Supra-papillary Versus Trans-papillary Biliary Stenting in Malignant Peri-hilar Stenosis
NCT07325877 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2026-01-08
Summary
This is a randomized controlled trial comparing patients with obstructive jaundice due to malignancies of the perihilar area of bile ducts and undergoing both preoperative and palliative biliary drainage. The comparison will focus on the technique:, on the one hand, an arm of patients undergoing standard-of-care ERCP with trans-papillary plastic protesis placement, and on the other hand, an experimental arm of patients undergoing suprapapillary plastic protesis placement with no sphincterotomy. The primary objective will be to compare the time-to-stent dysfunction in the two groups; secondary objectives will include a comparison of the safety, technical, and clinical success of the procedures.
Conditions
- Biliary Disease Tract
- Biliary Stenosis
- Biliary Stents
Interventions
- PROCEDURE
-
ERCP with suprapapillary stent placement
ERCP with no sphincterotomy and placement of plastic stents above the papilla of Vater.
- PROCEDURE
-
ERCP with transpapillary stent placement
Standard ERCP with or without sphincterotomy with trans papillary stent placement
Sponsors & Collaborators
-
Azienda Ospedaliera Universitaria Integrata Verona
lead OTHER
Principal Investigators
-
Andrea Ruzzenente, Professor · Integrated University Hospital Verona
-
Stefano Francesco Crinò, Consultant · Integrated University Hospital Verona
-
Edoardo Poletto, PhD Candidate, Consultant · Integrated university Hospital Verona
-
Maria Cristina Conti Bellocchi, Consultant · Integrated University Hospital Verona
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-01
- Primary Completion
- 2029-03-01
- Completion
- 2029-03-01
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