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Cholangiopancreatography, Endoscopic RetrogradeSAMISEN-BNCT05129449

A Clinical Study With the Medical Device PowerSpiral for Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

An observational study of Cholangiopancreatography, Endoscopic Retrograde, run by Olympus Europe SE & Co. KG at 5 sites in 3 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 objective of the SAMISEN study phase B is to assess the performance and safety of diagnostic and therapeutic procedures with the Olympus Motorized Spiral Enteroscope (PowerSpiral) in subjects with surgically altered gastrointestinal anatomy indicated for an Endoscopic Retrograde Cholangio-Pancreatography (ERCP). Read more about this study

Who is it for?
Ages 18 to 90 years
What is being tested?
Endoscopic Retrograde Cholangio-Pancreatography (ERCP)
Type of treatment
Medical device
How many people
89 participants
Where
5 sitesin 3 countries
Study dates
17 Jan 2022to 21 Jun 2023
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Subjects presenting with surgically altered GI anatomy indicated for ERCP with biliary indication, which fulfil all inclusion and none of the exclusion criteria.

Who may be able to join

  • Signed informed consent
  • Patients with surgically altered upper Gastrointestinal anatomy (Roux-en-Y and Billroth II types) with a biliary indication for ERCP where access with conventional ERCP devices is of no avail and after careful risk assessment.
  • Exclusion criteria In addition to be eligible for study enrollment a subject must not meet any of the exclusion criteria listed below.
  • Age under 18 years
  • Female and of child-bearing age who is currently pregnant or planning to become pregnant within the study period
  • Any contraindication to standard enteroscopy or ERCP (e.g. severe coagulopathy or known coagulation disorder; bowel obstruction / stenosis, stents or other instruments implanted in the intestinal tract, suspected GI perforation, esophageal or gastric varices, eosinophilic esophagitis) as judged by the investigator after careful individual risk assessment
  • Concurrent participation in another competing clinical study
  • Pancreatic indication for ERCP in patient with surgically altered anatomy

Who cannot join

None listed.

Trial locations and contacts

5 sites in 3 countries.

5 sites in 3 countries

Belgium2 sites
  • Cliniques universitaires Saint-Luc

    Brussels

  • Hôpital Erasme

    Brussels

Other trials in Belgium

Germany2 sites
  • Evangelisches Krankenhaus Düsseldorf

    Düsseldorf

  • University Hospital Frankfurt a.M.

    Frankfurt

Other trials in Germany

Norway1 site
  • OUS-Rikshospitalet University Hospital

    Oslo

Other trials in Norway

About this study

Official title: Safety and Performance of the Motorized Spiral Endoscope PowerSpiral in Subjects Indicated for Small-bowel Enteroscopy or Endoscopic Retrograde Cholangio-Pancreatography (ERCP) in Subjects With Surgically Altered Gastrointestinal Anatomy.

The objective of the SAMISEN study phase B is to assess the performance and safety of diagnostic and therapeutic procedures with the Olympus Motorized Spiral Enteroscope (PowerSpiral) in subjects with surgically altered gastrointestinal anatomy indicated for an Endoscopic Retrograde Cholangio-Pancreatography (ERCP).

Read the detailed description

The main objective of this registry is to collect data on the safety and performance of the motorized PowerSpiral device during Post-market Clinical Follow-up in subjects with surgically altered gastrointestinal anatomy indicated for an Endoscopic Retrograde Cholangio-Pancreatography (ERCP). It is assumed that this motorized PowerSpiral device and its safety profile is non-inferior to preceding generations of balloon assisted enteroscopes.

As clinical performance and efficacy is equally important for the user this study also collects efficacy and handling data of the motorized PowerSpiral device.

Being tested
Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

What participants receive

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

  • Endoscopic Retrograde Cholangio-Pancreatography (ERCP)Device

    Endoscopic Retrograde Cholangio-Pancreatography (ERCP) conducted with motorized PowerSpiral in subjects presenting with surgically altered GI anatomy indicated for ERCP with biliary indication.

What is being measured

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

  1. Total Success Rate. Defined as the Combined Percentage of Enteroscopy Success Rate, Biliary Cannulation Success Rate and Procedural (Therapeutic) Success Rate.

    The total success rate refer to the percentage of the following succes rates relevant for ERCP procedures. Combined percentage of Enteroscopy success rate, Biliary Cannulation success rate and Procedural (Therapeutic) success rate.

    Measured: 17 months.

  2. Total Procedure Time

    starting with oral insertion until final withdrawal of the device

    Measured: Same day of the ERCP measurement.

  3. Enteroscopy Time

    starting with oral insertion until reaching the papilla or the biliary anastomosis

    Measured: Same day of the ERCP measurement.

  4. (Serious) Adverse Events and Device Deficiencies.

    Incidence (% of subjects) and frequency (no. of subjects) with Serious Adverse Events (SAEs) and Device Deficiencies (DD) which meet the severity grading of moderate or severe for the following categories:

    • Enteroscopy-associated complications (mainly bleeding and perforation(s))
    • ERCP-related complications (Dumonceau et al. 2020)
    • Sedation / anesthesia related complications
    • other

    Measured: 17 months.

Timeline

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

  1. First posted22 Nov 2021
  2. Study start17 Jan 2022
  3. Primary completion21 Jun 2023
  4. Study completion21 Jun 2023

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
Other
Time perspective
Prospective
Enrolment
89 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05129449
Sponsor's protocol ID
2018-GI (OEKG) - 01 Phase B
Acronym
SAMISEN-B
Status last verified
Jul 2024
First submitted
10 Nov 2021
Last updated
26 Mar 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Moreels TG, Aabakken L, Arvanitaki M, Knabe M, Beyna T. Enteroscopy-assisted ERCP in patients with surgically altered anatomy: Multicenter prospective registry (SAMISEN-B) using motorized spiral enteroscopy. Endosc Int Open. 2024 Nov 28;12(11):E1392-E1400. doi: 10.1055/a-2443-1514. eCollection 2024 Nov.

    PubMed 39610946

Questions about this trial

What is this clinical trial studying?

An observational study of Cholangiopancreatography, Endoscopic Retrograde, run by Olympus Europe SE & Co. KG at 5 sites in 3 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 8 inclusion and 0 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 26 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Belgium, Germany, Norway. 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?

Yes. Results are posted in the registry (first posted 26 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Total Success Rate. Defined as the Combined Percentage of Enteroscopy Success Rate, Biliary Cannulation Success Rate and Procedural (Therapeutic) Success Rate. (time frame: 17 months.). The study lists 4 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 NCT05129449, 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 26 Mar 2025.

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