st name Takehiro
Middle name
Last name Noji

Organization

Hokkaido University

Division name

Faculty of Health Sciences

Zip code

060-0812

Address

Kita12 Nishi5, Kitaku, Sapporo city, Japan

TEL

0117063375

Email

drnoji@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Takehiro
Middle name
Last name Noji

Organization

Hokkaido University

Division name

Faculty of Health Sciences

Zip code

060-0812

Address

kita12 Nishi5, Kita-ku, Sapporo city, Japan

TEL

0117067714

Homepage URL


Email

drnoji@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University Faculty of Health Sciences

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


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Review Board for Life Science and Medical Research, Hokkaido University Hospital

Address

Kita14 Nishi5, Kitaku, Sapporo city, Japan

Tel

011-706-7636

Email

crjimu@huhp.hokudai.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 11 Month 07 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

348

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

No longer recruiting

Date of protocol fixation

2026 Year 06 Month 30 Day

Date of IRB

2026 Year 07 Month 21 Day

Anticipated trial start date

2026 Year 07 Month 21 Day

Last follow-up date

2026 Year 10 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Background: Vascular resection (VR) and hepatopancreatoduodenectomy (HPD) are increasingly equated with borderline resectable (BR) perihilar cholangiocarcinoma (PHCC), for which neoadjuvant therapy is considered, although its benefit is unproven. This study evaluated upfront VR and HPD and examined whether CA19-9 identifies patients at high risk of nodal metastasis or portal vein invasion.
Methods: Consecutive patients undergoing upfront resection for PHCC between 2004 and 2025 at a single institution were classified as standard resection (SR, n = 141), HPD (n = 59), or VR (n = 148). The association of preoperative CA19-9 with pathological lymph node metastasis (pN+) and portal vein invasion (pPV+) was analyzed using restricted cubic spline logistic regression.


Management information

Registered date

2026 Year 11 Month 07 Day

Last modified on

2026 Year 11 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072732