ClinicalTrials.gg
RecruitingNCT06128018RESTOREUpdated Sep 4, 2026

Comparing Endoscopic Ultrasound vs Surgical Gastrojejunostomy for Management of GOO.

An interventional study of Surgical gastrojejunostomy (S-GJ) and EUS-guided gastrojejunostomy (EUS-GJ) in Malignant Gastric Outlet Obstruction, sponsored by AdventHealth. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by AdventHealth · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2023; still recruiting 3 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this interventional study is to learn about the outcomes between two options for the management of malignant gastric outlet obstruction.

Read the detailed description

The goal of this interventional study is to learn about the outcomes between two options for the management of malignant gastric outlet obstruction. The main question this study aims to answer is:

1. To compare the rates of procedure related adverse events (AE's) between patients undergoing Endoscopy Ultrasound-guided gastro-jejunostomy (EUS-GJ) and Surgical gastro-jejunostomy (S-GJ).

Study participants will be randomized into one of the two standard procedures and followed for up to 12 months post procedure for collection of outcomes related data

02

Conditions studied

  • Malignant Gastric Outlet Obstruction
03

In context

Gastric Outlet Obstruction

38 studies on the registry are indexed under Gastric Outlet Obstruction; 14 are open to participants now.

This study's planned enrollment of 70 is close to the median of 69 across 28 interventional studies indexed under Gastric Outlet Obstruction.

Browse Gastric Outlet Obstruction studies →

Lead sponsor

AdventHealth is the lead sponsor of 113 studies on the registry; 22 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

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

  1. ≥ 18 years of age.
  2. Radiographic OR Endoscopic evidence of an obstructing neoplasm in the distal stomach or duodenum.
  3. GOOSS of 0 or 1
  4. BOTH surgical and endoscopic GJ are technically and clinically feasible
  5. Can understand and is willing to sign form prior to the initiation of any study procedures (or when applicable the subject's LAR).

Exclusion criteria

Exclusion Criteria:

  1. \< 18 years of age
  2. >2
  3. Expected survival (determined by the treating oncologist) is less than 2 months.
  4. Candidates for potential resection of the cancer and obstructed anatomical area (this includes patients with borderline resectable pancreatic cancer)
  5. Peritoneal carcinomatosis with associated bowel obstruction on imaging or during laparoscopy
  6. Large volume ascites (patients with moderate volume ascites may undergo IR guided drainage prior to randomization)
  7. Anatomical factors that technically hinder EUS-GJ OR Surgical-GJ (diffuse tumor involvement in path of LAMS or surgery, surgically altered anatomy that interferes with the ability to perform an anastomosis etc)
  8. Pregnancy
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.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

05

Study design

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

Study arms

  • Other
    EUS-guided gastrojejunostomy (EUS-GJ)

    Patients on this arm will undergo the endoscopic procedure.

    Procedure: Surgical gastrojejunostomy (S-GJ)

  • Other
    Surgical gastrojejunostomy (S-GJ)

    Patients on this arm will undergo the surgical procedure.

    Procedure: EUS-guided gastrojejunostomy (EUS-GJ)

Interventions

  • ProcedureSurgical gastrojejunostomy (S-GJ)

    Surgical gastro-jejunostomy

  • ProcedureEUS-guided gastrojejunostomy (EUS-GJ)

    Endoscopic Ultrasound guided gastro-jejunostomy

06

What researchers measure

Primary outcomes

  1. Identify safety profile EUS-GJ

    The severity of AEs will be determined using standard American Society of Gastrointestinal Endoscopy (ASGE) Lexicon and AGREE criteria (appendix) in the EUS-GJ group.

    Time frame: 24 Months

Secondary outcomes

  1. Identify safety profile for S-GJ

    The severity of AEs will be determined using Claviden-Dindo classification of surgical complications in the S-GJ group.

    Time frame: 24 Months

07

Study locations

1 of 1 sites recruiting
  • AdventHealth Orlando
    Orlando, Florida 32804, United States
    Recruiting
    • Diana Paredes, RN · ContactDiana.Paredes@adventHealth.com · (407) 303-9736
    • Petronio Martins, MHA · ContactPetronio.Martins@AdventHealth.com · (407) 303-5503
    • Kambiz Kadkhodayan, MD · Principal investigator
    • Dennis Yang, MD · Sub investigator
    • Natalie Cosgrove, MD · Sub investigator
    • Deepanshu Jain, MD · Sub investigator
    • Sebastian De La Fuente, MD · Sub investigator
    • Armando Rosales, MD · Sub investigator
08

