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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06060002
Other study ID # STONE_1
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date September 30, 2023
Est. completion date December 30, 2025

Study information

Verified date September 2023
Source Asian Institute of Gastroenterology, India
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

We planned this multicenter randomized controlled trial to study the role of a prophylactic biliary stent in recurrence of stones and biliary complications in patients awaiting cholecystectomy after biliary stone clearance


Description:

Patients with cholelithiasis can have presence of concomitant choledocholithiasis (CDL) in upto 30%. These stones may remain asymptomatic or cause obstructive jaundice and complications like cholangitis and pancreatitis. In situations where there is a failure of CDL clearance during endoscopic retrograde cholangiography (ERC), biliary stenting is recommended to prevent complications. However, the role of prophylactic biliary stenting in situations where CDL clearance has been achieved, and the patient is awaiting cholecystectomy is debatable. One retrospective study showed benefit while a small prospective study and a retrospective study did not show benefit of prophylactic biliary stenting. Moreover, a randomized controlled trial addressing this question is lacking. Hence, we planned this multicenter randomized controlled trial to study the role of a prophylactic biliary stent in recurrence of stones and biliary complications in patients awaiting cholecystectomy after biliary stone clearance.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 480
Est. completion date December 30, 2025
Est. primary completion date December 30, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Age between 18-80 years - Cases of cholelithiasis with concomitant CDL in whom CBD clearance is achieved will be included. Exclusion Criteria: - Informed consent not available - Patients opting for single stage surgery - Previous hepatobiliary surgery - Failure to completely clear CDL on ERC - Concomitant benign biliary strictures (like chronic pancreatitis, portal cavernoma cholangiopathy, post cholecystectomy, primary biliary cholangitis related) - Previous cholecystectomy patients - Associated malignancy - Coagulopathy(INR>1.5, platlets<1lac) - Severe cholangitis

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Group A - Stent exchange if cholecystectomy dated beyond 3 months
Stent removal and cholangiogram and stone clearance (if recurrent stone/s is/are found). Stent exchange if cholecystectomy dated beyond 3 months
Diagnostic Test:
Group B - Diagnostic EUS/MRCP/USG abdomen and LFT at 3 months
Diagnostic EUS/MRCP/USG abdomen and LFT at 3 months to see recurrence of CDL. ERC and stone clearance (if recurrent stone/s found on EUS/MRCP/USG abdomen)

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Asian Institute of Gastroenterology, India

Outcome

Type Measure Description Time frame Safety issue
Primary To compare the CDL recurrence rate between the 2 groups 3 Months
Secondary To compare the pancreatic complications between the 2 groups -To compare the need for repeat ERC between the 2 groups The outcomes will be compared during the time period of 3 months irrespective of the timing of cholecystectomy. 3 Months
Secondary To compare the biliary complications between the 2 groups 3 Months
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