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Biliary StrictureNCT02281019

SpyGlass AMEA Registry

An observational study of Biliary Stricture and Biliary Obstruction Due to Common Bile Duct Stone, run by Boston Scientific Corporation at 20 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to document indications for cholangioscopy and clinical utility of the SpyGlass Direct Visualization System (DVS) throughout the AMEA (Asia, Middle-East, Africa) region when used per standard of practice. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ERCP (Endoscopic Retrograde Cholangiopancreatography) and SpyGlass DVS and SpyGlass Digital Simple (DS)
How many people
526 participants
Where
20 sitesin 10 countries
Study dates
15 Nov 2014to 18 Oct 2016
How long will I take part?
6 Months
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All consecutive patients seen at an investigational site during the enrollment period * Presenting with an indication for cholangioscopy, or * Presenting with a possible indication for cholangioscopy to be determined during the ERCP procedure immediately preceding the SpyGlass procedure.

Who may be able to join

  • Age 18 or older.
  • Willing and able to provide written informed consent to participate in the study.
  • Willing and able to comply with the study procedures.
  • Indicated for ERCP and cholangioscopy or indicated for ERCP with suspected need for cholangioscopy.

Who cannot join

  • Endoscopic techniques are contraindicated.
  • ERCP is contraindicated
  • A medical condition that warrants the use of the device outside of the indication for use.
  • Requirement for anticoagulation that cannot be safely stopped at least 7 days prior to the procedure.

Trial locations and contacts

20 sites in 10 countries.

20 sites in 10 countries

India5 sites
  • Postgraduate Institute of Medical Education & Research

    Chandigarh

  • Medanta -The Medicity Institute of Digestive & Hepatobiliary Sciences

    Gūrgaon

  • Asian Institute of Gastroenterology

    Hyderabad

  • Apollo Gleneagles Hospitals Kolkata

    Kolkata, West Bengal, 70054

  • Baldota Institute of Digestive Sciences

    Parel, 400012

Other trials in India

Australia3 sites
  • Royal Adelaide Hospital

    Adelaide

  • Royal Brisbane and Women's Hospital

    Herston, Queensland, 4029

  • Royal Prince Alfred Hospital

    Newtown

Other trials in Australia

Japan3 sites
  • Teikyo University Mizonokuchi Hospital

    Kawasaki

  • Kinki University School of Medicine

    Ōsaka-sayama

  • Tokyo Medical University

    Tokyo

Other trials in Japan

South Korea3 sites
  • Soon Chun Hyang University Bucheon Hospital

    Bucheon-si

  • Asan Medical Center

    Seoul

  • Samsung Medical Center

    Seoul

Other trials in South Korea

Hong Kong1 site
  • Prince of Wales Hospital

    Shatin

Other trials in Hong Kong

Pakistan1 site
  • Civil Hospital- Karachi

    Karachi

Other trials in Pakistan

Saudi Arabia1 site
  • King Khalid University Hospital

    Riyadh

Other trials in Saudi Arabia

Singapore1 site
  • Changi General Hospital Pte Ltd.

    Singapore

Other trials in Singapore

South Africa1 site
  • Netcare Unitas Hospital

    Centurion

Other trials in South Africa

Thailand1 site
  • King Chulalongkorn Memorial Hospital

    Bangkok, 10330

Other trials in Thailand

About this study

Official title: Clinical Registry of Cholangioscopy Using the SpyGlass™ Direct Visualization System (DVS) Throughout the AMEA (Asia, Middle-East, Africa) Region

The purpose of this study is to document indications for cholangioscopy and clinical utility of the SpyGlass Direct Visualization System (DVS) throughout the AMEA (Asia, Middle-East, Africa) region when used per standard of practice.

Being tested
ERCP (Endoscopic Retrograde Cholangiopancreatography), SpyGlass DVS and SpyGlass Digital Simple (DS)
Medical subject headings
Hemobilia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ERCP (Endoscopic Retrograde Cholangiopancreatography)Procedure or surgery

    ERCP procedure will be performed to visualize bile ducts.

