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RecruitingNCT07667166ClinicalTrials.gov record

Composite Index for Outcome Burden in Acute Cholangitis

Acute Cholangitis · Biliary Drainage

THE QUICK READ

What this study involves

The registry says this study is recruiting. Individual locations may have different availability.

Study type
Observational
Phase
Not applicable / not listed
Age range
18 years - 80 years
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
514 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

The goal of this retrospective observational study is to construct a composite outcome to measure the success of treatment in patients who are presenting with acute cholangitis (blockage and infection of bile ducts) and undergoing a drainage procedure with different modalities. The study is not intended to test any predetermined hypothesis and does not have any comparison group. The participants' data are collated from retrospective hospital records and analysed for the purpose of the study. All the procedures are in place to ensure the confidentiality of the study participants while collating, analysing and sharing study findings.

Read the full description

Study Aim To develop and internally validate a Composite Index that summarizes overall outcome burden in patients with acute cholangitis.

Primary Objective (Index Development)

1\. To derive a Multidimensional Composite Index for Outcome Burden among patients with acute Cholangitis undergoing Biliary Drainage, that inegrates

  • Mortality (30-day and in-hospital)
  • Organ support,
  • ICU admission and ICU length of stay,
  • Complication burden and severity (AGREE and Clavien-Dindo classification as applicable),
  • Hospital length of stay,
  • 30-day reintervention
  • 30-day readmission.

Secondary Objectives

1. To evaluate the association of the Composite Index with:

* TG18 severity grade (I vs II vs III),
* Baseline physiological/lab derangement (WBC, bilirubin, creatinine, lactate),
2. To explore whether timing of biliary drainage is associated with composite index scores (exploratory-hypothesis-generating).

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria

  • Age 18 to 80 years
  • Hospital admission with definite diagnosis of acute cholangitis meeting TG18 diagnostic criteria
  • TG18 Grade I (Mild) Grade II (moderate) or Grade III (severe) at presentation/admission or prior to drainage.
  • Underwent biliary drainage attempt (ERCP/PTBD/EUS-BD) or were planned for drainage (including failures with rescue drainage).
  • First episode of index BD in case of patients undergoing multiple episodes of index BD as per operational definitions (Technical supplement 1)
  • Planned repeat BD in same admission shall be considered as continuation of the index BD and all the procedural details shall be documented and analysed.

Exclusion Criteria

  • Pregnant women
  • Missing key outcome data (minimum required: mortality status + ICU admission status + Length of stay)
  • Non-biliary sepsis without evidence of biliary obstruction/infection on review.
  • A patients with past history of BD outside the study setting (As this is akin to second episode of Index BD)
  • Subsequent episodes of Index BD (other than the first index BD episode) among patients with more than one episode of Index BD.

Study population

Study Population

  • Age 18 to 80 years
  • Hospital admission with definite diagnosis of acute cholangitis meeting TG18 diagnostic criteria
  • TG18 Grade I (Mild), Grade II (moderate) or Grade III (severe) at presentation/admission or prior to drainage.
  • Underwent biliary drainage attempt (ERCP/PTBD/EUS-BD) or were planned for drainage (including failures with rescue drainage).
  • First episode of index BD in case of patients undergoing multiple episodes of index BD as per operational definitions (Technical supplement 1).
  • Planned repeat BD in same admission shall be considered as continuation of the index BD and all the procedural details shall be documented and analysed.
Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Not reported
Masking
Not reported
Patients with acute cholangitis meeting TG18 diagnostic criteria underwent biliary drainage attempt

Not reported in this registry record.

Procedure: Biliary drainage

Biliary drainage PROCEDURE

Underwent biliary drainage attempt (ERCP/PTBD/EUS-BD) or were planned for drainage (including failures with rescue drainage)

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Multidimensional Composite Index for Outcome Burden among patients with acute Cholangitis undergoing Biliary Drainage

Time frame: 30 days

To derive a Multidimensional Composite Index for Outcome Burden among patients with acute Cholangitis undergoing Biliary Drainage, that integrates mortality (30-day and in-hospital), organ support, ICU admission and ICU length of stay, complication burden and severity (AGREE and Clavien-Dindo classification as applicable), hospital length of stay, 30-day reintervention and 30-day readmission.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (1)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

1 locations

Asian Institute of Gastroenterology Pvt Ltd (AIG Hospitals)Hyderabad, Telangana, IndiaRecruiting
Hardik RughwaniCONTACThardik.hr@gmail.com+919426928600
Hardik RughwaniPRINCIPAL_INVESTIGATOR
Dr.Duvvur Nageshwar ReddySUB_INVESTIGATOR
Nitin JagtapSUB_INVESTIGATOR
View location on map ↗

Study team and timeline

Lead sponsor
Asian Institute of Gastroenterology, India
Study start
Apr 20, 2026 Actual
Primary completion
Dec 31, 2026 Estimated
Study completion
Dec 31, 2026 Estimated
First posted
Jun 24, 2026 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Hardik Hardik RughwaniCONTACThardik.hr@gmail.com+919426928600
Official study title

Development and Internal Validation of a Multidimensional Composite Index for Outcome Burden in Acute Cholangitis: A Multicentre Retrospective Cohort Study in India

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026