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Lo studio clinico NCT07495111 per Cholelithiasis Associated With Common Bile Duct Stones è in arruolamento. Consulti la vista a schede del Radar degli Studi Clinici e gli strumenti di scoperta IA per tutti i dettagli. Oppure, ponga pure una domanda qui.
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Prophylactic PS Placement to Prevent Pancreatitis After Endoscopic Transpapillary GPC for Cholelithiasis With Concomitant Choledocholithiasis 88 Randomizzato

In arruolamento
I dettagli dello studio clinico sono disponibili principalmente in inglese. Tuttavia, Trial Radar IA può essere d'aiuto! Basta cliccare su 'Spiega lo studio' per visualizzare e discutere le informazioni sullo studio nella lingua selezionata.
La sperimentazione clinica NCT07495111 è uno studio interventistico per Cholelithiasis Associated With Common Bile Duct Stones, attualmente in arruolamento. Avviato il 1 dicembre 2025, prevede di arruolare 88 partecipanti. Sotto la guida di Qilu Hospital of Shandong University, dovrebbe concludersi entro il 1 giugno 2028. I dati più recenti da ClinicalTrials.gov sono stati aggiornati l'ultima volta il 27 marzo 2026.
Sommario breve
In this multicenter, randomized trial, patients with cholelithiasis with concomitant choledocholithiasis based on inclusion and exclusion criteria will be randomly assigned to receive rectal indomethacin alone or the combination of indomethacin plus a prophylactic pancreatic stent after endoscopic transpapillary gallbladder-preserving cholecystolithotomy.Clinical data and patient-reported outcomes are regularly colle...Mostra di più
Titolo ufficiale

Prophylactic Pancreatic Stent Placement to Prevent Pancreatitis After Endoscopic Transpapillary Gallbladder-preserving Cholecystolithotomy for Cholelithiasis With Concomitant Choledocholithiasis

Patologie
Cholelithiasis Associated With Common Bile Duct Stones
Altri ID dello studio
  • 2025SDU-QILU-2
Numero NCT
NCT07495111
Data di inizio (effettiva)
2025-12-01
Ultimo aggiornamento pubblicato
2026-03-27
Data di completamento (stimata)
2028-06
Arruolamento (previsto)
88
Tipo di studio
Interventistico
FASE
N.D.
Stato
In arruolamento
Parole chiave
Cholelithiasis with Concomitant Choledocholithiasis
Endoscopic Transpapillary Gallbladder-preserving Cholecystolithotomy
post-ERCP pancreatitis
Randomized Controlled Trial (RCT)
Scopo principale
Trattamento
Allocazione
Randomizzato
Modello di intervento
In parallelo
Mascheramento
Doppio
Bracci / Interventi
Gruppo/Braccio di partecipantiIntervento/Trattamento
AltroReceive rectal indomethacin alone
rectal indomethacin alone
rectal indomethacin was used alone in the control group
SperimentaleCombination of indomethacin plus a prophylactic pancreatic stent
Prophylactic pancreatic stent
All procedure-related interventions except for the administration of rectal indomethacin and placement of a prophylactic stent were left to the discretion of the endoscopist.During ERCP, once eligibility was confirmed, patients were randomized in a 1:1 ratio to receive a prophylactic stent or not.In patients assigned to the indomethacin plus stent group, endoscopists were expected to attempt stent placement, although...Mostra di più
Esito primario
Misure di esitoDescrizione della misuraArco temporale
The Proportion of Patients with Post-ERCP Pancreatitis
If a patient exhibits two out of the following three characteristics, a diagnosis of postoperative pancreatitis is made: (1) Abdominal pain consistent with acute pancreatitis, (2) Serum amylase and/or lipase levels at least three times the upper limit of normal, and (3) Abdominal imaging studies showing radiological changes consistent with acute pancreatitis.
24 hours to 72 hours after ERCP
Esito secondario
Misure di esitoDescrizione della misuraArco temporale
The Proportion of Patients with Mild, Moderate or Severe Post-ERCP Pancreatitis
The severity was defined as mild post-ERCP pancreatitis resulting in a hospitalization of ≤3 days, moderate post-ERCP pancreatitis resulting in a hospitalization of 4-10 days, and severe post-ERCP pancreatitis resulting in a hospitalization of \> 10 days, or leading to the development of pancreatic necrosis or pseudocyst, or requiring percutaneous or surgical intervention.
Within 1 months after ERCP
Clinical Success Rate
Complete removal of gallbladder stones.
Within 1 months after ERCP
The Proportion of Patients with Other Complications
Other complications mainly include bleeding, cholangitis, cholecystitis, perforation, hypoxemia, hypotension or hypertension, etc.
Within 6 months after ERCP
Assistente alla partecipazione
Criteri di eleggibilità

Età idonea
Adulto, Adulto anziano
Età minima
18 Years
Sessi idonei
Tutti
  1. Patients aged 18 years or older;
  2. Patients with gallbladder stones and common bile duct (CBD) stones confirmed by ultrasound and/or MRCP or other imaging modalities (CT/MRI);
  3. Patients with every gallbladder stone ≤1 cm in diameter or sludge-like stones;
  4. Patients without a history of gastrointestinal reconstruction surgery,cholecystectomy or previous biliary surgery, includes ERCP;
  5. The morphology and size of the gallbladder are essentially normal and the thickness of the gallbladder wall is ≤3 mm;
  6. Patients with at least one of the following high-risk factors for post-ERCP pancreatitis (PEP): suspected sphincter of Oddi dysfunction (SOD), female sex, history of pancreatitis, difficult cannulation (defined as ≥5 cannulation attempts or ≥5 minutes of cannulation time), pancreatic duct contrast injection, age <35 years, non-dilated extrahepatic bile duct, no history of chronic pancreatitis, normal serum bilirubin, precut sphincterotomy, biliary balloon dilation, incomplete bile duct stone clearance, or intraductal ultrasound ;
  7. Patients who voluntarily provide signed informed consent.

  1. Patients with any of the following diagnoses: chronic atrophic cholecystitis, porcelain gallbladder, suspected gallbladder malignancy, or Mirizzi syndrome;
  2. Patients with ectopic duodenal papilla or congenital pancreaticobiliary malformations;
  3. Patients unfit for ERCP endoscopic treatment due to severe systemic diseases;
  4. Patients with severe coagulation dysfunction (defined as an International Normalized Ratio \[INR\] >1.5) or significant thrombocytopenia (platelet count <50×10⁹/L);
  5. Pregnant women;
  6. Patients with guidewire entry into the pancreatic duct ≥3 times during the procedure;
  7. Patients with allergies to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs);
  8. Patients with congenital or acquired absence of the rectum;
  9. Patients with severe acute pancreatitis
Qilu Hospital of Shandong University logoQilu Hospital of Shandong University
Contatti principali dello studio
Contatto: Zhen Li, MD, 18560086106, [email protected]
1 Centri dello studio in 1 paesi

Shandong

Qilu Hospital of Shandong University, Jinan, Shandong, 250063, China
In arruolamento