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OpenTrials
Completed

NCT Number: NCT02281019

SpyGlass AMEA Registry

The purpose of this study is to document indications for cholangioscopy and clinical utility of the SpyGlass Direct Visualization System (DVS) throughout the AMEA (Asia, Middle-East, Africa) region when used per standard of practice.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Royal Brisbane and Women's Hospital, Herston, Queensland, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 18 or older.
  • Willing and able to provide written informed consent to participate in the study.
  • Willing and able to comply with the study procedures.
  • Indicated for ERCP and cholangioscopy or indicated for ERCP with suspected need for cholangioscopy.

Exclusion criteria

  • Endoscopic techniques are contraindicated.
  • ERCP is contraindicated
  • A medical condition that warrants the use of the device outside of the indication for use.
  • Requirement for anticoagulation that cannot be safely stopped at least 7 days prior to the procedure.

Treatment and study plan

ERCP (Endoscopic Retrograde Cholangiopancreatography)

Procedure

ERCP procedure will be performed to visualize bile ducts.

SpyGlass DVS and SpyGlass Digital Simple (DS)

Device

Cholangioscopy using SpyGlass™ DVS or SpyGlass DS will be performed post ERCP for direct viewing of the bile ducts. What is seen during the procedure will determine a course of treatment. Among the options are biopsies taken, stones treated/removed, or a stent placed

Primary outcomes

  1. Procedural success for indeterminate strictures or undefined filling defects

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

    For indeterminate strictures or undefined filling defects cases procedural success is defined as 1) ability to visualize stricture or defect, and 2) ability to provide visual impression of malignancy, and 3) when applicable, ability to obtain SpyBite biopsy adequate for histology

  2. Procedural success for biliary stone cases

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

    For biliary stone cases procedural success is defined as 1) ability to visualize the stone(s), and 2) ability to successfully initiate stone fragmentation, and 3) ability to achieve stone clearance in one or more SpyGlass procedures.

  3. Procedural success for other indications

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

    For other indications procedural success is defined as ability to establish diagnosis and /or complete therapy in the following categories: 1) pre-operative assessment of extent of peri-ampullary and biliary tumors, 2) selective guidewire placement, 3) assessment of unexplained hemobilia, 4) assessment of portal biliopathy, 5) assessment of intraductal biliary ablation therapy, 6) extraction of migrated stents, or 7) other.

Secondary outcomes

  1. Evaluation of serious adverse events (SAEs) related to the SpyGlass devices and/or the SpyGlass procedure

    Time frame: Procedure from enrollment through the 72 Hour Post Procedure Follow-up Visit

    Evaluation of serious adverse events (SAEs) related to the SpyGlass devices and/or the SpyGlass procedure from enrollment through the 72 Hour Post Procedure Follow-up Visit.

  2. Impact of SpyGlass procedure on suspected diagnosis based on prior ERCP

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

  3. Evaluation of impact of use of antibiotics on incidence of SAEs related to the device and/or procedure.

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

  4. For patients undergoing SpyBite biopsy: correlation between number of biopsies and conclusive histopathology of SpyBite biopsies.

    Time frame: Procedure to 6 months

    Assessment Detail:

    Endpoint determined for all patients in whom SpyBite biopsy was taken and observed image features were reported.

    Observed image features include the following categories: None, Growth, Stricture, Hyperplasia, Ulceration, Mass, Dilated tortuous vessels, Papillary or villous projections, Intraductal nodules, Mucus.

  5. For patients undergoing stone management: number of SpyGlass procedures needed to reach stone clearance.

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

  6. For patients undergoing stone management: correlation between stone size and ability to reach stone clearance in one SpyGlass session.

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

  7. For patients undergoing stone management: incidence of visualization of stones not suspected during previous ERCP.

    Time frame: Procedure - the average expected duration of the procedure is 1.5 hours

Sponsors and collaborators

Lead sponsor

Boston Scientific Corporation

Industry

Registry information

Official study title

Clinical Registry of Cholangioscopy Using the SpyGlass™ Direct Visualization System (DVS) Throughout the AMEA (Asia, Middle-East, Africa) Region

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Nov 3, 2014
Registry last updated
Jul 10, 2019

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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