Conscious Sedation Versus Anesthesia for ERCP
Effectiveness, Adverse Event Rates and Patient Tolerability of ERCP With Conscious Sedation Versus Anesthesia
1 other identifier
observational
3,174
1 country
1
Brief Summary
Studies directly comparing EDCS with AAS during ERCP are scarce, varying widely in their designs and reaching conflicting conclusions regarding safety and effectiveness. The investigators will assess, via a multi-center prospective study, the success, adverse event rates, and patient tolerability of ERCP when performed under AAS versus EDCS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2018
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2018
CompletedFirst Submitted
Initial submission to the registry
November 30, 2021
CompletedFirst Posted
Study publicly available on registry
February 2, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2023
CompletedJanuary 9, 2024
December 1, 2023
4.9 years
November 30, 2021
January 5, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
procedural success of ERCP
Defined using a previously published set of a priori criteria by indication (Forbes et al. BMC Gastroenterology 2020; 20:64).
1 day
Secondary Outcomes (4)
post-ERCP pancreatitis
30 days
post-ERCP bleeding
30 days
post-ERCP cholangitis
30 days
patient tolerability
1 day
Study Arms (2)
anesthetist-administered sedation (AAS)
Patients undergoing ERCP and receiving AAS
endoscopist-directed conscious sedation (EDCS)
Patients undergoing ERCP and receiving EDCS
Eligibility Criteria
Patients referred to a hospital-based endoscopy unit for consideration of ERCP.
You may qualify if:
- Subject referred for ERCP for biliary indication;
- Subject has not undergone prior ERCP, sphincterotomy, and/or sphincteroplasty;
- Subject age 18 years or older;
- Subject able to give informed consent to involvement be included.
You may not qualify if:
- Subject has a standard contraindication to ERCP;
- Subject or surrogate unable or unwilling to provide informed consent;
- Subject age \< 18 years;
- Pancreatic indication for ERCP;
- Morbid obesity;
- Known history of difficult sedation and/or failed medical procedure(s), endoscopy or other, using EDCS;
- Planned cholangioscopy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Calgarylead
- McGill Universitycollaborator
- University of Ottawacollaborator
- Queen's Universitycollaborator
- Halton Health (Oakville)collaborator
- Island Health, Victoria, BCcollaborator
- Radboud Medical Centercollaborator
Study Sites (1)
Peter Lougheed Hospital
Calgary, Alberta, Canada
Study Officials
- PRINCIPAL INVESTIGATOR
Nauzer Forbes, MD, MSc
University of Calgary
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 30, 2021
First Posted
February 2, 2022
Study Start
October 1, 2018
Primary Completion
August 30, 2023
Study Completion
November 30, 2023
Last Updated
January 9, 2024
Record last verified: 2023-12
Data Sharing
- IPD Sharing
- Will not share
Deidentified aggregate-level data may be available upon reasonable request.