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.
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
- Conditions the study is for
- Biliary Stricture, Biliary Obstruction Due to Common Bile Duct Stone, Periampullary Tumor
- What is being tested?
- ERCP (Endoscopic Retrograde Cholangiopancreatography) and SpyGlass DVS and SpyGlass Digital Simple (DS)
- Type of treatment
- Medical device, Surgery or procedure
- 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
Australia3 sites
Royal Adelaide Hospital
Adelaide
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Royal Prince Alfred Hospital
Newtown
Japan3 sites
Teikyo University Mizonokuchi Hospital
Kawasaki
Kinki University School of Medicine
Ōsaka-sayama
Tokyo Medical University
Tokyo
South Korea3 sites
Soon Chun Hyang University Bucheon Hospital
Bucheon-si
Asan Medical Center
Seoul
Samsung Medical Center
Seoul
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.
- Conditions
- Biliary Stricture, Biliary Obstruction Due to Common Bile Duct Stone, Periampullary Tumor, Hemobilia
- 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 group | Role | What they receive |
|---|---|---|
| Indeterminate strictures or undefined filling defects | Not described Receives: Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography); Device: SpyGlass DVS and SpyGlass Digital Simple (DS) | |
| Biliary stone cases | Not described Receives: Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography); Device: SpyGlass DVS and SpyGlass Digital Simple (DS) | |
| Other indications | Not 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.
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
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
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)
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
Impact of SpyGlass procedure on suspected diagnosis based on prior ERCP
Measured: Procedure - the average expected duration of the procedure is 1.5 hours
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
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
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
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
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.
- First posted3 Nov 2014 (estimated)
- Study start15 Nov 2014
- Primary completionSep 2016
- Study completion18 Oct 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Biliary StrictureStudies of the same condition, open and under way.
- More trials run by Boston Scientific CorporationThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
Sponsor and investigators
- Lead sponsor
- Boston Scientific Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Benedict Devereaux, Principal investigator, Royal Brisbane and Women's HospitalJames Lau, Principal investigator, Prince of Wales Hospital, Shatin, Hong KongRandhir Sud, Principal investigator, Institute of Digestive & Hepatobiliary SciencesSaad Niaz, Principal investigator, Civil Hospital KarachiAbdulrahman Aljebreen, Principal investigator, King Khalid University HospitalAng Tiing Leong, Principal investigator, Changi General Hospital Pte Ltd.Jorg Reichenberger, Principal investigator, Netcare Unitas HospitalJong Moon, Principal investigator, Soon Chun Hyang University
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
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Registry of Cholangioscopy Using the SpyGlass™ Direct Visualization System (DVS) Throughout the AMEA (Asia, Middle-East, Africa) Region
- ClinicalTrials.gov ID
- NCT02281019
- Acronym / sponsor ID
- 90947376
- Conditions
- Biliary Stricture, Biliary Obstruction Due to Common Bile Duct Stone, Periampullary Tumor, Hemobilia
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 526 participants (actual)
- Lead sponsor
- Boston Scientific CorporationIndustry (pharma, biotech, devices)
- Study start
- 15 Nov 2014 (actual)
- Primary completion
- Sep 2016 (actual)
- Study completion
- 18 Oct 2016 (actual)
- First posted
- 3 Nov 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 6 Months
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Indeterminate strictures or undefined filling defects | – | Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography), Device: SpyGlass DVS and SpyGlass Digital Simple (DS) |
| Biliary stone cases | – | Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography), Device: SpyGlass DVS and SpyGlass Digital Simple (DS) |
| Other indications | – | Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography), Device: SpyGlass DVS and SpyGlass Digital Simple (DS) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- 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.
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (4 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ERCP (Endoscopic Retrograde Cholangiopancreatography)ERCP procedure will be performed to visualize bile ducts. | Procedure or surgery | Biliary stone cases, Indeterminate strictures or undefined filling defects, Other indications |
| SpyGlass DVS and SpyGlass Digital Simple (DS)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 | Device | Biliary stone cases, Indeterminate strictures or undefined filling defects, Other indications |
Primary outcome
Procedural success for indeterminate strictures or undefined filling defects
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
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
Procedural success for biliary stone cases
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
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.
Procedural success for other indications
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
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.
7 secondary outcomes
Evaluation of serious adverse events (SAEs) related to the SpyGlass devices and/or the SpyGlass procedure
Time frame: Procedure from enrollment through the 72 Hour Post Procedure Follow-up Visit
Impact of SpyGlass procedure on suspected diagnosis based on prior ERCP
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
Evaluation of impact of use of antibiotics on incidence of SAEs related to the device and/or procedure.
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
For patients undergoing SpyBite biopsy: correlation between number of biopsies and conclusive histopathology of SpyBite biopsies.
Time frame: Procedure to 6 months
For patients undergoing stone management: number of SpyGlass procedures needed to reach stone clearance.
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
For patients undergoing stone management: correlation between stone size and ability to reach stone clearance in one SpyGlass session.
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
For patients undergoing stone management: incidence of visualization of stones not suspected during previous ERCP.
Time frame: Procedure - the average expected duration of the procedure is 1.5 hours
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2019.
- Derived from this study: PubMed 31250408Maydeo 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Benedict Devereaux principal investigator
Royal Brisbane and Women's Hospital
James Lau principal investigator
Prince of Wales Hospital, Shatin, Hong Kong
Randhir Sud principal investigator
Institute of Digestive & Hepatobiliary Sciences
20 sites in 10 countries: see every site and its status.
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.