A New Strategy for Preoperative Drainage of Resectable Pancreatic Head Cancer Combined Severe Obstructive Jaundice

Recruiting now · Not applicable

Conditions studied: Pancreatic Cancer, Obstructive Jaundice

In brief

Severe obstructive jaundice caused by pancreatic head cancer usually requires preoperative biliary drainage, but its necessity and effectiveness are controversial, and specific strategies lack clear standards. This study proposed a new strategy for preoperative biliary drainage using serum prealbumin as the main evaluation index, and compared it with the traditional strategy using serum total bilirubin as the main evaluation index. Through a randomized, controlled, multicenter prospective study, we explored the effects of different drainage strategies on the incidence of in-hospital complications and long-term prognosis of patients with resectable pancreatic head cancer, guided clinical decisions on preoperative drainage time and surgical timing, and provided high-quality evidence-based medicine for preoperative biliary drainage of pancreatic head cancer.

Key facts

Study ID

NCT06541340

Run by

Ruijin Hospital

People needed

360

Starts

2024-08-01

Expected to finish

2026-12-31

Last updated by the study team

2024-08-07

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Pathological diagnosis of pancreatic head cancer, or clinical diagnosis of pancreatic head cancer after multidisciplinary discussion, clear presence of obstructive jaundice caused by pancreatic head tumor, and planned to undergo radical pancreaticoduodenectomy
• Preoperative imaging stage is resectable
• Baseline serum total bilirubin ≥ 250μmol/L, and no history of preoperative biliary drainage
• Age >18 and ≤75 years old
• ECOG(Eastern Cooperative Oncology Group) physical score ≤ 2
• Signed informed consent, received preoperative endoscopic biliary drainage (ERCP) and radical surgery timing evaluation

You may not qualify if…

• Combined with other malignant tumors
• Combined with uncontrolled medical diseases or organ dysfunction and other absolute counterindications for surgery
• Pregnant and lactating women
• Patients who cannot tolerate preoperative biliary drainage or radical surgery
• Other situations that are not suitable for inclusion in clinical trials

Where it is running

• Ruijin Hospital Shanghai Jiaotong University School of Medicine — Shanghai, Shanghai Municipality, China (enrolling)

Full record on ClinicalTrials.gov

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