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SCC-HGAS trial

Phase 3
Recruiting
Conditions
nresectable malignant biliary obstruction
Registration Number
JPRN-jRCTs042220149
Lead Sponsor
Sato Junya
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
46
Inclusion Criteria

(1) the presence of a malignant obstruction (=>2cm distal to the hilum)
(2) a malignant biliary obstruction with pathologic or radiologic diagnosis
(3) the statement of unresectable comfarmed by radiologic diagnosis or characteristics of patient (comorbidities or age)
(4) Jaundice: serum total bilirubin =>2.0mg/dL or liver damage: at least 2 of liver
enzymes (AST, ALT, ALP, or gamma-GTP) at least 2 times above the upper limit of
normal.
(5) Eastern Cooperative Oncology Group performance status 0-2
(6) age =>18 years old

Exclusion Criteria

(1) a hilar biliary obstruction classificated Bismuth II or more
(2) surgically altered anatomy of the stomach and the duodenum except Billroth I
(3) history of choledochojejunostomy
(4) vomiting and duodenal obstruction with radiologic diagnosis
(5) previously performed duodenal stenting
(6) less diameter of left intrahepatic bile duct (=<2mm)
(7) plateler count <50000 or prothrombin time international normalized ratio =>1.5
(8) impossibility in discontinuation of antithrombotic therapy
(9) the presence of massive ascites
(10) life expectancy less than 3 months
(11) other reasons for unsuitable statement to participate the study judged from principal investigator

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
TRBO (Time to recurrent biliary obsturuction)
Secondary Outcome Measures
NameTimeMethod
(1) technical success rate<br>(2) clinical success rate<br>(3) adverse events(early, late)<br>(4) procedural time<br>(5) fluoroscopy time<br>(6) RBO rate<br>(7) cause of RBO<br>(8) cost of biliary drainage(First drainage, total)<br>(9) overall survival<br>(10) rates of peritonitis and stent migration in EUS-HGAS using the study stent
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