References and documents

Publications

  • ASGE Standards of Practice Committee; Fukami N, Anderson MA, Khan K, Harrison ME, Appalaneni V, Ben-Menachem T, Decker GA, Fanelli RD, Fisher L, Ikenberry SO, Jain R, Jue TL, Krinsky ML, Maple JT, Sharaf RN, Dominitz JA. The role of endoscopy in gastroduodenal obstruction and gastroparesis. Gastrointest Endosc. 2011 Jul;74(1):13-21. doi: 10.1016/j.gie.2010.12.003. No abstract available. PubMed 21704805 ↗
  • Medina-Franco H, Abarca-Perez L, Espana-Gomez N, Salgado-Nesme N, Ortiz-Lopez LJ, Garcia-Alvarez MN. Morbidity-associated factors after gastrojejunostomy for malignant gastric outlet obstruction. Am Surg. 2007 Sep;73(9):871-5. PubMed 17939415 ↗
  • Adler DG, Baron TH. Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: experience in 36 patients. Am J Gastroenterol. 2002 Jan;97(1):72-8. doi: 10.1111/j.1572-0241.2002.05423.x. PubMed 11808972 ↗
  • Tyberg A, Kumta N, Karia K, Zerbo S, Sharaiha RZ, Kahaleh M. EUS-guided gastrojejunostomy after failed enteral stenting. Gastrointest Endosc. 2015 Apr;81(4):1011-2. doi: 10.1016/j.gie.2014.10.018. Epub 2015 Feb 11. No abstract available. PubMed 25680897 ↗
  • Khashab MA, Tieu AH, Azola A, Ngamruengphong S, El Zein MH, Kumbhari V. EUS-guided gastrojejunostomy for management of complete gastric outlet obstruction. Gastrointest Endosc. 2015 Oct;82(4):745. doi: 10.1016/j.gie.2015.05.017. Epub 2015 Jun 16. No abstract available. PubMed 26092615 ↗
  • Itoi T, Ishii K, Tanaka R, Umeda J, Tonozuka R. Current status and perspective of endoscopic ultrasonography-guided gastrojejunostomy: endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy (with videos). J Hepatobiliary Pancreat Sci. 2015 Jan;22(1):3-11. doi: 10.1002/jhbp.148. Epub 2014 Aug 24. PubMed 25155270 ↗
  • Itoi T, Ishii K, Ikeuchi N, Sofuni A, Gotoda T, Moriyasu F, Dhir V, Teoh AY, Binmoeller KF. Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction. Gut. 2016 Feb;65(2):193-5. doi: 10.1136/gutjnl-2015-310348. Epub 2015 Aug 17. No abstract available. PubMed 26282674 ↗
  • Binmoeller KF, Shah JN. Endoscopic ultrasound-guided gastroenterostomy using novel tools designed for transluminal therapy: a porcine study. Endoscopy. 2012 May;44(5):499-503. doi: 10.1055/s-0032-1309382. Epub 2012 Apr 24. PubMed 22531985 ↗
  • Barthet M, Binmoeller KF, Vanbiervliet G, Gonzalez JM, Baron TH, Berdah S. Natural orifice transluminal endoscopic surgery gastroenterostomy with a biflanged lumen-apposing stent: first clinical experience (with videos). Gastrointest Endosc. 2015 Jan;81(1):215-8. doi: 10.1016/j.gie.2014.09.039. PubMed 25527056 ↗
  • Itoi T, Itokawa F, Uraoka T, Gotoda T, Horii J, Goto O, Moriyasu F, Moon JH, Kitagawa Y, Yahagi N. Novel EUS-guided gastrojejunostomy technique using a new double-balloon enteric tube and lumen-apposing metal stent (with videos). Gastrointest Endosc. 2013 Dec;78(6):934-939. doi: 10.1016/j.gie.2013.09.025. PubMed 24237949 ↗
  • Khashab MA, Kumbhari V, Grimm IS, Ngamruengphong S, Aguila G, El Zein M, Kalloo AN, Baron TH. EUS-guided gastroenterostomy: the first U.S. clinical experience (with video). Gastrointest Endosc. 2015 Nov;82(5):932-8. doi: 10.1016/j.gie.2015.06.017. Epub 2015 Jul 26. PubMed 26215646 ↗
  • Tyberg A, Perez-Miranda M, Sanchez-Ocana R, Penas I, de la Serna C, Shah J, Binmoeller K, Gaidhane M, Grimm I, Baron T, Kahaleh M. Endoscopic ultrasound-guided gastrojejunostomy with a lumen-apposing metal stent: a multicenter, international experience. Endosc Int Open. 2016 Mar;4(3):E276-81. doi: 10.1055/s-0042-101789. PubMed 27004243 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2023 (actual). Primary completion is estimated for Sep 2026, 34 months after the start.

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

Registered
Oct 24, 2023
First posted
Nov 13, 2023
StartActual
Nov 1, 2023
Primary completionEst.
Sep 8, 2026
CompletionEst.
Mar 8, 2027
Last update
Sep 4, 2026
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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06128018
Lead sponsor
AdventHealth
Responsible party
Sponsor
First posted
Nov 13, 2023
Start date
Nov 1, 2023
Primary completion
Sep 8, 2026 (estimated)
Completion
Mar 8, 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Bridget Miller, MPH, MS
Contact
bridget.miller@adventhealth.com
(407)303-9736
Petronio Martins
Contact
Petronio.martins@adventhealth.com
(407)303-5503
Kambiz Kadkhodayan, MD
principal investigator · AdventHealth

Oversight

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

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