ClinicalTrials.gg
RecruitingNCT07120295Updated Sep 3, 2026

Study of Large Channel Digital Pancreaticobiliary Scope (DPS) With Compatible Accessories

A Phase 4 interventional study of Dragonfly™ Digital Pancreaticobiliary System in Bile Duct Adenocarcinoma and Bile Duct Carcinoma, sponsored by University of Colorado, Denver. Recruiting at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by University of Colorado, Denver · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Where this study stands

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

Among 145 studies in Bile Duct Neoplasms with a site in United States — 15 open to participants now, 24 under way, 1 of them phase 3. Bile Duct Neoplasms · United States.

Planned enrollment
27th of 115
75 · median 43
Started
2025
with 1 other
Phase 4
Only one
of the 145
Primary completion
2027-12
later than 12 of 23 live
Registered
142nd of 145
by date

Among the 145 studies in Bile Duct Neoplasms with a site in United States, this one is the 27th largest by planned enrollment of the 115 interventional ones that give a count, is one of 2 that started in 2025, is the only one in phase 4, reaches primary completion later than 12 of the 23 other live ones, and was the 142nd registered.

Bile Duct Neoplasms

254 studies on the registry are indexed under Bile Duct Neoplasms; 44 are open to participants now.

Browse Bile Duct Neoplasms studies →

Open to participants now

15 of the 145 studies in Bile Duct Neoplasms with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 15 open studies →

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

Who these studies take

Of the 36 Bile Duct Neoplasms studies recruiting now, 21 (58%) set no upper age limit and 6 (17%) stop at 75 or younger; 1 takes children under 18; 2 take healthy volunteers.

This study: 21 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study plans to enroll up to 75 research subject who have a biliary disorder such as bile duct stones or intermediate biliary strictures. The purpose of this research is to assess whether the Dragonfly™ Pancreaticobiliary Scope functioned as intended in combination with the commercially available accessories during your scheduled endoscopy procedure. This includes achieving stone fragmentation of difficult biliary stone(s) while obtaining adequate tissue specimens for analysis. There will also be a Product performance evaluation as rated by the endoscopist operating the DPS System and evaluation of ergonomics and usability.

03

Conditions studied

  • Bile Duct Adenocarcinoma
  • Bile Duct Carcinoma

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04

Who can participate

Ages eligible
21 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. Provision to sign and date the consent form;
  2. Adult patients ≥ 21 years old;
  3. Any patient who is required to undergo endoscopic retrograde cholangiopancreatography (ERCP) procedure with the clinical need to perform cholangioscopy for:

    1. Indeterminate biliary stricture, or
    2. Failed biliary stone extraction with conventional techniques.
  4. Willing and able to follow study procedures and comply with study follow-up.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or lactation;
  2. Surgically or physiologically altered GI anatomy that precludes advancement of the duodenoscope for biliary cannulation;
  3. Patients on anti-coagulants and anti- medications that cannot be withheld pre-procedure, except for aspirin, 81mg;
  4. Coagulopathy ( > 1.8) or thrombocytopenia (Platelets \< 50,000) that is not correctable and felt to be a to proceeding with or lithotripsy per the treating endoscopist;
  5. Active suppurative cholangitis with evidence of purulent drainage at the time of papilla visualization;
  6. Patients who are not candidates for anesthesia to permit ERCP.
Terms in these criteria, in plain language(4)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Interventional Group

    Device: Dragonfly™ Digital Pancreaticobiliary System

Interventions

  • DeviceDragonfly™ Digital Pancreaticobiliary System

    Dragonfly™ Digital Pancreaticobiliary System is indicated for use in the direct visualization of the biliary and pancreatic ducts for diagnostic and therapeutic interventions during endoscopic procedures. DPS is a single-use device that serves as an access and delivery catheter used with a proprietary DDC. The DDC is intended to control auto-illumination, and process images from the DPS for diagnostic and therapeutic applications during endoscopic procedures in the pancreaticobiliary system including the hepatic ducts.

06

What researchers measure

Primary outcomes

  1. Stone Fragmentation- Clearing of Biliary Stones

    Will evaluate the effectiveness of digital cholangioscopy (DC) in guiding fragmentation of difficult biliary stones. Will examine the efficacy of the intraductal lithotripsy procedure utilizing electrohydraulic lithotripsy in achieving biliary stone fragmentation and complete bile duct stone clearance among patients who have failed conventional stone extraction techniques. Stone fragmentation and complete ductal clearance will be assessed using descriptive statistics with interquartile range (IQR) for the number of procedures to achieve clearance at index or subsequent procedures. Ninety-five percent confidence intervals will be provided for descriptive statistics.

