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A Study of Endobiliary Radiofrequency Ablation in Malignant Biliary Obstructions

Risks, Safety, and Outcomes of Temperature-sensitive Endobiliary Radiofrequency Ablation in Patients With Malignant Biliary Obstructions

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05826639
Enrollment
176
Registered
2023-04-24
Start date
2023-04-13
Completion date
2024-11-18
Last updated
2025-02-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Biliary Stricture

Keywords

Bile duct obstruction, Biliary stent, Temperature-Sensitive Radiofrequency Ablation (RFA)

Brief summary

The purpose of this study is to assess the impact of temperature-sensitive radiofrequency ablation (RFA) immediately before biliary stent placement on duration of biliary stent patency and re-intervention free survival. This is a research study meant to collect information to help other patients with malignant biliary strictures in the future.

Interventions

PROCEDURETemperature-sensitive radiofrequency ablation

Endobiliary radiofrequency ablation prior to ERCP-guided biliary stenting that utilizes a temperature-sensitive endobiliary RFA catheter

OTHERNo intervention

No intervention

Sponsors

Mayo Clinic
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Malignant biliary stricture * participants have or will have a biopsy-confirmed pancreaticobiliary or ampullary malignancy that have agreed to undergo radiofrequency ablation (RFA) with placement of biliary stents * Patients with life expectancy greater than 3 months * Able to provide consent

Exclusion criteria

* Patients who are pregnant * Patients with cirrhosis * Patients with significant liver metastasis >30% on radiologic imaging suggestive of poor liver function that will not improve despite endoscopic drainage. * Patients who have undergone prior biliary decompression stents or percutaneous drainage that cannot be removed at time of ERCP and thus preclude effective RFA * Patients with altered anatomy unable to undergo conventional ERCP (i.e., history of Roux-en-Y gastric bypass)

Design outcomes

Primary

MeasureTime frameDescription
Stent patency6 monthsDuration of stent patency over the 6 month follow-up period
Re-intervention free survival6 monthsDuration of re-intervention free survival over the 6 month follow-up period
Mortality6 monthsNumber of subject deaths following ERCP, over the 6-month follow-up period

Secondary

MeasureTime frameDescription
Adverse Events6 monthsNumber of participants with treatment-related adverse events over the 6-month follow-up period
Time until first adverse event6 monthsTime (in days) from ERCP until first treatment-related adverse event, over the 6-month follow-up period

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026