Feasibility of Molecular Biology in Pancreatic Cyst Tumors

NCT ID: NCT03305146

Last Updated: 2022-04-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

93 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2027-01-31

Brief Summary

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The main objective of the study is to compare the diagnostic accuracy of intra-cystic fluid DNA molecular analysis to standard diagnostics.

The secondary objective of the study is to evaluate the feasibility of intra-cystic fluid DNA molecular analysis.

Detailed Description

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Multicenter study to determinate the feasibility of intra-cystic fluid DNA molecular analysis in patients with suspected cystic tumours of pancreas in whom EUS FNA is clinically indicated.

Morphological criteria obtained by MRI and computerised tomography (tumor characterization (size, metastases presence, dilatation of bile ducts), etiologic diagnosis, serious symptoms), biological exams (biomarkers), cytological analysis will lead to a diagnosis and a treatment.

The goal of this study is to compare this standard diagnostic modalities to diagnosis obtained by intra-cystic fluid DNA molecular analysis.

Is the DNA molecular analysis improve the diagnosis accuracy.

Conditions

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Pancreatic Cyst Pancreas Cyst Serous Cystadenoma Mucinous Cystadenoma IPMN

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

First 20 patients for pilot study to test the feasibility of the molecular analysis then 120 patients to continue the trial.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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single arm

For inoperable patients with indeterminate cystic lesions of the pancreas,a EUS FNA will be performed and molecular biology analysis of pancreatic intra-cyst fluid collected by EUS FNA will be performed.

For operable patients, after the pancreatic surgery, molecular biology analysis of extemporaneous pancreatic tissue specimen biopsy will be conducted.

Group Type EXPERIMENTAL

Molecular biology analysis of pancreatic intra-cyst fluid

Intervention Type GENETIC

The EUS FNA will be performed according to the Francophone Club of Echo Endoscopy recommendations.

For molecular biology technique, the samples will be processed within the UMR\_S910 unit. Nucleic acids will be extracted from the intra-cystic fluid or, for post-operative patients, from a resected specimen that will be collected into a tube containing a nucleic acid stabilization solution (Allprotect Tissue reagent, Qiagen).

The nucleic acids will be extracted and then sequenced. The sequencing technology chosen (HaloPlexHS, Agilent) allows a detection close to 1% in allelic frequency. This new technical approach that links high sensitivity and specificity is also suitable with degraded and/or low-volume ( \<50ng) DNA.

Interventions

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Molecular biology analysis of pancreatic intra-cyst fluid

The EUS FNA will be performed according to the Francophone Club of Echo Endoscopy recommendations.

For molecular biology technique, the samples will be processed within the UMR\_S910 unit. Nucleic acids will be extracted from the intra-cystic fluid or, for post-operative patients, from a resected specimen that will be collected into a tube containing a nucleic acid stabilization solution (Allprotect Tissue reagent, Qiagen).

The nucleic acids will be extracted and then sequenced. The sequencing technology chosen (HaloPlexHS, Agilent) allows a detection close to 1% in allelic frequency. This new technical approach that links high sensitivity and specificity is also suitable with degraded and/or low-volume ( \<50ng) DNA.

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Patient older than 18 years of age, male or female
* Cystic tumor of the pancreas requiring a puncture under endoscopic control to determine the etiologic diagnosis and gravity.

Exclusion Criteria

* Doubts regarding the etiological diagnosis of the pancreatic cyst
* Contraindications for the realization of a high digestive endoscopy
* Haemorrhagic disorder, haemostasis and coagulation disorder (TP \<60%, TCa\> 40 sec and platelets \<60000 / mm3).
* AVK, AOD and AAP cannot be stopped
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ramsay Générale de Santé

OTHER

Sponsor Role collaborator

Hospital St. Joseph, Marseille, France

OTHER

Sponsor Role lead

Responsible Party

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Arthur Laquiere

Principal Investigator Dr Arthur LAQUIERE

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Arthur Laquière, MD

Role: PRINCIPAL_INVESTIGATOR

French Society of Digestive Endoscopy

Locations

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Clinique de Bercy

Charenton-le-Pont, , France

Site Status

Centre Hospitalier Universitaire Dupuytren

Limoges, , France

Site Status

Hopital Edouard Herriot

Lyon, , France

Site Status

Hopital Mermoz

Lyon, , France

Site Status

Hopital Europeen

Marseille, , France

Site Status

Hopital Saint Joseph

Marseille, , France

Site Status

Chu La Timone

Marseille, , France

Site Status

CHU NANTES Institut des Maladies de l'Appareil Digestif

Nantes, , France

Site Status

Chu L'Archet 2

Nice, , France

Site Status

Hopital Saint Joseph

Paris, , France

Site Status

Centre Hospitalier Jacques Lacarin

Vichy, , France

Site Status

Countries

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France

References

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Other Identifiers

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2016-A01399-42

Identifier Type: -

Identifier Source: org_study_id

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