    Time frame: Up to 6 months

  2. Tissue Acquisition during endoscopy procedure

    Will evaluate the ability of the DC to deliver tools to obtain adequate tissue samples (biopsies) to be analyzed for the presence or absence of disease, including cancer, infection, or other conditions in subjects with indeterminate strictures. Will use descriptive analysis with sensitivity, specificity, accuracy, median and IQR plus operating characteristics of visualization and sampling in those patients with indeterminate strictures. Will evaluate the diagnostic efficacy of the novel biopsy forceps in the context of indeterminate biliary strictures and provide robust evidence for clinical decision-making.

    Time frame: Up to 6 months

Secondary outcomes

  1. Total procedure time

    Will evaluate the total procedure time for bile duct stones.

    Time frame: Up to 6 months

  2. Product performance evaluation as rated by the endoscopist operating the DPS System

    Will evaluate the number of procedures required to achieve bile duct stone clearance after referral. Will summarize with descriptive statistics and report success rates. Ninety-five percent confidence intervals will be provided for descriptive statistics.

    Time frame: Up to 6 months

  3. DPS Functionality during Endoscopy Procedures

    Will assess whether the DPS functioned as intended in combination with the commercially available accessories. Functioned as intended is defined as the ability to set up, provide visualization, deliver the accessory to the target location, use of the accessory according to the instructions for use. Will summarize with descriptive statistics and report success rates.

    Time frame: Up to 6 months

  4. Ergonomics

    Will evaluate ergonomics by collecting anthropometric data from physician users. Will provide product performance evaluation data.

    Time frame: Up to 6 months

  5. Lithotripsy fragmentation time

    Will evaluate lithotripsy fragmentation time for bile duct stones. Will summarize with descriptive statistics and report success rates.

    Time frame: Up to 6 months

  6. Product Performance

    Will evaluate product performance for indeterminate biliary strictures as rated by the endoscopist operating the DPS system. Will summarize with descriptive statistics and report success rates.

    Time frame: Up to 6 months

  7. Usability

    Will assess usability by the System Usability Scale. Will provide product performance evaluation data.

    Time frame: At the completion of the study

  8. Visualization of biliary strictures

    Will evaluate the ability to adequately visualize biliary strictures, including the presence of both neoplastic (irregular nodular mucosa, irregular papillary projections, intraductal or villous mass, dilated and tortuous vessels with branching, infiltrative stricture, ulceration, and contact friability/ease of oozing) and benign (concentric, bandlike scar, uniform projections, thin vessels) characteristics. Will summarize with descriptive statistics and report success rates.

    Time frame: Up to 6 months

  9. Visualization of stone or stricture characteristics

    Will evaluate usability by the ability to visualize stone or stricture characteristics as rated by the endoscopist operating the DPS system.

    Time frame: Up to 6 months

  10. User satisfaction

    Will assess user satisfaction with the Net Promoter Score. Will provide product performance evaluation data.

    Time frame: At the completion of the study

  11. Passing of device to target area

    Will evaluate usability by the ability to pass the lithotripsy device and/or stone removal device to the target area as rated by the endoscopist operating the DPS system.

    Time frame: Up to 6 months

  12. Work

    Will assess the subjective assessment of work by the National Aeronautics and Space Administration-Task

    Time frame: After each case

  13. Bile duct stone recurrence rate

    Will evaluate the bile duct stone recurrence rate. Will summarize with descriptive statistics and report success rates.

    Time frame: At 6 months

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2025 (actual). Primary completion is estimated for Dec 2027, 28 months after the start.

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

Registered
Apr 30, 2025
First posted
Aug 13, 2025
StartActual
Aug 11, 2025
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2028
Last update
Sep 3, 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 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07120295
Collaborators
Dragonfly Endoscopy Inc
Responsible party
Sponsor
First posted
Aug 13, 2025
Start date
Aug 11, 2025
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 3, 2026

Study contacts

Rodolfo Hernandez
Contact
Rodolfo.Hernandez@cuanschutz.edu
303-724-1870

Oversight

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

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