  • SpyGlass DVS and SpyGlass Digital Simple (DS)Device

    Cholangioscopy using SpyGlass™ DVS or SpyGlass DS will be performed post ERCP for direct viewing of the bile ducts. What is seen during the procedure will determine a course of treatment. Among the options are biopsies taken, stones treated/removed, or a stent placed

Study groups in NCT02281019
Study groupRoleWhat they receive
Indeterminate strictures or undefined filling defectsNot described
Receives: Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography); Device: SpyGlass DVS and SpyGlass Digital Simple (DS)
Biliary stone casesNot described
Receives: Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography); Device: SpyGlass DVS and SpyGlass Digital Simple (DS)
Other indicationsNot described
Receives: Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography); Device: SpyGlass DVS and SpyGlass Digital Simple (DS)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Procedural success for indeterminate strictures or undefined filling defects

    For indeterminate strictures or undefined filling defects cases procedural success is defined as 1) ability to visualize stricture or defect, and 2) ability to provide visual impression of malignancy, and 3) when applicable, ability to obtain SpyBite biopsy adequate for histology

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  2. Procedural success for biliary stone cases

    For biliary stone cases procedural success is defined as 1) ability to visualize the stone(s), and 2) ability to successfully initiate stone fragmentation, and 3) ability to achieve stone clearance in one or more SpyGlass procedures.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  3. Procedural success for other indications

    For other indications procedural success is defined as ability to establish diagnosis and /or complete therapy in the following categories: 1) pre-operative assessment of extent of peri-ampullary and biliary tumors, 2) selective guidewire placement, 3) assessment of unexplained hemobilia, 4) assessment of portal biliopathy, 5) assessment of intraductal biliary ablation therapy, 6) extraction of migrated stents, or 7) other.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

Secondary outcomes (7)
  1. Evaluation of serious adverse events (SAEs) related to the SpyGlass devices and/or the SpyGlass procedure

    Evaluation of serious adverse events (SAEs) related to the SpyGlass devices and/or the SpyGlass procedure from enrollment through the 72 Hour Post Procedure Follow-up Visit.

    Measured: Procedure from enrollment through the 72 Hour Post Procedure Follow-up Visit

  2. Impact of SpyGlass procedure on suspected diagnosis based on prior ERCP

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  3. Evaluation of impact of use of antibiotics on incidence of SAEs related to the device and/or procedure.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  4. For patients undergoing SpyBite biopsy: correlation between number of biopsies and conclusive histopathology of SpyBite biopsies.

    Assessment Detail:

    Endpoint determined for all patients in whom SpyBite biopsy was taken and observed image features were reported.

    Observed image features include the following categories: None, Growth, Stricture, Hyperplasia, Ulceration, Mass, Dilated tortuous vessels, Papillary or villous projections, Intraductal nodules, Mucus.

    Measured: Procedure to 6 months

  5. For patients undergoing stone management: number of SpyGlass procedures needed to reach stone clearance.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  6. For patients undergoing stone management: correlation between stone size and ability to reach stone clearance in one SpyGlass session.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

  7. For patients undergoing stone management: incidence of visualization of stones not suspected during previous ERCP.

    Measured: Procedure - the average expected duration of the procedure is 1.5 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Nov 2014 (estimated)
  2. Study start15 Nov 2014
  3. Primary completionSep 2016
  4. Study completion18 Oct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
526 participants (actual)
Target duration
6 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT02281019
Sponsor's protocol ID
90947376
Status last verified
Jul 2019
First submitted
9 Oct 2014
Last updated
10 Jul 2019
Results posted
No
Data monitoring committee
No

Publications

  • Maydeo AP, Rerknimitr R, Lau JY, Aljebreen A, Niaz SK, Itoi T, Ang TL, Reichenberger J, Seo DW, Ramchandani MK, Devereaux BM, Lee JK, Goenka MK, Sud R, Nguyen NQ, Kochhar R, Peetermans J, Goswamy PG, Rousseau M, Bhandari SP, Angsuwatcharakon P, Tang RSY, Teoh AYB, Almadi M, Lee YN, Moon JH; SpyGlass AMEA Registry Group. Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single session of ERCP: results from a large multinational registry demonstrate high success rates. Endoscopy. 2019 Oct;51(10):922-929. doi: 10.1055/a-0942-9336. Epub 2019 Jun 27.

    PubMed 31250408

Questions about this trial

What is this clinical trial studying?

An observational study of Biliary Stricture and Biliary Obstruction Due to Common Bile Duct Stone, run by Boston Scientific Corporation at 20 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in India, Australia, Japan, South Korea, Hong Kong and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Procedural success for indeterminate strictures or undefined filling defects (time frame: Procedure - the average expected duration of the procedure is 1.5 hours). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02281019, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2019.

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