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Trial Title: Feasibility of Cryobiopsy From the Bile Duct - CRYLEO

NCT ID: NCT06249841

Condition: Neoplasms, Bile Duct

Conditions: Official terms:
Bile Duct Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Intervention:

Intervention type: Device
Intervention name: 1.1mm flexible Cryoprobe SU
Description: Six tissue samples retrieved by standard biopsy forceps and three samples by cryobiopsy (randomized sequence)
Arm group label: Cryoprobe biopsy against Forceps biopsy
Arm group label: Forceps biopsy against Cryoprobe biopsy

Other name: Comparator: SpyBite Max Forceps

Summary: This is a multi-center, prospective, feasibility study using a 1.1 mm flexible cryoprobe SU via percutaneous access in the bile duct. The device has a CE-approval. First feasibility and safety for application assessed in the bile duct performed ex vivo and in a patient case report study. The study will take place at 5 different sites in Germany. Recruitment is competitive. In total, 15 patients will be enrolled. Patients are screened for study inclusion at the participating hospitals. Primary objective: • Feasibility of percutaneous cryobiopsy in the bile duct Secondary objectives: - Size of biopsy (mean area (in mm2) of each biopsy technique) - Percentage of successful retrievals of biopsies by each biopsy technique - Representativeness of each biopsy sample - Quality of each biopsy sample - Grade of crash artifacts occurrence defined as crush artifact area per biopsy - Rate of safety-relevant aspects, like for example bleeding, post-bleeding, perforation, infection and abscess

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Suspicion of any neoplastic alterations in the bile duct system or other indication for biopsy sampling in the bile duct - A percutaneous drainage or an access by means of percutaneous transhepatic cholangiodrainage (PTCD) has been previously established independent from study participation, without adverse events - Patient is at least 18 years of age - According to physicians' assessment, patient is able to follow study protocol or is able to understand the nature, objectives, benefits, implications, risks and inconveniences of the clinical investigation, able to comply with study requirements and understand and independently sign the Informed Consent Form Exclusion Criteria: - • Presence of hereditary bleeding disorder, e.g. hemophilia A or hemophilia B - Severe impairment of partial thromboplastin time (PTT) of >80s; International normalized ratio (INR) >3; platelet count <50,000 /nl - Dual antiplatelet therapy (change to aspirin monotherapy is no exclusion criterion) - Current use of systemic anticoagulation or antiplatelet therapy without the ability to hold therapy for the recommended amount of time prior to an invasive procedure (aspirin monotherapy is no exclusion criterion) Patient is participating in another clinical study pregnant or breast-feeding or intending to get pregnant during the study

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Klinikum Essen

Address:
City: Essen
Zip: 45147
Country: Germany

Status: Recruiting

Contact:
Last name: Christian Gerges, Prof.

Facility:
Name: Klinikum Hamburg

Address:
City: Hamburg
Zip: 20246
Country: Germany

Status: Recruiting

Contact:
Last name: Thomas Rösch, Prof.

Facility:
Name: Klinikum Hanau

Address:
City: Hanau
Zip: 63450
Country: Germany

Status: Recruiting

Contact:
Last name: Axel Eickhoff, Prof.

Facility:
Name: Klinikum Nürnberg

Address:
City: Nürnberg
Zip: 90419
Country: Germany

Status: Recruiting

Contact:
Last name: Alexander Dechêne, Prof.

Facility:
Name: Klinikum Stuttgart

Address:
City: Stuttgart
Zip: 70174
Country: Germany

Status: Recruiting

Contact:
Last name: Jörg G. Albert, Prof.

Start date: March 4, 2024

Completion date: March 2025

Lead sponsor:
Agency: Erbe Elektromedizin GmbH
Agency class: Industry

Source: Erbe Elektromedizin GmbH

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06249841

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