Clinical Trial Record

Return to Clinical Trials

Randomized Trial for Optimal Number of Passes Required for Molecular Profiling During EUS-FNB of Pancreatic Cancer


2021-08-18


2023-03-01


2023-06-30


33

Study Overview

Randomized Trial for Optimal Number of Passes Required for Molecular Profiling During EUS-FNB of Pancreatic Cancer

This is a randomized trial to evaluate the optimal number of passes required during endoscopic ultrasound-guided fine needle biopsy for molecular profiling in pancreatic cancer

Endoscopic ultrasound-guided fine needle tissue acquisition is currently the gold standard for sampling solid pancreatic masses. By using novel fine needle biopsy (FNB) needles during EUS-guided tissue sampling, core tissue samples can also now be obtained, with diagnostic adequacy of >90%. Molecular profiling is becoming increasingly important in the management of pancreatic adenocarcinoma for targeted therapy. As the procurement of core tissue is possible with EUS-FNB, adequate tissue can now be obtained for molecular profiling. However, the number of passes required during EUS-FNB to obtain sufficient quantity of core tissue to successfully perform molecular profiling is unknown, although usually 2-3 passes are performed as standard of care practice. The primary aim of this study is therefore to elucidate the optimal number of passes required during EUS-FNB to procure adequate tissue for molecular profiling in patients with pancreatic adenocarcinoma.

  • Pancreatic Cancer
  • Pancreatic Neoplasms
  • Adenocarcinoma of the Pancreas
  • PROCEDURE: 2 passes during EUS-guided fine needle biopsy
  • PROCEDURE: 3 passes during EUS-guided fine needle biopsy
  • 21.069.05
  • 1741103 (OTHER Identifier) (OTHER: Orlando Health IRB)

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

2021-09-07  

N/A  

2023-01-11  

2021-09-07  

N/A  

2023-01-12  

2021-09-14  

N/A  

2023-01  

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:
Triple


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Two passes performed during EUS-FNB of pancreatic adenocarcinoma

Once the pancreatic mass is identified on endoscopic ultrasound examination, total of two passes will be performed during find needle biopsy and placed in 10% formalin for processing for molecular profiling.

PROCEDURE: 2 passes during EUS-guided fine needle biopsy

  • Once the pancreatic mass has been visualized on endoscopic ultrasound, a total of two passes will be performed and placed in 10% formalin for processing for molecular profiling. Onsite evaluation will be performed using a part of the sample from the first
ACTIVE_COMPARATOR: Three passes performed during EUS-FNB of pancreatic adenocarcinoma

Once the pancreatic mass is identified on endoscopic ultrasound examination, total of three passes will be performed during find needle biopsy and placed in 10% formalin for processing for molecular profiling.

PROCEDURE: 3 passes during EUS-guided fine needle biopsy

  • Once the pancreatic mass has been visualized on endoscopic ultrasound, a total of three passes will be performed and placed in 10% formalin for processing for molecular profiling. Onsite evaluation will be performed using a part of the sample from the fir
Primary Outcome MeasuresMeasure DescriptionTime Frame
Rate of ability to perform successful molecular profiling in core tissue obtained during EUS-guided fine needle biopsyRate of ability to perform successful molecular profiling in core tissue obtained during EUS-guided fine needle biopsy of pancreatic adenocarcinoma, with comparison between two and three passes during fine needle biopsy7 days
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Number of actionable mutations detected on molecular profilingNumber of actionable mutations detected on molecular profiling7 days
Rate of technical successRate of technical success of EUS-guided fine needle biopsy. Technical success is defined as the successful completion of the EUS-guided fine needle biopsy procedure.1 day
Rate of procedure-related adverse eventsRate of procedure-related adverse events, defined as any adverse event occurring as a result of EUS-guided fine needle biopsy7 days
Type of actionable mutations detected on molecular profilingType of actionable mutations detected on molecular profiling7 days

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:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Age 18 years and over 2. Suspected or confirmed pancreatic mass seen on imaging, requiring endoscopic ultrasound-guided fine needle biopsy
    Exclusion Criteria:
    1. Age < 18 years 2. Females who are pregnant 3. Pancreatic mass is not accessible for fine needle biopsy via endoscopic ultrasound 4. Biopsied pancreatic mass is not adenocarcinoma on pathology

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Ji Young Bang, MD MPH, Orlando Health

    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