Diagnostic Accuracy of ERCP-guided Versus Cholangioscopy-guided Tissue Acquisition in Patients With Indeterminate Biliary Strictures Suspected to be Intrinsic .
NCT03140007 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2017-05-08
Summary
Primary Objective: To assess the diagnostic accuracy of cholangioscopy-based assessment using SpyDS technology compared to cholangiography-based assessment using ERCP-guided biopsy and brushing in patients with indeterminate biliary strictures in the setting of cholangiocarcinoma.
Conditions
- Cholangiocarcinoma
- Biliary Stricture
Interventions
- DEVICE
-
single operator cholangioscopy
If patient is randomized to the Study arm, then the procedure will consist of the following in order: Cannulation and sphincterotomy per standard of practice. POCS with recording of POCS-based impression of malignancy (yes/no/indeterminate). POCS will be performed using the Spy DS system. POCS-guided biopsies will be collected, consisting of 6 macroscopically visible biopsies. The POCS-guided biopsy forceps will be the SpyBite forceps.
- DEVICE
-
ERCP guided brushing and biopsy
• If patients are randomized to the Control arm, then they will undergo an ERCP. ERCP-based impression of malignancy (yes/no/indeterminate) will be recorded. ERCP-guided brushing and ERCP-guided biopsy will be performed.
Sponsors & Collaborators
-
Prince of Wales Hospital, Shatin, Hong Kong
collaborator OTHER -
Evangelisches Krankenhaus Düsseldorf
collaborator OTHER -
Asian Institute of Gastroenterology, India
lead OTHER
Principal Investigators
-
Mohan Ramchandani, MD DM · Asian Institute of Gastroenterology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-06-15
- Primary Completion
- 2018-02-15
- Completion
- 2018-06-15
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