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NCT05429203

Comparison of Duodenoscope With Single-use Distal Cover and the Conventional Reusable Duodenoscope

Completed NA Results posted Last updated 15 September 2025
What this trial tests

NA trial testing Duodenoscope with single-use distal cover in Biliary Disease in 319 participants. Completed in 29 July 2024.

Timeline
25 October 2022
Primary endpoint
29 July 2024
29 July 2024

Quick facts

Lead sponsorStanford University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeother
Enrollment319
Start date25 October 2022
Primary completion29 July 2024
Estimated completion29 July 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Stanford University

Who can join

18 and older, any sex, with Biliary Disease or Pancreatic Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Procedure-related Adverse Events Primary · 3 months

Patients undergoing Endoscopic retrograde cholangiopancreatography (ERCP) using either of the 2 duodenoscopes were assessed for superficial mucosal injury, perforation of the stomach or intestine, mucosal bleeding, pancreatitis, infection, death or any other symptom reported by the patient.

GroupValue95% CI
Duodenoscope With Disposable Distal End Caps8
Conventional Reusable Duodenoscope9
Duodenoscope Maneuverability: Intubation Into Esophagus Secondary · Maneuverability will be assessed only during the procedure (approximately 10 minutes)

Providers assessed the 2 duodenoscopes for maneuverability during the procedure in patients undergoing ERCP, using a previously defined scoring system which uses a 5-point scale ranging from 1 to 5, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps153
Conventional Reusable Duodenoscope154
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps5
Conventional Reusable Duodenoscope5
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope1
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Maneuverability: Passage Into Stomach Secondary · Maneuverability will be assessed only during the procedure (approximately 10 minutes)

Providers assessed the 2 duodenoscopes for maneuverability during the procedure in patients undergoing ERCP, using a previously defined scoring system which uses a 5-point scale ranging from 1 to 5, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps153
Conventional Reusable Duodenoscope155
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope2
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope2
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope1
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Maneuverability: Navigation Across Pylorus Secondary · Maneuverability will be assessed only during the procedure (approximately 10 minutes)

Providers assessed the 2 duodenoscopes for maneuverability during the procedure in patients undergoing ERCP, using a previously defined scoring system which uses a 5-point scale ranging from 1 to 5, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps151
Conventional Reusable Duodenoscope155
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope4
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope1
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps2
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps2
Conventional Reusable Duodenoscope0
Duodenoscope Maneuverability: Achieving Short Position of the Scope Secondary · Maneuverability will be assessed only during the procedure (approximately 10 minutes)

Providers assessed the 2 duodenoscopes for maneuverability during the procedure in patients undergoing ERCP, using a previously defined scoring system which uses a 5-point scale ranging from 1 to 5, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps154
Conventional Reusable Duodenoscope155
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope4
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps2
Conventional Reusable Duodenoscope1
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Maneuverability: Achieving Optimal Papillary Position Secondary · Maneuverability will be assessed only during the procedure (approximately 10 minutes)

Providers assessed the 2 duodenoscopes for maneuverability during the procedure in patients undergoing ERCP, using a previously defined scoring system which uses a 5-point scale ranging from 1 to 5, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps154
Conventional Reusable Duodenoscope154
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps4
Conventional Reusable Duodenoscope4
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope2
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Mechanical Characteristics Profile: Scope Stiffness Secondary · Mechanical characteristics assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their mechanical characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps155
Conventional Reusable Duodenoscope155
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps4
Conventional Reusable Duodenoscope5
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Mechanical Characteristics Profile: Air-water Button Functionality Secondary · Mechanical characteristics assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their mechanical characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being no water leakage or no difficulty in applying suction or inflating air, 2 minimal leakage or minimal difficulty with suction or inflation, 3 moderate leakage or difficulty, 4 severe leakage or difficulty and 5 unable to perform the requisite function.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps155
Conventional Reusable Duodenoscope156
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope4
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope0
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Mechanical Characteristics Profile: Elevator Efficiency Secondary · Mechanical characteristics assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their mechanical characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being easy to perform, 2 minimal difficulty, 3 moderate difficulty, 4 severe difficulty and 5 unable to complete the requisite maneuver.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps157
Conventional Reusable Duodenoscope158
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope2
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope0
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Mechanical Characteristics Profile: Hand Strain Secondary · Mechanical characteristics assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their mechanical characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being no strain, 2 minimal strain, 3 moderate strain, 4 severe strain and 5 unable to complete the procedure.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps157
Conventional Reusable Duodenoscope158
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps2
Conventional Reusable Duodenoscope2
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Imaging Characteristics Profile: Image Quality Secondary · Imaging characteristics were assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their imaging characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being superior, 2 good, 3 satisfactory, 4 suboptimal and 5 unable to visualize or achieve stability of image resulting in termination of procedure.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps154
Conventional Reusable Duodenoscope154
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps4
Conventional Reusable Duodenoscope4
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps1
Conventional Reusable Duodenoscope2
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Duodenoscope Imaging Characteristics Profile: Image Stability Secondary · Imaging characteristics were assessed only during the procedure (approximately 15 minutes)

Providers assessed the 2 duodenoscopes for their imaging characteristics during the procedure in patients undergoing ERCP. Each characteristic was assessed using a published 5-point scoring system, with 1 being superior, 2 good, 3 satisfactory, 4 suboptimal and 5 unable to visualize or achieve stability of image resulting in termination of procedure.

Rating = 1
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps156
Conventional Reusable Duodenoscope157
Rating = 2
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps3
Conventional Reusable Duodenoscope3
Rating = 3
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 4
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0
Rating = 5
GroupValue95% CI
Duodenoscope With Disposable Distal End Caps0
Conventional Reusable Duodenoscope0

Adverse events — posted to ClinicalTrials.gov

Time frame: 3 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Duodenoscope With Disposable Distal End Caps
Serious: 8/159 (5%)
Deaths: 1/159
Conventional Reusable Duodenoscope
Serious: 9/160 (6%)
Deaths: 0/160

Serious adverse events (5 terms)

ReactionSystemDuodenoscope With Disposab…Conventional Reusable Duod…
Post ERCP pancreatitis (PEP)Gastrointestinal disorders
Post-sphincterotomy bleedingSurgical and medical procedures
CholangitisHepatobiliary disorders
PerforationSurgical and medical procedures
Liver failureHepatobiliary disorders
Other adverse events (1 terms — click to expand)

ReactionSystemDuodenoscope With Disposab…Conventional Reusable Duod…
Abdomen pain (without post-ERCP pancreatitis)Gastrointestinal disorders

Most-reported serious reactions: Post ERCP pancreatitis (PEP), Post-sphincterotomy bleeding, Cholangitis, Perforation, Liver failure.

Data from ClinicalTrials.gov NCT05429203 adverse events section.

Sponsor's own description

The purpose of the study is to compare the success rates of procedure success and complication rates in patients undergoing Endoscopic retrograde cholangiopancreatography (ERCP) using two types of currently available endoscopes. These are (1) duodenoscope with a Single-use distal cover or (2) a conventional reusable duodenoscope.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Biliary Disease

Currently open trials in the same condition.

Other Stanford University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05429203.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing