Evaluating eccDNAs as biomarkers for diagnosing biliary stricture

Evaluation of diagnostiC Capacity of eccDNAs as Biomarkers in Indetermined biLiary Stricture(ECCBILE): a Prospective Cohort Study

Peking University Third Hospital · NCT06277531

This study is testing if a new type of DNA found in the blood can help doctors better diagnose patients with unclear bile duct blockages, especially to catch cancer earlier.

Quick facts

Study typeObservational
Enrollment99 (estimated)
Ages18 Years to 85 Years
SexAll
SponsorPeking University Third Hospital (other)
Locations2 sites (Beijing, Beijing Municipality and 1 other locations)
Trial IDNCT06277531 on ClinicalTrials.gov

What this trial studies

This observational study aims to assess the diagnostic capacity of cell-free extrachromosomal circular DNA (eccDNA) as biomarkers in patients with indeterminate biliary stricture. The study focuses on improving early diagnosis of malignant biliary strictures, which are often associated with poor prognosis due to late-stage presentation. Current diagnostic methods like brush cytology and biopsy during ERCP have low sensitivity, prompting the need for novel strategies. By analyzing eccDNA, the study seeks to enhance the accuracy of diagnosing conditions such as bile duct cancer and pancreatic cancer.

Who should consider this trial

Good fit: Ideal candidates include patients suspected of having indeterminate biliary strictures who are indicated for ERCP.

Not a fit: Patients who have experienced failed ERCP or have severe comorbidities may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to earlier and more accurate diagnoses of malignant biliary strictures, improving patient outcomes.

How similar studies have performed: While the approach of using eccDNA as biomarkers is relatively novel, previous studies have indicated potential for success in similar diagnostic applications.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients is suspected indetermined biliary strictures
* Patients have the indication for ERCP

Exclusion Criteria:

* ERCP failed, or can not obtain bile
* Sever comorbidities
* Predicted overall survival less than 1 year because of other disease
* Patients who are unlikely to comply with the protocol, inability to return for subsequent visits

Where this trial is running

Beijing, Beijing Municipality and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Biliary Stricture, Bile Duct Cancer, Pancreas Cancer, Malignant Biliary Stricture, Cell-Free Extrachromosomal Circular DNA, Liquid-Biopsies Assay

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.