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EUS-FNB With MOSE vs EUS-FNA With ROSE


2019-06-19


2023-08-31


2024-09-01


340

Study Overview

EUS-FNB With MOSE vs EUS-FNA With ROSE

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is an indispensable tool for tissue acquisition for pancreatic lesions. However, FNA alone has several limitations including inadequate acquisition of cells, and unable to provide core tissue for further histological analysis. The use of rapid on-site evaluation (ROSE) by cytopathologist has the biggest impact on improving diagnostic accuracy and is regarded as the gold standard for EUS-FNA. Unfortunately, it is not widely available due to limited resources. In order to overcome these limitations, new fine needle biopsy (FNB) needles have been recently developed to collect not only cells but also the entire core tissue for histological analysis. Having core biopsy with preserved tissue provides additional advantages of allowing molecular analysis, which are of emerging importance in cancer management. Early results comparing FNB with FNA showed the superiority of FNB over FNA in the absence of ROSE. Data comparing FNB and FNA with ROSE are limited. In order to study to true merits of FNB over FNA, comparison with the most optimal method is necessary.

The purpose of this study is to compare the diagnostic yield of EUS-FNB with MOSE vs EUS-FNA with ROSE.

  • Pancreatic Neoplasms
  • DIAGNOSTIC_TEST: MOSE
  • DIAGNOSTIC_TEST: ROSE
  • MORE

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

2018-12-05  

N/A  

2023-02-09  

2018-12-05  

N/A  

2023-02-13  

2018-12-06  

N/A  

2023-02  

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:
Diagnostic


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Single


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: MOSE

EUS-FNB with MOSE

DIAGNOSTIC_TEST: MOSE

  • EUS-FNB with MOSE
OTHER: ROSE

EUS-FNA with ROSE

DIAGNOSTIC_TEST: ROSE

  • EUS-FNA with ROSE
Primary Outcome MeasuresMeasure DescriptionTime Frame
Diagnostic yieldthe proportion of patients with adequate tissue for diagnosis1 month after Procedure
Secondary Outcome MeasuresMeasure DescriptionTime Frame
morbidity rateProcedure-related morbidity1 month after Procedure

Contacts and Locations

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

Study Contact

Name: Charing CHONG

Phone Number: 3505 3933

Email: chongcn@surgery.cuhk.edu.hk

Study Contact Backup

Name: Philip Yeung

Phone Number: 3404 3933

Email: philipyeung@surgery.cuhk.edu.hk

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:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Aged between 18 and 80 years
  • Referred for EUS-guided tissue acquisition of solid pancreatic lesions greater than 1cm in the largest diameter

  • Exclusion Criteria:

  • Coagulopathy
  • Altered anatomy
  • Contraindications for conscious sedation
  • Pregnancy
  • Those who cannot provide informed consent

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available