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Spiral seed strand boosts survival and cuts complications in bile duct cancer jaundice
NCT ID NCT07381439
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two methods of placing radioactive iodine seeds alongside a metal stent to treat jaundice from bile duct cancer. 105 patients were randomly assigned to get either a straight seed strand or a new spiral-shaped strand. Both methods improved liver function, but the spiral strand caused fewer complications like bile leaks and kept the stent open longer (305 vs. 277 days), leading to longer overall survival (345 vs. 300 days). The spiral technique appears safer and more effective for managing this condition.
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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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105 people
The number who actually took part.
- Started
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Jan 2018
- Finished
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Feb 2024
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Patients with a definitive diagnosis of Malignant Obstructive Jaundice (MOJ) confirmed by imaging (enhanced CT/MRCP), laboratory tests, and/or pathology. 2\. Assessed by a multidisciplinary team as not a candidate for curative surgical resection. 3\. No absolute contraindications for the combined implantation of a biliary metallic stent and an \^125\^I seeds strand (e.g., severe coagulation dysfunction, significant renal impairment, or uncontrolled serious cardiovascular/cerebrovascular diseases). 4\. Willing and able to provide written informed consent. Exclusion Criteria: 1. Obstructive jaundice attributable to benign etiology. 2. Presence of any absolute contraindication listed in the inclusion criteria. 3. Life expectancy estimated to be less than three months. 4. Unwillingness to participate in the study or provide informed consent.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230000, China
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