Status:

ACTIVE_NOT_RECRUITING

A RCT of Low MBO Drainage Strategies

Lead Sponsor:

Peking Union Medical College Hospital

Conditions:

Jaundice, Obstructive

Cholangiopancreatography, Endoscopic Retrograde

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of EUS-BD compared with ERCP-BD in low biliary obstruction caused by periampullary cancer, pancreatic cancer or low bile duct cancer. T...

Eligibility Criteria

Inclusion

  • Age:18 years old or above;
  • Periampullary cancer/pancreatic cancer according to pathology or clinical judgment of more than 2 senior doctors;
  • Distal malignant bile duct obstruction (2cm away from the hepatic hilum);
  • Ultrasound evaluation shows that the accessible part of the bile duct has a width of ≥ 12mm;
  • The patient or family member is able to understand the research protocol and is willing to participate in this study, providing written informed consent.

Exclusion

  • Patients suffer from severe cardiovascular or pulmonary diseases who are unable to tolerate anesthesia or endoscopic examination;
  • Uncorrectable coagulation abnormalities or bleeding tendencies (INR\>1.5 or platelets\<50) × 109 /L);
  • There is a plan for subsequent surgical resection of the tumor, accompanied by severe infection or an expected survival period of less than 3 months;
  • Successful biliary drainage measures have been implemented, including but not limited to ERCP, ENBD, PTCD, and surgical procedures;
  • Previous surgical changes to the anatomical structure of the pancreas, gallbladder, stomach, and duodenum;
  • Pregnancy, lactation, or planned pregnancy;
  • Refusal to join or inability to provide informed consent;
  • Other researchers evaluated the unsuitability of enrollment.

Key Trial Info

Start Date :

January 25 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06196164

Start Date

January 25 2024

End Date

August 1 2026

Last Update

September 5 2025

Active Locations (1)

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Peking Union Medical College Hospital

Beijing, Beijing Municipality, China, 100730