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SurePathTM Liquid-based Cytology and Conventional Smear Cytology in Pancreatic Lesions


2018-04-17


2019-06-30


2019-12-31


170

Study Overview

SurePathTM Liquid-based Cytology and Conventional Smear Cytology in Pancreatic Lesions

The SurePathTM has been approved by the FDA since 1997. Currently, the SurePathTM is used for endometrial cells, body fluids, bronchoscopy aspirates, and thyroid fine needle aspirates. There is an advantage that the denaturation is small, the density of the cells is uniform, and the read area is small so that the read time can be shortened. Therefore, investigators plan to apply the SurePathTM test for pancreatic EUS-FNA specimens. Morphological comparative analysis is needed before completely replacing the existing classical smear test method. The aim of this study is to confirm that the SurePathTM is not inferior and is more accurate than the classical smear test.

N/A

  • Pancreatic Cancer
  • DIAGNOSTIC_TEST: SurePathTM
  • 1803-094-930

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

2018-04-26  

N/A  

2019-01-21  

2018-07-27  

N/A  

2019-01-23  

2018-07-30  

N/A  

2018-04  

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
: SurePathTM

The subjects are randomly assigned to SurePathTM/Conventional test group at a ratio of 1: 1. In SurePathTM group, subjects who underwent SurePathTM liquid-phase cytology test with the first sample subjected to the conventional smear test with the second

DIAGNOSTIC_TEST: SurePathTM

  • In the liquid-phase cytology, a fine-aspirated sample is immediately inserted into a container containing a commercially available preservative solution without a separate slide-smearing procedure and immediately after the fine-needle aspiration.
: Conventional

The subjects are randomly assigned to SurePathTM/Conventional test group at a ratio of 1: 1. In conventional test group, those who subjected to the conventional smear test with the first sample, will undergo the SurePathTM liquid cell test with the secon

DIAGNOSTIC_TEST: SurePathTM

  • In the liquid-phase cytology, a fine-aspirated sample is immediately inserted into a container containing a commercially available preservative solution without a separate slide-smearing procedure and immediately after the fine-needle aspiration.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Diagnostic accuracyIf surgical treatment is performed after the examination, pathologic results of the surgical specimen and record will be checked whether it is malignancy or benign. If benign diagnosis is made by combining the results of SurePathTM and conventional smear test, the follow-up period is 6 months and the results of the 6-month follow-up imaging and additional biopsy are checked. Additional tests performed at this time are subject to the clinician's decision according to the clinical situation of each patient. The combined results make a final diagnosis and are compared between two groups.6 months after randomization
Secondary Outcome MeasuresMeasure DescriptionTime Frame
SensitivityThe proportion of positives that are correctly identified as such.6 months after randomization
SpecificityThe proportion of negatives that are correctly identified as such6 months after randomization

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: Sang Hyub Lee, MD. PhD.

Phone Number: +82-2-2072-4892

Email: gidoctor@snuh.org

Study Contact Backup

Name: Min su You, MD

Phone Number: +82-2-2072-3168

Email: bass105@hanmail.net

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:

  • Patients who signed the agreement after the explanation
  • Patients suspected of pancreatic cancer from radiological examinations (CT, MR, ultrasound)

  • Exclusion Criteria:

  • Those who did not agree with the study
  • Patients older than 18 years of age
  • Serious mental patients
  • Patients with severe accompanying diseases (ESRD, advanced COPD, severe heart failure, poorly controlled blood sugar)
  • Pregnant women
  • If EUS is difficult due to previous surgery (Billroth II or TG with R-en-Y)
  • Patient with blood clotting abnormality
  • If there is a risk of tract seeding after examination

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

  • Chun JW, Lee K, Lee SH, Kim H, You MS, Hwang YJ, Paik WH, Ryu JK, Kim YT. Comparison of liquid-based cytology with conventional smear cytology for EUS-guided FNA of solid pancreatic masses: a prospective randomized noninferiority study. Gastrointest Endosc. 2020 Apr;91(4):837-846.e1. doi: 10.1016/j.gie.2019.11.018. Epub 2019 Nov 20.