Pancreatic Cancer Evolution Upon Treatment

NCT ID: NCT05195281

Last Updated: 2024-12-27

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

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-14

Study Completion Date

2025-12-31

Brief Summary

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This project aims at evaluating the different subtypes of pancreatic cancer on EUS-tissue acquisition of pancreatic cancer patients, and their possible modifications throughout time. The study takes advantage of a systematic evaluation of pancreatic cancers through diagnostic EUS-guided fine needle biopsy (FNB) sampling of the mass performed during a restaging EUS. FNB samples represent a valuable source of cancer cells, both for the histological diagnosis and as the source of tumor macromolecules, including DNA and RNA.

Study design This is a prospective study enrolling patients with non-metastatic pancreatic cancer who already underwent diagnostic EUS with tissue acquisition and rapid on-site evaluation (ROSE) by cytologist positive for pancreatic cancer, with a first sample acquired for diagnostic purposes and a second sample stored for RNA extraction acquired with the already approved protocol BIOGASTRO.

As recommended by guidelines, patients will follow the standard pathway of treatment, being sent to chemotherapy and will then undergo restaging of the lesion and re-evaluation of vascular invasion by CT and EUS. During this second session of EUS a new specimen of the tumor will be sampled for diagnostic purposes, with a second pass undergoing for RNA extraction.

Detailed Description

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Conditions

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Pancreatic Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Repetition of EUS-FNA or FNB for RNA extraction

Group Type EXPERIMENTAL

Fine Needle Biopsy or Aspiration

Intervention Type PROCEDURE

A new sampling of the tumor will be performed after 4-6 months of neoadjuvant chemotherapy

Interventions

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Fine Needle Biopsy or Aspiration

A new sampling of the tumor will be performed after 4-6 months of neoadjuvant chemotherapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Willing to sign informed consent
* Patient with CT scan or MRI or EUS defining the lesion as locally advanced
* Patient who already underwent EUS-TA for solid lesion of the pancreas positive for pancreatic ductal adenocarcinoma (PDAC)
* Patient undergoing neoadjuvant chemotherapy
* Patient primarily followed at San Raffaele Hospital

Exclusion Criteria

* Patients not willing to sign informed consent
* Pregnancy and breastfeeding
* Cytology positive for malignancies other than PDAC
* Patient undergoing progression at re-staging CT scan
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS San Raffaele

OTHER

Sponsor Role lead

Responsible Party

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Gabriele Capurso

Chief of Clinical Research, PancreatoBiliary Endoscopy and EUS Division, Deputy Director of Pancreas Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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IRCCS San Raffaele Hospital

Milan, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Livia Archibugi, MD

Role: CONTACT

Phone: +39-02-26432471

Email: [email protected]

Facility Contacts

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Livia Archibugi, MD

Role: primary

Other Identifiers

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PACEUT

Identifier Type: -

Identifier Source: org_study_id