ClinicalTrials.gg
RecruitingNCT07222527Updated Dec 16, 2025

One vs. Two Stents for Gallbladder Disease

An interventional study of ERCP with one stent placement and ERCP with two stent placement in Recurrent Cholecystitis, Cholecystitis and Symptomatic Gallbladder Disease, sponsored by Mayo Clinic. Recruiting at 1 site in United States. Open to participants aged 18 Years to 95 Years. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 95 Years
Sex
All
01

Study summary

This randomized trial will look at whether placing two cystic duct stents is more effective than one cystic duct stent in preventing recurrent gallbladder disease (cholecystitis, gallstone pancreatitis, or biliary colic) among patients who are not immediate surgical candidates for removal of their gallbladder.

The study will evaluate the safety profile, including rates of recurrent cholecystitis, biliary colic, and procedure-related complications, and technical success, defined as successful placement of stents into the gallbladder.

The main questions it aims to answer are:

  1. Does placement of two transpapillary cystic duct stents reduce the risk of recurrent symptomatic gallbladder disease compared to one stent?
  2. Is there a difference in procedure-related adverse events (post-ERCP pancreatitis, cholangitis, stent migration) between the two strategies?

Researchers will compare outcomes between patients randomized to one stent versus two stents to determine which approach provides better long-term gallbladder drainage and fewer recurrent events.

Participants will:

Be evaluated for eligibility and provide informed consent prior to undergoing an endoscopic retrograde cholangiopancreatography (ERCP), an endoscopy where a guidewire is placed into the bile duct from the small intestine.

They will then undergo ERCP with transpapillary cystic duct stent placement, randomized to one or two stents.

All participants will receive standard post-procedure care and follow-up assessments for recurrence, adverse events, and need for reintervention.

02

Conditions studied

  • Recurrent Cholecystitis
  • Cholecystitis
  • Symptomatic Gallbladder Disease
  • Biliary Colic

Keywords

  • gallbladder disease
  • symptomatic gallbladder disease
  • Recurrent cholecystitis
  • biliary colic
  • cystic duct stent
  • transpapillary gallbladder stents
  • high surgical risk patient
  • nonsurgical management gallbladder disease
  • gallbladder decompression
  • acute cholecystitis in non-cholecystectomy candidate
03

In context

Cholecystitis

192 studies on the registry are indexed under Cholecystitis; 36 are open to participants now.

This study's planned enrollment of 30 is below the median of 82 across 129 interventional studies indexed under Cholecystitis.

Browse Cholecystitis studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 95 Years
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. Males or non-pregnant females presenting with cholecystitis, biliary colic or gallstone pancreatitis.
  2. Age 18-95.
  3. Participants must be willing and able to provide
  4. Referred for ERCP for management of 1) suspected choledocholithiasis 2) acute biliary pancreatitis and/or 3) acute cholangitis in whom cholecystectomy is expected to be delayed > 30 days or are deemed to not be surgical candidates for cholecystectomy.

Exclusion criteria

Exclusion Criteria:

  1. Inability to provide
  2. History of surgically altered upper gastrointestinal anatomy (e.g. Roux-en-Y gastric bypass, Billroth I/II) precluding standard ERCP
  3. History of primary sclerosing cholangitis
  4. History of gallbladder cancer
  5. History of cholecystectomy
  6. Unsuccessful biliary cannulation during ERCP -
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    ONE STENT ARM

    Participant assigned to this Arm will undergo ERCP and have one transpapillary duct stent placed for the treatment of symptomatic gallbladder disease

    Procedure: ERCP with one stent placement

  • Active comparator
    TWO STENT ARM

    Participant assigned to this ARM will undergo ERCP and have two transpapillary duct stent placed for the treatment of symptomatic gallbladder disease.

    Procedure: ERCP with two stent placement

Interventions

  • ProcedureERCP with one stent placement

    One transpapillary cystic duct stent will be placed into the gallbladder via ERCP

  • ProcedureERCP with two stent placement

    Two transpapillary cystic duct stents will be placed into the gallbladder via ERCP

06

What researchers measure

Primary outcomes

  1. Clinical Success

    Defined as absence of recurrence of symptomatic gallbladder disease (cholecystitis, gallstone pancreatitis, or biliary colic) at 6 months post-procedure.

    Time frame: 6 months

Secondary outcomes

  1. Technical Success

    Defined as the ability to place the allocated number of transpapillary double pigtail stents into the gallbladder.

    Time frame: 1 day

  2. Time to Recurrence

    The amount of time (days) from the index procedure to when a recurrence occurs

    Time frame: 6 months

  3. Reintervention

    The proportion of participants who receive another endoscopic procedure due to failure/adverse events related to the index procedure

    Time frame: 6 months

  4. Adverse Events

    The type and severity of adverse events that occur related to the index procedure for stent placement

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Storm AC, Vargas EJ, Chin JY, Chandrasekhara V, Abu Dayyeh BK, Levy MJ, Martin JA, Topazian MD, Andrews JC, Schiller HJ, Kamath PS, Petersen BT. Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis. Gastrointest Endosc. 2021 Oct;94(4):742-748.e1. doi: 10.1016/j.gie.2021.03.025. Epub 2021 Mar 30. PubMed 33798540 ↗

Individual participant data

Plan to share: Yes — Deidentified participant data and outcomes will be shared after study approval of request from investigators by the study team

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: 1 year after publication of results to 5 years after publication

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07222527
Lead sponsor
Mayo Clinic
Responsible party
Eric J. Vargas Valls (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Oct 30, 2025
Start date
Dec 12, 2025
Primary completion
May 27, 2027 (estimated)
Completion
May 27, 2028 (estimated)
Last update
Dec 16, 2025

Study contacts

Liz Lemke
Contact
Lemke.Elizabeth@mayo.edu
507-266-3317
Eric Vargas
principal investigator · Mayo Clinic

Oversight

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

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