Which drainage technique works best when cancer blocks the bile duct?
NCT ID NCT07817602
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Pancreatic and other biliopancreatic cancers often block the bile duct, causing jaundice and serious infections. Doctors use endoscopic procedures to place stents that restore bile flow, but several techniques exist and it is unclear which works best. This study follows 300 patients to compare how often stents fail and how well each technique performs. The goal is to help doctors choose the most effective drainage method for each patient.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- endoscopic biliary drainage procedures, including ERCP and EUS-guided techniques
- What this could lead to
- If one technique proves better, doctors could choose the safest, most effective drainage method for patients with malignant bile duct blockage.
- What could go wrong
- This is an observational comparison, not a randomized trial, so differences between techniques may reflect patient selection rather than the procedures themselves. Results may not apply to all hospitals or patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Sep 2026
An estimate. Start dates often move.
- Expected to finish
-
Sep 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with distal biliary obstruction of malignant etiology (pancreas, ampulloma, compressive metastatic lymphadenopathy, other distal tumors, with planned biliary drainage.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Distal biliary obstruction of malignant etiology (pancreas, ampulloma, compressive metastatic lymphadenopathy, other distal tumors). * Decision made to proceed with biliary drainage. * Patient informed and no objection raised, in accordance with the MR-004 framework and COPPINE procedure Exclusion Criteria: * The subject is participating in another study * The subject unable to expression on-objection * It is impossible to give the subject informed information * The patient is under safeguard of justice or state guardianship * Proximal/hilar or benign obstruction (non-tumoral lesions). * Contraindication to endoscopy/anesthesia (uncorrectable hemodynamic instability, uncontrolled coagulation disorders, etc.). * History of prior biliary drainage. * Pregnant or breastfeeding patient.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Biliary drainage are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
6 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
CHRU Nancy
Vandœuvre-lès-Nancy, France
-
CHU Dupuytren
Limoges, France
-
Chu Nimes
Nîmes, 30900, France
-
Hôpital Edouard Herriot
Lyon, France
-
Hôpital Saint-Antoine
Paris, France
-
Hôpital Saint-Eloi
Montpellier, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a blood test before pancreatic surgery predict a dangerous leak?
- New chemo cocktail targets pancreatic cancer at every stage
- Bacteria-Based immunotherapy targets pancreatic tumors in first human test
- Can a new radiation machine cut breath holds for cancer patients?
- Two oral drugs join chemotherapy in a bid to shrink pancreatic tumors
- Nerve-Block procedure tested against severe pancreatic and stomach cancer pain