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New Predictive Marker for Pancreatic Cancer Using CA19-9 and Fecal Elastase


2021-02-18


2024-12-31


2024-12-31


150

Study Overview

New Predictive Marker for Pancreatic Cancer Using CA19-9 and Fecal Elastase

Background Carbohydrate antigen 19-9 (CA19-9) is used as a marker to predict recurrence and survival of patients with Pancreatic cancer(PDAC). Recently, fecal elastase-1(FE-1), a marker of pancreatic exocrine function, has been shown to correlate with prognosis in patients with PDAC. However, there have been no studies that have predicted prognosis by combining these two factors. In this study, investigators developed a predictive strategy for prognosis of PDAC using data on preoperative CA19-9 and FE-1 levels.6 Methods The clinical data of patients with resectable pancreatic cancer from two hospitals were analyzed. The cut-off points of preoperative CA19-9 and FE-1 levels were extracted from the Youden index and previous studies (385 U/ml and 100 µg/g stool, respectively). Cox proportional hazard models were used to investigate the association between preoperative tumor marker levels and survival (3-overall survival and 1-year recurrence free survival) after surgery.

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  • Paancreatic Cancer
    • 3-2020-0522

    Study Record Dates

    These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

    Study Registration Dates Results Reporting Dates Study Record Updates

    2023-06-16  

    N/A  

    2024-02-05  

    2023-06-27  

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    2024-02-07  

    2023-06-28  

    N/A  

    2024-02  

    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    Design Details

    Primary Purpose:
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    Allocation:
    N/A


    Interventional Model:
    N/A


    Masking:
    N/A


    Arms and Interventions

    Participant Group/ArmIntervention/Treatment
    : CA19-9<385 & FE-1>100

    : CA19-9<385 and FE-1>100

    : CA19-9>385 & FE-1>100

    : CA19-9>385 & FE-1<100

    Primary Outcome MeasuresMeasure DescriptionTime Frame
    3yr overall survival3-year survival rate for patients who underwent surgery for pancreatic cancerSurvival period from surgery date, 3 years
    Secondary Outcome MeasuresMeasure DescriptionTime Frame
    1yr disease free survivalRecurrence rate in patients who have undergone surgery for pancreatic cancer within a yearPeriod without recurrence from the date of surgery, one year

    Contacts and Locations

    This section provides the contact details for those conducting the study, and information on where this study is being conducted.

    Participation Criteria

    Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

    Ages Eligible for Study:
    ALL

    Sexes Eligible for Study:
    19 Years

    Accepts Healthy Volunteers:

      Inclusion Criteria:

    • Investigators conducted a retrospective study using data from 857 patients with pancreatic cancer enrolled in two hospitals in the Republic of Korea (179 from Gangnam Severance Hospital and 678 from Seoul National University Hospital) from January 5, 2010 to December 31, 2019.

    • Exclusion Criteria:

    • Investigators excluded patients without information about preoperative tumor marker levels (n = 45), those who received neoadjuvant (n = 169), those with preoperative CA19-9 levels < 9.0 [Lewis antibody-negative patients] (n = 98), those with missing covariates (n = 3) and R2 resection (n = 6).

    Collaborators and Investigators

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    Publications

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    General Publications

    No publications available