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CompletedNCT03494023ECCOUpdated Apr 28, 2020

EUS Evaluation of CBD Diameter in Malignant Obstructive Jaundice

An observational study in Pancreatic Cancer, Cholangiocarcinoma of the Extrahepatic Bile Duct and Ampulla of Vater Cancer, sponsored by Clinical Hospital Colentina. Completed at 1 site in Romania. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-04-28.

Sponsored by Clinical Hospital Colentina · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
539
Ages
18 Years and older
Sex
All
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Study summary

The main objective of the study is to evaluate the size of the common bile duct (CBD) in a large cohort of patients with jaundice secondary to pancreatic head or distal bile duct malignancy undergoing diagnostic EUS for tissue acquisition or evaluation of resectability and to establish factors associated with a dilation of the CBD greater than 15mm.

Read the detailed description

Rationale: The size of the common bile duct (CBD) may influence the type of stent used and the type of the procedure performed in cases of EUS-guided biliary drainage. However, no data of the size of the CBD in patients with jaundice presenting with a pancreatic head mass or with a distal cholangiocarcinoma/ carcinoma of the ampulla of Vater are available.

Objectives: To evaluate the size of the CBD in a large cohort of patients with jaundice secondary to pancreatic head or distal bile duct malignancy undergoing diagnostic EUS for tissue acquisition or evaluation of resectability and to establish factors associated with a dilation of the CBD greater than 15mm.

Study design: International prospective observational multicenter trial. Study population: Patients ≥18 years old, referred for EUS-guided tissue sampling or evaluation of resectability of a pancreatic, a distal bile duct lesion or a carcinoma of the ampulla of Vater determining obstructive jaundice.

Intervention: EUS examination Main study parameters/endpoints: measurement of the CBD in patients with an obstructive distal biliary mass. Determine the factors associated with a CBD greater than 15mm Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Measurement of the CBD during EUS examination does not add additional risks to the procedure.

02

Conditions studied

  • Pancreatic Cancer
  • Cholangiocarcinoma of the Extrahepatic Bile Duct
  • Ampulla of Vater Cancer
  • Jaundice, Obstructive
03

In context

Pancreatic Neoplasms

3,896 studies on the registry are indexed under Pancreatic Neoplasms; 1,007 are open to participants now.

This study's enrollment of 539 is above the median of 200 across 740 observational studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Clinical Hospital Colentina is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

This study concerns individuals with jaundice with an indication for EUS examination of a pancreatic head solid lesion, a distal CBD mass, or a carcinoma of the ampulla of Vater who undergo diagnostic EUS-guided tissue acquisition or for evaluation of resectability, discovered at previously performed imaging studies. Only patients with a definitive diagnosis of neoplasia will enter in the final analysis. Eligible individuals will be recruited by endosonographers among the centers of the ECCO study group.

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

  • Patients with jaundice and a pancreatic head mass lesion referred for EUS-guided tissue acquisition or staging
  • Patients with jaundice and a distal CBD lesion suggestive of cholangiocarcinoma or a carcinoma of the ampulla of Vater referred for EUS-guided tissue acquisition or staging
  • Serum level ≥3 mg/dL
  • Age ≥18 years
  • Written

Exclusion criteria

Exclusion Criteria:

  • Presence of altered anatomy from previous gastric surgery (Billroth II or Roux-en-Y anastomosis)
  • Previously performed sphincterotomy, biliary plastic stent or metal stent placement
  • Previous percutaneous drainage of the bile duct
  • Pregnancy
  • Inability to sign the
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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
539 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testEndoscopic ultrasound

    Measurement of the common bile duct diameter

06

What researchers measure

Primary outcomes

  1. Common bile duct diameter

    Measurement by endoscopic ultrasound in patients with malignant obstructive jaundice

    Time frame: Enrollment over 6 months

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Study locations

1 site
  • Gastroenterology Department, Clinical Hospital Colentina
    Bucharest, 020125, Romania
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03494023
Lead sponsor
Clinical Hospital Colentina
Collaborators
Catholic University, Italy
Responsible party
Mihai Rimbas (Assistant Professor, Clinical Hospital Colentina) — Principal investigator
First posted
Apr 11, 2018
Start date
Mar 27, 2018
Primary completion
Dec 31, 2019
Completion
Apr 15, 2020
Last update
Apr 28, 2020

Study contacts

Mihai Rimbas, MD, PhD
principal investigator · Clinical Hospital Colentina

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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