12-mm Partial Covered Versus Bare Self-Expandable Metallic Stents for Malignant Distal Biliary Obstruction
NCT07559968 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-05-06
Summary
Metallic stents are commonly used for biliary drainage in patients with unresectable malignant distal biliary obstruction. However, it is unclear whether a 12-mm partially covered self-expandable metallic stent or a 12-mm bare self-expandable metallic stent provides better effectiveness and safety. This prospective, randomized clinical trial will compare these two stent types in adult patients who have already undergone percutaneous transhepatic biliary drainage (PTBD) and are scheduled for metallic stent placement through the existing PTBD tract. A total of 60 participants will be enrolled. After stent placement, participants will be followed for 12 months, with assessments at 3, 6, and 12 months. The study will evaluate recurrent biliary obstruction, stent patency duration, reintervention, overall survival, and procedure-related complications. The results are expected to provide evidence for selecting the most appropriate 12-mm metallic stent for patients with unresectable malignant distal biliary obstruction.
Conditions
- Malignant Distal Biliary Obstruction
- Malignant Biliary Obstruction
- Biliary Obstruction
Interventions
- DEVICE
-
12-mm partially covered self-expandable metallic stent
A 12-mm partially covered self-expandable metallic stent placed through the existing percutaneous transhepatic biliary drainage (PTBD) tract for internal biliary drainage in patients with unresectable malignant distal biliary obstruction.
- DEVICE
-
12-mm bare self-expandable metallic stent
A 12-mm bare self-expandable metallic stent placed through the existing percutaneous transhepatic biliary drainage (PTBD) tract for internal biliary drainage in patients with unresectable malignant distal biliary obstruction.
Sponsors & Collaborators
-
OSYMED CO., Ltd.
collaborator UNKNOWN -
Chung-Ang University Hosptial, Chung-Ang University College of Medicine
lead OTHER
Principal Investigators
-
Woosun Choi, MD, PhD · Associate Professor, Department of Radiology, Chung-Ang University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-31
- Primary Completion
- 2029-12-31
- Completion
- 2029-12-31
More Related Trials
-
Comparing Covered Self-expandable Metallic Stent (SEMS) Above/Across the Sphincter of Oddi
NCT01041612 ·Status: COMPLETED ·Phase: PHASE4
-
Paclitaxel Eluting Covered Metallic Stent for Unresectable Malignant Bile Duct Obstruction
NCT00453076 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of a New Metal Biliary Stent of 12-mm Diameter: a Case Control Study
NCT04405752 ·Status: COMPLETED
-
Unilateral Stenting Versus Bilateral Stenting for Malignant Hilar Biliary Obstruction
NCT02649712 ·Status: COMPLETED ·Phase: NA
-
Fully Covered SEMS Versus Partially Covered SEMS With Anti-migration System for Malignant Distal Biliary Obstruction
NCT02255669 ·Status: UNKNOWN ·Phase: NA
-
Single Versus Multiple Plastic Stents in Malignant Distal Bile Duct Obstruction
NCT03849859 ·Status: TERMINATED ·Phase: NA
-
Comparison Between Two Methods of Bilateral Stenting for Malignant Hilar Obstruction
NCT01622803 ·Status: WITHDRAWN ·Phase: PHASE3
-
Metal Versus Plastic Stent in Malignant Hilar Biliary Obstruction
NCT03857958 ·Status: UNKNOWN ·Phase: NA
-
Partially Covered Metal Stents Efficacy in Biliary Drainage of Malignant Extra-hepatic Biliary Obstruction
NCT04431427 ·Status: UNKNOWN ·Phase: NA
-
Two-in-one Covered and Uncovered Metal Stent
NCT04337333 ·Status: UNKNOWN ·Phase: NA
-
Uncovered Self-expandable Metal Stent Versus Double Layer Plastic Stent for Malignant Hilar Stricture
NCT01125865 ·Status: UNKNOWN ·Phase: PHASE4
-
Covered vs Uncovered Metal Stents for Palliative Biliary Decompression in Inoperable Malignant Distal Bile Duct Obstruction
NCT01905384 ·Status: COMPLETED ·Phase: NA
-
Suprapapillary Metal Stent vs. Routine Transpapillary Drainage in Malignant Hilar Biliary Obstruction (SMART-B Trial)
NCT07558304 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Primary Versus Secondary Metal Stent Implantation in PTBD
NCT04992585 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Unilateral Versus Bilateral Stenting for Malignant Hilar Biliary Obstruction to Use a LCD Stent
NCT01875549 ·Status: WITHDRAWN ·Phase: NA
-
Treatment of Distal Malignant Biliary Obstruction by Uncovered, Partially Covered, or Fully Covered Metal Stents
NCT06453590 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Preoperative Biliary Drainage in Resectable Pancreatic or Periampullary Cancer
NCT01774019 ·Status: COMPLETED ·Phase: NA
-
Two Bilateral Metal Stenting in Hilar Malignancy
NCT01141088 ·Status: UNKNOWN ·Phase: NA
-
Comparison Between Transpapillary and Suprapapillary Metal Stent
NCT04503291 ·Status: UNKNOWN ·Phase: NA
-
Single Plastic Stent Vs. Fully Covered Self-Expanding Metal Stent on Benign Biliary Stricture Secondary to Chronic Pancreatitis
NCT06655051 ·Status: RECRUITING ·Phase: NA
-
Covered vs. Uncovered SEMS for Occluded Biliary Metal Stents
NCT01315522 ·Status: COMPLETED ·Phase: PHASE4
-
Biliary Drainage Preceding Possible Pancreaticoduodenectomy. Are Self-expandable Metallic Stents (SEMS) Superior to Plastic Stents?
NCT03350763 ·Status: WITHDRAWN ·Phase: NA
-
Comparison of a Plastic Stent Without Central Lumen With Self Expandable Metal Stents in Patients With Malignant Distal Biliary Obstruction
NCT01063634 ·Status: UNKNOWN
-
Comparison Between Fully Covered Metal Stents and Plastic Stents in Preoperative Biliary Drainage
NCT01789502 ·Status: COMPLETED ·Phase: NA
-
Prospective Evaluation of the Covered Self-expandable Metal Stents (CSEMS) for Incomplete Biliary Stone Clearance
NCT01475864 ·Status: WITHDRAWN