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Acquisition of Portal Venous CTCs and Exosomes From Patients With Pancreatic Cancer by EUS


2018-08-01


2020-08


2020-09


30

Study Overview

Acquisition of Portal Venous CTCs and Exosomes From Patients With Pancreatic Cancer by EUS

The investigators are going to explore the diagnostic and prognostic value of circulating tumor cells and exosomes extracted from the portal venous blood obtained with endoscopic ultrasound in pancreatic cancer patients.

As the prognosis of pancreatic cancer, a kind of malignant tumor, remains poor due to the low diagnostic rate at the early stage, there is still a significant clinical need to determine individualized tumor molecular profiles and personalized risk for recurrence. Circulating tumor cells (CTCs) and exosomes from patients with primary tumors may hold promise in serving as an informative biomarker to address this clinical need. Here in this study, the investigators are going to explore the feasibility and safety of sampling portal venous blood via endoscopic ultrasound (EUS), and detect portal venous CTCs and analyze mRNA markers of exosomes by RNA-seq. The investigators aim to explore the potential molecular mechanisms in tumor microenvironment and mechanisms of drug resistance.

  • Pancreatic Cancer
  • PROCEDURE: Endoscopic ultrasound-guided protal venous blood sampling
  • EPCE-1

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

2019-01-06  

N/A  

2019-01-29  

2019-01-26  

N/A  

2019-01-31  

2019-01-30  

N/A  

2019-01  

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:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Pancreatic cancer

Endoscopic ultrasound-guided protal venous blood sampling will be performed for each patient. And the diagnosis will be confirmed by tissue pathology.

PROCEDURE: Endoscopic ultrasound-guided protal venous blood sampling

  • We wil obtain portal venous blood samples via endoscopic ultrasound(EUS) in patients with suspected pancreatic masses.
: Benign pancreatic diseases

Endoscopic ultrasound-guided protal venous blood sampling will be performed for each patient. And the diagnosis will be confirmed by tissue pathology, e.g. PCLs.

PROCEDURE: Endoscopic ultrasound-guided protal venous blood sampling

  • We wil obtain portal venous blood samples via endoscopic ultrasound(EUS) in patients with suspected pancreatic masses.
Primary Outcome MeasuresMeasure DescriptionTime Frame
The difference of the amount of circulating tumor cells acquisited from portal venous blood between patients with pancreatic cancer and benign pancreatic diseasesIn this study, the amount of the circulating tumor cells obtained from portal venous blood of suspected pancreatic masses patients will be determined by analyzing the expression of folate receptors. The investigators will compare the difference of the CTC amount between patients with pancreatic cancer and benign pancreatic diseases.08/01/2018-08/01/2020
The difference of the exosomes acquisited from portal venous blood between patients with pancreatic cancer and benign pancreatic diseasesExosomes will be acquisited from portal venous blood of patients with suspected pancreatic masses. Then the total RNA will be extracted from the exosomes. The investigators will compare the expression of certain mRNA markers of the exosomes between patients with pancreatic cancer and benign pancreatic diseases. (The mRNA markers will be selected from RNA-seq results.)08/01/2018-08/01/2020
Secondary Outcome MeasuresMeasure DescriptionTime Frame
The difference of the amount of circulating tumor cells between portal venous and peripheral bloodIn this study, the amount of the circulating tumor cells obtained from portal venous blood and peripheral blood will be assessed for each patient respectively. The investigators will compare the difference of the CTC amount between portal venous blood and peripheral blood.08/01/2018-08/01/2020
The difference of the exosomes between portal venous and peripheral bloodExosomes will be acquisited from portal venous blood and peripheral blood for each patient. Then the total RNA will be extracted from the exosomes. The investigators will compare the expression of certain mRNA markers of the exosomes between portal venous and peripheral blood for each patient. (The mRNA markers will be selected from RNA-seq results.)08/01/2018-08/01/2020

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: Shu Zhang, PhD

Phone Number: 13770728926

Email: zhangshu19900513@126.com

Study Contact Backup

Name: Ying Lv, PhD

Phone Number: 13770755008

Email: lying1999@126.com

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:
1

    Inclusion Criteria:
    1. Aged from 18 to 80 years-old 2. Suspected pancreatic masses and referred for EUS-FNA for pathology diagnosis 3. Written informed consent
    Exclusion Criteria:
    1. Patients who have received adjuvant chemotherapy and other anti-tumor treatments 2. Severe heart, lung, liver, kidney insufficiency, or severe bleeding disorders, severe coagulopathy or local/systemic infections, other critical illnesses 3. Women who are planning to become pregnant or are pregnant or breast-feeding

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Ying Lv, PhD, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

    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