Venous Thromboembolism in Primary Pancreatic Tumour Resection

NCT ID: NCT05964621

Last Updated: 2023-11-28

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

Total Enrollment

64 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-10-01

Brief Summary

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This study will evaluate the development of venous thromboembolism (VTE) and possible determinants in patients with primary pancreatic cancer undergoing pancreatic cancer resection.

Detailed Description

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Cancer associated thrombosis (CAT) is the second cause of death, in oncologic patients after tumour progression itself. Patients suffering from malignancies are at increased risk for both venous (4-20%) and arterial (2-5%) thrombotic events. Moreover, cancer is one of the most important acquired risk factors for the development of venous thromboembolism (VTE).

Pancreatic cancer is the fourth most deadly cancer world-widely and has been recognised as the most prothrombotic malignancy, with a reported incidence of VTE (8-18%), followed by renal and ovarian cancer (VTE 5.6%). Although the exact pathophysiological mechanisms are still poorly understood it seems that pancreatic cancer induces a prothrombotic and hypercoagulable state.

Aims

* To evaluate the predictive value of preoperatively or early postoperatively obtained NLR, in patients with primary pancreatic cancer undergoing pancreatic cancer resection, for VTE up to the 30rd postoperative day
* To evaluate the predictive value of preoperatively or early postoperatively obtained coagulation biomarkers/parameters, in patients with primary pancreatic cancer undergoing pancreatic cancer resection, for VTE up to the 30rd postoperative day
* To evaluate the incidence of VTE in patients with primary pancreatic cancer undergoing pancreatic cancer resection
* To assess the perioperative coagulation status of patients with primary pancreatic cancer undergoing pancreatic cancer resection
* To evaluate any possible determinant or predictive factor for VTE among the coagulation parameters or patients' baseline characteristics

Conditions

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Venous Thromboembolism Pancreatic Cancer Pancreatic Ductal Adenocarcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pancreatic cancer patients undergoing pancreatic cancer resection

Perioperative laboratory examinations will follow institutional guidelines. These will include, but will not be limited to full blood count, conventional coagulation tests, liver function, and kidney function tests. Moreover, for the purpose of this study, the following parameters will also be obtained; vWF, factors VIII and XI, D-dimers, fibrinogen, platelets activation (multiplate), adams-13, anti-Xa and high sensitivity troponin. All samples will be obtained via puncture from a peripheral vein. Blood samples will obtained at three time points; preoperatively before induction to GA (01), early postoperatively in PACU (02) and postoperatively before discharge (10 days, 03). Of note, at 30 days our patients will undergo an evaluation for asymptomatic DVT with a US triplex scanner. In addition, any thromboembolic episode (deep vein thrombosis, pulmonary embolism) will also be recorded.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Consecutive pancreatic cancer patients undergoing pancreatic cancer resection in University Hospital of Larissa, after informed consent will be included.

Exclusion Criteria

* Refuse to participate
* Previous thromboembolic event \< 6 months prior to the operation
* History of inherited or acquired bleeding disorder
* ASA PS \> 3
* Concomitant presence of a second primary malignancy
* Unresectable pancreatic cancer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Thessaly

OTHER

Sponsor Role lead

Responsible Party

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Elena Arnaoutoglou

Professor of Anaesthesiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eleni M Arnaoutoglou, Professor

Role: STUDY_CHAIR

Dpt of Anaesthesiology

Dimitrios Zacharoulis, Professor

Role: PRINCIPAL_INVESTIGATOR

Dpt of Surgery

Paraskevi Kotsi, Asst Professor

Role: PRINCIPAL_INVESTIGATOR

Dpt of Transfusion Medicine

Dimitrios Symeonidis, Asst Professor

Role: PRINCIPAL_INVESTIGATOR

Dpt of Surgery

Maria P Ntalouka, M.D., Ph.D, M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Dpt of Anaesthesiology

Locations

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University Hospital of Larissa

Larissa, Thessaly, Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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Eleni Arnaoutoglou, Professor

Role: CONTACT

6974301352 ext. +30

Maria P Ntalouka, M.D., Ph.D, M.Sc.

Role: CONTACT

6973688099 ext. +30

Facility Contacts

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Eleni Arnaoutoglou, M.D. Ph.D.

Role: primary

6975301352

References

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Ntalouka MP, Symeonidis D, Kotsi P, Petinaki E, Matsagkas M, Tepetes K, Zacharoulis D, Arnaoutoglou EM. Venous thromboembolism in patients undergoing pancreatic cancer surgery (PaTR-VTE) with curative intent; protocol of a prospective observational study. BMC Surg. 2025 Apr 26;25(1):183. doi: 10.1186/s12893-024-02665-z.

Reference Type DERIVED
PMID: 40287701 (View on PubMed)

Other Identifiers

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24165

Identifier Type: -

Identifier Source: org_study_id