New liver bypass stent technique aims to keep bile flowing longer in cancer patients
NCT ID NCT07832045
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers compare two ways to drain blocked bile ducts when a standard ERCP procedure fails. Both use an endoscope and ultrasound to create a new channel between the liver and stomach. One method adds an extra stent that reaches across the blockage. The trial measures how often the blockage returns and how safe each approach is in 88 adults with malignant distal biliary obstruction.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- endoscopic ultrasound-guided hepaticogastrostomy, a procedure that creates a new internal bypass between the liver and stomach to drain blocked bile
- What this could lead to
- If the antegrade stent approach works better, doctors could offer patients with blocked bile ducts a drainage method that stays open longer and needs fewer repeat procedures.
- What could go wrong
- This is a small randomized trial of 88 people at one hospital, so results may not apply broadly. The procedure is technically demanding and carries risks of bleeding, infection, or stent blockage.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 88 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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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.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Patients aged 18 years or older with malignant distal biliary obstruction * Failed ERCP * The papilla is inaccessible owing to a surgically altered anatomy or gastric outlet obstruction Exclusion Criteria: * Patients younger than 18 years old * Cancer infiltration of the gastric/duodenal wall within the planned puncture route * Patients with uncorrectable coagulopathy * Patients with unmanageable ascites * Patients with serious comorbidities that prohibited endoscopic management * Patients with pregnancy * Patients who cannot or refuse to provide informed consent
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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.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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National Taiwan University Hospital
RECRUITINGTaipei, 100, Taiwan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New study tests safer bile duct drainage for cancer patients
- New study compares two drainage techniques to ease jaundice in advanced cancer patients
- Which stent is best for unblocking bile ducts in cancer patients?