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NCT Number: NCT06978231

Effect of Same-session EUS on ERCP in Pancreaticobiliary Diseases

This is a single-center randomized controlled trial. Eligible subjects meeting inclusion/exclusion criteria will be randomized 1:1 to EUS+ERCP group or ERCP group. Clinical data and patient-reported outcomes are regularly collected at baseline and during follow-up periods. A comparative analysis was conducted to assess the impact of same-session EUS on ERCP strategy modification between two groups, utilizing a structured questionnaire.Secondarily, the safety and efficacy of same-session EUS will be comprehensively evaluated by comparing complication rates, technical success rate and hospitalization costs, length of stay, and radiation exposure between groups.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Qilu Hospital of Shandong University

Jinan, Shandong, 250000, China

Location status: Recruiting

Location contact

Zhen Li, MD

CONTACT

[email protected]

18560086106

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged ≥18 years;
  • Patients with pancreaticobiliary diseases definitively indicated for ERCP (as confirmed by HBP Specialists );
  • No prior history of ERCP;
  • No pancreaticobiliary EUS examinations within the preceding 3 months.

Exclusion criteria

  • Patients with clinically confirmed malignant lesions deemed surgically unresectable by multidisciplinary evaluation and requiring pathological diagnosis exclusively for chemotherapy/radiotherapy guidance;
  • Patients with confirmed diagnosis requiring only palliative biliary/pancreatic stent placement for obstructive jaundice ;
  • Patients with anatomical alterations or surgical history affecting EUS feasibility;
  • Severe systemic illness including severe hepatic, renal, cardiopulmonary and cerebrovascular diseases with high risk for endoscopic procedures;
  • Contraindication to iodinated contrast media (allergy or renal impairment preventing ERCP);
  • Pregnancy or lactation;
  • Patients with severe coagulopathy;
  • Declined informed consent;
  • Severe psychiatric disorder/non-cooperation precluding safe procedure.

Treatment and study plan

EUS+ERCP

Procedure

EUS were performed during the same session with ERCP under continuous sedation/anesthesia

ERCP

Procedure

Only ERCP was performed in the control group

Primary outcomes

  1. ERCP strategy modification rate

    Time frame: From enrollment to 6 months after the end of treatment

    Concordance rate between anticipated and actual ERCP procedural strategies and the rate of avoiding unnecessary ERCP procedures.

Secondary outcomes

  1. Procedure outcomes

    Time frame: From enrollment to 6 months after the end of treatment

    Technical success rate (defined as successful completion of intended therapeutic intervention) ERCP procedure time (from duodenoscope insertion to withdrawal) Difficult cannulation rate (requiring advanced techniques or >5 attempts)

  2. Incidence of complications

    Time frame: From enrollment to 6 months after the end of treatment

  3. Radiation-related situation

    Time frame: From enrollment to 6 months after the end of treatment

    Fluoroscopy time (minutes) Radiation exposure (dose-area product, Gy·cm²)

  4. Healthcare utilization measures

    Time frame: From enrollment to 6 months after the end of treatment

    Hospital length of stay (days) Total hospitalization costs

Study contacts

Contact information is provided by the study sponsor or research team.

Zhen Li, MD,PhD

CONTACT

[email protected]

+86 18560086106

Sponsors and collaborators

Lead sponsor

Qilu Hospital of Shandong University

Other

Registry information

Official study title

Effect of Same-session Endoscopic Ultrasonography on Endoscopic Retrograde Cholangiopancreatography in Pancreaticobiliary Diseases: A Randomized Controlled Trial

Acronym: EUS、 ERCP

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
May 18, 2025
Registry last updated
Sep 9, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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