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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01774019
Registration number
NCT01774019
Ethics application status
Date submitted
2/10/2012
Date registered
23/01/2013
Date last updated
10/04/2023
Titles & IDs
Public title
Preoperative Biliary Drainage in Resectable Pancreatic or Periampullary Cancer
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Scientific title
Randomized Multi-Center Study Comparing No Drainage to Preoperative Biliary Drainage Using Metal Stents in Patients With Resectable Pancreatic or Periampullary Cancer
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Secondary ID [1]
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E7059
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Secondary ID [2]
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90914721
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pancreatic Carcinoma
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Condition category
Condition code
Cancer
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Pancreatic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active comparator: WallFlex™ Biliary RX Fully Covered/Uncovered Stent System - Patients in this group will receive a fully covered or uncovered study SEMS (self-expanding metal stent)
No intervention: None (No Pre-Operative Biliary Drainage) - Patients in this group will not receive pre-operative biliary drainage with a study SEMS
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Serious Pre-operative, Operative and Post-operative Adverse Events to 120 Days Post Randomization or to 30 Days Post Surgery, Whichever Comes Last
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Assessment method [1]
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The primary end point was all serious adverse events (SAEs), including all preoperative, operative and postoperative adverse events reported from the time of randomization to 120 days post-randomization or 30 days post-CIS (up to 150 days post-randomization), whichever occurred later.
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Timepoint [1]
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120 to 150 days
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Secondary outcome [1]
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Stent Placement Success
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Assessment method [1]
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Stent placement success: ability to deploy the stent in satisfactory position across the stricture (For patients who are randomized to biliary drainage with a metal stent)
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Timepoint [1]
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Procedure
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Secondary outcome [2]
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Number of Patients With Biliary Re-interventions
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Assessment method [2]
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Count of patients with biliary interventions after baseline
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Timepoint [2]
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120 to 150 days
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Secondary outcome [3]
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Success Rate of Curative Intent Surgery
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Assessment method [3]
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This is the number of patients that had successful resection
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Timepoint [3]
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4 weeks
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Secondary outcome [4]
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All-cause Mortality
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Assessment method [4]
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Mortality which occurs within 150 days of baseline
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Timepoint [4]
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150 days
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Eligibility
Key inclusion criteria
* Age 18 or older
* Willing and able to comply with the study procedures and provide written informed consent to participate in the study
* Diagnosis of probable pancreatic cancer, distal common bile duct (CBD) cholangiocarcinoma and other periampullary cancers (histology not required)
* Biliary obstructive symptoms or signs
* Bilirubin level at/above 100 umol per liter (5.8 mg/dL)
* Distal biliary obstruction consistent with pancreatic cancer, distal CBD cholangiocarcinoma or other periampullary malignancy
* Location of distal biliary obstruction is such that it would allow the proximal end of a stent to be positioned at least 2cm from the hilum
* Patients deemed as resectable by pancreatic protocol CT or MRI
* Surgical candidate per pancreatobiliary surgeon after multi-disciplinary discussion
* Surgery intent within 4 weeks
* Endoscopic and surgical treatment to be provided by same team
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Biliary strictures caused by confirmed benign tumors
* Biliary strictures caused by malignancies other than pancreatic cancer, distal CBD cholangiocarcinoma and other periampullary cancers
* Surgically altered biliary tract anatomy, not including prior cholecystectomy
* Neoadjuvant chemotherapy for current malignancy
* Palliative indication due to reasons other than surgical candidate status
* Previous biliary drainage by ERCP/PTC
* Patients for whom endoscopic techniques are contraindicated
* Participation in another investigational trial within 90 days
* Pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/02/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
13/12/2021
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Sample size
Target
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Accrual to date
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Final
284
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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Belgium
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State/province [2]
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Brussels
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China
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State/province [3]
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Beijing
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Country [4]
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China
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State/province [4]
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Xi'an
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Country [5]
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France
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State/province [5]
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Lyon
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Country [6]
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Hong Kong
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State/province [6]
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Kowloon
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Country [7]
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Hong Kong
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State/province [7]
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Sha Tin
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Country [8]
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India
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Hyderabad
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Country [9]
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Italy
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State/province [9]
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Rome
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Country [10]
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Japan
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State/province [10]
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Tokyo
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boston Scientific Corporation
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to demonstrate that preoperative biliary drainage using self-expanding metal stents (SEMS) does not negatively impact overall surgical outcomes in patients undergoing pancreaticoduodenectomy for treatment of pancreatic or periampullary cancer.
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Trial website
https://clinicaltrials.gov/study/NCT01774019
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Guido Costamagna, MD
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Address
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Fondazione Policlinico Universitario Agostino Gemelli
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/19/NCT01774019/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/19/NCT01774019/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01774019
Download to PDF