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Active, not recruitingNCT06278090GALPOLUpdated Apr 15, 2026

Impact of Ursodeoxycholic Acid Treatment on the Gallbladder Polyp Evolution

An observational study in Gallbladder Polyp, sponsored by Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz. Active, not recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
36
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to learn about the impact of ursodeoxycholic acid treatment on the gallbladder polyp evolution in patients with gallbladder polyps that undergo follow up. The main question it aims to answer is:

  • Whether ursodeoxycholic acid could decrease the gallbladder polyp size and therefore spare unnecessary follow up or surgical interventions

Participants will be managed according to the standard practice of the department they are attended:

  • According to the established practice in the Department of Surgery, patients that either do not have an indication for cholecystectomy or decline the offered intervention, and are subjects for a follow up, are usually prescribed Ursodeoxycholic Acid, at 10-15 mg/kg/day for at least 6 months.
  • According to the standard practice of Gastroenterology Department, patients are followed up according to the published guidelines.

Researchers will compare the groups that receive or not ursodeoxycolic acid treatment to see if the polyp size evolution differs significantly.

Read the detailed description

Gallbladder polyps are common findings on abdominal ultrasound studies. Most of them are cholesterol polyps. However, often they require a prolonged follow up due to impossibility to efficiently rule out the presence of a real adenomatous polyps with potential of malignization.

Ursodeoxycholic Acid is a well-studied and long known drug that has been used for conservative treatment of bile stones with high cholesterol concentration (most of them), but also for bile sludge and gallbladder polyps, that are considered precursors of the gallbladder stones. It has been found in several studies that prevent from recurrent idiopathic acute pancreatitis and from gallbladder stone formation after gastric (including bariatric) surgery.

Participants will be managed according to the standard practice of the department they are attended:

  • According to the established practice in the Department of Surgery, patients that either do not have an indication for cholecystectomy or decline the offered intervention, and are subjects for a follow up, are usually prescribed ursodeoxycholic acid, at 10-15 mg/kg/day for at least 6 months.
  • According to the standard practice of Gastroenterology Department, patients are followed up according to the published guidelines.

Researchers will compare the groups that receive or not ursodeoxycolic acid treatment to see if the polyp size evolution differ significantly during the studied period of 1 year. The small size changes could have a great impact on the management of the gallbladder polyps as for a 2mm increase could be a reason to indicate a surgical intervention and a 2mm decrease could cause the discontinuation of the follow up.

02

Conditions studied

  • Gallbladder Polyp

Keywords

  • Gallbladder polyp
  • Ursodeoxycholic acid
03

In context

Lead sponsor

Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz is the lead sponsor of 70 studies on the registry; 23 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
Sampling method
Probability sample

Study population

Consecutive patients referred for an outpatient consultation to the Departments of Surgery and Gastroenterology due to gallbladder polyps.

Inclusion criteria

  • Patients with gallbladder polyps eligible for standard follow up (without indication for cholecystectomy or patient decline surgery or polyps \< 5mm without risk factors such as age>60 years, primary sclerosing cholangitis, asian ethnicity, sessile polypoid lesion)

Exclusion criteria

Exclusion Criteria:

  • Patients with gallbladder polyps that received ursodeoxycolic acid doses lower than 10mg/kg/day
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
36 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients treated with Ursodeoxycholic acid

    Patients that recieved prescription for Ursodeoxycholic acid, 10-15 mg/kg for at least 6 months.

    Drug: Ursodeoxycholic Acid Only Product

  • Patients not treated with Ursodeoxycholic acid

    Patients without prescription of Ursodeoxycholic acid

Interventions

  • DrugUrsodeoxycholic Acid Only Product

    Ursodeoxycholic acid treatment, 10-15mg/kg/day for at least 6 months

    Also known as: Ursobilane, Ursochol

06

What researchers measure

Primary outcomes

  1. Reducing gallbladder polyp size by 2mm or more

    Reducing the polyp size by 2mm or more, at the usual ultrasonographic controls at 6 and 12 months.

    Time frame: 6 and 12 months

Secondary outcomes

  1. Modification of the expected follow up

    Depending on the polyp size, physicians could either discontinue the follow up (decreasing to \<5mm or disappearing) or indicate surgery (according to the current guidelines). Deviation from the usual evolution of the polyp size, comparing both groups, that leads to alteration of the possible follow up (termination of the follow up when polyp size reduces to \<5mm or indication of surgery when polyp size increases by 2mm or reaches 10mm) will be studied.

    Time frame: 12 months

07

Study locations

1 site
  • Hospital Universitario General de Villalba
    Collado Villalba, Madrid 28400, Spain
08

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 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06278090
Lead sponsor
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Responsible party
Tihomir Georgiev Hristov (Principal Investigator, Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz) — Principal investigator
First posted
Feb 26, 2024
Start date
Mar 1, 2024
Primary completion
Apr 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Apr 15, 2026

Study contacts

Tihomir Georgiev, MD, PhD
principal investigator · Hospital Universitario General de Villalba, Madrid, Spain

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 active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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