Hyoscine Butylbromide During Transcystic Papillary Balloon Dilation for Choledocholithiasis
Official title: Intraoperative Hyoscine Butylbromide During Laparoscopic Transcystic Papillary Balloon Dilation for Choledocholithiasis: A Prospective Interventional Study With Historical Controls
Run by Riga East Clinical University Hospital · NCT07814976 · Data updated 2026-11-12
This study tests whether giving hyoscine butylbromide during laparoscopic transcystic papillary balloon dilation helps patients with common bile duct stones by making the procedure faster or easier.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Riga East Clinical University Hospital Government |
| Locations | 1 site (Riga) |
| Status | Recruiting |
| Started | January 4, 2026 |
| Main results expected | January 1, 2027 |
| Study ends | February 1, 2027 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07814976 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with confirmed choledocholithiasis and a common bile duct stone ≤15 mm who are suitable for laparoscopic cholecystectomy and provide informed consent.
✕Probably not a fit
Patients with stones >15 mm, those not undergoing laparoscopic cholecystectomy, or those contraindicated to antimuscarinic agents may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The PAPRELAX study is a single-center prospective interventional trial with a historical control group. It examines the intraoperative effect of 20 mg intravenous hyoscine butylbromide administered during laparoscopic transcystic papillary balloon dilation in adults with choledocholithiasis. Key outcomes include the duration of the dilation and the balloon inflation pressure required for papillary dilation, as well as postoperative complications. Prospective participants will be compared to a retrospective cohort who underwent the same procedure without hyoscine butylbromide. The trial takes place at Riga East Clinical University Hospital in Riga, Latvia, with collaboration from the University of Latvia.
Why it matters
Potential benefit: If successful, hyoscine butylbromide could shorten procedure time and reduce technical difficulty for dilation of the papilla, potentially improving patient recovery.
How similar studies have gone: Prior procedures using hyoscine-like antimuscarinics in GI and radiologic settings show reduced smooth muscle tone, but this specific intraoperative use with transcystic papillary dilation is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age 18 years or older. 2. Written informed consent for participation in the study. 3. Confirmed choledocholithiasis. 4. Common bile duct stone diameter of 15 mm or less. 5. General medical condition permitting laparoscopic cholecystectomy. Exclusion Criteria: 1. Age younger than 18 years. 2. Refusal to provide written informed consent. 3. Spontaneous antegrade evacuation of common bile duct stones during conservative treatment. 4. Previous cholecystectomy. 5. Common bile duct stone diameter greater than 15 mm. 6. General medical condition not permitting laparoscopic cholecystectomy.
Where it's running
-
Riga East University Hospital
Riga, Latvia Recruiting
Study contacts
- Principal investigator: Dmitrijs Aleksandrovs, Dr. — University of Latvia
- Study coordinator: Dmitrijs Aleksandrovs, Dr.
- Email: dmitrijs.aleksandrovs@gmail.com
- Phone: +37127013234
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.