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Cholangiocarcinoma clinical trials

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NCT ID: NCT00653978 Recruiting - Cholangiocarcinoma Clinical Trials

Unilateral Versus Bilateral Stents for Bismuth Type II and III Malignant Hilar Strictures

Start date: May 2008
Phase: Phase 3
Study type: Interventional

The aim of the present study was to compare the effect of unilateral versus bilateral stenting in patients with malignant hilar obstruction.

NCT ID: NCT00356161 Recruiting - Colorectal Cancer Clinical Trials

HAI Via Interventionally Implanted Port Catheter Systems

Start date: April 2002
Phase: Phase 2
Study type: Interventional

Procedures to provide interventional implantation of a port catheter system into the hepatic artery and adjacent regional chemotherapy of the liver are optimized in the scope of an open, single-arm trial in patients with metastases and cancers confined to the liver. The primary objective is the improvement of indication, implantation procedure, and regional chemotherapy. Secondary objectives are port patency, comparison of complications with a historical collective of patients provided with a surgical hepatic arterial port device (colorectal cancer patients only), progression free and overall survival, efficacy of maintaining regional chemotherapy with 5-FU in combination with systemic treatment in patients with extrahepatic progression, quality of life.

NCT ID: NCT00160836 Recruiting - Cholangiocarcinoma Clinical Trials

Biliary Tissue Sampling Using a Cytology Brush or the GIUM Catheter

Start date: October 2004
Phase: Phase 1
Study type: Interventional

Introduction In patients with a biliary obstruction, tissue is acquired immediately before drainage during endoscopic retrograde cholangio-pancreatography (ERCP). This is performed by passing a brush inside the bile duct stricture. However, brush cytology has a modest sensitivity (30-57%) for the diagnosis of cancer. A device, called the "G.I.U.M." catheter, allows for the sampling of higher amounts of tissue during ERCP compared to brush cytology. The aim of this study is to compare the diagnostic yield of tissue sampling performed in patients with a suspected malignant biliary stricture using 2 techniques, namely a standard brush catheter and the G.I.U.M.. Protocol design Eligible patients will have tissue sampling performed using both techniques during ERCP, the first technique used being randomly assigned and immediately followed by the other one as well as biliary decompression. All specimens obtained will be subjected to cytopathological examination. After inclusion of the total number of patients, smears will be anonymized and analyzed for diagnosis, cell cellularity and quality. The final clinical diagnosis in each case will be based on cytologic results plus histological examination of biopsy specimens.