ClinicalTrials.gg
CompletedNCT03977779ARCHIMEDEUpdated Oct 21, 2026

Evaluation of the Use of a Biodegradable Endoprothesis in the Prevention of Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis

An interventional study of Placement of ARCHIMEDES fast biodegradable stent during the Endoscopic Retrograde CholoangioPancreatography in Obstructive Jaundice, Biliary Stricture and Sphincter of Oddi Dysfunction, sponsored by Institut Paoli-Calmettes. Completed at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Institut Paoli-Calmettes · Not applicable, Interventional, and Prevention

Updated Oct 21, 2026Now CompletedPrimary completion moved+5 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The use of an endoprothesis in a pancreatic duct is a measure to minimize the incidence and severity of Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis. In this study we will evaluate the use of a Biodegradable Endoprothesis: Archimede Fast Biodegradable Pancreatic Stent in patients with high risk of Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis.The ARCHIMEDES Fast biodegradable pancreatic stent will be placed during the Endoscopic Retrograde CholoangioPancreatography. The efficacy and the security of the device will be evaluated.

02

Conditions studied

  • Obstructive Jaundice
  • Biliary Stricture
  • Sphincter of Oddi Dysfunction

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Keywords

  • biodegradable stent
  • Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis
03

In context

Jaundice, Obstructive

62 studies on the registry are indexed under Jaundice, Obstructive; 15 are open to participants now.

This study's enrollment of 46 is below the median of 75 across 40 interventional studies indexed under Jaundice, Obstructive.

Browse Jaundice, Obstructive studies →

Lead sponsor

Institut Paoli-Calmettes is the lead sponsor of 172 studies on the registry; 50 are open to participants now.

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

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

  • Age>18 years
  • Patients at risk of developing a Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis (procedure and/or patient-related risk factors

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women
  • Recent diagnosis (\<1 month) of acute pancreatitis
  • to endoscopy
  • to indomethacine
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Prophylactic biodegradable pancreatic stent placement

    Device: Placement of ARCHIMEDES fast biodegradable stent during the Endoscopic Retrograde CholoangioPancreatography

Interventions

  • DevicePlacement of ARCHIMEDES fast biodegradable stent during the Endoscopic Retrograde CholoangioPancreatography

    The ARCHIMEDES Fast biodegradable pancreatic stent will be placed during the Endoscopic Retrograde CholoangioPancreatography

06

What researchers measure

Primary outcomes

  1. Proportion of patients in whom placement of the ARCHIMEDES device for the prophylaxis of post-ERCP pancreatitis is a clinical success at Day 30

    Proportion of patients in whom placement of the ARCHIMEDES device for the prophylaxis of post-ERCP pancreatitis is a clinical success at Day 30, defined as the proportion of patients: With all available imaging assessments demonstrating complete degradation of the pancreatic stent, including: The abdominal radiograph scheduled as part of the study; Any other radiographic examination or imaging procedure performed for reasons unrelated to the study that allows visualization of the abdomen; or Undergoing a repeat endoscopic procedure demonstrating complete degradation of the stent; or With all available imaging assessments showing incomplete degradation of the stent, not associated with symptoms of acute pancreatitis within 30 days following ERCP. Post-ERCP acute pancreatitis is defined by the presence of at least two of the following three criteria: (i) Typical abdominal pain (acute onset of persistent epigastric pain, often radiating to the back); (ii) Serum lipase level at lea

    Time frame: Day 30

Secondary outcomes

  1. Safety

    Proportion of patients experiencing at least one procedure-related complication of Clavien-Dindo grade 3, 4, or 5 within 24 hours after the procedure, including: Bleeding, perforation (biliary, pancreatic, or duodenal), or stent misplacement; Fever. All-cause mortality within 45 days following ERCP; Proportion of patients with early stent migration (stent migration at 24 hours, confirmed by plain abdominal radiography); Proportion of patients requiring endoscopic stent removal. Stent removal will be considered in cases of complete absence of degradation or incomplete degradation associated with symptoms related to stent retention lasting ≥ 45 days. Stent removal will be performed at the investigator's discretion.

    Time frame: DAY 45

  2. Clinical Efficacy

    Proportion of patients developing acute pancreatitis, classified as mild, moderate, severe, or critical according to the classification of Dellinger et al., 2012, within 45 days following ERCP

    Time frame: DAY 45

  3. Technical Efficacy

    Proportion of patients in whom ARCHIMEDES device placement is a technical success, defined as successful endoscopic placement of the stent on the first attempt.

    Time frame: DAY 45

07

Study locations

2 sites
  • Institut Paoli Calmettes
    Marseille, Provence-Alpes-Côte d'Azur Region 13009, France
  • Hôpital Beaujon AP-HP
    Paris, 92110, France
08

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Completed
changed Oct 21, 2026
Sites
2 sites added, 1 site removed
Show 2 added (2 France)
  • Institut Paoli Calmettes · Marseille, France
  • Hôpital Beaujon AP-HP · Paris, France
Show 1 removed
  • Institut Paoli Calmettes · Marseille, France
Oct 21, 2026
Primary completion
Dec 1, 2024→Mar 25, 2025 (actual)
Oct 21, 2026
Study completion
Dec 15, 2024→Mar 25, 2025 (actual)
Oct 21, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Percentage of patients with a complete clearance of the biodegradable stentNow Proportion of patients in whom placement of the ARCHIMEDES device for the prophylaxis of post-ERCP pancreatitis is a clinical success at Day 30Time frame: Day 15 → Day 30
Oct 21, 2026
Secondary outcomes
3 added
What changed in the outcomes
  • AddedSafetyTime frame: DAY 45
  • AddedClinical EfficacyTime frame: DAY 45
  • AddedTechnical EfficacyTime frame: DAY 45
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Recruiting→Completed
    2 sites added, 1 site removed
    Show 2 added (2 France)
    • Institut Paoli Calmettes · Marseille, France
    • Hôpital Beaujon AP-HP · Paris, France
    Show 1 removed
    • Institut Paoli Calmettes · Marseille, France
    Primary completion Dec 1, 2024→Mar 25, 2025 (now actual)
    Study completion Dec 15, 2024→Mar 25, 2025 (now actual)
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Percentage of patients with a complete clearance of the biodegradable stentNow Proportion of patients in whom placement of the ARCHIMEDES device for the prophylaxis of post-ERCP pancreatitis is a clinical success at Day 30Time frame: Day 15 → Day 30
    Secondary outcomes 3 added
    What changed in the outcomes
    • AddedSafetyTime frame: DAY 45
    • AddedClinical EfficacyTime frame: DAY 45
    • AddedTechnical EfficacyTime frame: DAY 45
    + 4 other changes: index terms, identifiers, verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT03977779
Responsible party
Sponsor
First posted
Jun 6, 2019
Start date
Jan 20, 2022
Primary completion
Mar 25, 2025
Completion
Mar 25, 2025
Last update
Oct 21, 2026

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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