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Comparing Covered Self-expandable Metallic Stent (SEMS) Above/Across the Sphincter of Oddi

Phase 4
Completed
Conditions
Cancer of Bile Duct
Pancreatic Cancer
Registration Number
NCT01041612
Lead Sponsor
Taewoong Medical Co., Ltd.
Brief Summary

The purpose of this prospective, randomized multicenter study is to determine whether there is any difference in stent patency of covered metallic stents in terms of stent positioning, above and across the sphincter of Oddi, in malignant bile duct obstruction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Inoperable and/or unresectable cases of malignant stenosis at distal common hepatic duct or CBD, >= 18 years old
  • Bile duct or gallbladder cancer invading CBD or distal CHD
  • Pancreatic cancer with mid or distal CBD invasion
  • Cancer should be 1.5 cm apart from bifurcation and 2 cm apart from ampulla of Vater.
  • First attempt of endoscopic biliary metallic stenting
  • Negative history of biliary tract surgery
  • Life expectancy at least longer than 4 months (Karnofsky score >60%)
Exclusion Criteria
  • Ampullary cancer
  • Klatskin tumor
  • Combined intrahepatic bile duct cancer
  • Patient with hemobilia
  • Previous history of biliary drainage (endoscopic, percutaneous, surgical) except plastic stent or endoscopic nasobiliary drainage smaller than 7 Fr within 14 days

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Obstruction of 1st C-SEMS or presence of jaundice at death without stent exchangeone year
Secondary Outcome Measures
NameTimeMethod
Death of patientsone year

Trial Locations

Locations (12)

Gifu University

🇯🇵

Gifu, Japan

Onomichi General Hospital

🇯🇵

Onomichi, Japan

Teine-Keijinkai Hospital

🇯🇵

Sapporo, Japan

The University of Tokyo

🇯🇵

Tokyo, Japan

Toho University

🇯🇵

Tokyo, Japan

Tokyo Medical University

🇯🇵

Tokyo, Japan

Yamaguchi University

🇯🇵

Ube, Japan

Soon Chun Hyang University School of Medicine

🇰🇷

Cheonan, Korea, Republic of

Catholic University of Daegu School of Medicine

🇰🇷

Daegu, Korea, Republic of

Inha University School of Medicine

🇰🇷

Incheon, Korea, Republic of

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Gifu University
🇯🇵Gifu, Japan

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