Which ERCP rescue method is safer? major trial launches
NCT ID NCT07329803
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial compares two techniques used when standard bile duct access fails during ERCP: pre-cut sphincterotomy and the double guidewire technique. Researchers will enroll 840 adults with difficult bile duct cannulation to see which method is safer and more successful. The goal is to reduce complications like pancreatitis and improve outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could identify the better rescue technique for difficult bile duct access during ERCP, potentially reducing complications like pancreatitis.
- What could go wrong
- This is a comparative effectiveness study, not a test of a new drug or cure. Results may not apply to all patients or settings.
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
-
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
-
About 840 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Jan 2026
An estimate. Start dates often move.
- Expected to finish
-
Feb 2027
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.
- Ages
-
18 to 75 years
- 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: \- Age \> 18 years. * Valid indication for ERCP (benign or malignant obstruction). * Native papilla (no prior sphincterotomy). * Difficult Biliary Cannulation (DBC) defined by ESGE "5-5-2" criteria: * \> 5 minutes of cannulation attempts. * \> 5 contacts with the papilla. * \> 1 inadvertent pancreatic duct cannulation. Exclusion Criteria: * Ampullary mass or tumor preventing standard cannulation view. * Surgically altered anatomy (e.g., Billroth II, Roux-en-Y). * Uncorrectable coagulopathy (INR \> 1.5 or Platelets \< 50,000). * Acute pancreatitis present prior to ERCP.
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.
Genom att skicka in godkänner du våra Användarvillkor
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 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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Robot could remove gallbladder and clear bile duct stones in one operation
- Which drainage technique works best when cancer blocks the bile duct?
- Can a muscle-relaxing drug make bile duct stone surgery easier?
- Above or across? trial tests which stent placement keeps bile flowing longer
- New stent aims to ease Cancer-Related bile duct blockages without surgery
- Newer scope technique may outperform standard procedure for Cancer-Related bile duct blockage