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WithdrawnNCT03353181ENBDUpdated Aug 25, 2022

Application of Endoscopic Scissors Cutting ENBD Tube in the Treatment of Malignant Hilar Biliary Strictures

An interventional study of Endoscopic scissors and Biliary stent in Endoscopic Retrograde Cholangiopancreatography and Klatskin Tumor, sponsored by Changhai Hospital. Withdrawn at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-25.

Sponsored by Changhai Hospital · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Failure to recruit patients

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Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 29 studies in Klatskin Tumor with a site in China — 9 open to participants now, 11 under way, 1 of them phase 3. Klatskin Tumor · China.

Enrollment
22nd of 22
0 · median 61
Started
2017
with 3 others
No phase
10 of 29
3 open now
Registered
8th of 29
by date
Lead sponsor
1 of 29
Changhai Hospital

Among the 29 studies in Klatskin Tumor with a site in China, this one is the 22nd largest by enrollment of the 22 interventional ones that give a count, is one of 4 that started in 2017, is one of 10 with no phase, and was the 8th registered.

Klatskin Tumor

82 studies on the registry are indexed under Klatskin Tumor; 27 are open to participants now.

Browse Klatskin Tumor studies →

Open to participants now

9 of the 29 studies in Klatskin Tumor with a site in China are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 19 Klatskin Tumor studies recruiting now, 11 (58%) set no upper age limit and 5 (26%) stop at 75 or younger; none take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 29 studies in Klatskin Tumor with a site in China, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate application value of the endoscopic cutting technique in the treatment of malignant hilar biliary strictures.

Read the detailed description

The management unresectable malignant hilar biliary strictures is still very difficult in spite of the rapid development of new endoscopic devices.The application of stent (plastic or metallic) has allowed us to achieve successful drainage. However,there are many complications related to the placement of stents,such as cholangitis,high rate of re-intervention,and so on. The application of endoscopic cutting technique is considered to reduce these complication.

03

Conditions studied

  • Endoscopic Retrograde Cholangiopancreatography
  • Klatskin Tumor

Browse trials for

Keywords

  • Endoscopic Retrograde Cholangiopancreatography
  • endoscopic drainage
  • endoscopic nasobiliary drainage
  • stent
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients age over 18 and able to tolerate ERCP.
  2. confirmed inoperable malignant hilar biliary strictures of Bismuth type II to IV.
  3. No history of biliary tract surgery and first attempt at endoscopic or percutaneous drainage.
  4. No acute cholangitis before ERCP.
  5. .

Exclusion criteria

Exclusion Criteria:

  1. The patient is very ill(Septic shock, sepsis,coagulation disorders and so on) and cannot tolerate endoscopic treatment.
  2. Previous biliary drainage procedure.
  3. Inability to provide .
  4. Participating in other clinical trials.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Endoscopic scissors

    Endoscopic nasobiliary drainage for malignant hilar biliary strictures at first, and application of endoscopic cutting technique followed.

    Device: Endoscopic scissors

  • Active comparator
    Stent

    Standard placement of biliary stent for malignant hilar biliary strictures.

    Device: Biliary stent

Interventions

  • DeviceEndoscopic scissors

    Application of endoscopic cutting technique following endoscopic nasobiliary drainage in the treatment of malignant hilar biliary strictures.

  • DeviceBiliary stent

    Standard placement of biliary stent

06

What researchers measure

Primary outcomes

  1. occurrence of acute cholangitis

    Acute cholangitis is defined as cholangitis that occurred within 30 days after endoscopic retrograde cholangiopancreatography(ERCP).

    Time frame: 30 days

Secondary outcomes

  1. Clinical success

    Clinical success was defined as a decrease in the total bilirubin level to ≤50% of the pretreatment value within 1 week or to ≤75% within 4 weeks.

    Time frame: 30 days

  2. Re-intervention

    Re-intervention was defined as any type of endoscopic or percutaneous procedure necessary to improve biliary drainage for jaundice or cholangitis after successful placement.

    Time frame: 6 months

Other outcomes

  1. early adverse

    Early adverse event was defined as any ERCP-related adverse event within 4 weeks and a late event was defined as one that occurred after 4 weeks.

    Time frame: 30 days

07

Study locations

1 site
  • Department of Gastroenterology, Changhai Hospital, Second Military Medical University
    Shanghai, Shanghai 200433, China
08

References and documents

Publications

  • Uchida N, Ezaki T, Fukuma H, Tsutsui K, Kobara H, Bang MH, Ogawa M, Watanabe K, Ono M, Morishita A, Ogi T, Kamata H, Masaki T, Watanabe S, Kuriyama S. Conversion of endoscopic nasobiliary drainage to internal drainage by means of endoscopic scissor forceps. Endoscopy. 2002 Feb;34(2):180. doi: 10.1055/s-2002-19841. No abstract available. PubMed 11822021 ↗
  • Kawashima H, Itoh A, Ohno E, Itoh Y, Ebata T, Nagino M, Goto H, Hirooka Y. Preoperative endoscopic nasobiliary drainage in 164 consecutive patients with suspected perihilar cholangiocarcinoma: a retrospective study of efficacy and risk factors related to complications. Ann Surg. 2013 Jan;257(1):121-7. doi: 10.1097/SLA.0b013e318262b2e9. PubMed 22895398 ↗
  • Asanuma Y, Andoh H, Tanaka J, Koyama K. [Biliary tract cancer]. Nihon Rinsho. 2001 Nov;59 Suppl 7:301-6. No abstract available. Japanese. PubMed 11808135 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Sep 2019, 21 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 21, 2017
First posted
Nov 27, 2017
StartActual
Nov 30, 2017
Primary completionActual
Sep 25, 2019
CompletionActual
Dec 25, 2019
Last update
Aug 25, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03353181
Lead sponsor
Changhai Hospital
Collaborators
First People's Hospital of Hangzhou, First Affiliated Hospital Xi'an Jiaotong University, Fuzhou General Hospital, LanZhou University, Zhejiang University, Chengdu PLA General Hospital, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, General Hospital of Beijing PLA Military Region, Dongfang Hospital Beijing University of Chinese Medicine, Peking Union Medical College Hospital, ShuGuang Hospital, Eastern Hepatobiliary Surgery Hospital, Xijing Hospital
Responsible party
Zhaoshen Li (Director of Gastroenterology Dept, Changhai Hospital) — Principal investigator
First posted
Nov 27, 2017
Start date
Nov 30, 2017
Primary completion
Sep 25, 2019
Completion
Dec 25, 2019
Last update
Aug 25, 2022

Study contacts

Zhaoshen Li, M.D
principal investigator · Changhai Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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